Emergency Department Nursing Quiz
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Questions and Answers

What is the immediate action a nurse should take when a patient is suspected of choking?

  • Ask if the patient is choking (correct)
  • Call for additional medical assistance
  • Begin mouth-to-mouth resuscitation
  • Administer a sedative

    • Which condition is represented by the vital signs: BP 80/54, P 102, RR 22?

  • Dehydration from excessive sweating
  • Inadequate perfusion
  • Bradycardia due to heart disease
  • Circulatory shock (correct)

    • How can a nurse assess the effectiveness of CPR being performed on an adult patient?

  • By monitoring the patient's blood pressure during compressions
  • By observing swelling in the patient's extremities
  • By ensuring compressions are at least 3 inches deep
  • By assessing a palpable carotid pulse during each compression (correct)

    • In a traumatic emergency, what should be the rescuer’s first priority upon arriving at the scene?

    <p>Assessing respiratory status</p> Signup and view all the answers

    What might the nurse conclude if a patient exhibits vitals of BP 80/54 and a rapid pulse of 102?

    <p>The patient is in circulatory shock</p> Signup and view all the answers

    During CPR, which of the following is considered a critical factor for success?

    <p>Achieving an adequate depth of compressions</p> Signup and view all the answers

    Which of the following best describes the impact of severe blood loss in trauma victims?

    <p>It causes circulatory shock due to inadequate perfusion</p> Signup and view all the answers

    What is NOT a correct action to take when assessing a choking victim?

    <p>Perform the Heimlich maneuver immediately</p> Signup and view all the answers

    Which symptom is a nurse most likely to observe with a patient in shock?

    <p>Cool, clammy skin</p> Signup and view all the answers

    What does the 'C' in the RICE acronym signify in the context of treating a sprain?

    <p>Compression</p> Signup and view all the answers

    When performing CPR on an infant, how far should the breastbone be depressed?

    <p>One-third of the chest diameter</p> Signup and view all the answers

    Which of the following is NOT a component of the RICE method for managing a sprain?

    <p>Rehabilitation</p> Signup and view all the answers

    What characteristic is least likely associated with deep partial-thickness burns?

    <p>Charred skin with milky-white areas</p> Signup and view all the answers

    What is the primary reason for immediately cooling a burn?

    <p>To stop the burning process</p> Signup and view all the answers

    In a situation requiring CPR for an infant, which statement is correct regarding the depression of the breastbone?

    <p>It should be depressed by one-third of the chest diameter.</p> Signup and view all the answers

    When caring for a patient with a suspected head injury, which position is appropriate?

    <p>Flat on the back</p> Signup and view all the answers

    Which nursing process step is primarily involved in administering CPR?

    <p>Implementation</p> Signup and view all the answers

    Which of the following actions is crucial in the initial management of a sprain according to the RICE method?

    <p>Provide compression to the sprain</p> Signup and view all the answers

    In which scenario would abdominal thrusts be considered inappropriate?

    <p>For a pregnant woman</p> Signup and view all the answers

    For which patient condition is it critical to administer chest thrusts?

    <p>A pregnant coworker who is choking</p> Signup and view all the answers

    What symptom would not typically indicate a deep partial-thickness burn?

    <p>Charred skin appearance</p> Signup and view all the answers

    What action should be prioritized when arriving at a fire scene with a burn victim?

    <p>Cool the burn area</p> Signup and view all the answers

    Which factor is most critical when positioning a patient in shock due to a head injury?

    <p>Preventing intracranial pressure increase</p> Signup and view all the answers

    What is the primary indicator of a potentially serious burn injury?

    <p>Presence of charred areas</p> Signup and view all the answers

    Which method is typically used to address choking in unconscious individuals?

    <p>CPR</p> Signup and view all the answers

    What percentage of body surface area is burned if a patient has burns on half of the front torso, entire left arm, and front of the left leg?

    <p>27</p> Signup and view all the answers

    Which combination of techniques should a nurse use to treat an infant who is choking?

    <p>Back blows and chest thrusts</p> Signup and view all the answers

    In the case of a suspected spinal injury, which maneuver should be used to open the airway before starting CPR?

    <p>Jaw-thrust maneuver</p> Signup and view all the answers

    How many compressions are performed during two-person CPR before providing breaths?

    <p>30 compressions</p> Signup and view all the answers

    What is the correct method to treat a choking child with a foreign body?

    <p>A combination of abdominal thrusts and back blows</p> Signup and view all the answers

    Which technique should NOT be used for infants suspected of choking?

    <p>Abdominal thrusts</p> Signup and view all the answers

    In a scenario of a burn patient, how is burned body surface area assessed?

    <p>Using the rule of nines</p> Signup and view all the answers

    What is the primary goal when treating an infant who is choking?

    <p>Relieve the obstruction quickly</p> Signup and view all the answers

    What potential risk does the nurse face while using abdominal thrusts on infants?

    <p>Internal organ damage</p> Signup and view all the answers

    When performing CPR in a two-person scenario, how are the breaths administered?

    <p>Two slow breaths after every 30 compressions</p> Signup and view all the answers

    What is the correct approach for bandaging a victim's right lower extremity?

    <p>Leave the toes exposed for circulation monitoring.</p> Signup and view all the answers

    In the case of a patient who has ingested a poisonous substance, what should be the nurse's first action?

    <p>Contact the poison control center for guidance.</p> Signup and view all the answers

    What is the best method for removing an embedded bee stinger?

    <p>Scrape the stinger out using the side of a knife.</p> Signup and view all the answers

    What should the nurse do when a patient with heatstroke starts to shiver?

    <p>Remove cold packs and stop the cooling interventions.</p> Signup and view all the answers

    Which of the following actions is NOT appropriate when applying a bandage to a lower extremity?

    <p>Using non-sterile materials if sterile isn't available.</p> Signup and view all the answers

    Which sign indicates that a patient is experiencing a reaction requiring urgent intervention after toxin exposure?

    <p>Rapid onset of altered mental status.</p> Signup and view all the answers

    What is a common misstep when dealing with a bee sting in the emergency setting?

    <p>Trying to remove the stinger with fingers.</p> Signup and view all the answers

    After applying cooling measures to a patient with heatstroke, the shivering response indicates what?

    <p>The cooling measures need to be modified.</p> Signup and view all the answers

    Which intervention is least prioritized in the management of poison ingestion?

    <p>Attempt to induce vomiting with home remedies.</p> Signup and view all the answers

    What action should be avoided when bandaging an injured extremity?

    <p>Wrapping too tightly to create compression.</p> Signup and view all the answers

    Study Notes

    Emergency Department Nursing

    • Choking
      • If someone is choking, ask "Are you choking?"
      • If so, immediately perform the Heimlich maneuver.

    Shock

    • Signs of Shock
      • Low blood pressure (80/54)
      • Rapid pulse (102)
      • Rapid respirations (22)

    Cardiopulmonary Resuscitation (CPR)

    • Determining Effective CPR
      • A palpable carotid pulse should be felt during every compression.

    Rescuer Priorities

    • Accident Scene
      • Primary concern is airway assessment with a suspected spinal injury.

    Bandaging

    • Lower Extremity Bandaging
      • Leave toes exposed to monitor circulation.

    Poisoning

    • Poison Control Center
      • Always contact the poison control center as the primary intervention in cases of poisoning.

    Bee Stings

    • Stinger Removal
      • Scrape the stinger with the side of a knife to avoid forcing venom deeper into the skin.

    Heatstroke

    • Cooling Interventions
      • If a patient starts shivering after cooling interventions, discontinue the cooling techniques.

    Burn Assessment

    • Deep Partial-Thickness Burns
      • Characterized by blister formation with erythema.

    Burn Care

    • First Action
      • Immediately cool the burn to stop the burning process.

    Head Injuries

    • Positioning
      • Keep the patient flat on their back, do not elevate head if a head injury is suspected.

    Infant Choking

    • Heimlich Maneuver
      • Use a combination of back blows and chest thrusts.

    Spinal Injury

    • CPR Maneuver
      • Open the airway with a jaw-thrust maneuver to avoid hyperextension of the neck.

    Two-Person CPR

    • Compressions and Breaths
      • Two slow breaths are given after every 30 compressions.

    Sprains

    • RICE Acronym
      • The acronym RICE stands for Rest, Ice, Compression, and Elevation.

    Infant CPR

    • Chest Compression Depth
      • Depress the breastbone one-third the chest diameter or in.

    Burn Calculations

    • Rule of Nines
      • Half of the front torso = 9%
      • Entire left arm = 9%
      • Front of the left leg = 9%
      • Total burn = 27%

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    Related Documents

    Foundations of Nursing Past Paper PDF

    Description

    Test your knowledge on critical emergency department nursing practices including choking interventions, shock signs, effective CPR, and more. This quiz covers essential techniques and prioritizations for patient care in emergency situations.

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