Emergency Care and First Aid Procedures, Quizzes of Nursing

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A burn patient is brought into the emergency department with the following burns: half of the torso, entire left arm, and front of left leg. The nurse should record that the patient has a ______% burn. - ans A farm worker who has been kicked in the stomach by a mule passes a foul, black, tarry stool. What is this called? a. loose stool b. melena c. hematuria d. hemoptysis - ansb. melena A nurse assess an accident victim who has bright red blood spurting from a laceration on his right forearm. Where will the nurse apply pressure after applying direct pressure and elevating the limb? a. right subclavian artery b. right radial artery c. right ulnar artery d. right brachial artery - ansd. Right brachial artery A nurse is assessing victims in an emergency situation. What will the nurse assess for first? a. hemorrhage b. fractures c. mobility d. abnormal breathing - ansd. Abnormal breathing A patient arrives in the emergency department with a sucking wound to the left chest. What is the first action the nurse should take? a. place several layers of gauze dressing over the wound b. place the patient in a supine position c. cover the wound with an airtight dressing taped on the three sides

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d. turn the patient to the left side - ansc. cover the wound with an airtight dressing taped on the three sides A patient is admitted to the hospital after receiving a blow to the head. The patient begins to show signs of shock. How should the patient be positioned? a. with the head lower than the body b. flat with the legs elevated c. flat on the back d. in a side-lying position - ansc. flat on the back A patient who had taken a poisonous substance is brought to the emergency department. What is the first action the nurse should take? a. give syrup of ipecac b. contact the poison control center c. give milk to coat the stomach d. observe for symptoms - ansb. contact the poison control center A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene. What will be the rescuer's priority action? a. assessing blood loss b. assessing respiratory status c. obtaining vital signs d. organzing laypeople - ansb. Assessing respiratory status CPR has been initated on an adult patient. How will the nurse confirm the effectiveness of CPR? a. assessing an EKG pattern with each compression b. assessing a palpable carotid pulse during each compression c. assuring a compression depth of 1 1/2 to 2 inches

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d. observing pupils that change from pinpoint to dilated - ansb. Assessing a palpable carotid pulse during each compression CPR has been initiated at an accident site. When can CPR be terminated? a. victim is clinically dead b. victim is brain dead c. paramedics arrive d. rescuer perceives CPR is futile - ansc. Paramedics arrive If a spinal injury is suspected, before the rescuer starts CPR, the trachea should be opened with a _______ ________ maneuver. - ansjaw thrust The acronym RICE directs that nurse in the care of a spain. The C in the acronym stands for_______ - anscompress The Good Samaritan law will protect all people who offer assistance. What is necessary for this protection? a. license b. the person acts prudently c. licensed supervision d. the patient improves - ansb. The person acts prudently The nurse arrives on the scene of a fire. What is the first thing the nurse will do for a burn victim? a. apply dressings b. cover with a blanket c. cool the burn immediately d. apply topical ointment - ansc. cool the burn immediately

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The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible? a. If cardiopulmonary arrest has existed for no more than 2 minutes b. If cardiopulmonary arrest has existed for no more than 3 minutes c. If cardiopulmonary arrest has existed for no more than 4 minutes d. If cardiopulmonary arrest has existed for no more than 5 minutes - ansc. If cardiopulmonary arrest has existed for no more than 4 minutes The nurse is assessing a patient who is severly bleeding and at risk for hypovolemic shock. What can the nurse anticipate? a. slow, labored breathing b. hot, flushed skin c. edematous extermities d. weak, thready pulse - ansd. Weak, thready pulse The nurse is assisting a victim of an accident who requires bandaging of the right lower extremity. What should the nurse do when applying the bandage? a. use sterlie material b. leave the toes exposed c. bandage the extermity tightly d. bend the knee after bandaging - ansb. leave the toes exposed The nurse is attempting to control bleeding in a patient with a profusely bleeding scalp wound. What is the most effective inital treatment of this bleeding? a. elevate the head b. apply direct pressure c. apply an ice pack d. apply indirect pressure - ansd. Apply direct pressure

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The nurse is teaching a patient with epitaxis about the best way to control bleeding. What information will the nurse relay to this patient? a. place ice on the nose and pinch the nostrils b. maintain a flat position c. pack nostrils with cotton d. lean backward - ansa. place ice on the nose and pinch the nostrils The patient is admitted to the emergency department, having suffered frostbite to the hands, which are grayish-white in color. What action should the nurse implement when attempting to warm the hands? a. have the patient rub the hands together briskly b. wipe the hands vigorously with a warm towel c. run tepid water over the hands to warm slowly d. wrap the hands in hot, moist towels - ansd. wrap the hands in hot, moist towels The patient is brought to the emergency department after having fractured an arm 12 hours ago. The arm is very edematous from the fingers to the elbow, and the patient cannot move it. What should be the inital action of the nurse? a. test range of motion b. take the vital signs c. place ice packs on the arm d. check fingers for capillary refill - ansd. check fingers for capillary refill The patient with heat stroke has been undressed and treated with cold packs and a fan. The patient's temperature is now down to 101.2 degrees F. The patient starts to shiver. What action should the emergency department nurse take? a. raise the head of the bed b. offer warm liquids c. remove cold packs and fan d. continue with cooling interventions - ansc. remove cold packs and fan

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When a patient suddenly experiences respiratory difficulty in the cafeteria, the nurse begins assessment for foreign body airway obstruction. What is the most appropriate question to ask the victim? a. "What did you swallow?" b. "Are you choking?" c. "Are you OK?" d. "Can I help you?" - ansb. Are you choking? When administering first aid in emergency situations, the nurse must first survey victims of severity of injuries. What term correctly describes this process? a. the good samaritan law b. an emergency interview c. triage d. taking vital signs - ansc. Triage When assessing a patient who has suffered a burn injury, the nurse classifies the burn as a deep partial- thickness burn. What is this observation most likely based upon? a. painful reddened skin b. charred skin with milky-white areas c. erythema and blisters d. erythema, pain, and swelling - ansc. erythema and blisters When assessing the adult victim for pulselessness, the CPR rescuer should palpate the most reliable and accessible pulse. Which pulse will be palpated? a. radial b. brachial c. carotid d. femoral - ansc. Carotid

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When performing CPR on an infact, the breastbone is depressed approximately ___ to ___ inches. - ans. to 1" When treating an infant choking on a foreign body, the nurse should use a combination of ________ ________ and chest thrusts. - ansback thrust When two nurses perform two-person CPR, there should be _____ slow breaths for evert ______ compressions. - ans 30 While on break in the hospital cafeteria a nurse witnessess her pregnant co-worker start to choke. The co-worker is conscious, but unable to breathe. Where should the nurse administer thrusts? a. below the navel b. the chest c. at the xiphoid process d. the upper back - ansb. the chets