N3 Exam 2 Practice Questions with Simplified Solution | Exams Nursing

N3 Exam 2 Practice Questions with

Simplified Solution

▪A hospital responds to a local mass casualty event. Which action

should the nurse supervisor take to prevent staff post-traumatic stress

disorder during a mass casualty event?

a. Provide water and healthy snacks for energy throughout the event.

b. Schedule 16-hour shifts to allow for greater rest between shifts.

c. Encourage counseling upon deactivation of the emergency

response plan.

d. Assign staff to different roles and units within the medical facility.

▪A client who is hospitalized with burns after losing the family home

in a fire becomes angry and screams at a nurse when dinner is served

late. How should the nurse respond?

a. Do you need something for pain right now?

b. Please stop yelling. I brought dinner as soon as I could.

c. I suggest that you get control of yourself.

d. You seem upset. I have time to talk if you’d like.

▪A nurse is field-triaging clients after an industrial accident.

Which client condition should the nurse triage with a red tag?

a. Dislocated right hip and an open fracture of the right lower leg

b. Large contusion to the forehead and a bloody nose

c. Closed fracture of the right clavicle and arm numbness

d. Multiple fractured ribs and shortness of breath

▪An emergency department (ED) charge nurse prepares to receive

clients from a mass casualty within the community. What is the role

of this nurse during the event?

a. Ask ED staff to discharge clients from the medical-surgical units in

order to make room for critically injured victims.

b. Call additional medical-surgical and critical care nursing staff to

come to the hospital to assist when victims are brought in.

c. Inform the incident commander at the mass casualty scene

about how many victims may be handled by the ED.

d. Direct medical-surgical and critical care nurses to assist with

clients currently in the ED while emergency staff prepare to receive

the mass casualty victims.

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N3 Exam 2 Practice Questions with

Simplified Solution

▪ A^ hospital responds to a local mass casualty event. Which action should the nurse supervisor take to prevent staff post-traumatic stress disorder during a mass casualty event? a. Provide water and healthy snacks for energy throughout the event. b. Schedule 16-hour shifts to allow for greater rest between shifts. c. Encourage counseling upon deactivation of the emergency response plan. d. Assign staff to different roles and units within the medical facility. ▪ A^ client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late. How should the nurse respond? a. Do you need something for pain right now? b. Please stop yelling. I brought dinner as soon as I could. c. I suggest that you get control of yourself. d. You seem upset. I have time to talk if you’d like. ▪ A^ nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag? a. Dislocated right hip and an open fracture of the right lower leg b. Large contusion to the forehead and a bloody nose c. Closed fracture of the right clavicle and arm numbness d. Multiple fractured ribs and shortness of breath ▪ An emergency department (ED) charge nurse prepares to receive clients (^) from a mass casualty within the community. What is the role of this nurse during the event? a. Ask ED staff to discharge clients from the medical-surgical units in order to make room for critically injured victims. b. Call additional medical-surgical and critical care nursing staff to come to the hospital to assist when victims are brought in. c. Inform the incident commander at the mass casualty scene about how many victims may be handled by the ED. d. Direct medical-surgical and critical care nurses to assist with clients currently in the ED while emergency staff prepare to receive the mass casualty victims.

▪ The^ hospital administration arranges for critical incident stress debriefing for the staff after a mass casualty incident. Which statement by the debriefing team leader is most appropriate for this situation? a. You are free to express your feelings; whatever is said here stays here. b. Lets evaluate what went wrong and develop policies for future incidents. c. This session is only for nursing and medical staff, not for ancillary personnel. d. Lets pass around the written policy compliance form for everyone. ▪ A^ nurse is caring for a client whose wife died in a recent mass casualty accident. The client says, I cant believe that my wife is gone and I am left to raise my children all by myself. How should the nurse respond? a. Please accept my sympathies for your loss. b. I can call the hospital chaplain if you wish. c. You sound anxious about being a single parent. d. At least your children still have you in their lives. ▪ A^ nurse cares for clients during a community-wide disaster drill. Once of the clients asks, Why are the individuals with black tags not receiving any care? How should the nurse respond? a. To do the greatest good for the greatest number of people, it is necessary to sacrifice some. b. Not everyone will survive a disaster, so it is best to identify those people early and move on. c. In a disaster, extensive resources are not used for one person at the expense of many others. d. With black tags, volunteers can identify those who are dying and can give them comfort care. ▪ A^ nurse wants to become part of a Disaster Medical Assistance Team (DMAT) but is concerned about maintaining licensure in several different states. Which statement best addresses these concerns? a. Deployed DMAT providers are federal employees, so their licenses are good in all 50 states. b. The government has a program for quick licensure activation wherever you are deployed. c. During a time of crisis, licensure issues would not be the governments priority concern.

▪ A^ client presents to the emergency department after prolonged exposure to the cold. The client is difficult to arouse and speech is incoherent. Which action should the nurse take first? a. Reposition the client into a prone position. b. Administer warmed intravenous fluids to the client. c. Wrap the clients extremities in warm blankets. ▪ An emergency department nurse cares for a middle-aged mountain climber who (^) is confused and exhibits bizarre behaviors. After administering oxygen, which priority intervention should the nurse implement? a. Administer dexamethasone (Decadron). b. Complete a minimental state examination. c. Prepare the client for computed tomography of the brain. d. Request a psychiatric consult. ▪ An^ emergency department nurse assesses a client admitted after a lightning strike. Which assessment should the nurse complete first? a. Electrocardiogram (ECG) b. Wound inspection c. Creatinine kinase d. Computed tomography of head ▪ A^ nurse teaches a community health class about water safety. Which statement by a participant indicates that additional teaching is needed? a. I can go swimming all by myself because I am a certified lifeguard. b. I cannot leave my toddler alone in the bathtub for even a minute. c. I will appoint one adult to supervise the pool at all times during a party. d. I will make sure that there is a phone near my pool in case of an emergency. ▪ A^ provider prescribes a rewarming bath for a client who presents with partial-thickness frostbite. Which action should the nurse take prior to starting this treatment? a. Administer intravenous morphine. b. Wrap the limb with a compression dressing. c. Massage the frostbitten areas. d. Assess the limb for compartment syndrome.

▪ While^ on a camping trip, a nurse cares for an adult client who had a drowning incident in a lake and is experiencing agonal breathing with a palpable pulse. Which action should the nurse take first? a. Deliver rescue breaths. b. Wrap the client in dry blankets. c. Assess for signs of bleeding. d. Check for a carotid pulse. ▪ A^ provider prescribes diazepam (Valium) to a client who was bitten by a black widow spider. The client asks, What is this medication for? How should the nurse respond? a. This medication is an antivenom for this type of bite. b. It will relieve your muscle rigidity and spasms. c. It prevents respiratory difficulty from excessive secretions. d. This medication will prevent respiratory failure. ▪ An^ emergency department nurse plans care for a client who is admitted with heat stroke. Which interventions should the nurse include in this clients plan of care? (Select all that apply.) a. Administer oxygen via mask or nasal cannula. b. Administer ibuprofen, an antipyretic medication. c. Apply cooling techniques until core body temperature is less than 101 F. d. Infuse 0.9% sodium chloride via a large-bore intravenous cannula. e. Obtain baseline serum electrolytes and cardiac enzymes. ▪ An^ emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care first? a. A 30-year-old distraught mother holding her crying child b. A 65-year-old conscious male with a head laceration c. A 26-year-old male who has pale, cool, clammy skin d. A 48-year-old with a simple fracture of the lower leg ▪ A^ nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to receive care first? a. A 22-year-old with a painful and swollen right wrist b. A 45-year-old reporting chest pain and diaphoresis c. A 60-year-old reporting difficulty swallowing and nausea d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101 F

d. List of home medications e. Isolation precautions ▪ The^ complex care provided during an emergency requires interdisciplinary collaboration. Which interdisciplinary team members are paired with the correct responsibilities? (Select all that apply.) a. Psychiatric crisis nurse Interacts with clients and families when sudden illness, serious injury, or death of a loved one may cause a crisis b. Forensic nurse examiner Performs rapid assessments to ensure clients with the highest acuity receive the quickest evaluation, treatment, and prioritization of resources c. Triage nurse Provides basic life support interventions such as oxygen, basic wound care, splinting, spinal immobilization, and monitoring of vital signs d. Emergency medical technician Obtains client histories, collects evidence, and offers counseling and followup care for victims of rape, child abuse, and domestic violence e. Paramedic Provides prehospital advanced life support, including cardiac monitoring, advanced airway management, and medication administration ▪ A^ nurse is caring for a client who has just had a central venous access line inserted. Which action should the nurse take next? a. Begin the prescribed infusion via the new access. b. Ensure an x-ray is completed to confirm placement. c. Check medication calculations with a second RN. d. Make sure the solution is appropriate for a central line. ▪ A^ nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first? a. Amount of pressure in fluid container b. Date of catheter tubing change c. Percent of heparin in infusion container d. Presence of an ulnar pulse ▪ A^ nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention? a. The initial site dressing is 3 days old. b. The PICC was inserted 4 weeks ago.

c. A securement device is absent. d. Upper extremity swelling is noted. ▪ A^ nurse assesses a client's peripheral IV site, and notices edema and tenderness above the site. Which action should the nurse take next? a. Apply cold compresses to the IV site. b. Elevate the extremity on a pillow. c. Flush the catheter with normal saline. d. Stop the infusion of intravenous fluids. ▪ While^ assessing a client's peripheral IV site, the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord. How should the nurse document this finding? a. "Grade 3 phlebitis at IV site" b. "Infection at IV site" c. "Thrombosed area at IV site" d. "Infiltration at IV site" ▪ A^ nurse responds to an IV pump alarm related to increased pressure. Which action should the nurse take first? a. Check for kinking of the catheter. b. Flush the catheter with a thrombolytic enzyme. c. Get a new infusion pump. d. Remove the IV catheter. ▪ A^ nurse prepares to insert a peripheral venous catheter in an older adult client. Which action should the nurse take to protect the client's skin during this procedure? a. Lower the extremity below the level of the heart. b. Apply warm compresses to the extremity. c. Tap the skin lightly and avoid slapping. d. Place a washcloth between the skin and tourniquet. ▪ A^ nurse delegates care to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating hygiene for a client who has a vascular access device? a. "Provide a bed bath instead of letting the client take a shower." b. "Use sterile technique when changing the dressing."

A client who has experienced a burn is in the emergent phase of treatment that usually occurs during which of the following periods? 24 to 48 hours
A client is beginning the initial treatment of a major burn in the emergency room. Which of the following interventions would NOT be completed? Giving oral medications for pain management
The formula used to calculate the volume of IV fluid required for fluid resuscitation of a client receiving care in the first 24 hours after a burn is 2 to 4 mL of lactated Ringer's solution x weight(KG) x burn % Parkland Formula
A client is being evaluated in the emergency department following a burn injury at home. The client has second and third degree burns to the right and left arms, back, and both posterior legs. Using the rule of nines, the nurse would calculate the client's burn as being: 54%
The nurse is assessing a client diagnosed with second and third degree burns. Which of the following assessment signs would NOT need to be reported by the nurse? Urine output of 30 mL in the first hour 11.The nurse is initiating care for a client diagnosed with burns to the chest, back, neck, and face. For this client, which of the following nursing diagnoses would receive the highest priority? Ineffective airway clearance
A client is recovering from a skin graft to her right arm. Which of following nursing interventions would not be indicated for this client? Encourage exercise of the right arm
A client diagnosed with major burn is being prescribed medication for pain. The nurse realized that the drug of choice for this client will be? morphine sulfate
The goals of management during the emergent period after a burn include which of the following? (Select all that apply)

-Airway management -Aseptic Technique -Emotional Support -Fluid Replacement -Pain Management

An individual's sleeve catches on fire while cooking. He runs through the kitchen and out the back door. Which of the following interventions should the family perform? (select all that apply) -Remove any loose debris -Remove jewelry -Use water hose to cool the burn -Cover the burned areas with a clean dry material
The nurse is determining if a client who sustained a burn should be referred to a burn unit for care. Which of the following types of burn injuries should be referred to this type of care area? (select all that apply) -Burn of the face -Burn to the genitalia -Burn to a fractured limb -Burn caused by chemicals
The nurse is preparing to provide wound care to a client newly diagnosed with a burn. Which of the following are goals of this initial wound care? (select all that apply) -Cleanse the skin -Prevent further skin destruction -Provide comfort -Prevent Infection
The nurse in the emergency department is using a triage system because this system ranks clients by: Severity of illness or injury
In the event of a mass casualty situation, the best triage nurse is: The RN with the most experience and best assessment skills
The nurse, triaging victims of a mass casualty incident, will focus attention on the victims who are color coded as: RED

-Eat a well-balanced diet -Drink Water -Limit Caffeine -Limit Sugar Intake -Exercise at least 4 times a week for 30 minutes

The nurse determines that a client's cardiac output is normal. Which of the following values would be considered normal? 6 L/min 4-8 L/min is normal
The nurse is caring for a client who is experiencing an increase in cardiac contractility. Which of the following will decrease contractility and reduce myocardial oxygen demand for this client? Administer beta-blocker as prescribed
A client is prescribed a vasoactive IV medication to maintain a normal blood pressure. Which of the following is not a vasoactive medication? Amiodarone
A client is diagnosed with increased ICP. Which of the following interventions can be used to reduce this pressure? Administer Mannitol
A client who has an endotracheal tube is being considered for a tracheostomy. Which of the following criteria would support the placement of a trach in this client? Client is unable to maintain airway when extubated
A client who is being mechanically ventilated has positive and expiratory pressure set at 20 cm of water. Which of the following should the nurse assess in this client? Pneumothorax
The nurse, planning care for a client who is mechanically ventilated, would plan to administer medication to prevent the onset of which of the following complications? stress ulcers

A client has been participating in weaning from the ventilator for several days. Which of the following should be done to assist this client to regain strength? Provide full ventilatory support during overnight hours.
Which of the following nursing interventions would be appropriate for a client who has has an endotracheal tube removed? Provide oral care immediately after extubation
A client's pulmonary artery wedge pressure is 1mmHg. Which of the following health problems can cause this low pressure? (Select all that apply)
- Dehydration
- Hemorrhage
- Hypovalemia
Which of the following interventions would be appropriate for a client who is being mechanically ventilated? (select all that apply) -Secure artificial airway -Auscultate lungs every 4 hours as needed -Monitor endotracheal tube cuff pressure once per shift -Provide alternative form of communication -Monitor arterial blood gas analysis results and adjust ventilator as needed
A client is diagnosed with fractured ribs. Which of the following should the nurse instruct this patient? Splint the rib cage when deep breathing and coughing
A client is prescribed a diuretic for treatment of pulmonary hypertension. Which of the following should the nurse instruct the client regarding this medication?
This medication reduces the amount of water in the body
The nurse is assessing a client experiencing manifestations of cor pulmonale. Which of the following will the nurse most likely assess in this client? Hoarseness
The nurse, planning care for a client diagnosed with a pneumothorax, Identifies which type of pneumothorax? (select all that apply)

Which of the following should the nurse instruct a client who has been diagnosed with an arrhythmia? How to take his own pulse
A client is diagnosed with supraventricular tachycardia. The nurse should prepare to administer which of the following meds? Adenosine
A client is recovering from insertion of a pacemaker to pace the activity of the ventricles. At which point on the ECG tracing will the nurse assess pacer spikes? Before the QRS
A client with a heart rate of 40 who is experiencing shortness of breath and nausea is diagnosed with second degree av-block, type II. Which of the following will be included int his clients treatment? (select all that apply) -Administer atropine sulfate -Insert external pacemaker
A client's ECG rhythm strip is a straight line. Which of the following should the nurse do to help the client? (Select all that apply) -assess for loose leads -assess for power to the monitor -assess the strop for possible fine ventricular fibrillation -begin cardiopulmonary resuscitation once verified the client has no pulse
The nurse is assessing a client who is diagnosed with pulse-less electrical activity. Which of the following will the nurse include in this assessment? (select all that apply)
- hypovalemia
- hypoxia
- hypothermia
- tamponade
- thrombosis
Which of the following should be implemented to ensure the safe use of a defibrillator? (select all that apply) -do not place over monitoring electrodes -do not place over an implanted pacemaker

An emergency room nurse assesses a client who has been raped. Which health care team member should the nurse collaborate when planning this clients care? forensic nurse examiner
The ED team is performing cardiopulmonary resuscitation on a client when the clients spouse arrives at the ED. What action should the nurse take first? Ask the spouse if he wishes to be present during resuscitation
An ER nurse is triaging victims of a multi casualty event. Which client should receive care first? a 26-year old male who has pale, cool, clammy extremities
While triaging clients in a crowded ED, a nurse assesses a client who presents with symptoms of TB. Which action should the nurse take first? Transfer the client to a negative pressure room
A nurse triaging client in the ED. Which client should the nurse prioritize to receive care first? a 45-year old reporting chest pain and diaphoresis
A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired with the level of the trauma center? Level II, located within a community hospital and provides care to most injured clients
Emergency medical technicians arrive at the ED with an unresponsive client who has an oxygen mask in place. Which action should the nurse take first? Assess that the client is breathing adequately
A trauma center with multiple open wounds is brought to the ED in cardiac arrest. Which action should the nurse take prior to providing advance cardiac life support? Don personal protective equipment
A nurse is triaging clients in the ED. Which client should be considered urgent but not emergent? a 75-year old female with a cough and a temp of 102

A nurse prepared to discharge an older adult client home from the ED. Which actions should the nurse take to prevent future ED visits? (select all that apply) -Screen for depression and suicide -Complete a functional assessment
A hospital responds to a local mass casualty event. Which action should the nurse supervisor take to prevent staff post-traumatic stress disorder during a mass casualty event? Provide water and healthy snacks for energy throughout the event
A client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late. How should the nurse respond? you seem upset. I have time to talk if you'd like.
A nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag? Multiple fractured ribs and shortness of breath
An ED charge nurse prepares to receive clients from a mass casualty within the community. What is the role of this nurse during this event? Direct medical-surgical and critical care nurses to assist with clients currently in the ED while emergency staff prepare to receive the mass casualty victims.
The hospital administration arranges for critical incident stress debriefing for the staff after a mass casualty incident. Which statement by the debriefing team leader is most appropriate for this situation? You are free to express your feelings; whatever is said here stays here
A nurse is caring for a client whose wife died in a recent mass casualty accident. The client says, I can't believe my wife is gone and I am left to raise my children all by myself. How should the nurse respond? You sound anxious about being a single parent
A nurse cares for clients during a community-wide disaster drill. One of the clients asks, Why are the individuals with black tags not receiving any care? How should the nurse respond?

A client diagnosed with a-fib will most likely be placed on which two long term medications Cardizem and anticoagulant
A nurse triages clients arriving at the hospital after a mass casualty. Which clients are correctly classified? (Select all that apply.) A 35-year-old female with severe chest pain: red tag A 60-year-old male with an open fracture with distal pulses: yellow tag
An emergency department (ED) charge nurse prepares to receive clients from a mass casualty within the community. What is the role of this nurse during the event? Direct medical-surgical and critical care nurses to assist with clients currently in the ED while emergency staff prepare to receive the mass casualty victims.
The hospital administration arranges for critical incident stress debriefing for the staff after a mass casualty incident. Which statement by the debriefing team leader is most appropriate for this situation? You are free to express your feelings; whatever is said here stays here.
A nurse triages clients arriving at the hospital after a mass casualty. Which clients are correctly classified? (SATA.) A 35-year-old female with severe chest pain: red tag In a disaster, extensive resources are not used for one person at the expense of many others.
A nurse wants to become involved in community disaster preparedness and is interested in helping set up and staff first aid stations or community acute care centers in the event of a disaster. Which organization is the best fir for this nurses interests? The medical reserve corps.
A nurse wants to become part of a Disaster Medical Assistance Team, but is concerned about maintaining licensure in several different states. Which statement best addresses these concerns? Deployed DMAT providers are federal employees, so their licenses are good in all 50 states.

N3 Exam 2 Practice Questions with Simplified Solution, Exams of Nursing

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N3 Exam 2 Practice Questions with

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