10 items questions

1. The Emergency room staff is practicing for its annual disaster drill. According to disaster triage, which of the following four clients would be care last? a. A client with pneumothorax b. A client with 70% TBSA full thickness Burns c. A client with fractures of the tibia and fibula d. A client with smoke inhalation injuries 2. The nurse is triaging four clients in emergency room, injured in a train derailment. Which client should receive priority treatment? a. A 42-yr-old with dyspnea and chest asymmetry b. A 17-yr-old with a fractured arm. c. A 4-yr-old with facial lacerations. d. A 30-yr-old with abdominal injury 3. Which of the following actions is most effective in restoring oxygenation and ventilation to an unresponsive, breathless, neardrowning victim? a. Force water from the victims lungs by performing the Heimlich Maneuver b. Force water from the victims lungs by starting chest compressions. c. Stabilize the cervical spine with I collar and spine board, then start the ABCs d. Open the airway with a jaw-thrust maneuver, provide in-line cervical stabilization, start the ABCs 4. What is the compression rate of a two (2) man CPR for an adult resuscitation? a. 15 compression:2 ventilation b. 10 compression:1 ventilation c. 30 compression:2 ventilation d. 5 compression:1 ventilation 5. Which of the following drug-dose combinations is recommended as the initial medication to give a patient in documented asystole? a. Vasopressin 40 U IV every 10 mins b. Atropine 3mg IV

c. Epinephrine 10 ml of a 1:10,000 solution IV d. Adenosine 6 mg rapid IV push 6. Maria recalls that as she is making rounds one evening a patient begins choking on is dinner. She position him to do Heimlich maneuver. Which leadership is most appropriate here? a. Authoritarian b. Permissive c. Participative d. democratic 7. An unresponsive patient is admitted to the emergency room with a blunt abdominal injury after a car accident. At 7:00 a.m. The clients vital signs are 37.8c ,HR 89beats/min, BP 110/70 and urine output of 30cc. After 1 hour you saw that there was an increase in abdominal size, HR 130beats/min.,BP 90/50 and urine output of 15 cc. The patient is now experiencing: a. Anaphylactic shock b. Shock c. Kidney failure d. Pulmonary Embolism 8. A 45 yr. old female and unresponsive is rush to the Emergency Room with a history of diabetes mellitus. The client, skin is cold and clammy, and the blood pressure reading is 82/56. the first step in emergency treatment of the clients symptom would be: a. Checking the clients CBG b. Administering D5NR I.V. c. Intubation and ventilator support d. Administering regular Insulin 9. A client with severe blood loss resulting from multiple trauma requires rapid transfusion of several units of blood. A nurse asks another health team member to obtain which of the following devices for use during blood transfusion procedure to help reduce the risk of cardiac dysrhythmias? a. Cardiac monitor b. Pulse oxymeter c. Blood Warming Device d. Infusion Controller

10. The client presents to the unit with complaints of shortness of breath. A tentative diagnosis of respiratory acidosis related to pneumonia is made. Which findings would support the diagnosis? a. b. c. d. pH pH pH pH of of of of 7.45, 7.35, 7.34, 7.44, CO2 CO2 CO2 CO2 of of of of 45, 46, 30, 32, HCO3 HCO3 HCO3 HCO3 of of of of 26 27 22 25

Answers. 1. (B) 2. (A) 3. (D) 4. (D) 5. (C) 6. (A) 7. (B) 8. (B) 9. (C) 10. (B)