Name:_____________________ Date:_____________

Direction: True or False. Write full word true if the statement true and write false if the statement is false. Write your
answer to the space provided before the number. No erasures.

____1. A family emergency plan is the best way to prepare you and your loved ones for a natural disaster or terrorist act.

____ 2. A family emergency plan consists of having emergency supplies and a first aid kit handy.

____3. Every family member should be familiar with your emergency plan since they each play an important role.

____4. Since terrorism is unlikely in my community, preparing for emergencies is not as important for me as it is for
some other people.

____ 5. It’s a good idea to identify a centrally located room in your house or space in your basement, in case you and
your family need to “shelter in place.”

____6. As long as a thunderstorm is five or miles away from you, you are pretty safe from lightning strikes.

____7. You need to have a plan for your pets during emergencies.

____ 8. Brittle bone disease is a congenital disorder of collagen synthesis resulting in weak, bony matrix leading to bone
fragility, fractures and deformity.
____9. Foot deformities present at birth are caused when tissues connecting muscles to the bone (tendons) are shorter
than usual.
____10. Chondromalacia Patella (Patellofemoral Pain Syndrome) is often referred to as “runners knee.”

Test II.Multiple choice. Select the best answer. Encircle the letter of your answer and write the letter of your choice in
the space provided before the number.

_ace___1. A patient admitted to the ED with severe diarrhea and vomiting is subsequently diagnosed with food poisoning. The nurse
caring for this patient assesses for signs and symptoms of fluid and electrolyte imbalances. For what signs and symptoms would this
nurse assess? Select all that apply.
A) Dysrhythmias
B) Hypothermia
C) Hypotension
D) Hyperglycemia
E) Delirium
__A_2. . An 83-year-old patient is brought in by ambulance from a long-term care facility. The patients symptoms are weakness,
lethargy, incontinence, and a change in mental status. The nurse knows that emergencies in older adults may be more difficult to
manage. Why would this be true?
A) Older adults may have an altered response to treatment.
B) Older adults are often reluctant to adhere to prescribed treatment.
C) Older adults have difficulty giving a health history.
D) Older adults often stigmatize their peers who use the ED.

___b_3.  An ED nurse is triaging patients according to the Emergency Severity Index (ESI). When assigning patients to a triage level,
the nurse will consider the patients acuity as well as what other variable?
A) The likelihood of a repeat visit to the ED in the next 7 days
B) The resources that the patient is likely to require
C) The patients or insurers ability to pay for care
D) Whether the patient is known to ED staff from

___b__4. After determining that an accident victim is breathing and has a pulse, the next thing the nurse should assess for is
1. Loss of sensation to extremities
2. Bleeding
3. Level of consciousness
4. Ability to speak
__4___5. Circulation must be restored within four minutes of cardio pulmonary arrest because
1. Irreversible kidney failure develops
2. Blood begins to coagulate
3. Lungs begin to fill with fluid
4. Brain cells begin to die
__3___6. Which of the following is a primary maneuver used to dislodge a foreign body from the airway?

1. Blow to the upper back

2. Mouth to mouth ventilation
3. Abdominal thrusts
4. Chest compressions

___1__7. During a hike, a participant fell and injured his leg. Suspecting a fracture, the first aid care provider should take
what action?

1. Immobilize the leg in the position where it was found

2. Gently straighten the leg and immobilize it
3. Apply a tourniquet above the fracture if bleeding is present
4. Elevate the injured part

__145___ 8. A person has sustained a head injury due to an auto accident. The nurse collects the following data:
headache, decreasing blood pressure, increasing respiratory rate, unequal pupils, and confusion. Which of these findings
would cause the nurse to suspect increase intracranial pressure? Select all that apply.

1. Headache
2. Decreasing blood pressure
3. Increasing respiratory rate
4. Uneven pupils
5. Confusion

__125___9. A high school football player collapses during practice on a hot, humid day. He is breathing but he's not
responding verbally. His skin is hot, red, and dry. Which of the following actions should be taken? Select all that apply.

1. Move him to a cool location

2. Activate the emergency medical service system
3. Notify his parents to take him to the hospital
4. Encourage him to take sips of ice water
5. Apply cool, wet towels

__1__10. The client is admitted into the emergency department with diaphoresis, pale clammy skin, and BP of 90/70.
Which intervention should the nurse implement first?
1. Start an IV with an 18-gauge catheter.
2. Administer intravenous dopamine infusion.
3. Obtain arterial blood gases (ABGs).
4. Insert an indwelling urinary catheter.

___3__11. The nurse is caring for a client diagnosed with septic shock. Which assessment data warrant
immediate intervention by the nurse?
1. Vital signs T 100.4°F, P 104, R 26, and BP 102/60.
2. A white blood cell count of 18,000/mm^3.
3. Urinary output of 90 mL in the last 4 hours.
4. The client reports being thirsty.

___2__12. The client diagnosed with septicemia has the following health-care provider (HCP) orders. Which HCP order
has the highest priority?
1. Provide clear liquid diet.
2. Initiate IV antibiotic therapy.
3. Obtain a STAT chest x-ray.
4. Perform hourly glucometer checks
___ 13. The client is diagnosed with neurogenic shock. Which clinical manifestations should the nurse assess in this
client? Select all that apply.
1. Cool, moist skin.
2. Bradycardia.
3. Wheezing.
4. Decreased bowel sounds.
5. Hypotension.

_4___14. The nurse caring for a client diagnosed with sepsis writes the client diagnosis of "alteration in comfort R/T chills
and fever." Which intervention should be included in the plan of care?

1. Ambulate the client in the hallway every shift.

2. Monitor urinalysis, creatinine level, and BUN level.
3. Apply sequential compression devices to the lower extremities.
4. Administer an antipyretic medication every 4 hours PRN.

__2__15. The older female client diagnosed with vertebral fractures and self-medicating with ibuprofen presents to the
emergency department (ED) reporting abdominal pain, is pale and clammy, and has a P of 110 and a BP of 92/60.
Which type of shock should the nurse suspect?
1. Cardiogenic shock.
2. Hypovolemic shock.
3. Neurogenic shock.
4. Septic shock.

___3__16. The client has recently experienced a myocardial infarction. Which action by the nurse helps prevent
cardiogenic shock?

1. Monitor the client's telemetry.

2. Turn the client every 2 hours.
3. Administer oxygen via nasal cannula.
4. Place the client in the Trendelenburg position.

_2__17. The nurse is caring for a client diagnosed with shock. The client has hypotension, decreased urine output, and
cool, pale skin. Which stage of shock is the client experiencing?

1. The refractory stage.

2. The compensatory stage.
3. The initial stage.
4. The progressive stage.

__2345__18. The nurse is teaching a class on bioterrorism to first responders and is discussing PPE. Which statements
are important for the nurse to share with the participants? Select all that apply.
1. Health-care facilities should keep masks at entry doors.
2. The respondent should be trained in the proper use of PPE.
3. No single combination of PPE protects against all hazards.
4. The CDC has divided PPE into levels of protection.
5. PPE should be properly fitted to each respondent.

___3__ 19. The nurse finds the client unresponsive on the floor of the bathroom. Which action should the nurse
implement first?
1. Check the client for breathing.
2. Assess the carotid artery for a pulse.
3. Shake the client and shout.
4. Notify the rapid response team.

__3__ 20. The UAP is performing cardiac compressions on an adult client during a code. Which behavior warrants
immediate intervention by the RN?
1. The UAP has hand placement on the lower half of the sternum.
2. The UAP performs cardiac compressions and allows for rescue breathing.
3. The UAP depresses the sternum 0.5 to 1 inch during compressions.
4. The UAP asks to be relieved from performing compressions because of exhaustion.
_____3__ 21. The nurse is caring for clients on a medical floor. Which client is most likely to experience sudden cardiac
death?
1. The 84-year-old client exhibiting uncontrolled atrial fibrillation.
2. The 60-year-old client exhibiting asymptomatic sinus bradycardia.
3. The 53-year-old client exhibiting ventricular fibrillation.
4. The 65-year-old client exhibiting supraventricular tachycardia.

____1`__ 22. Which statement explains the scientific rationale for having emergency suction equipment available during
resuscitation efforts?

1. Gastric distention can occur as a result of ventilation.

2. It is needed to assist when intubating the client.
3. This equipment will ensure a patent airway.
4. It keeps the vomitus away from the healthcare provider.

__2___ 23. The triage nurse is working in the emergency department. Which client should be assessed first?

1. The 10-year-old child whose dad thinks the child's leg is broken.
2. The 45-year-old male clutching his chest and diaphoretic.
3. The 58-year-old female reporting a headache and seeing spots.
4. The 25-year-old male with a hunting knife wound on the hand.

___3_ 24. The triage nurse has placed a disaster tag on the client. Which action warrants immediate intervention by the
nurse?
1. The nurse documents the tag number in the disaster log.
2. The unlicensed assistive personnel documents vital signs on the tag.
3. The health-care provider removes the tag to examine the limb.
4. The licensed practical nurse securely attaches the tag to the client’s foot.

___1__ 25. Which is the primary goal of the ED nurse in caring for a poison ingestion client?
1. Remove or inactivate the poison before it is absorbed.
2. Provide long-term supportive care to prevent organ damage.
3. Administer an antidote to increase the effects of the poison.
4. Implement treatment prolonging the elimination of the poison.

___