NCM118RC Quiz A nurse on the day

NCM118RC Quiz A nurse on the day shift walks into a clients room and finds the client unresponsive. The client is not breathing and does not have a pulse, and the nurse immediately calls out for help. The next nursing action is which of the following: Ventilate with a mouth to mask device Open the airway Give the client oxygen Start chest compressions A nurse is performing cardiopulmonary resuscitation(CPR) on an adult client. When performing chest compressions, the nurse understands that correct hand placement is located over the: Lower half of the sternum Upper third of the sternum Upper half of the sternum Lower third of the sternum A nurse witnesses a neighbor’s husband sustain a fall from the roof of his house. The nurse rushes to the victim and determines the need to open the airway. The nurse opens the airway in this victim by using which appropriate method? Jaw thrust maneuver Modified head tilt-chin lift Flexed position Head tilt-chin lift A nurse is preparing to attempt to relieve an airway obstruction in a 3 year old conscious child. The nurse performs this maneuver by placing the hands between the: Lower abdomen and the chest Umbilicus and the ziphoid process Groin and the abdomen Umbilicus and the groin A client arrives at the emergency department who suffered multiple injuries from a head-on car collision. Which of the following assessment should take the highest priority to take? Unequal pupils A deviated trachea Ecchymosis in the flank area Irregular pulse A group of people arrived at the emergency unit by a private car with complaints of periorbital swelling, cough, and tightness in the throat. There is a strong odor emanating from their clothes. They report exposure to a “gas bomb” that was set off in the house. What is the priority action? Instruct personnel to don personal protective equipment Direct the clients to the cold or clean zone for immediate treatment Direct the clients to the decontamination area Measure vital signs and auscultate lung sounds A client arrives in the emergency unit and reports that a concentrated household cleaner was splashed in both eyes. Which of the following nursing actions is a priority? Examine the client’s visual acuity Patch the eye Flush the eye repeatedly using sterile normal saline Use Restasis (Allergan) drops in the eye A client was brought to the emergency department after suffering a closed head injury and lacerations around the face due to a hit-run accident. The client is unconscious and has a minimal response to noxious stimuli. Which of the following assessment findings if observed after few hours, should be reported to the physician immediately? Drainage of a clear fluid from the client’s nose Withdrawal of the client in response to painful stimuli Bruises and minimal edema of the eyelids Bleeding around the lacerations An anxious 24-year-old college student complains of tingling sensations, palpitations, and chest tightness. Deep, rapid breathing and carpal spasms are noted. What priority nursing action should you take? a. Notify the physician immediately. b. Administer supplemental oxygen. c. Have the student breathe into a paper bag. d. Obtain an order for an anxiolytic medication Which is the best example of a natural disaster? Terrorism Building collapse Flooding Train crash Subdiaphragmatic abdominal thrust performed to clear airway obstruction in the awake patient without ventilation is termed as: Leopold’s maneuvers Heimlich maneuver Valsalva maneuver Pallach’s maneuver You respond to a call for help from the ED waiting room. There is an elderly patient lying on the floor. List the order for the actions that you must perform. 1. Call for help and activate the code team .2. Instruct a nursing assistant to get the emergency cart .3. Initiate cardiopulmonary resuscitation (CPR) .4. Perform the chin lift or jaw thrust maneuver .5. Establish unresponsiveness.) 5. 2. 4. 3. 1 1. 5. 2. 4. 3 1. 4. 3. 2 1. 2. 5. 4. 3 Michael works as a triage nurse. and four clients arrive at the emergency department at the same time. List the order in which he will assess these clients from first to last.(1. A 50-year-old female with moderate abdominal pain and occasional vomiting.2. A 35-year-old jogger with a twisted ankle. having a pedal pulse and no deformity.3. An ambulatory dazed 25-year-old male with a bandaged head wound.4. An irritable infant with a fever. petechiae. and nuchal rigidity.) 1 2 3 4 4 3 1 2 2 3 4 1 1 4 3 2 In conducting a primary survey on a trauma patient. which of the following is considered one of the priority elements of the primary survey? Initiation of pulse oximetry Complete sets of vital signs Client’s allergy history Brief neurologic assessment A 15-year-old male client arrives at the emergency department. He is conscious. coherent and ambulatory. but his shirt and pants are covered with blood. He and his hysterical friends are yelling and trying to explain that they were goofing around and he got poked in the abdomen with a stick. Which of the following comments should be given first consideration? He’s a diabetic. so he needs attention right away.” “There was a lot of blood and we used three bandages The stick was really dirty and covered with mud. “He pulled the stick out. just now. because it was hurting him. What is the compression to ventilation ratio you should use when giving CPR to any individual?* 30:1 15:1 15:2 30:2 When performing two-rescuer CPR, how often should you switch roles?* After every cycle of CPR After every 10 cycles of CPR After every five cycles of CPR After every two cycles of CPR When operating an AED, what are the correct steps to follow?* Check pulse, attach electrode pads, analyze rhythm, shock patient Attach electrode pads, check pulse, shock individual, and analyze rhythm Power on the AED, attach electrode pads, analyze the rhythm, clear the individual, and deliver shock Power on the AED, attach electrode pads, shock the individual, and analyze the rhythm Which step is NOT a part of the five steps in the Adult Chain of Survival?* Early CPR Rapid defibrillation Integrated post-cardiac arrest care Advanced airway placement What are the BLS (Basic Life Support) steps used for adults?* Assess the individual, give two rescue breaths, defibrillate, and start CPR Check pulse, give rescue breaths, assess the individual, and defibrillate Assess the individual, activate EMS and get AED, check pulse, and start CPR Assess the individual, start CPR, give two rescue breaths, and defibrillate

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