Nokea
A machinist visits the industrial nurse's clinic with a deep laceration of the thigh. What should be the nurse's first action?
- A. Splint the thigh and apply tape to approximate the edges.
- B. Apply ice and a pressure dressing to the thigh.
- C. Give a tetanus booster injection.
- D. Wash the laceration with an antiseptic.
Correct Answer: D
Rationale: Lacerations should be cleaned thoroughly and bandaged to approximate the edges.
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When administering first aid in emergency situations the nurse must first survey victims for severity of injuries. What term correctly describes this process?
- A. The Good Samaritan law
- B. An emergency interview
- C. Triage
- D. Taking vital signs
Correct Answer: C
Rationale: This process of patient classification is called triage.
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 three sides.
- D. Turn the patient to the left side.
Correct Answer: C
Rationale: Sucking chest wounds should be dressed with a flutter dressing so that air can escape the pleural space, but no more air can be sucked in.
A burn patient is brought into the emergency department with the following burns: half of the front torso entire left arm and front of left leg. The nurse should record that the patient has a __% burn.
- A. 27
- B. 25
- C. 50
- D. 43
Correct Answer: A
Rationale: Half of the front torso = 9, entire left arm = 9, front of the left leg = 9.
The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible?
- A. If cardiopulmonary arrest has existed for no more 2 minutes
- B. If cardiopulmonary arrest has existed for no more 3 minutes
- C. If cardiopulmonary arrest has existed for no more 4 minutes
- D. If cardiopulmonary arrest has existed for no more 5 minutes
Correct Answer: C
Rationale: CPR can reverse clinical death if initiated before 4 minutes.
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 sterile material.
- B. Leave the toes exposed.
- C. Bandage the extremity tightly.
- D. Bend the knee after bandaging.
Correct Answer: B
Rationale: The tips of the toes should remain exposed to assess circulation.