Nokea
The nurse is assessing a patient who is severely bleeding and at risk for hypovolemic shock. What can the nurse anticipate?
- A. Slow labored breathing
- B. Hot flushed skin
- C. Edematous extremities
- D. Weak thready pulse
Correct Answer: D
Rationale: The pulse becomes weak and thready with hypovolemic shock.
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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.
The nurse arrives on the scene of a fire. What is the first thing the nurse will do for a burn victim?
- A. Apply dressings.
- B. Cover with a blanket.
- C. Cool the burn immediately.
- D. Apply topical ointment.
Correct Answer: C
Rationale: The burn should be cooled immediately to stop the burning process.
While on break in the hospital cafeteria a nurse witnesses her pregnant coworker start to choke. The coworker is conscious but unable to breathe. Where should the nurse administer thrusts?
- A. Below the navel
- B. The chest
- C. At the xiphoid process
- D. The upper back
Correct Answer: B
Rationale: If the victim is pregnant or obese, chest thrusts are acceptable instead of abdominal thrusts. To provide chest thrusts, the nurse should place his or her hands in the same position that is used for chest compressions during CPR.
When two nurses perform two-person CPR there should be two slow breaths for every 30 __.
Correct Answer: compressions
Rationale: Two slow breaths are given after every 30 compressions.
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.