Nokea
The nurse recognizes which of the following is considered an internal disaster?
- A. Water failure in the facility.
- B. Overcrowding in the emergency department.
- C. Mass shooting at a nearby concert.
- D. Shortage of opioid analgesia in the surgical department.
Correct Answer: A
Rationale: Water failure is an internal disaster as it originates within the facility. A mass shooting is external, while overcrowding and shortages are operational issues.
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Ergonomic principles are most closely associated with:
- A. Normal bodily alignment
- B. The control of infection
- C. Preventing congenital abnormalities
- D. Preventing hospital-acquired infections
Correct Answer: A
Rationale: Ergonomics focuses on optimizing bodily alignment to reduce strain. Infection control and congenital abnormalities are unrelated.
A health care provider (HCP) orders the immediate use of a piece of electrical care equipment for a client. When the nurse goes to use the piece of equipment, the nurse immediately suspects it may be faulty. The nurse should take which initial action?
- A. Try the piece of electrical care equipment and see if it becomes hazardous.
- B. Call the health care provider and report your suspicion.
- C. Ask the client if they want you to try the piece of electrical care equipment.
- D. Immediately remove the piece of electrical care equipment from service.
Correct Answer: D
Rationale: Removing faulty equipment from service prevents harm, the priority action. Trying it, consulting the client, or calling the provider delays safety measures.
The nurse is preparing to prime a new line of IV tubing. The nurse understands that priming intravenous tubing is crucial because it prevents which treatment complication?
- A. Medication toxicity
- B. Infiltration
- C. Air embolism
- D. Extravasation
Correct Answer: C
Rationale: Priming IV tubing removes air, preventing air embolism, a potentially fatal complication. Other complications are unrelated to priming.
The emergency department (ED) nurse is caring for a client with a head injury following a car accident. After a hyphema has been noted, the nurse should position the client
- A. Supine.
- B. Semi-Fowler's.
- C. Lateral on the affected side.
- D. Lateral on the unaffected side.
Correct Answer: B
Rationale: Semi-Fowler’s position (30-45 degrees) reduces intraocular pressure in hyphema, preventing complications. Supine or lateral positions may increase pressure.
The nurse cares for a client scheduled for spinal surgery in one hour. The nurse anticipates that the primary healthcare provider (PHCP) will prescribe
- A. gentamicin
- B. enoxaparin
- C. hydromorphone
- D. cyclobenzaprine
Correct Answer: B
Rationale: Enoxaparin, a low-molecular-weight heparin, is commonly prescribed preoperatively for spinal surgery to prevent venous thromboembolism due to prolonged immobility. Gentamicin is an antibiotic, hydromorphone is for pain, and cyclobenzaprine is a muscle relaxant, none of which are typically prioritized preoperatively for this purpose.