Title WORKBOOK - ERDN (SC) ✅

49. Based on the client’s vital signs, she appears to be in shock. Which types of shock are you most concerned about this client? A. Cardiogenic Shock B. Hypovolemic Shock C. Neurogenic Shock D. Septic Shock E. Anaphylactic Shock A. a and b B. a and c C. b and c D. c and d 50. The nurse is aware that the drainage from the ear and nose indicates: A. Contusion B. Concussion C. Nose fracture D. Basilar fracture 51. Grey Sloan Hospital responds to a landslide. Which action should the nurse supervisor take to prevent staff post-traumatic stress disorder during a mass casualty event? A. Provide water and healthy snacks for energy throughout the event. B. Schedule 16-hour shifts to allow for greater rest between shifts. C. Encourage counseling upon deactivation of the emergency response plan. D. Assign staff to different roles and units within the medical facility. 52. There was an explosion in a nearby rubber factory with 400 workers. Grey Sloan Hospital prepares for a mass casualty event. Which functions are correctly paired with the personnel role? I. Paramedic: decides the number, acuity, and resource needs of clients II. Hospital incident commander: assumes overall leadership for implementing the emergency plan III. Public information officer: provides advanced life support during transportation to the hospital IV. Triage officer: rapidly evaluates each client to determine priorities for treatment V. Medical command physician: serves as a liaison between the health care facility and the media A. II,IV B. I,II C. I,II,III D. I,II,III,IV 53. Grey Sloan Memorial Hospital is the nearest trauma center from a multiple vehicular collision in a highway. Which clients should Nurse Jane identify as appropriate for discharge or transfer to another facility? (SATA) I. Mang Tomas, an adult in the medical decision unit for evaluation of chest pain II. Elie who had open reduction and internal fixation of a femur fracture 3 days ago III. Martin admitted last night with community-acquired pneumonia IV. Infant who has a fever of unknown origin V. Client on the medical unit for wound care A. I,II B. II,V C. I,III D. IV,V 54. Nurse Felisa triages clients arriving at the hospital after a mass casualty. Which clients are correctly classified? I. A 35-year-old female with severe chest pain: red tag II. A 42-year-old male with full-thickness body burns: green tag III. A 55-year-old female with a scalp laceration: black tag IV. A 60-year-old male with an open fracture with distal pulses: yellow tag V. An 88-year-old male with shortness of breath and chest bruises: green tag A. III,IV B. II,III C. I,IV D. I,II,III 55. Nurse Veronica is the triage nurse tonight. The nurse identifies the clients with which injuries with yellow tags? (SATA) I. Partial-thickness burns covering both legs II. Open fractures of both legs with absent pedal pulses III. Neck injury and numbness of both legs IV. Small pieces of shrapnel embedded in both eyes V. Head injury and difficult to arouse VI. Bruising and pain in the right lower abdomen A. I,III,VI B. II,III,IV C. I,III,IV,V D. I,III,IV,VI 56. Nurse Susan is the charge nurse and has observed that for the same week that the landslide happened, staff conflicts increaseD. Which action should the nurse take? A. Organize a pizza party for each shift. B. Remind the staff of the facility's sick-leave policy. C. Arrange for critical incident stress debriefing. D. Talk individually with staff members. 57. Heidi is a single mother of 5 children. Along with her children, they are in the emergency department due to a shooting incident in the community. Which intervention should the nurse complete first? A. Provide a calm location for the family to cope and discuss needs. B. Call the hospital chaplain to stay with the family and pray for the deceased. C. Do not allow visiting of the victims until the bodies are prepared. D. Provide privacy for law enforcement to interview the family. 58. Brgy. Sto. Cristo has been struck by an intensity 5.6 earthquake. After Grey Sloan Memorial Hospital emergency department (ED) has efficiently triaged, treated, and transferred clients from a community disaster to appropriate units, the hospital incident command officer wants to stand down from the emergency plan. Which question should the nursing supervisor ask at this time? A. Are you sure no more victims are coming into the ED? B. Do all areas of the hospital have the supplies and personnel they need? C. Have all ED staff had the chance to eat and rest recently? D. Does the Chief Medical Officer agree this disaster is under control? 59. Mang Bert is a survivor in an earthquake that hit their barrio. He asks, "Why are the individuals with black tags not receiving any care?" How should the nurse respond? A. To do the greatest good for the greatest number of people, it is necessary to sacrifice some. B. Not everyone will survive a disaster, so it is best to identify those people early and move on. C. In a disaster, extensive resources are not used for one person at the expense of many others. D. With black tags, volunteers can identify those who are dying and can give them comfort care. 60. Nurse Clara is caring for a client whose husband died in a recent mass casualty accident. The client says, "I cant believe that my husband is gone and I am left to raise my children all by myself." How should the nurse respond? A. Please accept my sympathies for your loss. B. I can call the hospital chaplain if you wish. C. You sound anxious about being a single parent. D. At least your children still have you in their lives. 61. Nurse Petra is a participant in the critical incident stress debriefing for the staff after a super typhoon hit their TOP RANK REVIEW ACADEMY, INC. Page 4 | 7