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Nội dung text RECALLS 13 - NP4 - KEY



C. “Patient says he will sue the surgeon and the hospital if the operation turns out to be a failure.” D. “Patient says he feels sharp and stabbing pain in the abdominal area.” 24. The attending physician writes an order of Do Not Resuscitate (DNR) on a patient who is seriously ill. Which of the following is a responsibility of Nurse Rose? Nurse Rose should ________ 1) Carry out the order in the event the patient experiences sudden need for CPR 2) Determine if there is a living will on the medical record of the patient 3) Consult the policies and procedures of the Institution if she feels such DNR order is contrary to the patient’s or family’s wishes. 4) Refer to the Ethics Committee of the Institution the DNR order to determine appropriateness of the order. A. 2 & 3 B. 1 & 3 C. 3 & 4 D. 1 & 2 25. The physician orders a dose of medication to be given to a patient before undergoing surgery. Nurse Rose is aware that the dose is too high for the patient. She tries to locate the physician to check the order but the physician is not available. Which of the following is the MOST appropriate action Nurse Rose will take to ensure the safety of the patient? A. Notify the nurse supervisor immediately B. Administer half of the dose of the medication ordered. C. Administer the medication as ordered. D. Withhold the medication. 26-30. Situation. The charge nurse in the Emergency Department calls for a crisis meeting to review principles in mass casualty to enhance preparedness and improve emergency quality care. 26. Which of the following statements is NOT TRUE about emergency preparedness? A. Hospitals should have an emergency preparedness plan that is tested through drills or actual participation. B. Generally, hospital employees participate seriously in emergency drills. C. Emergency preparedness training and drills are standard functions of emergency departments of hospitals. D. Drills must involve the participation and collaboration of the community. 27. The charge nurse explains that mass casualty incidents are due to events such as the following EXCEPT: A. Earthquakes B. Severe weather phenomena. C. Lightning strikes. D. Transportation disasters. 28. The charge nurse reiterates the importance of using a disaster triage tag system. Clients that have been “green-tagged” are those ________. A. With injuries of closed fracture, sprains, contusions and abrasions. B. Who are expected to die or are dead already. C. With major injuries such as open fractures and large wounds. D. Experiencing hemorrhagic shock that requires immediate treatment. 29. The term NBC means nuclear, biological and chemical weapons of mass destruction. Which of the following is an example of biologic terrorism agents? A. Vaccine B. Nerve agent antidotes C. Anthrax D. Neoplastic agents 30. The charge nurse emphasizes the overall goal in a disaster situation which is ___. A. Saving as many lives as possible B. Using a disaster triage system that categorizes triage priority by color and number. C. Calling all emergency medical service providers from the hospital to attend the needs of the victims. D. Doing the greatest good for the greatest number of people. 31-35. Situation. The nurse in the emergency department performs initial assessment on clients brought to the department. The following questions pertain to assessment and nursing interventions. 31. The nurse assesses a trauma client in pain who refuses pain medication. Which of the following alternative methods to manage pain can the nurse use or recommend? 1) Positioning/Splinting 2) Application of heat and cold 3) Non-therapeutic touch 4) Guided imagery 5) Humor A. 1, 2, 3 & 5 B. 2, 4 & 5 C. 1, 2, 3, 4 & 5 D. 1, 2 & 5 32. The nurse assesses circulation of an adult trauma victim by palpating a central pulse. Which of the arteries will the nurse palpate? A. Apical artery B. Brachial artery C. Femoral artery D. Popliteal artery 33. The nurse performs complete spinal immobilization. The procedure includes the following actions EXCEPT _____. A. Placing the client on the backboard B. Placing a small pillow on the head. C. Application of a rigid cervical collar. D. Immobilization of the head and neck. 34. In inspecting a client’s airway, the nurse should observe the following, EXCEPT: A. Tongue obstructing the airway B. Foreign objects that may have been lodged. 3 | Page

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