NP4 Review for Final/Exit/NCLEX Questions With All Correct Answers.
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Course
ESI Practice Cases
Institution
ESI Practice Cases
What is the foundation of an emergency nurse's skill base? - Answer assessment
What is the feature of the Emergency Severity Index (ESI) triage system? - Answer It categorizes patients into five groups.
What is the nurse's first step when caring for any patient in an emergency? - Answer...
NP4 Review for Final/Exit/NCLEX
Questions With All Correct Answers.
What is the foundation of an emergency nurse's skill base? - Answer assessment
What is the feature of the Emergency Severity Index (ESI) triage system? - Answer It categorizes
patients into five groups.
What is the nurse's first step when caring for any patient in an emergency? - Answer Establishing a
patent airway.
A patient comes into the emergency department (ED) clutching the chest. Which core competency for
ED nurses is the first one used in this situation? - Answer assessment
Which protective gear is most important when caring for patients with tuberculosis or other airborne
pathogens? - Answer Powered air-purifying respirator (PAPR)
Which member of the emergency care team reports a patient's mechanism of injury (MOI)? - Answer
prehospital care provider
What is the role of a forensic nurse examiner? - Answer Recognize evidence of physical abuse.
What must the nurse anticipate from a patient in the emergency department (ED) who is a Jehovah's
Witness? - Answer Refusal of blood transfusions.
What are the responsibilities of the emergency medicine physician? - Answer Direct overall care in the
department.
What are the duties of the nurse case manager in the emergency department (ED)? - Answer Arrange
appropriate referrals for the patient.
,Which team member is authorized to decide where a patient will be sent after discharge? - Answer
physician
The nurse is caring for a patient who is the victim of domestic violence. To which health care professional
who counsels victims of domestic violence will the nurse refer this patient? - Answer forensic nurse
examiner
What training does an Advanced Cardiac Life Support (ACLS) certification offer? - Answer Invasive
airway management skills and electrical therapies.
Which statement made by a nursing student regarding vulnerable populations is accurate? - Answer
"They have unique health care problems."
Who is said to be the gatekeeper in the emergency care system? - Answer triage nurse
The registered nurse teaches a student nurse about ways to reduce the risk of falls in a geriatric patient.
The registered nurse should intervene when the student nurse performs what action when caring for an
older adult with orthostatic hypotension? - Answer Encourages the patient to ambulate.
What is the desired outcome of a disease management program for patients with chronic conditions? -
Answer Keep the patient out of the hospital for as long as possible.
A patient with a cardiopulmonary disorder is admitted into the emergency department (ED). Which
action can a nurse who is certified in basic life support (BLS) training perform? - Answer Perform
cardiopulmonary resuscitation.
The nurse is assigned to a patient who has just arrived in the emergency department (ED). The patient is
diagnosed with tuberculosis (TB). What action should the nurse take? - Answer Wear a powder air-
purifying respirator (PAPR).
How does the nurse ensure a patent airway for a patient with significantly impaired consciousness? -
Answer Provide an endotracheal tube and mechanical ventilation.
,In which case can the nurse clean and prepare the body of a deceased patient for viewing by the family. -
Answer terminal illness
What condition related to prolonged immobility in the emergency department (ED) does the nurse seek
to prevent in a patient? - Answer pressure ulcers
Which statement is accurate regarding the management of a family in a crisis involving death? - Answer
The nurse should provide concrete terms such as "the patient died" while communicating with family.
Which patient does the triage nurse treat with highest priority? - Answer Patient with a stab wound to
the stomach.
A mechanical ventilator in the emergency department (ED) has stopped functioning properly. Who
should the nurse contact to troubleshoot the problem with the mechanical ventilator? - Answer
respiratory therapist
What nursing assessments are necessary prior to the discharge of an older adult patient from the
emergency department (ED) to his or her home? - Answer Evaluate for the risk for falls, perform a
functional assessment, and screen the patient for depression.
How can the nurse ensure that an older patient, admitted to the emergency department (ED) after a fall,
does not return to the ED with a similar incident? - Answer Ask the patient to provide adequate lighting
at home, and to avoid throw rugs.
The nurse is giving discharge instructions to a patient who is Mexican-American. Which nursing action is
appropriate? - Answer Printing the instructions in Spanish.
The forensic nurse examiner is assessing a patient who is a victim of intimate partner violence (IPV).
What interventions does the nurse perform for this patient? - Answer Document injuries and collect
photographic evidence.
, The nurse is caring for a conscious patient with a fractured elbow following a fall at home. What does
the nurse do to ensure a patent airway for the patient? - Answer Clear the airway of secretion or
debris.
A patient with cardiovascular problems was admitted to the emergency department (ED). Which nursing
action is appropriate? - Answer Initiating drug therapy.
An older patient admitted to the emergency department is on a stretcher awaiting bed availability. What
intervention does the nurse perform to protect the skin integrity of this patient? - Answer Use mobility
techniques that reduce shearing force when moving the patient.
As a direct result of overcrowding in emergency department (ED) environments, for whom must the
emergency department nurse expect to provide care? - Answer "Boarding" or holding inpatient
patients.
A patient is admitted to the emergency department after reporting being raped. Who is the best team
member for the admitting nurse to locate to provide care for this patient? - Answer forensic nurse
examiner
A patient who is a Jehovah's Witness is admitted into the emergency department (ED) suffering from
blood loss. Which nursing action is appropriate? - Answer Administering volume expanders.
A female patient is admitted into the emergency department (ED) with bruises around her breasts and
genitals. Her clothes are also torn and stained with blood. Which nursing team should be assigned to the
patient? - Answer Sexual Assault Nurse Examiners (SANEs)
A disoriented patient involved in a motor vehicle crash is admitted to the emergency department (ED).
What action must the nurse take first when assessing this patient? - Answer Check for a medical alert
necklace or bracelet.
A patient who is admitted to the emergency department (ED) is assigned an emergency severity index
(ESI) level 4. Which nursing action is appropriate? - Answer Understand that the patient will tolerate
waiting for a brief period before receiving treatment.
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