The hospital administration issues a statement that surge capacity is likely to be exceeded because statewide measures have not been successful in "flattening the curve" of COVID-19 (coronavirus) cases. How is this information most likely to affect the nursing staff?

An emergency department clinical nurse specialist is training staff in how to don and doff personal protective equipment (PPE) when caring for patients with infections such as Ebola. Which staff member has demonstrated the most grievous error during the practice session?

The charge nurse in an emergency department (ED) must assign two staff members to cover the triage area. Which team is best for this assignment?

The nurse is working in the triage area of an emergency department, and the following four patients approach the triage desk at the same time. List the order in which the nurse will assess these patients.

When a primary survey of a trauma patient is con-ducted, which action would be performed first?

A 56-year-old patient comes to the triage area with left-sided chest pain, diaphoresis, and dizziness. Wha is the priority action?

The patient's blood alcohol level is 0.45%. Based on this information, what is the priority nursing concept that underlies emergency medical and nursing interventions for this patient?

According to the Emergency Nurses' Association (ENA), what are the main issues when providing emergency care for patients with mental health problems or psychiatric disorders? Select all that apply.

It is the summer season, and patients with signs and symptoms of heat-related illness come to the emergency department. Which patient needs attention first?

The nurse responds to a call for help from the emergency department waiting room. An older adult patient is lying on the floor. List the order in which the nurse must carry out the following actions

Emergency medical services has transported a patient with severe chest pain. As the patient is being transferred to the emergency stretcher, the nurse notes unresponsiveness, cessation of breathing, and no palpable pulse. Which task is appropriate to delegate to the assistive personnel (AP)?

Although the incidence of tetanus has decreased through routine immunization, there is still a danger. Which patient represents the group that is most vulnerable for risk?

A healthy but anxious 24-year-old college student reports tingling sensations, palpitations, and sore chest muscles. Deep, rapid breathing and carpal spasms are noted. Which action is the priority?

An experienced traveling nurse has been assigned to work in the emergency department (ED); however, this is the nurse's first week on the job. Which area of the ED would be the best assignment for this nurse?

The nurse and her friends are at the lake. Suddenly, someone says, "Look across the lake! It looks like someone might be drowning out there!" What is the nurse's first action?

In the care of a patient who has experienced sexual assault, which task is most appropriate for an LPN/ LVN to perform?

The LPN/LVN is performing care for a patient who sustained an amputation of the first and second digits in a chainsaw accident. What instructions would the RN give to the LPN/LVN?

According to the World Health Organization (WHO), Violence Against Women: Guidelines for Health Sector Response, which group of patients should be screened for intimate partner violence (IPV):

The nurse is giving discharge instructions to a woman who was treated for contusions and bruises sustained during an episode of domestic violence. Which intervention is the priority for this patient?

A newly graduated nurse overhears a senior emergency department nurse making sarcastic remarks toward a medical student and refusing to help the student find the equipment for a nonemergent patient procedure. What should the new nurse do first?

The nurse notifies the emergency department (ED) health care provider (HCP) about a patient who has abdominal pain, nausea and vomiting, and fe-ver. The abdomen is distended, rigid, and boardlike, and there is rebound tenderness. Later the nurse sees that the patient is to be discharged with a follow-up appointment in the morning. The nurse reexamines the patient and the symptoms seem worse. What should the nurse do first?

A confused patient admits to frequently drinking alcohol. The emergency department health care provider (HCP) makes a preliminary diagnosis of Wernicke encephalopathy. Which medication does the nurse anticipate that the HCP will prescribe first?

When an unexpected death occurs in the emergency department, which task is most appropriate to delegate to the assistive personnel (AP):

After emergency endotracheal intubation, tube placement must be verified before securing the tube. Which bedside assessment is the most accurate and can be performed immediately after the tube is placed?

A man with a known history of alcohol abuse has been in police custody for 48 hours. Initially; anxiety, sweating, and tremors were noted. Now disorientation, hallucination, and hyperreactivity are observed. The medical diagnosis is delirium tremens. Which nursing concept is the priority in planning interventions for this emergency condition?

The nurse is assigned to telephone triage. A patient who was just stung by a common honeybee calls for advice. Which question would the nurse ask first?

A victim of heat stroke arrives in the emergency department. His skin is hot and dry; his body temperature is 105°F (40.6°C). He is confused and demonstrates bizarre behavior. His blood pressure is 85/60 mm Hg, pulse is 130 beats/min, and respirations are 40 breaths/min. Which task should be assigned to an experienced LPN/LVN?

The nurse is assessing a patient who has sustained a cat bite to the left hand. The cat's immunizations are up to date. The date of the patient's last tetanus shot is unknown. What is the priority concern?

The following patients come to the emergency department triage desk reporting acute abdominal pain. Which patient has the most severe condition?

Which combination of employees would be best to include in a committee to address the issue of violence against emergency department (ED) personnel?

The nurse is caring for a patient with multiple injuries sustained during a head-on car collision. Which assessment finding takes priority?

A patient involved in a one-car rollover comes in with multiple injuries. List in order of priority the interventions that must be initiated for this patient.

A young woman is brought to the emergency department (ED) by emergency medical services (EMS) because she has been depressed and threatening to commit suicide. On arrival to the ED, the woman is confused, her speech is slurred, and there is vomit on her clothes. EMS found several empty prescription bottles at the house. Which intervention is the priority for this patient?

A group of people arrive at the emergency department by private car. They all have extreme periorbital swelling, coughing, and tightness in the throat. There is a strong odor emanating from their clothes. They report exposure to a "gas bomb" that was set off in their house. Which action is the priority?

In the work setting, what is the nurse's primary responsibility in preparing for the management of disasters, in-eluding natural disasters and bioterrorism incidents?

List in order of priority the actions that should be taken by emergency department staff in the event of a biochemical incident.

According to the Joint Commission, hospitals are required to form emergency management committees to periodically exercise the disaster operations plan. Hospital administration has selected various health care providers (HCPs) to join the committee. Members from which other key departments should be included? Select all that apply.

A newly hired emergency department (ED) clinical nurse specialist (CNS) is reviewing the hospital's disaster plan and finds that it has not been reviewed or revised for 3 years. Which finding will be most important for the CNS to address related to the status of the disaster plan?

The nurse is talking to a group of people about an industrial explosion in which many people were killed or injured. Which individual has the greatest risk for psychiatric difficulties, such as post-traumatic stress disorder, related to the incident?

Identify the five most critical elements in performing disaster triage for multiple victims

An active shooter incident occurs in the triage area of a large busy emergency room. What is the priority action for the triage nurse to take?

Scenario: The nurse is working in a small rural community hospital. There is a fire in a local church, and six people have arrived at the hospital. Emergency medical services report that approximately 250 people were in the church when the fire started. Many other victims are expected to arrive soon, and other hospitals are 5 hours away. Using disaster triage principles, in which order would the patients receive attention?

Instructions: Indicate the order in which the patients will receive care; 1 being the first and 6 being the last.

A patient presents to the emergency department with nausea, vomiting, colicky abdominal pain, fever, and tachycardia. The health care provider informs the nurse that the patient probably has a strangulated intestinal obstruction with perforation. 

___1st____, and ___2nd___, are administered followed by __3rd___to decompress the stomach and intestine. ___4th__ and __5th___ are performed as soon as possible to detect location of the obstruction and guide surgical decisions. The patient is prepared for _6th____.

Instructions: Complete the sentences by choosing the most probable option for the missing information that corresponds with the same numbered list of options provided.

The nurse knows that intimate partner violence (IPV) occurs in all socioeconomic and cultural groups, but she feels that the population served by a large urban clinic has many risk factors.  While assessing her patients, the nurse is vigilant for evidence of IPV, which are divided in to four categories: physical violence, psychological violence, sexual violence and control behaviors. 

Instructions: For each patient statement, place an X in the box to indicate whether it is physical violence, psychological violence, sexual violence, or control behavior.