EMERGENCY ROOM C.

Pain level, the quantitative numerical pain score, the

QUIZ
region or area of the pain, the severity of the pain, and the
Name: 01/18/19 pain triggers
D. Precipitating factors, the quality of the pain, the region or
1. Nurse Kelly, a triage nurse encountered a client area of the pain, the severity of the pain, and the pain
who complaints of mid-sternal chest pain, dizziness, and triggers.
diaphoresis. Which of the following nursing action should
takepriority? 6. When you are monitoring your client who is now
started on an intravenous antibiotic for an infection,
A. Complete history taking. you notice that the client is exhibiting signs of
B. Put the client on ECG monitoring. anaphylaxis. What is your first priority intervention?
C. Put the client in dorsal recumbent.
D. Administer oxygen therapy via nasal cannula. A. Stop the intravenous flow
B. Slow down the intravenous flow
C. Notify the doctor
2. A client arrives in the emergency unit and reports D. Begin CPR
that a concentrated household cleaner was splashed in
both eyes. Which of the following nursing actions is a 7. How many tablets should be administered daily
priority? using the below information?Doctor’s order: 200 mg of
medication once a day Medication label: 1 tablet = 150
A. Use Restasis (Allergan) drops in the eye. mg
B. Flush the eye repeatedly using sterile normal saline. A. 1.5 tablets
C. Examine the client's visual acuity. B. 1.25 tablets
D. Patch the eye.
C. 1.33 tablets
3. An anxious female client complains of chest D. 1 tablet
tightness, tingling sensations, and palpitations. Deep,
rapid breathing, and carpal spasms are noted. Which of 8. How many units of heparin would you administer
the following priority action should the nurse do first? subcutaneously using the below information?
Doctor’s order: 6,500 units of heparin
A. Provide oxygen therapy. subcutaneously Medication label: 4,500 units in one
B. Notify the physician immediately. mL
C. Administer anxiolytic medication as ordered. A. 1.4 mL
D. Have the client breathe into a brown paper bag. B. 1.5 mL
C. 1.225 mL
4. As the nurse in an ambulatory care area, you see a
D. 1.375 Ml
new client enter with a cane that appears too short
for the client. What should you do?
9. Which site or technique would you expect to use to
administer ferrous sulfate?
A. Place the client in a wheelchair to protect their
A. A subcutaneous injection site
safety in the clinic.
B. The PQRST technique
B. Remove the cane from the client to protect their
C. The Z track technique
safety.
D. The sublingual site
C. Teach the client about the proper length of a cane.
D. Have the client use a wheelchair rather than the
10. Select the step of blood glucose level monitoring
cane.
that is NOT accurate.
5. You routinely use the PQRST method to assess
A. Turn the finger down so the blood will drop with
pain. The PQRST method consists of:
gravity.
B. Wipe off the first drop of blood using sterile gauze.
A. Pain level, the quality of the pain, the region or area C. Prick the side of the finger using the lancet.
of the pain, the severity of the pain, and the pain triggers D. Prick the pad of the finger using the lancet.
B. Precipitating factors, the quality of the pain, relief
factors, the severity of the pain, and the pain triggers