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NCLEX PN· Emergency and Disaster Nursing · Emergency and Disaster Nursing NCLEX Questions

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse working in an outpatient clinic is caring for a client who is experiencing epistaxis. Which intervention should the nurse implement first?

A. Take the client's blood pressure in both arms.

B. Hold the nose with thumb and finger for 15 minutes.

C. Have the client sit with the head tilted back and hold a tissue.

D. Prepare to administer silver nitrate, a cauterizing agent, with a packing applicator.

Expert Explanatory Rationale

Correct Answer: Hold the nose with thumb and finger for 15 minutes.

Question 2 of 5

The nurse caring for a client with sepsis writes the client diagnosis of 'alteration in comfort R/T chills and fever.' Which intervention should be included in the plan of care?

A. Ambulate the client in the hallway every shift.

B. Monitor urinalysis, creatinine level, and BUN level.

C. Apply sequential compression devices to the lower extremities.

D. Administer an antipyretic medication every four (4) hours PRN.

Expert Explanatory Rationale

Correct Answer: Administer an antipyretic medication every four (4) hours PRN.

Question 3 of 5

The male client presents to the emergency department stating he vomited a 'large' amount of bright red blood. Which should the nurse implement first?

A. Start an intravenous line with an 18-gauge needle.

B. Have the UAP take the client's vital signs.

C. Ask the client to provide a stool specimen for blood.

D. Send the client to radiology for an abdominal CT scan.

Expert Explanatory Rationale

Correct Answer: Start an intravenous line with an 18-gauge needle.

Question 4 of 5

A nurse is at the lake when a person nearly drowns. The nurse determines the client is breathing spontaneously. Which data should the nurse assess next?

A. Possibility of drug use.

B. Spinal cord injury.

C. Level of confusion.

D. Amount of alcohol.

Expert Explanatory Rationale

Correct Answer: Spinal cord injury.

Question 5 of 5

The nurse is caring for a client in the prodromal phase of radiation exposure. Which signs/symptoms should the nurse assess in the client?

A. Anemia, leukopenia, and thrombocytopenia.

B. Sudden fever, chills, and enlarged lymph nodes.

C. Nausea, vomiting, and diarrhea.

D. Flaccid paralysis, diplopia, and dysphagia.

Expert Explanatory Rationale

Correct Answer: Nausea, vomiting, and diarrhea.

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