PC3 Exam 3 | Verified with 100% Correct Answers

PC3 Exam 3 | Verified with 100% Correct Answers How soon should a client with multiple traumas receive treatment according to the five-level emergency severity index (ESI)? A) Within 2 days B) Within 1 hour C) Within ...

PC3 Exam 3 | Verified with 100% Correct Answers How soon should a client with multiple traumas receive treatment according to the five-level emergency severity index (ESI)? A) Within 2 days B) Within 1 hour C) Within 5 minutes D) Within 10 minutes In which order are the steps of a primary survey performed to assess a client with severe injuries from a bomb blast? A) Airway B) Breathing C) Circulation D) Exposure E) Disability A, B, C, E, D Which class of clients during a mass casualty situation would the nurse refer to as the "walking wounded"? A) Class I B) Class II C) Class III D) Class IV How soon would the client who meets the criteria for the emergency severity index level 2 (ESI-2) be seen by the provider? A) Immediately B) Within 1 hour C) Within 2 hours D) Within 30 minutes-2 hours Which personnel can determine priorities for treatment in an emergency response plan? A) Triage officer B) Public information officer C) Medical command physician D) Hospital incident commander Which client condition would require the highest priority for treatment among four clients admitted at the same time under mass casualty conditions? A) Massive head trauma B) Open fracture with a distal pulse C) Shock D) Strains and contusions Clients with which color triage tag are often referred to as the 'walking wounded' in a mass casualty scene? A) Red B) Black C) Green D) Yellow The client admitted to the ED after an earthquake in the city with which level of resource intensity would the nurse triage into emergency severity index level I (ESI-1)? A) High resource intensity; frequent consultation and continuous monitoring B) High resource intensity; staff at bedside continuously C) Medium to high resource intensity; complex procedure and multiple diagnostic studies D) Low resource intensity; one simple diagnostic study and procedures Which conditions of the clients who are admitted with injuries due to a bus accident are prioritized under the emergent classification? SATA. A) Shock B) Contusion C) Open fracture D) Airway obstruction E) High cervical spinal cord injury Applying the ESI criteria, which client condition is considered least severe? A) Cardiac arrest B) Abdominal pain C) Multiple trauma D) Closed extremity trauma Which assignment in an ED is a high priority for the nursing providing care for clients during a mass casualty? A) Resolving stock availability problems B) Taking inventory and restocking supplies C) Debriefing to promote effective coping strategies D) Outlining emergency expectations and arrangements Which initial action would the nurse take when a client reports smoke coming from a utility room on the nursing unit? A) Pull the fire alarm on the unit B) Remove anyone who is in immediate danger C) Obtain a fire extinguisher and report to the fire area D) Close all windows and fire doors and await further instructions In which priority order would the actions of care be implemented for clients in an emergency? A) Initiate contact with the client B) Identify need for emergent care C) Begin immediate treatment D) Determine interventions for nursing care A, B, D, C Which order would the nurse perform from first to last when prioritizing care upon entering a client's room and noticing the trash on fire? A) Rescue clients in immediate danger B) Activate the fire alarm C) Extinguish the fire D) Close doors and windows A, B, D, C Which clients are triaged at the emergent level by the disaster response nurse after a natural disaster? SATA. A) A client with unstable vital signs B) A client with active arterial bleeding C) A client with chest pain and nausea D) A client with a simple fracture of the forearm E) A client with a displaced fracture of the femur Which clients are triaged at the non-urgent level by the disaster response nurse after a natural disaster? SATA. A) A client with a sprained ankle B) A client with a simple fracture of the forearm C) A client with a displaced fracture of the femur D) A client with shortness of breath and coughing E) A client with soft tissue injuries to the abdomen Client are sent to an ED for care, and tags are given to them based on priority. Which client would be given a red tag? A) Client with closed fractures B) Client with third-degree burns over 25% of total body surface area C) Client with severe abdominal pain D) Client with bruises and superficial lacerations Which ESI level should be considered a high priority for the nurse caring for clients in the ED? A) ESI-1 B) ESI-2 C) ESI-3 D) ESI-4 Which color tag is used for a client who is expected to die after a disaster with mass casualties? A) Red B) Black C) Green D) Yellow Which tag color according to the disaster triage tag system is assigned to a client who has an immediate threat to life? A) Red B) Black C) Green D) Yellow In which color would clients receive care based on triage tag color? A) Red B) Yellow C) Green D) Black Which characteristic aligns with prioritizing care into the triage level of 'emergent'? A) Immediate threat to life or limb B) Condition is unlikely to deteriorate C) Could wait for several hours for care D) May be seen soon but not immediately Which level of trauma center provides a full continuum of care for the trauma client? A) Level I B) Level II C) Level III D) Level IV The health care team is caring for clients in an ED. How soon would the clients triaged as an ESI-3 be seen by the provider according to the five-level triage system? A) Immediately B) Within 1 hour C) Could be delayed D) Within 10 minutes In a mass casualty event, clients with which color tag would be provided with immediate care based on priority? A) Red B) Black C) Green D) Yellow Which level of ESI would be considered the lowest priority in the ED? A) ESI-1 B) ESI-2 C) ESI-3 D) ESI-4 How soon would the client who meets the criteria for the ESI level 2 (ESI-2) be seen by the provider? A) Immediately B) Within 1 hour C) Within 2 hours D) Within 10 minutes The nurse is planning to triage clients after a disaster. Which client does the nurse categorize into the green-tagged category? A) Airway obstruction B) Open fractures C) Massive head trauma D) Bruises and lacerations on skin The nurse would classify a client with a black tag during a disaster situation for which type of injury? A) Young adult with closed fractures of the right leg B) Young adult with bruises and superficial lacerations C) Older adult with massive head trauma and multiple open fractures D) Middle-aged adult with third-degree burns over 20% of his body Which client would be triaged first based on their condition? A) Severe respiratory distress B) Chest pain resulting from trauma C) Hip fracture in older client D) Cystitis Which client would be treated immediately according to the disaster triage system? A) Red B) Yellow C) Black D) Green Which condition is triaged as urgent among these client conditions? A) Displaced or multiple fractures B) Skin rash C) Strains and sprains D) Simple fracture Which client would be triaged under ESI-1 based on threat to life and stability of vital functions? A) Chest pain B) Cardiac arrest C) Simple laceration D) Hip fracture Which color tag would the nursing team provide to the group of mass casualty survivors with minor injuries? A) Red B) Black C) Green D) Yellow Which trauma center will the nurse recommend transfer for the most critical clients involved in a multiple-vehicle accident? A) Level I B) Level II C) Level III D) Level IV Which triaging priority is preferable for the client with severe burns and injuries from a bomb blast admitted in the emergency unit? A) Class I B) Class II C) Class III D) Class IV Which potentially life-threatening condition found during the primary triage survey would necessitate priority nursing care? A) Cystitis B) Concussion C) Lacerated arm D) Fractured femur Which member of the nursing care team will prioritize care for a medical-surgical unit that is expecting a large volume of client admissions after a train derailment? A) Charge nurse B) Nurse supervisor C) LPN D) UAP Which must triage nurses employ when prioritizing care with any model? SATA. A) A caring ethic B) Intensive care experience C) A systematic approach to care D) A baccalaureate degree in nursing E) Solid clinical decision-making skills The nurse would apply an ice pack as a priority intervention to which of four different clients in a critical rescue situation? A) Frostbite B) Snakebite C) Hypothermia