Chapter 16 Full Test Bank Basic First Aid And Emergency Care - Digital Test Bank | Nursing Assistants 5e Carter by Pamela J Carter. DOCX document preview.
Test Generator Questions, Chapter 16, Basic First Aid and Emergency Care
Format: Multiple Choice
Chapter Number: 16
Client Needs: Physiological Integrity: Physiological Adaptation
Cognitive Level: Apply
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 342, Responding to an Emergency
1. The nursing assistant is caring for a group of residents. Which of the following residents needs immediate emergent help?
A) The resident was eating food and began to choke but successfully coughed up the food that was stuck.
B) The resident suddenly cannot speak after having a viral infection and communicates by writing.
C) The resident developed abdominal cramping and diarrhea after taking a medication for the first time.
D) The resident received an antibiotic and is gasping to breathe, and their lips are turning blue.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 343, Basic Life Support (BLS) Measures
2. The nursing assistant is caring for a hospitalized client and found that the client was motionless and not breathing. What action should the nursing assistant take first?
A) Activate the emergency response system.
B) Deliver two rescue breaths.
C) Check for pulse at the neck.
D) Determine unresponsiveness.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 343, Basic Life Support (BLS) Measures
3. The nursing assistant is caring for a resident who slumps over in their chair and is unresponsive. The resident has a do not resuscitate (DNR) order. What action should the nursing assistant take?
A) Activate the emergency response system.
B) Check for pulse.
C) Tell the nurse immediately.
D) Provide rescue breathing.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 342, Responding to an Emergency
4. The nursing assistant’s initial role in an emergency is to:
A) find out if there is a do not resuscitate (DNR, no code) order.
B) notify the family members of the emergency.
C) recognize that an emergency exists.
D) provide advanced medical care.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 342, Responding to an Emergency
5. The following steps are to be performed in an emergency situation by a nursing assistant:
(1) decide to act.
(2) recognize that an emergency exists.
(3) provide appropriate care until advanced medical care arrives.
(4) check for consciousness.
(5) activate the emergency medical services (EMS) system.
What is the correct order of these steps?
A) 2, 1, 4, 3, 5
B) 2, 1, 4, 5, 3
C) 1, 2, 4, 3, 5
D) 2, 1, 5, 4, 3
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 342, Responding to an Emergency
6. When calling to activate the emergency medical services (EMS) system, the nursing assistant needs to be prepared to give accurate information regarding the resident’s:
A) physical condition.
B) insurance information.
C) likelihood of survival.
D) medication and diet list.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 343, Basic Life Support (BLS) Measures
7. The nursing assistant is caring for a client who is unresponsive. What action should the nursing assistant take first?
A) Activate the emergency response system.
B) Observe for the rise and fall of the chest.
C) Check for a pulse at the carotid in the neck.
D) Deliver chest compressions followed by respirations.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 343, Basic Life Support (BLS) Measures
8. A person’s airway is opened by:
A) allowing the chin to fall against the chest.
B) tilting the head back and lifting the chin up.
C) turning the head to either side.
D) assisting the person to sit up.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 343, Basic Life Support (BLS) Measures
9. The nursing assistant finds the hospitalized client unresponsive. After the nursing assistant activates the emergency response system and observes there is a very weak slow irregular pulse, what should the nursing assistant do next?
A) Check for the rise and fall of the chest.
B) Tilt the head back and lift the chin.
C) Perform rescue breathing.
D) Perform chest compressions.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 5
Page and Header: 344, Emergency Situations
10. What would the nursing assistant do to control the bleeding from a leg? Select all that apply.
A) Elevate the bleeding leg above the level of the person’s heart.
B) Apply firm, steady pressure directly over the wound.
C) Apply a tourniquet above the point of the bleeding.
D) Initiate standard precautions to prevent an infection.
E) Encourage the person to breath slowly and relax.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 343, Basic Life Support (BLS) Measures
11. The goal of Basic Life Support (BLS), when the person is experiencing either a respiratory or a cardiac arrest, is to:
A) give emergency care until advanced medical assistance arrives.
B) remove the object that is blocking the person’s airway.
C) control bleeding to prevent shock.
D) reverse biologic death.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 343, Basic Life Support (BLS) Measures
12. A cardiac arrest is a result of a lack of blood flow to the:
A) brain.
B) heart.
C) liver.
D) lungs.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 344, Emergency Situations
13. The nursing assistant is caring for a resident who wanted to get up to their bedside chair who suddenly develops the following signs and symptoms: right-sided facial droop, slurred speech, tingling and numbness on the right arm and leg, and BP 210/110, HR 100, RR 16, and T 98°F. Which action should the nursing assistant implement first after activating the emergency response system?
A) Observe for respiratory problems.
B) Prepare for emergency measures.
C) Keep the resident in their bed.
D) Determine the time the symptoms began.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 344, Emergency Situations
14. When assisting a resident who reports feeling “faint,” the nursing assistant would first:
A) quickly leave the room to get the nurse.
B) call for help from the other nursing assistants.
C) clear the area in order to provide a safe place to fall.
D) assist the person to sit down and lean over forward.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 4
Page and Header: 344, Emergency Situations
15. When a resident experiences a grand mal seizure, the nursing assistant provides care by:
A) placing a tongue blade between the upper and lower teeth to prevent biting of the tongue.
B) holding the resident’s arms and legs tightly to prevent an injury during the seizure.
C) helping the resident to the floor and placing them in a side-lying position.
D) having the resident sit with their head down while leaning forward.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 5
Page and Header: 344, Emergency Situations
11. The nursing assistant is caring for a resident who suddenly develops dark bloody stool. Which action should the nursing assistant take first?
A) Determine changes in vital signs from the baseline.
B) Report the observations to the nurse immediately.
C) Assist the resident to a supine position in bed.
D) Ask the resident if the resident is having any discomfort.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 6
Page and Header: 344, Emergency Situations
17. The resident returning to the nursing home after a cardiac angiogram suddenly develops the following signs and symptoms: a pool of blood at the right groin site with active bleeding, BP 88/50, HR 100, and RR 28. Which action should the nursing assistant take first?
A) Call for immediate help to the room.
B) Ensure that the bed is flat and raise the foot of the bed above the heart.
C) Cover the resident with a blanket.
D) Apply direct pressure at the groin site using nearby gauze and gloved hand.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 6
Page and Header: 344, Emergency Situations
18. Anaphylactic shock can be caused by a:
A) severe bacterial infection.
B) severe allergic reaction.
C) massive loss of blood.
D) weak heartbeat.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 6
Page and Header: 344, Emergency Situations
19. After activating the emergency medical services (EMS) system, the nursing assistant caring for a client who is showing signs of shock would:
A) put the person in the recovery position on the floor.
B) remove the person’s clothing to cool them down.
C) check the person’s temperature.
D) keep the person warm.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 7
Page and Header: 344, Emergency Situations
20. The nursing assistant is caring for residents in the dining hall when one of the residents suddenly develops the following signs and symptoms: a high-pitched “crowing” sound during breathing and lips are turning blue. The nursing assistant calls for help. Which action should the nursing assistant take next?
A) Leave the resident alone.
B) Perform abdominal thrusts.
C) Tell the resident to cough.
D) Use back blows between shoulders.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 8
Page and Header: 344, Emergency Situations
21. When administering abdominal thrusts, the fists are placed:
A) on the sternum.
B) on the navel.
C) between the navel and the sternum.
D) over the back.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 8
Page and Header: 344, Emergency Situations
22. The nursing assistant is caring for a resident who is dining with their pregnant granddaughter. The granddaughter suddenly develops the following signs and symptoms: skin around lips is bluish; chest is not rising; has hands crossed over each other around the neck; and shakes head when asked if choking. What action should the nursing assistant take next?
A) Use abdominal thrusts while the person is sitting.
B) Perform chest thrusts while the person is sitting.
C) Ask the person to lie on the floor and use abdominal thrusts.
D) Lower the person to the floor and use chest thrusts.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 4
Page and Header: 344, Emergency Situations
23. The most important thing to do for a person after the person as a seizure is to:
A) keep them warm.
B) lay them in the recovery position.
C) be sure to watch their breathing.
D) offer them something to drink.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 344, Emergency Situations
24. When reporting how a resident looked just before fainting, the nursing assistant is likely to document that the resident:
A) had a red facial rash.
B) was perspiring.
C) was coughing.
D) had a cold.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 343, Basic Life Support (BLS) Measures
25. A person has fainted. After being sure that the person is breathing, the nursing assistant:
A) goes to get the RN.
B) covers the person with a blanket.
C) positions the person their left side.
D) asks the person to state their birth date.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 343, Basic Life Support (BLS) Measures
26. It is true that a cardiac arrest:
A) occurs as a result of a fall.
B) usually happens to the elderly.
C) usually causes a person’s death.
D) occurs when the heart stops beating.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 342, Responding to an Emergency
27. The nursing assistant knows a resident’s usual condition. By communicating observations about a resident’s change in condition which could be considered an emergency to the RN, the assistant may:
A) get a pay raise for their professional responsibility.
B) keep the situation from worsening.
C) allow the resident’s advanced directives to be reviewed.
D) become a part of the emergency care team for the nursing home.
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Digital Test Bank | Nursing Assistants 5e Carter
By Pamela J Carter