Crisis Management

A nurse suspects that a co-worker is abusing drugs and is under the influence while at work. Which action does the nurse take?

The nurse is asked to serve on a committee to determine what the available community resources are to care for infants, older adults, the disabled, and individuals with chronic health problems in the event of a natural disaster. These efforts are described as which disaster management phase?

Which patient is triaged as first to be treated following a hurricane?

The patient is brought to the emergency department following an accident with significant burns. The patient is conscious and alert with 3rd-degree burns over 50% of his body. The nurse helps to get a history and perform a thorough physical examination of this patient. Which type of assessment is the nurse performing?

Which type of fire extinguisher does the nurse use to extinguish a fire that started in an electrical outlet?

The provider orders physical restraints for a patient in alcohol withdrawal who is delirious, combative, and a fall risk. Which statement is true regarding use of physical restraints for this patient?

The nurse is the first responder to a 3-year-old male who is with his mother, having recently ingested a large quantity of household cleaner. The patient is unconscious but is hemodynamically stable and breathing. An ambulance has already been called. Which action by the nurse is appropriate?

The patient with neurosyphilis who has attempted to stab the nurse with scissors, pulled out several IVs, and is a fall risk is placed in wrist restraints per physician order. How frequently does the nurse assess the patient’s skin integrity?

The nurse is called to the hospital to assist in caring for patients brought to the hospital following a massive gas explosion in the community. Which statement is true regarding the nurse’s involvement with this incident?

A person in the hospital pulls out a firearm and starts shooting patients and staff at random in the emergency department. Which action by the nurse is most appropriate?

The patient’s family requests a second opinion after being told the patient will never regain consciousness following a motor vehicle accident. The family is exhibiting which of the Kubler-Ross stages of grief?

Which statement by the patient’s spouse indicates an understanding of the teaching about bipolar disorder?

The patient is being treated for obsessive-compulsive disorder with medication and behavioral therapy. At a follow-up visit, the patient reports near complete resolution of symptoms. The nurse anticipates discussing which treatment plan?  

The patient with persistent shoulder pain with associated numbness of the hand is scheduled for a magnetic resonance imaging (MRI) scan. The patient tells the nurse, "I'm terrified of enclosed spaces. I just don't know if I'll survive this test." After relaying the patient's concerns to the provider, which response does the nurse expect from the provider? 

The patient with bipolar disorder is verbally threatening the staff and other patients in the medical surgical unit. Which initial action is most appropriate? 

The patient is admitted with failure to thrive secondary to bulimia nervosa. The nurse anticipates administering which medication? 

The nurse learns in report the patient with schizophrenia has mainly exhibited negative symptoms. The nurse most expects to make which observation? 

Which question does the nurse ask to determine the patient's risk for suicide in the patient with major depressive disorder? 

Following electroconvulsive therapy, the patient with bipolar disorder tells the nurse he does not remember whether he arrived by bus or car. Which response by the nurse is appropriate? 

The nurse is assessing the patient with major depressive disorder. Which characteristic alerts the nurse that the patient may be planning to commit suicide? 

The 34-year-old G1P1 patient who just delivered a healthy baby via cesarean section four hours ago. The patient sits on the bed watching her newborn lying in the bed but does not touch or hold the baby. Which response by the nurse is most appropriate? 

The patient with delusional disorder tells the nurse that he needs to see the Pope in Rome because he is a messenger of God. Which response by the nurse is most therapeutic?

The nurse prioritizes which intervention in caring for the patient with borderline personality disorder? 

The nurse discovers a fire in an empty patient room. Where does the nurse aim the fire extinguisher discharge to eradicate the flame?

The nurse discovers a fire coming from a computer in the staff computer room. After sounding the alarm and ensuring nearby patients are being moved to safety, which is the best action for the nurse to take?

The nurse is providing discharge planning and education for a 72-year-old patient who is being discharged home after a diagnosis of atrial fibrillation. The nurse focuses education on which adverse event? 

The patient who recently lost her young child to acute lymphoblastic leukemia (ALL) tells the nurse that she is having trouble handling the grief and feels like she is to blame for her child’s death. Which response by the nurse is most appropriate? 

The man who lost his wife and child to a drunk driving accident one year ago is receiving care in a behavioral health unit. The patient tells the nurse that he has begun to feel better and feels like he is ready for release. Which statement indicates the patient should remain in the unit?

The patient brought to the emergency department by police was found in the middle of traffic, alternating between grandiose declarations and expressing a desire to commit suicide. On physical assessment, the patient is tachycardic and hypertensive. The nurse suspects which diagnosis will be made?

The patient with schizophrenia tells the nurse of his plans to initiate a fire in the kitchen of the psychiatric department. Which action does the nurse take first?

Which punishment does the nurse report as child abuse?

Which is considered the fifth phase of the disaster cycle?

The school nurse who works in an area with poor vaccination compliance learns a child has developed measles after being in class for the past week. Twenty other children in the class have not received the measles vaccine. The nurse anticipates how many of these children will contract measles?

The patient in the intensive care unit who is intubated and mechanically ventilated abruptly requires a drastically increased fraction of inspired oxygen (FiO2) and is hypoxic, hypotensive, and tachycardic. Which intervention does the nurse perform first?

The mechanically ventilated patient has a chest tube in place for the treatment of a tension pneumothorax. Which safety supplies does the nurse ensure are at bedside to prevent complications of an accidentally-removed chest tube? Select all that apply.

A nurse is teaching a student about Good Samaritan laws. Which statement is correct?

In the weeks after a stroke, which patient problem is of the highest priority?

A nurse is discussing abortion with a distraught pregnant woman. The nurse understands that the patient is most likely struggling with which pair of ethical principles?

An infant has been admitted to the hospital for gastroenteritis. Friends of the family stayed in the room while the patient’s father talks to other family members in the lobby. The nurse prepares to remove an infiltrated IV line and place a new one. The visitor stops the nurse and insists that the nurse obtains consent from the parents. Which is the most appropriate response?

The nurse receives shift report on four patients. In which order does the nurse see the patients? Place the answer options in the correct order.

Following an outbreak of pertussis, which action describes tertiary prevention?

A patient with longstanding alcohol abuse problems is admitted for COPD exacerbation. After reaching the floor, the patient becomes disoriented, anxious, tachycardic, diaphoretic, and tremulous. His oxygen saturation is 95% on 2 L supplemental oxygen via nasal cannula. Which intervention is most appropriate for this patient?

The nurse knows that a fire extinguisher with a symbol of an A is suitable for which type of fires?

A nurse is caring for a driver in a motor vehicle accident in which the airbags failed to deploy. After being stabilized, the man developed chest pain and becomes hypotensive. The emergency physician suspects cardiac tamponade. The nurse anticipates which treatment for this condition?

The patient with diabetes is brought to the emergency department with severe confusion and is unable to follow commands. A point-of-care (POC) glucose measurement reveals a blood sugar of 44 g/dL. The nurse begins a 50 mL infusion of D50W. Which action does the nurse take next?

The nurse is admitting an 89-year-old man with end stage liver disease. He declines a palliative care consult saying, “I’m not dying today.” Which responses by the nurse are appropriate to counsel the patient? Select all that apply.

Which situations prompt the use of four-point restraints? Select all that apply.

The nurse is caring for a woman wearing a hijab. The woman does not speak English and has come to the emergency department (ED) with fever, vaginal bleeding, and abdominal pains. An interpreter is present for the interaction. Which question is appropriate for the nurse to ask first?

The emergency room nurse is caring for a patient who ambulated into the triage room wearing sunglasses and a scarf. Upon request, the patient removed her sunglasses and scarf, revealing bruising around her neck and eyes in various stages of healing. The patient became hysterical and stated her husband tried to kill her. Which response by the nurse is the most appropriate?

A 23-year-old woman presents to the emergency department (ED) after losing consciousness during class. Her vital signs are: blood pressure 95/68 mm Hg, heart rate 112 bpm, and oxygen saturation 95% on room air. She weighs 78 pounds. She confides in the nurse saying, “I am so scared of being fat. It controls me. I have not eaten in three days.” Which disorder does the nurse suspect in this patient?