CPR is in progress when the client’s wife and teenage son arrive. The nurse intercepts them and tries to move them away from the room, but the wife states, “He needs us there to pray for him!” The son keeps walking and attempts to enter. Which action is most appropriate?

The nurse applies AED pads to the client’s chest, and a shock is advised. What should be the nurse’s next action?

Members of a resuscitation team arrive at the client’s bedside with a defibrillator. The nurse and an NA are performing CPR. What should be the nurse’s next action?

The client’s spouse is allowed to be present during resuscitation efforts. Which statement made by the nurse is most appropriate?

During resuscitation efforts of a trauma victim, the spouse tells the nurse that her husband has terminal cancer, has completed an advance I-ICD, and does not want CPR. What should be the nurse’s next action?

The nurse sees the coworker assisting the obviously pregnant client who appears to be choking. The coworker’s fist and hand placement is appropriate. Which description best describes the coworker’s hand placement?

The school nurse is planning an intervention program for children who lost their homes due to a tornado and are now residing in temporary housing. Which group should be the nurse’s initial focus?

The adult client reports to the nurse that he feels like he is choking. The client is coughing loudly, and his skin is acyanotic. What action should the nurse take next?

During transport for an emergency surgery, the client experiences a cardiac arrest and dies. The client’s family witnesses the arrest and is present when the client is pronounced dead. Which action by the nurse best demonstrates compassionate care?

Five families of clients injured in an apartment fire have: arrived at an ED to inquire about the health status of their family members. Which is the nurse’s best action?

Clients who were exposed to a white phosphorus chemical spill are arriving by ambulance. Which intervention should the ED nurse plan to implement first?

Hospital personnel are eating outdoors when a nearby train carrying anhydrous ammonia derails- Which direction by the emergency nurse experienced with biochemical contamination is most appropriate to reduce exposure?

The ED charge nurse is informed that an unknown number of clients were exposed to a nerve agent during a terrorist attack. Which medication should the nurse prepare to have readily available in sufficient quantities to treat the clients?

The nurse is one of many team members who respond to an infant in cardiopulmonary arrest. The nurse is directed to begin chest compressions while another maintains the infant’s airway. What action should the nurse perform next?

The nurse is attempting to relieve a foreign body air- way obstruction from an infant. The infant suddenly becomes. unresponsive. Which action should the nurse perform next?

The nurse finds an unresponsive, pulseless client lying in a puddle of water in a shower. The resuscitation team would like to attach the AED to the client immediately. What intervention should the nurse implement first?

Two military personnel are hospitalized after exposure more than 2 hours ago to liquid sulfur mustard during a terrorist attack. Which assessment finding should the nurse associate with the exposure to liquid sulfur mustard?

The nurse is providing basic life support teaching to the parent of the 2—year—old. Which statement made by the parent would indicate the need for further instruction?

The community nurse is teaching disaster preparedness to commnunity members. Which statement is most appropriate?

The nurse is caring for the 4-year-old with respiratory distress. The child has pale, cool skin, is hypotensive, and has an HR of 54 bpm and decreasing despite respiratory support. Which intervention should the nurse implement?

Resuscitation efforts have been provided for two minutes for the 4-month-old in cardiac arrest, and CPR is now paused. The cardiac monitor shows sinus tachycardia. What intervention should the nurse implement next?

The nurse is performing CPR on the 5-year—old in asystolic cardiac arrest. A second rescuer arrives. The client remains pulseless and apneic. What intervention should the team provide next?

The nurse is teaching rescue breathing to the daughter of an adult client. Which statement indicates that the client understands how to perform rescue breathing?

When placing defibrillator pads on the client, the nurse observes that the client possibly has an implanted pacemaker on the left upper chest. Which statement demonstrates that the nurse knows where to correctly place the defibrillator pad?

The nurse is supervising a basic life support class. Which action by the class participants would indicate the need for further instruction?

The resuscitation team has been performing CPR on the child for 15 minutes. The mother, who is present during the resuscitation, asks when CPR would be stopped. What is the most appropriate response by the nurse?

The nurse is triaging four clients who enter the ED at the same time. Which client should be assigned as the highest priority?

An explosion occurred at a nearby factory. The ED charge nurse receives a call from EMS personnel that 35 clients will arrive by ambulance within 10 minutes. These clients were triaged at the scene as red and yellow according to the NATO mass casualty categories; others will be arriving, and the unit is short- staffed. Which action should the nurse initiate first?

The triage nurse in an ED is caring for injured clients of a mass casualty disaster. Which client should the nurse establish as the priority client?

The nurse is providing post resuscitation care to the client. The client’s HR is 80 bpm, and the RR is 14 breaths per minute and regular. Which action should the nurse perform next?

The nurse is performing CPR on a neonate. Which action indicates that the nurse needs further instruction on performing CPR on a neonate?

While jogging, the nurse finds an adult lying on the ground. The nurse uses both tactile and verbal stimulation to determine that the client is unresponsive. What action should the nurse perform next?