Which of the following complications are the main consequences of leukemia?

Select one:
a. Bone deformities, anemia, and infection.
b. Anemia, infection, and bleeding tendencies.
c. Pneumonia, thrombocytopenia, and alopecia

d. Polycythemia, decreased clotting time and infection.

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The correct answer is: Anemia, infection, and bleeding tendencies.

Question 2
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With the diagnosis of acute lymphocytic leukemia (ALL) the nurse should consider it unusual
to observe:

Select one:
a. Multiple bruises, petechiae
b. Marked fatigue, pallor.
c. Enlarged lymph nodes, spleen, ang liver.

d. Marked jaundice and generalized edema

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The correct answer is: Marked jaundice and generalized edema

Question 3
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Question text

The laboratory results of the client with leukemia indicate bone marrow depression. The
nurse should encourage the client to:

Select one:
a. Increase his activity level and ambulate frequently
b. Sleep with the head of his bed slightly elevated
c. Drink citrus juices frequently for nourishment

d. Use a soft toothbrush and electric razor

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The correct answer is: Use a soft toothbrush and electric razor

Question 4
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For a client newly diagnosed with radiation- induced thrombocytopenia, Which intervention
should the nurse include in the care plan?

Select one:
a. Administer aspirin if the temperature exceeds 102 F (38.9 C)
b. Inspect the skin for petechiae once every shift.
c. Provide for frequent periods of rest.

d. Place the client in strict isolation

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The correct answer is: Inspect the skin for petechiae once every shift.

Question 5
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The nurse working the in organ transplant unit is caring for a client with a white blood cell
count of during evening visitation, a visitor brings a basket of fruit. What action should the
nurse take?

Select one:
a. Allow the client to keep the fruit
b. Place the fruit next to the bed for easy access by the client
c. Offer to wash the fruit for the client

d. Tell the family members to take the fruit home

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The correct answer is: Tell the family members to take the fruit home

Question 6
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Nurse Hus Des is approached by Georgina, one of the attendees. The client tells her that
they havr a family history of breast cancer. The client asks her for methods to prevent her
from having the disease, Nurse Hus Des expects that the client be prescribed with:

Select one:
a. Tamoxifen (Niovaldex)
b. Estrogen (Premarin )
c. Doxorubicin

d. Cytoxan
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The correct answer is: Tamoxifen (Niovaldex)

Question 7
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In the oncology class, Nurse Sing, who is an oncologic nurse expert, differentiates benign
and malignant tumor. Which of the following is not true about benign tumor?

Select one:
a. Has a small chance of metastasis.
b. It is usually encapsulated
c. The tumor grows by expansion.

d. Cells are well-differentiated

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The correct answer is: Has a small chance of metastasis.

Question 8
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A client who is scheduled for radiation therapy asks the nurse, “Will I get a radiation burn?”
The best response of the nurse would be:

Select one:
a. “No, there won’t be any burn.”
b. “Yes, second degree burn is expecte
c. ”
d. “We can prevent it.”

e. “Usually, a localized skin reaction occurs.”

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The correct answer is: “Usually, a localized skin reaction occurs.”

Question 9
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A client with cancer of the cervix has a radium implant in place. What position is most
appropriate to the client?

Select one:
a. Any position of comfort
b. Flat
c. Semi-Fowler’s

d. Sitting
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The correct answer is: Flat

Question 10
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Which client is the nurse’s priority when providing instruction on self-breast examination?

Select one:
a. Linda, 35 years-old, who breastfed all her three children
b. Carol, 37 years-old, who never had a child and whose aunt died of breast cancer
c. Dolor, 42 years-old, with history of fibrocystic disease

d. Ethel, 25 years-old with a large breast

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The correct answer is: Carol, 37 years-old, who never had a child and whose aunt died of
breast cancer

Question 11
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A woman is undergoing chemotherapy treatment for uterine cancer. She asks the nurse how
chemotherapeutic drug work. The most accurate explanation would include which
statement?

Select one:
a. They affect all rapid dividing cells.
b. Molecular structure of DNA segment is altered
c. Chemotherapy only kills cancer cells.

d. The cancer cells are sensitive to drug toxins.

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The correct answer is: They affect all rapid dividing cells.

Question 12
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Question text

The nurse is caring for a client who is receiving radiation therapy. Which activity by the client
indicates further instruction on the side effects of radiation therapy?

Select one:
a. Using an electric razor.
b. Eating a high protein diet.
c. Taking his children to play at Timezone at the mall.

d. Calling the doctor for the temperature of 38.3 C

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The correct answer is: Taking his children to play at Timezone at the mall.

Question 13
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The T-N-M system is frequently used to classify the anatomic extent of the disease. N refers
to:

Select one:
a. lymph node involvement
b. Metastasis
c. Extent of primary tumor

d. All of the above

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The correct answer is: lymph node involvement

Question 14
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Internal radiation implantation is also called:

Select one:
a. Brachytherapy
b. Teletherapy
c. Gamma rays

d. X-ray
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The correct answer is: Brachytherapy

Question 15
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Safety precautions used in caring for the client with an internal radiation implant include all
of the following except:

Select one:
a. Limit visits to 30 minutes daily
b. See that visitors maintain a 3-feet distance from the radiation source
c. Prohibit visits by children and pregnant women

d. Assign the client to a private room

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The correct answer is: See that visitors maintain a 3-feet distance from the radiation source
Question 16
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16. Nurse Susan is monitoring the laboratory results of Mrs. Lacson who is preparing to
receive chemotherapy. She determines that the white blood cell count is normal if which of
the following results were present?

Select one:
a. 2,000 to 5,000 cells/mm3
b. 5,000 to 10,000 cells/mm3
c. 3,000 to 8,000 cells/mm3

d. 7,000 to 15,000 cells/mm3

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The correct answer is: 5,000 to 10,000 cells/mm3

Question 17
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After 2 weeks of chemotherapy treatments, a patient’s white blood cell count is 2,000/mm3.
The nurse knows that this finding is most likely due to:

Select one:
a. infection
b. weight loss
c. bone marrow depression
d. polycythemia
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The correct answer is: bone marrow depression

Question 18
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The nurse is caring for a patient with stomatitis due to chemotherapy. Which of the
following actions is most important for the nurse to include in the patient’s plan of care?

Select one:
a. Examine the patient’s mouth for blisters, sores, or drainage.
b. Encourage the patient to use a commercially prepared mouthwash twice daily.
c. Instruct the patient to use a soft-bristled toothbrush.

d. Offer mouth care morning and night.

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The correct answer is: Examine the patient’s mouth for blisters, sores, or drainage.

Question 19
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A client in the final stages of terminal cancer tells his nurse, "I wish I could just be allowed to
die. I'm tired of fighting this illness. I've lived a good life. I continue my chemotherapy and
radiation treatments only because my family wants me to." What's the nurse's best
response?
Select one:
a. "Would you like to talk to a psychologist about your thoughts and feelings?"
b. "Would you like to talk to your minister about the significance of death?"
c. "Would you like to meet with your family and your physician about this matter?"

d. "I know you are tired of fighting this illness, but death will come in due time."
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The correct answer is: "Would you like to meet with your family and your physician about
this matter?"

Question 20
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The nurse is conducting a screening for colorectal cancer. The client with the highest risk of
colorectal cancer is

Select one:
a. 52-year-old man with a family history of polyposis.
b. 32-year-old woman with a history of skin cancer.
c. 61-year-old man with a history of gastric ulcers.

d. 42-year-old man following a low-fat, 1,800-calorie diet.

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The correct answer is: 52-year-old man with a family history of polyposis.

Question 21
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Question text

The most common presenting symptom of colorectal cancer is:

Select one:
a. Fatigue
b. Weight loss
c. Change in bowel habits

d. Dull abdominal pain

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The correct answer is: Change in bowel habits

Question 22
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The nurse recognizes which of the following signs are indicative of laryngeal cancer?

Select one:
a. Increased drooling
b. Blood-streaked sputum
c. Hoarseness

d. Jaundice
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The correct answer is: Hoarseness

Question 23
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The nurse is caring for a client with radium implant for the treatment of cervical cancer.
When caring for the client with a radioactive implant, the nurse should:

Select one:
a. Provide emotional support by spending additional time with the client.
b. Stand at the floor of the bed when talking to the client.
c. Avoid handling items used by the client.

d. Wear a dosimeter bandage to monitor the amount of time spent in the clients room.
Feedback

The correct answer is: Wear a dosimeter bandage to monitor the amount of time spent in
the clients room.

Question 24
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The patient had an external radiation of his chest, Which of the following is an incorrect
statement of the patient?

Select one:
a. “ I will avoid washing and applying lotion to the areas subjected with radiation.”
b. ‘ I will tell my pregnant daughter not to visit me during the entire period of my
treatment.”
c. “ I will avoid exposure of my chest to the sunshine.”

d. “I will have adequate rest after each treatment.”

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The correct answer is: ‘ I will tell my pregnant daughter not to visit me during the entire
period of my treatment.”

Question 25
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Radiation therapy is use to treat colon cancer before surgery for which of the following
reasons?

Select one:
a. Reducing the size of tumor.
b. Curing the cancer
c. Eliminating the malignant cells.

d. Helping heal the bowel before surgery

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The correct answer is: Reducing the size of tumor.

Question 26
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Which of the following is the correct action by the nurse, if the patient’s intracavity implant
was dislodge?

Select one:
a. Wear gloves before picking up the implant.
b. Call some personnel to pick up the implant.
c. Call for help.

d. Use long forceps to pick up the implant and put it in the lead container.
Feedback

The correct answer is: Use long forceps to pick up the implant and put it in the lead
container.

Question 27
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The patient has been diagnosed to have cancer of the cervix. She has cobalt implant in
place. Which of the following statement is most incorrect?

Select one:
a. “ I will turn by back towards the door when I’m in bed
b. “ I will have a urinary catheter in place.
c. I am allowed to walk and go to the bathroom.”

d. “ I need to remain in bed during the treatment.

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The correct answer is: I am allowed to walk and go to the bathroom.”

Question 28
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During external radiation therapy, the nurse should teach the client that:
Select one:
a. She can apply lotion or powder on the radiated are{
b. Pregnant client is allowed to visit after the procedure.
c. Give antiemetics prior to treatment.

d. Lock the door to confined the radiation after therapy.

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The correct answer is: Pregnant client is allowed to visit after the procedure.

Question 29
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In patient who undergone chemotherapy the nurse understand the treatment when he
instruct the patient with alopecia to wear the wig:

Select one:
a. After alopecia to know the extent of hair loss.
b. Before alopecia has occur.
c. Wig should be replace on area having hair loss.

d. Hair loss would not occurs since hair grows automatically.

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The correct answer is: Before alopecia has occur.

Question 30
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The nurse knows that the common site of bone marrow aspiration in pediatric patient
should be:

Select one:
a. Clavicle B . Iliac crest
b. Tibia

c. Palanges
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The correct answer is: Tibia

Question 31
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Which of the following statements made by the client who is being administered
Adriamycin would indicate further instruction?

Select one:
a. “ My hair is going to fall out.”
b. . “ I can expect some constipation.”
c. ” My urine will turn red”

d. “ I may develop irregular heartbeat.”

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The correct answer is: “ I may develop irregular heartbeat.”

Question 32
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Question text

The male patient has platelet count of 100,000/cu mm. Which of the following should be
avoided in patient teaching?

Select one:
a. Use soft-bristled toothbrush.
b. Include green leafy vegetable in the diet.
c. Use electric razor.

d. Avoid plants in the room.

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The correct answer is: Avoid plants in the room.

Question 33
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The nurse is providing discharge teaching for the client with leukemi
The client should be told to avoid:

Select one:
a. Using oil- or cream-based soaps
b. Flossing between the teeth
c. The intake of salt

d. Using an electric razor

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The correct answer is: Flossing between the teeth

Question 34
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Which of the following dietary choices should be avoided by the client with a recent bone
marrow transplant?

Select one:
a. Applesauce
b. Apple juice
c. Apple pie

d. Raw apple
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The correct answer is: Raw apple

Question 35
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Janice is experiencing chemotherapy induced anemi What is your PRIORITY nursing

diagnosis for her?

Select one:
a. Imbalanced nutrition, less than body requirements related to anorexia
b. Risk for injury related to poor blood clotting
c. Disturbed body image related to changes in skin color and texture

d. Fatigue related to decreased cellular oxygenation

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The correct answer is: Fatigue related to decreased cellular oxygenation

Question 36
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Cindy’ss chemotherapy has been postponed because of a low white blood count. When she
expressed concern regarding its postponements, w hat will be your BEST response?

Select one:
a. “You know, it is too dangerous to give you the chemotherapy now”
b. “Why don’t you look at things positively and wait for the best time”
c. “Your counts will be probably high enough next week and the chemotherapy will work
just as well then”

d. “I will call your physician and request a prescription to calm your nerves”
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The correct answer is: “You know, it is too dangerous to give you the chemotherapy now”

Question 37
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Kathlyn, a staff nurse on probation is assigned in the pediatric oncology unit As Nessy was
about to administer an antiemetic drug to one of her patients, the mother stopped her. She
tells Nessy nausea and vomiting are proof that chemotherapy is working. Which of the
following will Nessy do?

Select one:
a. Listen and proceed with the administration of the drug
b. Explain to the mother the effects of the drugs and proceed with the administration
c. Ask mother where the information was obtained

d. Do not administer the drug and refer to the physician immediately
Feedback

The correct answer is: Explain to the mother the effects of the drugs and proceed with the
administration

Question 38
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One of the patients of Nurse Abby is for chemotherapy at 8am. Which of the following is
MOST appropriate for Abby to do ensure nausea and vomiting are prevented?

Select one:
a. Administer anti emetic an hour before therapy
b. Provide oral care with lukewarm water
c. Give the food in small frequent interval

d. Maintain an intravenous hydration therapy

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The correct answer is: Administer anti emetic an hour before therapy

Question 39
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Abby always includes in her instructions to mothers not to give vitamins when on
chemotherapy. Which of the following chemotherapeutic agent’s effects will be interfered
by vitamins with folic acid?

Select one:
a. Vincristine
b. Mercapturine
c. Prednisone

d. Methotrexate
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The correct answer is: Methotrexate

Question 40
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Mr. Welling required a colostomy to treat his cancer. When developing a colostomy care
teaching plan, the nurse should recognize that teaching success can be greatly influenced
by which of the following factors?

Select one:
a. His wife’s acceptance of his altered self-image.
b. His acceptance of the colostomy
c. His acceptance of the impotence caused by the surgery

d. His ability to return to work and support his family

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The correct answer is: His acceptance of the colostomy

Question 41
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The nurse making a care plan for a client with severe thrombocytopenia should include
which of the following?

Select one:
a. A private room with reverse isolation precautions
b. Careful monitoring of urinary output while titrating the dosage of furosemide (Lasix)
c. Avoid intramuscular administration of medications

d. Careful examination of spinal fluid obtained by lumbar puncture.

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The correct answer is: Avoid intramuscular administration of medications

Question 42
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Which of this is a serious complication that cab occur with long bone fractures?

Select one:
a. Bone emboli
b. Fat emboli
c. Platelet emboli

d. Serous emboli
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The correct answer is: Fat emboli

Question 43
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At the scene of an accident, which of the following interventions applied to a client with a
suspected fracture?

Select one:
a. Don’t move the client.
b. Move the client to safety immediately.
c. Sit the client up to facilitate his airway.

d. Immobilize the extremity, and move the client to safety.

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The correct answer is: Immobilize the extremity, and move the client to safety.

Question 44
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When performing cardiac compression to an adult client, the nurse is aware that it is
essential to exert a vertical downward pressure, which depresses the lower sternum at least:

Select one:
a. 1.3 to 2 cm (1/2 to 3/4 inch)
b. 2 to 2.5 cm ( ¾ to 1 inch)
c. 2.5 to 4 cm ( 1 to 1 ½ inches)

d. 4 to 5 cm ( 1 ½ to 2 inches)
Feedback

The correct answer is: 4 to 5 cm ( 1 ½ to 2 inches)

Question 45
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Which of these phrases best describes an emergency within the context of health care?

Select one:
a. A sudden disruption in normal functioning with serious consequences
b. A disturbance in homeostasis that prevents normal body activity
c. A medical condition requiring immediate intervention

d. A health care crisis occurring when normal care procedures cannot be carried out
Feedback

The correct answer is: A medical condition requiring immediate intervention

Question 46
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In an emergency triage setting, which of the following patients should be given highest
priority by the nurse

Select one:
a. A client with fixed, dilated pupils.
b. A very anxious patient.
c. A patient with spinal; cord injury with fever of 101.5 F.
d. A patient with fracture of the arm.
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The correct answer is: A patient with spinal; cord injury with fever of 101.5 F.

Question 47
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A client was rushed to the ER were you are a triage nurse. A patient was in a massive
hemorrhagic shock. This patient’s code is:

Select one:
a. Red
b. Green
c. Yellow

d. Black
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The correct answer is: Red

Question 48
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The nurse is responding as a rescuer in a disaster are Which of the following victims should
the nurse see first?

Select one:
a. The patient who has bleeding from the leg.
b. The patient with laceration of the scalp.
c. The patient with chest injury with diminished breath sounds.

d. The patient with fractured of the wrist.

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The correct answer is: The patient with chest injury with diminished breath sounds.

Question 49
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Triage refers to the classification of injury severity during a disaster. Which of the following
clients should receive priority during triage?

Select one:
a. Open fracture of the tibia and fibula
b. Burns of the head and neck.
c. Crushing injury of the arm.

d. Contusion and lacerations of the head without loss of consciousness and disorientation.
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The correct answer is: Burns of the head and neck.

Question 50
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In the case of an earthquake, the triage nurse should give priority to which type of patient?

Select one:
a. An unconscious patient who is in cardiac arrest.
b. A young adult who is confuse
c. A 45 year old woman with multiple fractures.

d. Dead clients covered with block and concretes.

Feedback

The correct answer is: A young adult who is confuse