Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?
A. Black
Black tags are typically used for individuals who are deceased or expected to die imminently. The chances of survival for this patient are very minimal since the burn surface area is more than 50% with full thickness burns
B. Yellow
Yellow tags are used for those who require observation but are not in immediate danger.
C. Red
Red tags are for those with severe injuries who require immediate treatment but have a chance of survival.
D. Green
Green tags are used for individuals with minor injuries or those who require minimal medical assistance.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Leadership 2019 Proctored Exam. Take the full exam now
Full Explanation
A. Black tags are typically used for individuals who are deceased or expected to die imminently. The chances of survival for this patient are very minimal since the burn surface area is more than 50% with full thickness burns
B. Yellow tags are used for those who require observation but are not in immediate danger.
C. Red tags are for those with severe injuries who require immediate treatment but have a chance of survival.
D. Green tags are used for individuals with minor injuries or those who require minimal medical assistance.
Similar Questions
A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?
A. "You'll be fine. You'll receive a prescription for pain medication."
Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B. "Why didn't you discuss your concerns with your provider?"
Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C. "If you have the procedure now, you won't have to deal with pain and disability later."
Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D. "I understand, and it's not too late to change your mind,"
Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.
Full Explanation
A. Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B. Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C. Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D. Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.
A nurse is comparing the rate of medication errors on the medical unit to the rate from amedical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?
A. Root cause analysis
Root cause analysis involves investigating errors to determine underlying causes and preventive measures.
B. Risk benefit analysis
Risk benefit analysis weighs the potential risks and benefits of a particular action or decision.
C. Structure audit
Structure audit evaluates the infrastructure and resources in place but doesn't involve comparison between different units.
D. Benchmarking
Benchmarking involves comparing performance metrics to those of other organizations or units to identify best practices and areas for improvement, as in comparing medication error rates between units in different hospitals.
Full Explanation
A. Root cause analysis involves investigating errors to determine underlying causes and preventive measures.
B. Risk benefit analysis weighs the potential risks and benefits of a particular action or decision.
C. Structure audit evaluates the infrastructure and resources in place but doesn't involve comparison between different units.
D. Benchmarking involves comparing performance metrics to those of other organizations or units to identify best practices and areas for improvement, as in comparing medication error rates between units in different hospitals.
A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include?
A. Incorporate gestures and hand signals when presenting information.
Gestures and hand signals can be helpful but might not fully convey complex medical information.
B. Involve the client's partner to assist with the teaching session
Involving the client's partner can be beneficial but might not ensure accurate communication and understanding.
C. Validate understanding by interpreting the client's body language.
Interpreting body language is essential for communication but might not suffice for comprehensive teaching.
D. Provide an interpreter when obtaining consent from the client.
Providing an interpreter ensures accurate and complete communication during the teaching session, facilitating understanding and informed consent.
Full Explanation
A. Gestures and hand signals can be helpful but might not fully convey complex medical information.
B. Involving the client's partner can be beneficial but might not ensure accurate communication and understanding.
C. Interpreting body language is essential for communication but might not suffice for comprehensive teaching.
D. Providing an interpreter ensures accurate and complete communication during the teaching session, facilitating understanding and informed consent.