Introduction > Medical Surgical
Exam Review
Primary and Secondary Assessment
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is providing first aid to a client who has been involved in a car accident. The nurse should perform a primary assessment to check for which of the following conditions?
Explanation
Choice A Reason: This choice is incorrect because fractures or dislocations are not life-threatening and do not affect the ABCs of the primary assessment.
Choice B Reason: This choice is incorrect because head or spinal injuries are not life-threatening and do not affect the ABCs of the primary assessment.
Choice C Reason: This choice is correct because severe bleeding or shock are life-threatening and affect the victim's circulation, which is one of the ABCs of the primary assessment.
Choice D Reason: This choice is incorrect because burns or wounds are not life-threatening and do not affect the ABCs of the primary assessment.
A nurse is providing first aid to a client who has fainted in a crowded mall. The nurse should perform a secondary assessment to check for which of the following conditions? (Select all that apply.)
Explanation
Choice A Reason: This choice is incorrect because airway obstruction is a life-threatening condition that should be checked and treated in the primary assessment.
Choice B Reason: This choice is incorrect because breathing arrest is a life-threatening condition that should be checked and treated in the primary assessment.
Choice C Reason: This choice is incorrect because circulatory arrest is a life-threatening condition that should be checked and treated in the primary assessment.
Choice D Reason: This choice is correct because head injury is a possible cause or complication of fainting that is not immediately life-threatening but requires further evaluation and care.
Choice E Reason: This choice is correct because dehydration is a possible cause or complication of fainting that is not immediately life-threatening but requires further evaluation and care.
A nurse is providing first aid to a client who has been bitten by a snake. The nurse should call 911 and perform a primary assessment to check for signs of anaphylaxis, such as:
Explanation
Choice A Reason: This choice is correct because difficulty breathing is caused by swelling of the airways or bronchospasm that restricts airflow.
Choice B Reason: This choice is correct because swelling of face, lips, tongue, or throat is caused by fluid accumulation in the tissues that can block the airway.
Choice C Reason: This choice is correct because hives or itching are caused by histamine release that triggers an inflammatory response in the skin.
Choice D Reason: This choice is correct because it includes all of the signs of anaphylaxis as described in the text.
A nurse is providing first aid to a client who has a burn on his arm from touching a hot stove. The nurse should perform a secondary assessment to determine the severity of the burn by checking for which of the following factors?
Explanation
Choice A Reason: This choice is correct because the depth of the burn indicates how many layers of skin are damaged and how likely it is to heal.
Choice B Reason: This choice is correct because the size of the burn indicates how much body surface area is affected and how much fluid loss and heat loss may occur.
Choice C Reason: This choice is correct because the location of the burn indicates how vulnerable it is to infection and how it may affect the function of vital organs or structures.
Choice D Reason: This choice is correct because it includes all of the factors that affect the severity of the burn as described in the text.
A nurse is providing first aid to a client who has ingested a large amount of alcohol and is vomiting. The nurse should perform a primary assessment to check for which of the following conditions?
Explanation
Choice A Reason: This choice is incorrect because dehydration is not life-threatening and does not affect the ABCs of the primary assessment.
Choice B Reason: This choice is incorrect because hypothermia is not life-threatening and does not affect the ABCs of the primary assessment.
Choice C Reason: This choice is correct because aspiration is life-threatening and affects the victim's airway, which is one of the ABCs of the primary assessment.
Choice D Reason: This choice is incorrect because alcohol poisoning is not life-threatening and does not affect the ABCs of the primary assessment.
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