NURS336 2026 Exam 4 Emerg Prep Quality Role Transition Baton Rouge General School of Nursing.
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Free NURS336 2026 Exam 4 Emerg Prep Quality Role Transition Baton Rouge General School of Nursing. Questions
15-year-old adolescent has a crushed leg that is very swollen; he is anxious, pulse is 130 beats/min.
Explanation
1st — 35-year-old firefighter with confusion, combativeness, and respiratory stridor (RED — Immediate). Stridor indicates upper airway obstruction from smoke inhalation or thermal injury, which is immediately life-threatening but treatable. Altered mental status further indicates hypoxia requiring urgent intervention.
2nd — 12-year-old child with severe wheezing and labored respirations unrelieved by inhaler (RED — Immediate). Refractory respiratory distress in a child is life-threatening and requires immediate intervention to prevent respiratory failure.
3rd — 15-year-old with crushed leg, anxious, pulse 130 beats/min (RED — Immediate). Tachycardia and anxiety with a crush injury suggest hemorrhagic shock in progress, which is serious but survivable with prompt intervention.
4th — 60-year-old woman with full-thickness burns to the hands and forearms (YELLOW — Delayed). Significant but limited burns without airway involvement are serious injuries that require treatment but are not immediately life-threatening, allowing for a short delay.
5th — 16-year-old with full-thickness burns over more than 70% of the anterior body (BLACK — Expectant). In mass casualty disaster triage, full-thickness burns over more than 70% of the body carry an extremely poor survivability prognosis. Under disaster triage principles where resources are limited and many more victims are expected, this patient would be classified as expectant.
6th — 53-year-old man in full cardiac arrest with CPR ongoing for 90 minutes (BLACK — Deceased/Expectant). CPR for 90 minutes without return of spontaneous circulation indicates a non-survivable condition. In disaster triage, resources are not allocated to patients with no realistic chance of survival.
16-year-old adolescent has full-thickness burns over more than 70% of the anterior body.
53-year-old man in full cardiac arrest has been receiving continuous CPR for 90 minutes.
Explanation
1st — 35-year-old firefighter with confusion, combativeness, and respiratory stridor (RED — Immediate). Stridor indicates upper airway obstruction from smoke inhalation or thermal injury, which is immediately life-threatening but treatable. Altered mental status further indicates hypoxia requiring urgent intervention.
2nd — 12-year-old child with severe wheezing and labored respirations unrelieved by inhaler (RED — Immediate). Refractory respiratory distress in a child is life-threatening and requires immediate intervention to prevent respiratory failure.
3rd — 15-year-old with crushed leg, anxious, pulse 130 beats/min (RED — Immediate). Tachycardia and anxiety with a crush injury suggest hemorrhagic shock in progress, which is serious but survivable with prompt intervention.
4th — 60-year-old woman with full-thickness burns to the hands and forearms (YELLOW — Delayed). Significant but limited burns without airway involvement are serious injuries that require treatment but are not immediately life-threatening, allowing for a short delay.
5th — 16-year-old with full-thickness burns over more than 70% of the anterior body (BLACK — Expectant). In mass casualty disaster triage, full-thickness burns over more than 70% of the body carry an extremely poor survivability prognosis. Under disaster triage principles where resources are limited and many more victims are expected, this patient would be classified as expectant.
6th — 53-year-old man in full cardiac arrest with CPR ongoing for 90 minutes (BLACK — Deceased/Expectant). CPR for 90 minutes without return of spontaneous circulation indicates a non-survivable condition. In disaster triage, resources are not allocated to patients with no realistic chance of survival.
60-year-old woman has full-thickness burns to the hands and forearms.
35-year-old firefighter is confused and combative and has respiratory stridor.
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"There's still a need for improvement in your performance although you've met your goal."
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"You're setting priorities and caring for patients efficiently."
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"You've performed very well these past three months."
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"I'm pleased with your progress and adaptation to the unit."
Explanation
Correct Answer: (D) "I'm pleased with your progress and adaptation to the unit."
When providing feedback during a performance appraisal, it is important to acknowledge the nurse's successful achievement of the goal. Option D emphasizes the nurse’s progress and adaptation to the unit, which provides positive reinforcement and motivates continued development. It recognizes the completion of the goal and shows support for the nurse’s adaptation to their new role.
Why Other Options are Incorrect:
A. "There's still a need for improvement in your performance although you've met your goal."
This feedback is discouraging and does not acknowledge the successful completion of the goal. It is important to provide constructive feedback, but this statement diminishes the progress made.
B. "You're setting priorities and caring for patients efficiently."
While this is positive feedback, it is not specific to the achievement of the goal. It is important to tie feedback to the successful completion of the goal for clarity.
C. "You've performed very well these past three months."
This is a general positive statement but does not specifically acknowledge the achievement of the goal or provide the necessary guidance for future development. It’s important to offer more specific feedback.
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