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Discussion

Please explain to me why this NCLEX question is correct

Our school had a NCLEX review last week and we had two NCLEX questions that we did as a group with the program leader that I can't wrap my brain around. I am usually pretty good at these style of questions but these two I would have gotten so wrong. Anyone care to enlighten me? Curious to see how you all answer and why.

1) Scenario is a patient's wife calls you on the phone to let you know her husband is having chest pain (no other information provided). Pick the best answer:

A: advise wife to administer ASA

B: advise wife to call 911

C: Ask to speak to the patient himself

D: chart the phone call in the EMR

2) Scenario is you come upon a mass trauma scene and you need to prioritize who you would see first. Pick the best answer: (utilizing the black/red/yellow/green trauma protocol)

A: Ambulatory man with minor injuries (green)

B: Man w/ crush injury to chest, R 6, non responsive (black)

C: Woman with deep cuts to her legs, bleeding, but able to put pressure on her wounds (yellow)

D: A male loosing consciousness, lost a limb, going in to shock (Red)

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    The answer to 1 is advice to give ASA and to 2 it's see the green patient first.....I picked C for #1 since there is no info on the patient and no info about allergies and D for #2 since green guy is visually doing good at the moment and the code black patient would be too far gone.

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    The answer to 1 is advice to give ASA and to 2 it's see the green patient first.....I picked C for #1 since there is no info on the patient and no info about allergies and D for #2 since green guy is visually doing good at the moment and the code black patient would be too far gone.

    You are right on both questions. I dont know why they picked aspirin and code black.

    For question 2, you dont attend to code black patient because thats a waste of resources, you attend to red followed by yellow.

    As for question 1, how does the nurse knws the patient

    that the patient have chest pain without talking to patient himself, if possible

    doesnt even have contraindication to aspirin and aspirin wont relieve acute chest pain

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    the explanation for question one was that (per review lady) you want to IMMEDIATELY take action and waste no time. I have worked in ambulatory care for awhile -- you know how many of those calls we get just to find out that pain has been there for 6 weeks lol?

    And she said you acutally see the green patient first because you want them to get off the scene to tend to the others. At that point, I don't care about a walkie talkie dude clearing the scene, I may need his help if we are the only 2 able bodies there is what I was thinking...

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