Chapter 01: Emergency nursing in Australia and New Zealand

Chapter 01: Emergency nursing in Australia and New Zealand

Curtis: Emergency and Trauma Care for Nurses and Paramedics, 3rd Edition

MULTIPLE CHOICE

• When were designated emergency departments first established in Australia?
• 1990s
• 2012
• 1960s
• 1970s

ANS: D

• What must a facility provide to be designated as an emergency department?
• Specialist medical officer, nurse cover, on-site diagnostic services and intensive

care and surgical operating services

• Specialised medical cover, Intensive Care, on-site diagnostic services
• Specialist medical cover and nurse cover
• Specialised medical cover, nurse cover, onsite diagnostic services

ANS: A

3. The following are commonly used to compared ED performance EXCEPT:

• Triage code allocation and seen by doctor times
• Patient case-mix and mortality
• presentation rates
• Nursing education levels

ANS: D

• What is the definition of access block?
• A patient who is ready to go to a ward bed, but remains in the ED for longer than 8

hours because of the doctors not completing their paperwork

• Patients awaiting a bed inside the ED but remains in the waiting room because

there is no bed available

• A patient who is ready to go to a ward bed, but remains in the ED for longer than 8

hours because of the lack of an inpatient bed

• Ambulances unable to offload their patients due to no beds being available in the

ED

ANS: C

• How many CPD hours must nurses Australian and New Zealand nurses complete each year

for registration purposes?

• 14 CPD hours
• 20 CPD hours
• None
• 10 CPD hours

ANS: B

(Test Bank) 1 / 4

• Medically endorsed patient management guidelines allow emergency nurses to perform

extended activities including:

• Assessments, interventions and Diagnosing
• Assessments, investigations, interventions
• Assessments, investigations, discharges
• Assessments, investigations, admissions

ANS: B

• What are the primary distinguishing features of emergency nursing?
• Caring for patients with undifferentiated diagnoses across the life span in a

time-pressured environment

• Caring for patients with clear diagnosis across the life span
• Caring for admitted patients across the life span
• Caring for patients who may or not be admitted

ANS: A

• What challenges impact on the delivery of quality patient care?
• Nurses not having adequate training, overcrowding, decreasing patient acuity
• Overcrowding, staff retention, poor doctor training decreasing patient acuity
• Overcrowding, staff retention, access block, increasing patient acuity
• Overcrowding, staff retention, access block, decreasing patient acuity

ANS: C 2 / 4

Chapter 02: Paramedicine in Australia and New Zealand

Curtis: Emergency and Trauma Care for Nurses and Paramedics, 3rd Edition

MULTIPLE CHOICE

• To where can you trace the earliest ambulance service in Australia?
• Queensland
• New South Wales
• Sydney
• Auckland

ANS: B

• This refers to the emergency service model involving attending the patient at the site of

emergency and transporting to the hospital, where all treatment happens:

• EMS mixed model
• Anglo-American model
• Franco-German model
• Vocational education model

ANS: B

• This is the person or professional who provides first aid while waiting for the ambulance

crew.

• Paramedic
• Intensive care paramedic
• Ambulance transport officer
• First responder

ANS: D

• This is the person who can provide basic life support in an emergency situation; usually this

person holds a level IV certificate.

• Paramedic
• Intensive care paramedic
• Ambulance transport officer
• First responder

ANS: C

5. A paramedic is expected to be skillful in the following skills, EXCEPT:

• Cardiac monitoring
• Surgery
• Defibrillation
• Vital signs taking

ANS: B

• This is an emergency service model where the principle is to stabilise the patient and

treatment at the scene, where an available physician is on site during the rescue.

• Anglo-American model 3 / 4

• Franco-German model
• EMS mixed model
• VET

ANS: B

• In Australia, these personnel can provide a pre-booked, non-urgent transport for patients who

are considered low risk.

• Ambulance transport officer
• Patient transport officer
• Paramedic
• First responder

ANS: B

• These personnel have more advanced skills in establishing an airway and are able to apply

wider pharmacological interventions.

• Intensive care paramedic
• Patient transport officer
• First responder
• Ambulance transport officer

ANS: A

• Which of following activities falls under the scope of practice for a retrieval paramedic?
• Interpretation of X-rays and blood tests
• Rapid sequence intubation
• Expanded access to medications
• All of the above

ANS: D

• What is the newest role in the paramedicine scope, which allows for advanced care, plus at the

same time attending to subacute or non-acute healthcare needs?

• Extended care paramedic
• Flight paramedic
• Patient transport officer
• First responder

ANS: A

• / 4