EMERGENCY NURSING FINAL EXAM ACTUAL QUESTIONS
AND ANSWERS GRADED A+
✔✔The nurse is caring for a victim of a sexual assault. The patient is fearful and
experiencing flashbacks. The nurse recognizes that the patient is experiencing which of
the following phases of the psychological reaction to rape? - ✔✔Heightened anxiety
phase
✔✔A patient was bitten by a tick 3 months ago and is now having muscle aches as well
as joint pain and swelling. The patient is having difficulty with self care and requires
assistance with activities of daily living (ADLs). What stage of Lyme disease does the
nurse recognize the patient is in? - ✔✔Stage III
✔✔The nurse received a patient from a motor vehicle accident who is hemorrhaging
from a femoral wound. What is the initial nursing action for the control of the
hemorrhage? - ✔✔Apply firm pressure over the involved area or artery.
✔✔An adolescent is brought to the ED after a vehicular accident and is pronounced
dead on arrival (DOA). When the parents arrive at the hospital, what is the priority
action by the nurse? - ✔✔Speak to both parents together and encourage them to
support each other and express their emotions freely.
✔✔Which of the following triage categories refers to life-threatening or potentially life-
threatening injury or illness requiring immediate treatment? - ✔✔Urgent
✔✔A patient present to the ED following a work-related injury to the left hand. The
patient has an avulsion of the left ring finger. Which of the following correctly describes
an avulsion? - ✔✔Tearing away of tissue from supporting structures
✔✔A nurse is caring for a client who has arrived at the emergency department in shock.
The nurse intervenes based on the knowledge that which of the following is the most
common cause of shock? - ✔✔Hypovolemia
✔✔When preparing to perform abdominal thrusts on a client with an airway obstruction,
which of the following would be most appropriate? - ✔✔Positioning the hands in the
midline slightly above the umbilicus
✔✔A nurse is providing care to a client who is a victim of trauma resulting from injuries
sustained in a convenience store robbery. The client has been stabbed numerous times
in the abdomen and chest. His shirt is bloody and torn. Which of the following would be
most appropriate when collecting forensic evidence? - ✔✔Hanging up any damp or wet
clothing to dry before securing
, ✔✔A patient with intra-abdominal injuries is brought to the emergency department.
Which of the following would most likely alert the nurse to suspect internal bleeding
secondary to a ruptured spleen? - ✔✔Pain in the left shoulder
✔✔The nurse is caring for a patient in the ED with frostbite to the left hand. During the
rewarming process of the hand, the nurse should perform which of the following
actions? - ✔✔Administer analgesic medications as ordered.
✔✔A patient is hemorrhaging from an open wound on his leg. The nurse implements
care using the following steps. Place them in the order in which the nurse would perform
them. Use all options. - ✔✔Provide firm direct pressure
Apply a pressure dressing
Elevate the leg
Immobilize the leg
✔✔The nurse is conducting a secondary survey on a patient in the ED. Which of the
following is completed during the secondary survey? - ✔✔Diagnostic and laboratory
testing
✔✔A nurse is preparing to assist with a gastric lavage for a client who has ingested an
unknown poison and is obtunded. To ensure that the tube reaches the stomach, the
nurse would measure the distance from the bridge of the nose to which of the following?
- ✔✔Xiphoid process
✔✔A patient presents to the ED after an unsuccessful suicide attempt. The patient is
diagnosed with an acetaminophen overdose. The nurse anticipates the administration of
which of the following medications? - ✔✔N-acetylcysteine (Mucomyst)
✔✔A patient arrives at the emergency department after sustaining a gunshot wound to
the abdomen. When assessing the patient, the nurse pays particular attention to which
of the following? - ✔✔Liver
✔✔A nurse suspects an older adult is experiencing heat stroke based on which
assessment findings? Select all that apply. - ✔✔Temperature 105 degrees F (40.6
degrees C)
Lack of sweating
Delirium
AND ANSWERS GRADED A+
✔✔The nurse is caring for a victim of a sexual assault. The patient is fearful and
experiencing flashbacks. The nurse recognizes that the patient is experiencing which of
the following phases of the psychological reaction to rape? - ✔✔Heightened anxiety
phase
✔✔A patient was bitten by a tick 3 months ago and is now having muscle aches as well
as joint pain and swelling. The patient is having difficulty with self care and requires
assistance with activities of daily living (ADLs). What stage of Lyme disease does the
nurse recognize the patient is in? - ✔✔Stage III
✔✔The nurse received a patient from a motor vehicle accident who is hemorrhaging
from a femoral wound. What is the initial nursing action for the control of the
hemorrhage? - ✔✔Apply firm pressure over the involved area or artery.
✔✔An adolescent is brought to the ED after a vehicular accident and is pronounced
dead on arrival (DOA). When the parents arrive at the hospital, what is the priority
action by the nurse? - ✔✔Speak to both parents together and encourage them to
support each other and express their emotions freely.
✔✔Which of the following triage categories refers to life-threatening or potentially life-
threatening injury or illness requiring immediate treatment? - ✔✔Urgent
✔✔A patient present to the ED following a work-related injury to the left hand. The
patient has an avulsion of the left ring finger. Which of the following correctly describes
an avulsion? - ✔✔Tearing away of tissue from supporting structures
✔✔A nurse is caring for a client who has arrived at the emergency department in shock.
The nurse intervenes based on the knowledge that which of the following is the most
common cause of shock? - ✔✔Hypovolemia
✔✔When preparing to perform abdominal thrusts on a client with an airway obstruction,
which of the following would be most appropriate? - ✔✔Positioning the hands in the
midline slightly above the umbilicus
✔✔A nurse is providing care to a client who is a victim of trauma resulting from injuries
sustained in a convenience store robbery. The client has been stabbed numerous times
in the abdomen and chest. His shirt is bloody and torn. Which of the following would be
most appropriate when collecting forensic evidence? - ✔✔Hanging up any damp or wet
clothing to dry before securing
, ✔✔A patient with intra-abdominal injuries is brought to the emergency department.
Which of the following would most likely alert the nurse to suspect internal bleeding
secondary to a ruptured spleen? - ✔✔Pain in the left shoulder
✔✔The nurse is caring for a patient in the ED with frostbite to the left hand. During the
rewarming process of the hand, the nurse should perform which of the following
actions? - ✔✔Administer analgesic medications as ordered.
✔✔A patient is hemorrhaging from an open wound on his leg. The nurse implements
care using the following steps. Place them in the order in which the nurse would perform
them. Use all options. - ✔✔Provide firm direct pressure
Apply a pressure dressing
Elevate the leg
Immobilize the leg
✔✔The nurse is conducting a secondary survey on a patient in the ED. Which of the
following is completed during the secondary survey? - ✔✔Diagnostic and laboratory
testing
✔✔A nurse is preparing to assist with a gastric lavage for a client who has ingested an
unknown poison and is obtunded. To ensure that the tube reaches the stomach, the
nurse would measure the distance from the bridge of the nose to which of the following?
- ✔✔Xiphoid process
✔✔A patient presents to the ED after an unsuccessful suicide attempt. The patient is
diagnosed with an acetaminophen overdose. The nurse anticipates the administration of
which of the following medications? - ✔✔N-acetylcysteine (Mucomyst)
✔✔A patient arrives at the emergency department after sustaining a gunshot wound to
the abdomen. When assessing the patient, the nurse pays particular attention to which
of the following? - ✔✔Liver
✔✔A nurse suspects an older adult is experiencing heat stroke based on which
assessment findings? Select all that apply. - ✔✔Temperature 105 degrees F (40.6
degrees C)
Lack of sweating
Delirium
