Questions & Answers / latest 2026
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is
noted: hypotension, tachycardia, absent breath sounds from the left chest with an
increased respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the
urinary meatus, moderate active bleeding from a laceration to left thigh, pulse oximetry
of 86% without supplemental oxygen, deformity to the left upper leg, and a Glasgow
Coma Score of 7. Which of the following orders will prompt the nurse to have a discussion
with the provider before initiating?
A. Insert urinary catheter
B. Prepare for intubation
C. Assist with chest tube insertion
D. Place orogastric tube - answer>>>A. Insert urinary catheter
A six-week-old infant presents to the emergency department with seizures. The infant is
afebrile with a normal glucose level ,and caregivers report no signs of illness other than
formula intolerance, which they treated by adding extra water to the formula. The nurse
would expect to find which of the following laboratory abnormalities?
A. Hypokalemia
B. Hyponatremia
C. Hyperkalemia
D. Hypernatremia - answer>>>B. Hyponatremia
A 12-year-old involved in a house fire has full thickness, circumferential burns to bilateral
lower extremities. Fluid resuscitation is in progress on arrival at the ED. On assessment
the left pedal and posterior tibialis pulses are absent, with delayed capillary refill. Which
of the following is the priority intervention?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
, D. Preparation for thrombectomy - answer>>>C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery.
The patient initially choked and coughed and is now drooling with bloody sputum. Which
of the following is the priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
C. Discharge with specific return instructions
D. Offer the child sips of water intermittently - answer>>>A. Prepare the patient for
hospitalization
When caring for a potential crime victim, what evidence collection principle is imperative?
A. Evidence collection is prioritized over nursing assessment.
B. Suspicious clothing should be placed in separate, clean, clearly marked plastic bags.
C. Clothing should always be cut along seam lines to preserve evidence.
D. Clothing should not be placed on the floor in order to prevent contamination. -
answer>>>D. Clothing should not be placed on the floor in order to prevent
contamination.
A child with an electrical injury is seen 1 hour post event. Which of the following types of
specimen samples would provide visual information regarding a potential complication of
this injury?
A. Serum
B. Urine
C. Stool
D. Sputum - answer>>>B. Urine
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After
several attempts, your team has been unsuccessful at establishing vascular access. Of the
following, which is the next best option for establishing access quickly?
A. Intraosseous in the patient's medial tibia.
B. Peripherally inserted central catheter
C. Assisting with central line placement.
D. Intraosseous in the patient's scapula. - answer>>>A. Intraosseous in the patient's
medial tibia.