Questions and Correct
Answers | New Update
A patient who returns to the emergency department 3 days after a motor
vehicle crash has pain in the left upper quadrant of the abdomen.
Assessment reveals pain on palpation, and the patient is
hemodynamically stable. The nurse should be MOST concerned about
the possibility of:
bleeding from a liver laceration.
a splenic hematoma.
a pneumothorax.
a costochondritis. - ANSWER ✔✔a splenic hematoma.
,A trauma patient has received multiple transfusions in the emergency
department and starts to ooze blood from the IV sites. This suggests the
development of:
sepsis.
disseminated intravascular coagulation.
multisystem organ failure.
hemophilia. - ANSWER ✔✔disseminated intravascular coagulation.
Which of the following indicates significant dehydration in a 6-month-old
infant with a history of vomiting and diarrhea?
does not urinate for more than 8 hours
cries loudly during the physical examination
has three loose stools in 3 hours
has two bouts of projectile vomiting - ANSWER ✔✔does not urinate
for more than 8 hours
A patient who has an infection returns to the emergency department.
After determining that the patient has not been taking the prescribed
antibiotics, the nurse reviews the instructions with the patient. Which of
the following responses by the nurse is MOST appropriate?
If you don't take the antibiotics, you will need to return for injections.
,Here is a list of times you will take the antibiotics.
Do you have any questions about how to take the antibiotics?
Tell me how you will take the antibiotics. - ANSWER ✔✔Tell me how
you will take the antibiotics.
The FIRST intervention for an infant with complete airway obstruction
after inhalation of a foreign body is
a finger sweep.
intubation.
back blows.
abdominal thrusts. - ANSWER ✔✔back blows.
The American Heart Association recommends back blows followed by
chest compressions to dislodge an obstruction. Abdominal thrusts
should never be performed on an infant nor should a blind finger sweep
be used. Intubation takes time and should not be the first intervention.
A patient presents with his family members, who state that he has struck
his brother and has been violent and paranoid. The nurse should FIRST:
assess the brother for possible injuries.
place the patient into a treatment room with the door open.
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, notify police of the assault.
escort the patient to the quiet room to await the social worker. -
ANSWER ✔✔place the patient into a treatment room with the door
open.
A patient with acute cocaine intoxication should be expected to have
first-degree AV block.
flaccid extremities.
rising core body temperature.
drowsiness. - ANSWER ✔✔rising core body temperature.
A patient suspected of having anorexia nervosa is being triaged. The
emergency nurse expects which blood abnormality commonly related to
this disease?
decreased blood urea nitrogen
hyperkalemia
metabolic acidosis
increased glomerular filtration rate - ANSWER ✔✔metabolic acidosis
Which clotting disorder is caused by the absence or deficiency of factor
IX?