NUR 254 EMERGENCY NURSING
QUESTIONS AND ANSWERS (GRADED
A+)
The ER nurse sees that the following patients are en route to the hospital via EMS. Who
will be seen first?
1. 45 year old with SOB, chest pain, states that he woke up feeling like this
2. 3 year old who fell off monkey bars at daycare, refuses to put weight on her right leg
3. 78 year old who is confused and was found wandering in a local park
4. 56 year old who was found unresponsive at home, estimated down time is 20
minutes and paramedics have been unable to resuscitate - ANSWER-4
Which of the following patients could wait for treatment in the ER?
1. patient with left sided paralysis who is unable to speak
2. patient with SOB and severe chest pain, satting 92%RA
3. patient with gunshot wound to lower abdomen, bleeding is controlled
4. patient with COPD exacerbation following an asthma attack, O2 is 88%RA -
ANSWER-4
The ER nurse hears a doctor refer to a patient as a "triage level 2" and knows that:
1. this patient should be seen Q15 minutes
2. this patient will likely be discharged within a few hours
3. this patient needs to be admitted
4. this patient can wait an hour for treatment - ANSWER-1
The nurse sees that a patient is coming in via EMS as a level 1 triage. Which of the
following situations could the nurse expect?
1. ambulatory patient who is having trouble breathing
2. patient could have driven themselves to the ED
3. patient has a head wound but is able to answer questions
4. patient was found unconscious after a suspected drug overdose and CPR is being
performed in the ambulance - ANSWER-4
Which level of triage would be able to have treatment delayed for several hours?
1. resuscitation
2. emergent
3. level 5
4. level 1 - ANSWER-3
What is the goal of treatment in the ER?
1. assess the patient's ABCs and get them admitted or discharged
2. determine whether the patient needs additional treatment for chronic illnesses
, 3. perform a head to toe assessment and make a detailed history in the patient chart
4. determine whether the medical complaint is severe enough to warrant an assessment
- ANSWER-1
A patient is brought to the ED after falling off a ladder while hanging Christmas lights.
There are no signs of external injuries, no visible bleeding, and the patient's only
complaint is that his stomach hurts. What should the nurse's priority action be?
1. place the patient on the list to be discharged
2. request that the doctor order a head CT
3. request that the doctor order an abdominal ultrasound
4. call for a crash cart - ANSWER-3
The nurse is triaging patients who are arriving from the scene of an explosion. Which
injury location has the potential to be the most severe?
1. lower leg
2. shoulder
3. hip
4. stomach - ANSWER-4
A patient is brought to the ED after an accident with a bow and arrow. The arrow is
lodged in the patient's side with minimal bleeding. The nurse knows that which action
should be completed only after prepping for surgery and bringing the patient to the OR?
1. administering two units of blood
2. gathering a sample for a type and cross
3. removing the arrow
4. removing the clothing around the arrow - ANSWER-3
A patient was brought to the ED after being found in a ravine following a hiking accident.
The hiker fell down an embankment and was impaled on a large tree branch. The hiker
estimated that the fall occurred "several days ago" and the branch was cut to be
transported along with the patient. Which assessment data would be expected for this
patient? SATA
1. BUN 45
2. WBC 15000
3. BP 150/80
4. dark urine
5. Cr 3.6 - ANSWER-1, 2, 4, 5
The nurse is working at a summer camp for teens. A 15 year old comes to the infirmary
with a temperature of 102, BP 90/60, RR 40, and seems confused. What should the
nurse's priority action be?
1. assess the teen for signs of internal injury
2. call the camp doctor to request antibiotics
3. provide the teen with a glass of ice water and tell her to lay down
4. place ice packs around the teen's armpits and groin, then call 911 - ANSWER-4
QUESTIONS AND ANSWERS (GRADED
A+)
The ER nurse sees that the following patients are en route to the hospital via EMS. Who
will be seen first?
1. 45 year old with SOB, chest pain, states that he woke up feeling like this
2. 3 year old who fell off monkey bars at daycare, refuses to put weight on her right leg
3. 78 year old who is confused and was found wandering in a local park
4. 56 year old who was found unresponsive at home, estimated down time is 20
minutes and paramedics have been unable to resuscitate - ANSWER-4
Which of the following patients could wait for treatment in the ER?
1. patient with left sided paralysis who is unable to speak
2. patient with SOB and severe chest pain, satting 92%RA
3. patient with gunshot wound to lower abdomen, bleeding is controlled
4. patient with COPD exacerbation following an asthma attack, O2 is 88%RA -
ANSWER-4
The ER nurse hears a doctor refer to a patient as a "triage level 2" and knows that:
1. this patient should be seen Q15 minutes
2. this patient will likely be discharged within a few hours
3. this patient needs to be admitted
4. this patient can wait an hour for treatment - ANSWER-1
The nurse sees that a patient is coming in via EMS as a level 1 triage. Which of the
following situations could the nurse expect?
1. ambulatory patient who is having trouble breathing
2. patient could have driven themselves to the ED
3. patient has a head wound but is able to answer questions
4. patient was found unconscious after a suspected drug overdose and CPR is being
performed in the ambulance - ANSWER-4
Which level of triage would be able to have treatment delayed for several hours?
1. resuscitation
2. emergent
3. level 5
4. level 1 - ANSWER-3
What is the goal of treatment in the ER?
1. assess the patient's ABCs and get them admitted or discharged
2. determine whether the patient needs additional treatment for chronic illnesses
, 3. perform a head to toe assessment and make a detailed history in the patient chart
4. determine whether the medical complaint is severe enough to warrant an assessment
- ANSWER-1
A patient is brought to the ED after falling off a ladder while hanging Christmas lights.
There are no signs of external injuries, no visible bleeding, and the patient's only
complaint is that his stomach hurts. What should the nurse's priority action be?
1. place the patient on the list to be discharged
2. request that the doctor order a head CT
3. request that the doctor order an abdominal ultrasound
4. call for a crash cart - ANSWER-3
The nurse is triaging patients who are arriving from the scene of an explosion. Which
injury location has the potential to be the most severe?
1. lower leg
2. shoulder
3. hip
4. stomach - ANSWER-4
A patient is brought to the ED after an accident with a bow and arrow. The arrow is
lodged in the patient's side with minimal bleeding. The nurse knows that which action
should be completed only after prepping for surgery and bringing the patient to the OR?
1. administering two units of blood
2. gathering a sample for a type and cross
3. removing the arrow
4. removing the clothing around the arrow - ANSWER-3
A patient was brought to the ED after being found in a ravine following a hiking accident.
The hiker fell down an embankment and was impaled on a large tree branch. The hiker
estimated that the fall occurred "several days ago" and the branch was cut to be
transported along with the patient. Which assessment data would be expected for this
patient? SATA
1. BUN 45
2. WBC 15000
3. BP 150/80
4. dark urine
5. Cr 3.6 - ANSWER-1, 2, 4, 5
The nurse is working at a summer camp for teens. A 15 year old comes to the infirmary
with a temperature of 102, BP 90/60, RR 40, and seems confused. What should the
nurse's priority action be?
1. assess the teen for signs of internal injury
2. call the camp doctor to request antibiotics
3. provide the teen with a glass of ice water and tell her to lay down
4. place ice packs around the teen's armpits and groin, then call 911 - ANSWER-4
