Emergency & Trauma Nursing Clinical Test Bank (2025 Edition) | Pharmacology, Triage, Toxicology & Crisis Management | NCLEX®, BCEN®, NP Board Ready | 12 Core Units Covered

Emergency & Trauma Nursing Clinical Test Bank
(2025 Edition) | Pharmacology, Triage, Toxicology,
and Crisis Management | NCLEX®, BCEN®, NP
Board Ready

Emergency & Trauma Nursing Clinical Test Bank (2025 Edition) | Pharmacology,
Triage, Toxicology, and Crisis Management | NCLEX®, BCEN®, NP Board Ready ...... 1
Triage & Prioritization................................................................................................... 2
Airway, Breathing, Circulation (ABCs) ....................................................................... 18
Cardiac Emergencies ................................................................................................. 35
Neurological Emergencies ......................................................................................... 51
Trauma....................................................................................................................... 67
Orthopedic & Musculoskeletal Injuries ....................................................................... 83
Pediatric Emergencies ............................................................................................... 99
Toxicology & Overdose ............................................................................................ 117
Environmental & Disaster Response ....................................................................... 133
Mental Health & Behavioral Crises .......................................................................... 148
Emergency Pharmacology ....................................................................................... 163
OB/GYN Emergencies ............................................................................................. 178




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,Triage & Prioritization
1. A 42-year-old woman arrives at the emergency department with complaints of chest
tightness and shortness of breath that started 20 minutes ago. She is diaphoretic, has a
blood pressure of 88/60 mmHg, and oxygen saturation of 89% on room air.

A. Assign to the fast-track area for ECG
B. Place in the waiting area and reassess in 10 minutes
C. Immediate placement in a resuscitation bay
D. Triage as non-urgent and refer to outpatient
Answer: C

Rationale:
The patient exhibits signs of potential myocardial infarction and hemodynamic
instability (hypotension, hypoxia). She requires immediate resuscitative care.

 A: Incorrect – Fast-track is inappropriate for potentially life-threatening
conditions.

 B: Incorrect – Delay in treatment risks deterioration.

 D: Incorrect – Non-urgent triage is inappropriate in this scenario.

Difficulty Level: High
Cognitive Level: Analysis
Mapped To: Emergency Nursing Core Competencies (ENA) – Emergency Triage
Nursing Process: Assessment



2. A 6-year-old presents with a minor laceration on the forearm sustained while playing.
He is alert, hemodynamically stable, and accompanied by a parent.

A. Emergent
B. Urgent
C. Non-urgent
D. Immediate
Answer: C

Rationale:
This is a non-urgent case with no threat to life, limb, or function.

 A/B/D: Incorrect – These levels are reserved for more critical cases involving
threat to airway, circulation, or significant injury.


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,Difficulty Level: Low
Cognitive Level: Application
Mapped To: Emergency Nursing Triage Principles
Nursing Process: Assessment



3. A 33-year-old male walks into the ED with a productive cough, fever of 38.5°C
(101.3°F), and mild shortness of breath. He is stable with normal vital signs. His oxygen
saturation is 97% on room air.

A. Immediate
B. Urgent
C. Non-urgent
D. Emergent
Answer: B

Rationale:
The patient has a potential lower respiratory infection, possibly pneumonia, but is
stable. Requires urgent evaluation, but not immediate resuscitation.

 A/D: Incorrect – Not unstable.

 C: Incorrect – Could deteriorate if treatment is delayed too long.
Difficulty Level: Medium
Cognitive Level: Application
Mapped To: ENA Triage Guidelines
Nursing Process: Assessment



4. A 26-year-old female with a history of type 1 diabetes is found unconscious at a bus
stop. Bystanders report she appeared confused before collapsing. Her capillary glucose
is 32 mg/dL.

A. Emergent
B. Non-urgent
C. Immediate
D. Urgent
Answer: C




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, Rationale:
This is a true emergency requiring immediate intervention for hypoglycemia to
prevent neurological damage or death.

 A: Close but not specific enough; "Immediate" is most appropriate in the
Emergency Severity Index (ESI) or Canadian Triage Acuity Scale (CTAS).

 B/D: Inappropriate for critical altered mental status and unstable glucose.

Difficulty Level: High
Cognitive Level: Analysis
Mapped To: ENA – Emergency Severity Index (ESI) Level 1
Nursing Process: Assessment



5. A 60-year-old man presents with sudden right-sided weakness and slurred speech
that started 1 hour ago. BP is 150/88 mmHg, HR 78, SpO₂ 96%.

A. Emergent
B. Immediate
C. Urgent
D. Non-urgent
Answer: A

Rationale:
This is a classic stroke presentation within the thrombolytic window. Needs rapid
neuro assessment and imaging.

 B: “Immediate” is reserved for airway/circulation threats.

 C/D: Delay risks poor neurological outcomes.
Difficulty Level: High
Cognitive Level: Analysis
Mapped To: Stroke Protocols / Time-Sensitive Interventions
Nursing Process: Planning



6. A 28-year-old arrives in the ED after a minor car accident. He is ambulatory, has no
visible injuries, and reports mild neck pain with full range of motion.

A. Urgent
B. Non-urgent


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