ANSWERS|LATEST !!!!2026|GRADED A+| (EXAM
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
1
,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.
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.
2
,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?
hypercoagulation
Von Willebrand Disease
hemophilia B
hemophilia C - ANSWER hemophilia B
A patient who has a long-leg cast has pain out of proportion to the injury and decreased
sensation in the affected leg. Urinalysis reveals myoglobinemia. These findings MOST likely
indicate
fat emboli.
nerve laceration.
compartment syndrome.
deep vein thrombosis. - ANSWER compartment syndrome.
A patient presents with audible wheezing and has an oxygen saturation of 88% on room air.
The patient reports eating shrimp for lunch. It would be a PRIORITY for the nurse to
administer
diphenhydramine.
3
, epinephrine.
oxygen.
albuterol. - ANSWER epinephrine.
Following the transfusion of a unit of packed red blood cells, a patient develops dyspnea,
tachypnea, and posterior bilateral crackles. The nurse should anticipate an order for
furosemide (Lasix).
digoxin (Lanoxin).
calcium chloride.
nesiritide (Natrecor). - ANSWER furosemide (Lasix).
Adverse effects of blood transfusions include circulatory overload. Signs/symptoms include
those similar to heart failure (dyspnea, tachypnea, crackles). Treatment includes
administering diuretics (furosemide).
A patient presents with a history of abdominal pain, nausea, and vomiting for 2 days. Upon
standing, the patient complains of dizziness. The nurse should anticipate an order to do
which of the following FIRST?
Initiate IV access.
Draw blood for a CBC.
Insert a nasogastric tube.
Administer pain medication. - ANSWER Initiate IV access.
A patient reports right elbow pain and swelling following sustained periods of repetitive
motion. The MOST appropriate nursing intervention includes
administration of ordered steroids.
preparation for incision and drainage.
administration of ordered antibiotics.
application of a compression dressing. - ANSWER application of a compression
dressing.
4
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
1
,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.
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.
2
,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?
hypercoagulation
Von Willebrand Disease
hemophilia B
hemophilia C - ANSWER hemophilia B
A patient who has a long-leg cast has pain out of proportion to the injury and decreased
sensation in the affected leg. Urinalysis reveals myoglobinemia. These findings MOST likely
indicate
fat emboli.
nerve laceration.
compartment syndrome.
deep vein thrombosis. - ANSWER compartment syndrome.
A patient presents with audible wheezing and has an oxygen saturation of 88% on room air.
The patient reports eating shrimp for lunch. It would be a PRIORITY for the nurse to
administer
diphenhydramine.
3
, epinephrine.
oxygen.
albuterol. - ANSWER epinephrine.
Following the transfusion of a unit of packed red blood cells, a patient develops dyspnea,
tachypnea, and posterior bilateral crackles. The nurse should anticipate an order for
furosemide (Lasix).
digoxin (Lanoxin).
calcium chloride.
nesiritide (Natrecor). - ANSWER furosemide (Lasix).
Adverse effects of blood transfusions include circulatory overload. Signs/symptoms include
those similar to heart failure (dyspnea, tachypnea, crackles). Treatment includes
administering diuretics (furosemide).
A patient presents with a history of abdominal pain, nausea, and vomiting for 2 days. Upon
standing, the patient complains of dizziness. The nurse should anticipate an order to do
which of the following FIRST?
Initiate IV access.
Draw blood for a CBC.
Insert a nasogastric tube.
Administer pain medication. - ANSWER Initiate IV access.
A patient reports right elbow pain and swelling following sustained periods of repetitive
motion. The MOST appropriate nursing intervention includes
administration of ordered steroids.
preparation for incision and drainage.
administration of ordered antibiotics.
application of a compression dressing. - ANSWER application of a compression
dressing.
4
