ANSWERS|LATEST !!!!2026|GRADED A+| (EXAM
The nurse is caring for a patient who is exhibiting seizure-like activity. The nurse knows this
intervention is needed FIRST:
-prepare for endotracheal intubation
-transport patient to CT
-administer benzodiazepines
-turn patient on the side - ANSWER turn patient on the side
The first step in seizure management is to protect the patient from injury. The patient should
be placed on their side and airway suctioned if needed. Endotracheal intubation would only
be indicated if the patient continued to seize despite treatment. The patient may require
benzodiazepines and a CT scan but they are not the initial step in seizure management
A mother and her child arrive to the emergency department for evaluation of their sore
throats. The department is very busy with an extended wait time. The mother states, "I only
need a work note and to have my child tested for strep throat. How can we get this done
quickly?" The triage nurse advises the mother to:
-be seen at their primary care offices
-sign in both herself and her child for evaluation
-return to the ED at a less busy time
-sign in only her child for evaluation - ANSWER Sign in both herself and her child for
evaluation.
The Emergency Medical Treatment and Active Labor Act (EMTALA) prohibits EDs from
turning patients away because of acuity, volume, insurance, or ability to pay for care. Even
though the mother is asking for a work note, she must sign in as a patient along with her
1
, child. All patients presenting to the ED for any reason must be signed in and evaluated with a
medical screening exam.
The nurse is caring for a patient who is becoming increasingly agitated. The nurse reviews
the electronic medical record knowing that the BEST predictor of violent behavior from a
patient is which of the following?
-low income social status
-psychiatric disorder
-substance abuse
-history of violence - ANSWER -history of violence
Although violent behavior can be seen in any patient (including those with substance abuse,
psychiatric disorders, and low or high income social status) the best predictor of violent
behavior is a history of violence. It is recommended that patients with violent behavior have
it indicated in the electronic medical record and flagged in such a way that it is readily visible
for staff caring for the patient in the future.
The nurse is assessing a patient who suffered a syncopal episode while working outside. The
patient is alert with pale, moist skin.
Vital signs are:
BP 100/62mmHgHR 112 beats/minRR 24 breaths/minT 100.4oF (38.0oC) oralO2 Sat 95%
room air
The nurse knows to take this PRIORITY intervention:
-obtain orthostatic blood pressures
-assess the NIH stroke scale
-insert intravenous catheter
-administer acetaminophen - ANSWER insert intravenous catheter
2
The nurse is caring for a patient who is exhibiting seizure-like activity. The nurse knows this
intervention is needed FIRST:
-prepare for endotracheal intubation
-transport patient to CT
-administer benzodiazepines
-turn patient on the side - ANSWER turn patient on the side
The first step in seizure management is to protect the patient from injury. The patient should
be placed on their side and airway suctioned if needed. Endotracheal intubation would only
be indicated if the patient continued to seize despite treatment. The patient may require
benzodiazepines and a CT scan but they are not the initial step in seizure management
A mother and her child arrive to the emergency department for evaluation of their sore
throats. The department is very busy with an extended wait time. The mother states, "I only
need a work note and to have my child tested for strep throat. How can we get this done
quickly?" The triage nurse advises the mother to:
-be seen at their primary care offices
-sign in both herself and her child for evaluation
-return to the ED at a less busy time
-sign in only her child for evaluation - ANSWER Sign in both herself and her child for
evaluation.
The Emergency Medical Treatment and Active Labor Act (EMTALA) prohibits EDs from
turning patients away because of acuity, volume, insurance, or ability to pay for care. Even
though the mother is asking for a work note, she must sign in as a patient along with her
1
, child. All patients presenting to the ED for any reason must be signed in and evaluated with a
medical screening exam.
The nurse is caring for a patient who is becoming increasingly agitated. The nurse reviews
the electronic medical record knowing that the BEST predictor of violent behavior from a
patient is which of the following?
-low income social status
-psychiatric disorder
-substance abuse
-history of violence - ANSWER -history of violence
Although violent behavior can be seen in any patient (including those with substance abuse,
psychiatric disorders, and low or high income social status) the best predictor of violent
behavior is a history of violence. It is recommended that patients with violent behavior have
it indicated in the electronic medical record and flagged in such a way that it is readily visible
for staff caring for the patient in the future.
The nurse is assessing a patient who suffered a syncopal episode while working outside. The
patient is alert with pale, moist skin.
Vital signs are:
BP 100/62mmHgHR 112 beats/minRR 24 breaths/minT 100.4oF (38.0oC) oralO2 Sat 95%
room air
The nurse knows to take this PRIORITY intervention:
-obtain orthostatic blood pressures
-assess the NIH stroke scale
-insert intravenous catheter
-administer acetaminophen - ANSWER insert intravenous catheter
2
