Rn Exam Emergency Department Q&A
, A 54 yr old male with a history of non-insulin dependent diabetes, presents to the
ED with new onset of confusion, weakness, lethargy and nausea with frequent
large volume urine output. Vital signs are BP-102/54, HR-115, RR-12, T- 97.4 and
oxygen saturation is 97% on room air. Blood glucose is 725 mg/dl. pH is 7.40.
What diagnosis would you expect to see for this patient? - ANSWER-Hyperosmolar
hyperglycemic state
Your patient arrives hypotensive and tachycardic after a motorcycle collision. His
pelvis is unstable upon palpation and a portable pelvic film reveals an open book
pelvic fracture. What immediate intervention should you expect? - ANSWER-Pelvic
sheeting or placement of a commercial pelvic binder
A nurse is at end of their shift and has been dealing with a difficult and unruly
patient. The nurse threatens to place the patient in restraints without justification.
This is an example of: - ANSWER-Assault
Your patient is an 84-year-old man who presents to the ED with increasing
forgetfulness, restlessness, and anxiety, which has become progressively worse
over the past 2 months. The patient feels well and is independent with his ADLs
but will forget where he placed things. The head CT, labs and ECG are all normal.
The diagnosis is likely dementia. Which of the following is correct about
dementia? - ANSWER-There is progressive deterioration in cognition and/or
behavior without altered consciousness
Which of the following fractures is highly associated with child abuse? - ANSWER-
Spiral leg fracture of the tibia in an 8 month old
You enter a patient's room and notice the chest tube has become dislodged
from the patient's chest and is hanging off the bed. The primary intervention is to:
- ANSWER-Cover the chest tube site with 4x4 dressing and taping only 3 sides of
the dressing
An 18 year old female presents to ED unresponsive via private car. Her friends
state that she has overdosed on hydrocodone. BP- 80/40, HR- 58, RR- 8, O2 sat
, A 54 yr old male with a history of non-insulin dependent diabetes, presents to the
ED with new onset of confusion, weakness, lethargy and nausea with frequent
large volume urine output. Vital signs are BP-102/54, HR-115, RR-12, T- 97.4 and
oxygen saturation is 97% on room air. Blood glucose is 725 mg/dl. pH is 7.40.
What diagnosis would you expect to see for this patient? - ANSWER-Hyperosmolar
hyperglycemic state
Your patient arrives hypotensive and tachycardic after a motorcycle collision. His
pelvis is unstable upon palpation and a portable pelvic film reveals an open book
pelvic fracture. What immediate intervention should you expect? - ANSWER-Pelvic
sheeting or placement of a commercial pelvic binder
A nurse is at end of their shift and has been dealing with a difficult and unruly
patient. The nurse threatens to place the patient in restraints without justification.
This is an example of: - ANSWER-Assault
Your patient is an 84-year-old man who presents to the ED with increasing
forgetfulness, restlessness, and anxiety, which has become progressively worse
over the past 2 months. The patient feels well and is independent with his ADLs
but will forget where he placed things. The head CT, labs and ECG are all normal.
The diagnosis is likely dementia. Which of the following is correct about
dementia? - ANSWER-There is progressive deterioration in cognition and/or
behavior without altered consciousness
Which of the following fractures is highly associated with child abuse? - ANSWER-
Spiral leg fracture of the tibia in an 8 month old
You enter a patient's room and notice the chest tube has become dislodged
from the patient's chest and is hanging off the bed. The primary intervention is to:
- ANSWER-Cover the chest tube site with 4x4 dressing and taping only 3 sides of
the dressing
An 18 year old female presents to ED unresponsive via private car. Her friends
state that she has overdosed on hydrocodone. BP- 80/40, HR- 58, RR- 8, O2 sat
