ENA 3.0 Palliative and End-of-Life Care
in the Emergency Department 2025/2026
Exam Questions and Answers | 100%
Solved
According to the Emergency Nurses Association's (ENA) position
statement, which criterion should be in place in order to use newly
deceased patients for procedural practice? - 🧠ANSWER ✔✔B. A legitimate
need to master the skill is demonstrated.
Which medication can cause extrapyramidal adverse effects?
A. Hydroxyzine (Atarax, Vistaril)
B. Ondansetron (Zofran)
C. Promethazine (Phenergan)
D. Meclizine (Antivert) - 🧠ANSWER ✔✔C. Promethazine (Phenergan)
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
1
,Promethazine (Phenergan) is a phenothiazine, which can cause
drowsiness and extrapyramidal adverse effects. Hydroxyzine (Atarax,
Vistaril), ondansetron (Zofran), and meclizine (Antivert) do not cause
extrapyramidal adverse effects.
When providing support to survivors after a death, which action is
appropriate? - 🧠ANSWER ✔✔C. Determine if any cultural or religious
customs need to be honored to the best of the healthcare team's ability.
Which action is part of palliative care in the emergency department? A.
Treat dyspnea based on the patient's subjective symptoms.B. Withhold
blood transfusions for a terminal patient.C. Avoid opioid administration
because it can lead to respiratory depression.D. Expect diarrhea as a
common finding in a patient who needs palliative care. - 🧠ANSWER ✔✔A.
Treat dyspnea based on the patient's subjective symptoms.
Because dyspnea is a subjective symptom, tailor treatments to the amount
of dyspnea the patient experiences. Objective data, such as oxygen
saturation, may not correlate with the amount of dyspnea a patient
experiences. You may give packed red blood cells to a patient with an end-
stage disease to try to relieve fatigue and dyspnea. In this instance, blood
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
2
, product administration is palliative rather than disease-modifying because
the anemia is a chronic problem that is not reversible. Opioid administration
is an integral part of palliative care. If the opioid causes adverse effects,
such as oversedation and respiratory depression, administer very low
doses of naloxone (Narcan) to reverse the adverse effects without
reversing the analgesic effects. Although an end-of-life patient may present
with diarrhea, he or she is more likely to experience constipation, nausea,
vomiting, and pain.
A woman, age 90, has Alzheimer's disease and presents to the emergency
department with her son. Bedridden for the past year, she has multiple
pressure ulcers and has lost 30 lbs (13.6 kg). She has refused oral intake
for the past 3 days and is now severely dehydrated. Her son, who has
power of attorney, does not want aggressive care. What is the best action?
- 🧠ANSWER ✔✔C. Discuss palliative care interventions with the son and
the patient's physician.
Which medication is very effective in managing chemotherapy-induced
nausea?
A. Ondansetron (Zofran)
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
in the Emergency Department 2025/2026
Exam Questions and Answers | 100%
Solved
According to the Emergency Nurses Association's (ENA) position
statement, which criterion should be in place in order to use newly
deceased patients for procedural practice? - 🧠ANSWER ✔✔B. A legitimate
need to master the skill is demonstrated.
Which medication can cause extrapyramidal adverse effects?
A. Hydroxyzine (Atarax, Vistaril)
B. Ondansetron (Zofran)
C. Promethazine (Phenergan)
D. Meclizine (Antivert) - 🧠ANSWER ✔✔C. Promethazine (Phenergan)
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
1
,Promethazine (Phenergan) is a phenothiazine, which can cause
drowsiness and extrapyramidal adverse effects. Hydroxyzine (Atarax,
Vistaril), ondansetron (Zofran), and meclizine (Antivert) do not cause
extrapyramidal adverse effects.
When providing support to survivors after a death, which action is
appropriate? - 🧠ANSWER ✔✔C. Determine if any cultural or religious
customs need to be honored to the best of the healthcare team's ability.
Which action is part of palliative care in the emergency department? A.
Treat dyspnea based on the patient's subjective symptoms.B. Withhold
blood transfusions for a terminal patient.C. Avoid opioid administration
because it can lead to respiratory depression.D. Expect diarrhea as a
common finding in a patient who needs palliative care. - 🧠ANSWER ✔✔A.
Treat dyspnea based on the patient's subjective symptoms.
Because dyspnea is a subjective symptom, tailor treatments to the amount
of dyspnea the patient experiences. Objective data, such as oxygen
saturation, may not correlate with the amount of dyspnea a patient
experiences. You may give packed red blood cells to a patient with an end-
stage disease to try to relieve fatigue and dyspnea. In this instance, blood
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
2
, product administration is palliative rather than disease-modifying because
the anemia is a chronic problem that is not reversible. Opioid administration
is an integral part of palliative care. If the opioid causes adverse effects,
such as oversedation and respiratory depression, administer very low
doses of naloxone (Narcan) to reverse the adverse effects without
reversing the analgesic effects. Although an end-of-life patient may present
with diarrhea, he or she is more likely to experience constipation, nausea,
vomiting, and pain.
A woman, age 90, has Alzheimer's disease and presents to the emergency
department with her son. Bedridden for the past year, she has multiple
pressure ulcers and has lost 30 lbs (13.6 kg). She has refused oral intake
for the past 3 days and is now severely dehydrated. Her son, who has
power of attorney, does not want aggressive care. What is the best action?
- 🧠ANSWER ✔✔C. Discuss palliative care interventions with the son and
the patient's physician.
Which medication is very effective in managing chemotherapy-induced
nausea?
A. Ondansetron (Zofran)
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
