ANSWERS|LATEST VERSION|ALREADY GRADED A+
A patient has a fever and sternal chest pain that is worse when lying down. For this patient, the
emergency nurse suspects which disorder? ✔Correct Answer-Pericarditis
When assessing the heart tones of a patient with pericardial tamponade, the emergency nurse
expects to hear which sound? ✔Correct Answer-Muffled heart tones
An athlete who has been running on a hot day presents with a temperature of 104 degrees. The
patient is unable to dissipate heat to cool down. The emergency nurse suspects which condition?
✔Correct Answer-Heat stroke
A patient has pinpoint pupils, respiratory depression, hypotension, and visual hallucinations. The
emergency nurse suspects intoxication of which substance? ✔Correct Answer-Opiates
For a patient presenting with chest pain, which finding causes the emergency nurse to suspect
unstable (preinfarction) angina? ✔Correct Answer-T-wave inversion is present
For a patient with chest pain and a history of GERD, the emergency nurse should expect to initiate
which action first? ✔Correct Answer-Obtain an electrocardiogram
For a patient with a gunshot wound to the spleen, which intervention is the first priority for the
emergency nurse? ✔Correct Answer-Establish vascular access
When assessing a patient with a urinary tract infection, which symptom alerts the emergency nurse
to suspect renal involvement? ✔Correct Answer-Fever and chills
For a patient experiencing an inferior acute myocardial infarction, the emergency nurse should
suspect to initiate which intervention? ✔Correct Answer-Insert an intravenous catheter
A first trimester pregnant patient presents with severe abdominal cramping and heavy vaginal
bleeding. The emergency nurse suspects which condition? ✔Correct Answer-Spontaneous abortion
The emergency nurse initiates the ordered treatment for a patient with a dissecting aortic aneurysm.
Which condition indicates that this intervention is having the desired effect? ✔Correct Answer-
Blood pressure is controlled
When immediate reimplantation is not possible for an alert adult patient with a tooth avulsion,
which is an appropriate intervention for the emergency nurse? ✔Correct Answer-Place the tooth in
milk
The emergency nurse administers the ordered beta-blocker to a patient with hyphema. Which
finding indicates that this treatment is having the desired effect? ✔Correct Answer-Intraocular
pressure decreases.
A patient who recently became unemployed presents with anorexia, insomnia, and vague symptoms
of abdominal pain. The emergency nurse suspects what disorder? ✔Correct Answer-Grief reaction