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Emergency Nursing EXAM NEWEST VERSION ALL
QUESTIONS AND CORRECT ANSWERS LATEST UPDATE
JUST RELEASED THIS YEAR
Question: A patient is brought to the ED by ambulance with a gunshot wound to the abdomen.
The nurse knows that the most common hollow organ injured in this type of injury is what?
A) Liver
B) Small bowel
C) Stomach
D) Large bowel – CORRECT ANSWER✔✔B) Small bowel
Penetrating abdominal wounds have a high incidence of injury to hollow organs, especially the
small bowel. The liver is also injured frequently, but it is a solid organ.
Question: A patient has been brought to the ED with multiple trauma after a motor vehicle
accident. After immediate threats to life have been addressed, the nurse and trauma team
should take what action?
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A) Perform a rapid physical assessment.
B) Initiate health education.
C) Perform diagnostic imaging.
D) Establish the circumstances of the accident. – CORRECT ANSWER✔✔A) Perform a rapid
physical assessment.
Once immediate threats to life have been corrected, a rapid physical examination is done to
identify injuries and priorities of treatment. Health education is initiated later in the care
process and diagnostic imaging would take place after a rapid physical assessment. It is not the
care teams responsibility to determine the circumstances of the accident.
Question: The nursing educator is reviewing the signs and symptoms of heat stroke with a
group of nurses who provide care in a desert region. The educator should describe what sign or
symptom?
A) Hypertension with a wide pulse pressure
B) Anhidrosis
C) Copious diuresis
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D) Cheyne-Stokes respirations – CORRECT ANSWER✔✔B) Anhidrosis
Heat stroke is manifested by anhidrosis confusion, bizarre behavior, coma, elevated body
temperature, hot dry skin, tachypnea, hypotension, and tachycardia. This health problem is not
associated with anhidrosis or Cheyne-Stokes respirations.
Question: A patient is brought to the ED by ambulance after swallowing highly acidic toilet
bowl cleaner 2 hours earlier. The patient is alert and oriented. What is the care teams most
appropriate treatment?
A) Administering syrup of ipecac
B) Performing a gastric lavage
C) Giving milk to drink
D) Referring to psychiatry – CORRECT ANSWER✔✔C) Giving milk to drink
A patient who has swallowed an acidic substance, such as toilet bowl cleaner, may be given milk
or water to drink for dilution. Gastric lavage must be performed within 1 hour of ingestion. A
psychiatric consult may be considered once the patient is physically stable and it is deemed
appropriate by the physician. Syrup of ipecac is no longer used in clinical settings.
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Question: A patient is admitted to the ED with suspected alcohol intoxication. The ED nurse is
aware of the need to assess for conditions that can mimic acute alcohol intoxication. In light of
this need, the nurse should perform what action?
A) Check the patients blood glucose level.
B) Assess for a documented history of major depression.
C) Determine whether the patient has ingested a corrosive substance.
D) Arrange for assessment of serum potassium levels. – CORRECT ANSWER✔✔A) Check the
patients blood glucose level.
Hypoglycemia can mimic alcohol intoxication and should be assessed in a patient suspected of
alcohol intoxication. Potassium imbalances, depression, and poison ingestion are not noted to
mimic the characteristic signs and symptoms of alcohol intoxication.
Q:1. Which patient should the nurse prioritize as needing emergent treatment, assuming no
other injuries are present except the ones outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing
Emergency Nursing EXAM NEWEST VERSION ALL
QUESTIONS AND CORRECT ANSWERS LATEST UPDATE
JUST RELEASED THIS YEAR
Question: A patient is brought to the ED by ambulance with a gunshot wound to the abdomen.
The nurse knows that the most common hollow organ injured in this type of injury is what?
A) Liver
B) Small bowel
C) Stomach
D) Large bowel – CORRECT ANSWER✔✔B) Small bowel
Penetrating abdominal wounds have a high incidence of injury to hollow organs, especially the
small bowel. The liver is also injured frequently, but it is a solid organ.
Question: A patient has been brought to the ED with multiple trauma after a motor vehicle
accident. After immediate threats to life have been addressed, the nurse and trauma team
should take what action?
, Page 2 of 32
A) Perform a rapid physical assessment.
B) Initiate health education.
C) Perform diagnostic imaging.
D) Establish the circumstances of the accident. – CORRECT ANSWER✔✔A) Perform a rapid
physical assessment.
Once immediate threats to life have been corrected, a rapid physical examination is done to
identify injuries and priorities of treatment. Health education is initiated later in the care
process and diagnostic imaging would take place after a rapid physical assessment. It is not the
care teams responsibility to determine the circumstances of the accident.
Question: The nursing educator is reviewing the signs and symptoms of heat stroke with a
group of nurses who provide care in a desert region. The educator should describe what sign or
symptom?
A) Hypertension with a wide pulse pressure
B) Anhidrosis
C) Copious diuresis
, Page 3 of 32
D) Cheyne-Stokes respirations – CORRECT ANSWER✔✔B) Anhidrosis
Heat stroke is manifested by anhidrosis confusion, bizarre behavior, coma, elevated body
temperature, hot dry skin, tachypnea, hypotension, and tachycardia. This health problem is not
associated with anhidrosis or Cheyne-Stokes respirations.
Question: A patient is brought to the ED by ambulance after swallowing highly acidic toilet
bowl cleaner 2 hours earlier. The patient is alert and oriented. What is the care teams most
appropriate treatment?
A) Administering syrup of ipecac
B) Performing a gastric lavage
C) Giving milk to drink
D) Referring to psychiatry – CORRECT ANSWER✔✔C) Giving milk to drink
A patient who has swallowed an acidic substance, such as toilet bowl cleaner, may be given milk
or water to drink for dilution. Gastric lavage must be performed within 1 hour of ingestion. A
psychiatric consult may be considered once the patient is physically stable and it is deemed
appropriate by the physician. Syrup of ipecac is no longer used in clinical settings.
, Page 4 of 32
Question: A patient is admitted to the ED with suspected alcohol intoxication. The ED nurse is
aware of the need to assess for conditions that can mimic acute alcohol intoxication. In light of
this need, the nurse should perform what action?
A) Check the patients blood glucose level.
B) Assess for a documented history of major depression.
C) Determine whether the patient has ingested a corrosive substance.
D) Arrange for assessment of serum potassium levels. – CORRECT ANSWER✔✔A) Check the
patients blood glucose level.
Hypoglycemia can mimic alcohol intoxication and should be assessed in a patient suspected of
alcohol intoxication. Potassium imbalances, depression, and poison ingestion are not noted to
mimic the characteristic signs and symptoms of alcohol intoxication.
Q:1. Which patient should the nurse prioritize as needing emergent treatment, assuming no
other injuries are present except the ones outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing