one. You have a slit drain sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do
you need? - ANSWER-Petrolatum gauze
QUESTION: You want to implement the new evidence-based practice guidelines in managing
patients to prevent falls on your unit. What provides the STRONGEST evidence for
interventions? - ANSWER-Systematic reviews
QUESTION: Upon triage of a patient, they state that they have suicidal ideation with intent.
What would you do NEXT? - ANSWER-Institute suicide precautions.
QUESTION: Which of the following wounds has the highest risk for developing osteomyelitis?
- ANSWER-Puncture wound from stepping on a rusty nail
QUESTION: What type of diet would a patient with diverticulitis follow? - ANSWER-High
fiber diet
Answer is NOT high residual diet
QUESTION: An elderly patient is brought in with new onset of confusion and gradual onset of
headache in the last 48 hours. The patient states that they had a fall 3 days ago. Based on the
history and presenting complaints, what diagnostic test do you anticipate the provider to order? -
ANSWER-CT scan of the brain
QUESTION: What medication is used in reversing the effects of opioid overdose? - ANSWER-
Naloxone (Narcan®)
QUESTION: What are you MOST likely to see during your initial assessment of a patient with
chronic obstructive pulmonary disease (COPD)? - ANSWER-Pursed lip breathing
, QUESTION: Under what circumstances can the hospital transfer an unstable patient to another
facility and maintain compliance with the Emergency Medical Treatment and Active Labor Act
(EMTALA)? - ANSWER-The necessary treatment is not available at the current hospital.
QUESTION: The life-threatening and rare complication of hypothyroidism is known as: -
ANSWER-Myxedema coma
QUESTION: A patient presents with acute onset of chest pain and goes into cardiac arrest
immediately upon arrival. What is a possible reversible cause of cardiac arrest? - ANSWER-
Tension Pneumothorax
QUESTION: A patient presents with an episode of hypertensive crisis, a blood pressure of
220/118, and the provider has put in the order for nitroprusside. What demonstrates that the
treatment has been effective? - ANSWER-Systolic blood pressure reaches 160 mm Hg
QUESTION: A patient arrives with suspected appendicitis. What action, if observed, would
require additional training for the unlicensed assistive personnel (UAP)? - ANSWER-The UAP
offers the patient a ginger ale.
QUESTION: You see a fellow nurse placing an opioid medication in their pocket rather than
administering it as ordered. What would you do NEXT? - ANSWER-Tell your immediate
supervisor.
QUESTION: You are administering haloperidol (Haldol®) to a patient with acute symptoms of
Schizophrenia. What changes in the electrocardiogram (ECG) are possible as a result of this
medication? - ANSWER-Prolonged QT interval
QUESTION: A patient presents with a 5-day history of runny nose, headache, and productive
cough. The patient is unable to speak full sentences, reports having a history of moderate to
severe COPD, and has a SpO2 reading of 89%. What intervention do you anticipate
implementing FIRST for this patient? - ANSWER-Provide oxygen
QUESTION: A patient who is 24 weeks pregnant presents with fever and right upper quadrant
pain. The patient states that the pain is radiating to the right shoulder blade, and started an hour
, after having a pizza for lunch. She is tachycardic, tachypneic, and diaphoretic on the initial triage
assessment. What is the MOST likely diagnosis for this patient? - ANSWER-Cholecystitis
QUESTION: A patient arrives with acute onset of central chest pain. The patient is tachycardic
and tachypneic and appears very anxious and restless. What would be the MOST important
initial intervention for this patient? - ANSWER-Administer oxygen
Answer is NOT Obtain electrocardiogram
QUESTION: A patient is being treated with an anticoagulant for pulmonary embolism (PE).
What patient assessment finding indicates that a heparin infusion would be stopped
IMMEDIATELY? - ANSWER-Decreased level of consciousness
QUESTION: A new nurse observes their preceptor giving the incorrect dosage of a medication
to a patient. Implementing the ethical principle veracity, what action would the new nurse take? -
ANSWER-Inform the charge nurse about what happened and document it.
QUESTION: What is the appropriate intervention for patients with Acute Respiratory Distress
Syndrome (ARDS)? - ANSWER-Mechanical ventilation
QUESTION: What is a common assessment finding in a patient with a tension pneumothorax? -
ANSWER-Distended neck veins
QUESTION: What is the current recommended dose of intravenous or intraosseous epinephrine
in adult patients with cardiac arrest? - ANSWER-1 mg every 3-5 minutes
QUESTION: What type of medication is used in the emergency care setting to help manage the
symptoms of alcohol withdrawal? - ANSWER-Benzodiazepines
QUESTION: A patient who is 27 weeks pregnant presents with painless bright red vaginal
bleeding. What condition correlates with the presenting symptoms? - ANSWER-Placenta Previa
QUESTION: A patient who is 32 weeks pregnant presents with a three-day history of headache
and significant swelling of the lower extremities and face. The patient's vital signs are BP: