Swift River ER Questions and Answers
Latest Version 100% Pass
A patient comes into the ER with a deep laceration on their arm that is actively bleeding. What is
the first step the nurse should take?
✔✔ Apply direct pressure to the wound to control the bleeding.
A patient presents with severe chest pain radiating to the left arm and difficulty breathing. What
should be assessed immediately?
✔✔ Assess vital signs, particularly heart rate, blood pressure, and oxygen saturation.
A patient in the ER is having a seizure. What is the priority action?
✔✔ Ensure the patient’s safety by protecting their head and clearing the area of hazards.
A trauma patient presents with a possible spinal cord injury. What is the first intervention the
nurse should provide?
✔✔ Immobilize the spine using a cervical collar and secure the patient to a backboard.
1
,A patient with a suspected drug overdose is brought into the ER. What is the nurse’s priority
assessment?
✔✔ Airway, breathing, and circulation (ABCs).
A patient who was involved in a car accident is complaining of abdominal pain and shows signs
of shock. What should the nurse do first?
✔✔ Assess for signs of internal bleeding and initiate IV access for fluid resuscitation.
A patient presents with severe shortness of breath and is diagnosed with anaphylaxis after an
insect sting. What is the first treatment the nurse should administer?
✔✔ Administer epinephrine IM as prescribed.
A patient arrives with a possible heat stroke, exhibiting confusion and hot, dry skin. What should
the nurse do immediately?
✔✔ Begin cooling measures, such as applying cold packs or ice towels, and administer IV fluids.
A child presents with a high fever and a bright red, flushed face. What is the most likely
diagnosis and what should be done?
2
,✔✔ The patient may have scarlet fever. Administer antibiotics as prescribed and monitor for
signs of complications.
A patient in the ER is experiencing severe abdominal pain and vomiting after a fall. What should
the nurse assess for?
✔✔ Possible internal bleeding or injury to the abdominal organs, such as a ruptured spleen.
A diabetic patient comes in with confusion and sweating, and their blood sugar is found to be 40
mg/dL. What is the immediate intervention?
✔✔ Administer glucose orally or intravenously, depending on the patient’s ability to swallow.
A patient who was involved in a motorcycle accident is unconscious with a GCS score of 9.
What is the priority action?
✔✔ Ensure airway management and prepare for possible intubation.
A patient with an open fracture presents in the ER. What should the nurse do first?
✔✔ Control any bleeding and cover the wound with a sterile dressing.
3
, A patient reports pain in the lower abdomen after a fall, and their pelvic area appears bruised.
What is the primary concern?
✔✔ Possible pelvic fracture or internal bleeding; assess for signs of hypovolemic shock.
A patient is brought to the ER after ingesting a toxic substance. What is the first action the nurse
should take?
✔✔ Secure the patient’s airway and monitor their vital signs.
A patient presents with a severe allergic reaction and is showing signs of respiratory distress.
What should the nurse do immediately?
✔✔ Administer oxygen and prepare to administer epinephrine.
A child presents in the ER with difficulty breathing and audible wheezing. What should the nurse
assess for?
✔✔ Possible asthma exacerbation or foreign body aspiration.
A patient with a gunshot wound to the abdomen is in the ER. What is the most critical initial
intervention?
✔✔ Control bleeding, maintain airway, and prepare for surgical intervention.
4
Latest Version 100% Pass
A patient comes into the ER with a deep laceration on their arm that is actively bleeding. What is
the first step the nurse should take?
✔✔ Apply direct pressure to the wound to control the bleeding.
A patient presents with severe chest pain radiating to the left arm and difficulty breathing. What
should be assessed immediately?
✔✔ Assess vital signs, particularly heart rate, blood pressure, and oxygen saturation.
A patient in the ER is having a seizure. What is the priority action?
✔✔ Ensure the patient’s safety by protecting their head and clearing the area of hazards.
A trauma patient presents with a possible spinal cord injury. What is the first intervention the
nurse should provide?
✔✔ Immobilize the spine using a cervical collar and secure the patient to a backboard.
1
,A patient with a suspected drug overdose is brought into the ER. What is the nurse’s priority
assessment?
✔✔ Airway, breathing, and circulation (ABCs).
A patient who was involved in a car accident is complaining of abdominal pain and shows signs
of shock. What should the nurse do first?
✔✔ Assess for signs of internal bleeding and initiate IV access for fluid resuscitation.
A patient presents with severe shortness of breath and is diagnosed with anaphylaxis after an
insect sting. What is the first treatment the nurse should administer?
✔✔ Administer epinephrine IM as prescribed.
A patient arrives with a possible heat stroke, exhibiting confusion and hot, dry skin. What should
the nurse do immediately?
✔✔ Begin cooling measures, such as applying cold packs or ice towels, and administer IV fluids.
A child presents with a high fever and a bright red, flushed face. What is the most likely
diagnosis and what should be done?
2
,✔✔ The patient may have scarlet fever. Administer antibiotics as prescribed and monitor for
signs of complications.
A patient in the ER is experiencing severe abdominal pain and vomiting after a fall. What should
the nurse assess for?
✔✔ Possible internal bleeding or injury to the abdominal organs, such as a ruptured spleen.
A diabetic patient comes in with confusion and sweating, and their blood sugar is found to be 40
mg/dL. What is the immediate intervention?
✔✔ Administer glucose orally or intravenously, depending on the patient’s ability to swallow.
A patient who was involved in a motorcycle accident is unconscious with a GCS score of 9.
What is the priority action?
✔✔ Ensure airway management and prepare for possible intubation.
A patient with an open fracture presents in the ER. What should the nurse do first?
✔✔ Control any bleeding and cover the wound with a sterile dressing.
3
, A patient reports pain in the lower abdomen after a fall, and their pelvic area appears bruised.
What is the primary concern?
✔✔ Possible pelvic fracture or internal bleeding; assess for signs of hypovolemic shock.
A patient is brought to the ER after ingesting a toxic substance. What is the first action the nurse
should take?
✔✔ Secure the patient’s airway and monitor their vital signs.
A patient presents with a severe allergic reaction and is showing signs of respiratory distress.
What should the nurse do immediately?
✔✔ Administer oxygen and prepare to administer epinephrine.
A child presents in the ER with difficulty breathing and audible wheezing. What should the nurse
assess for?
✔✔ Possible asthma exacerbation or foreign body aspiration.
A patient with a gunshot wound to the abdomen is in the ER. What is the most critical initial
intervention?
✔✔ Control bleeding, maintain airway, and prepare for surgical intervention.
4
