ENO - Post BKAT
A 15 yo female comes to the ED with mild abdominal pain and nausea. What would you expect
as the next step in her workup?
a. abdominal x-rays
b. CBC and differential
c. obtaining parental/custodian consent
d. urine sample for a pregnancy test - ANS-c. obtaining parental/custodian consent
A 22 year old male with a history of alcohol abuse is brought to the ED with a pencil sticking out
of his left eye. The initial nursing action would be to
a. irrigate the left eye
b. instill the eye with an antibiotic
c. test the patient for visual acuity
d. cover the object with a cup and tape it securely - ANS-d. cover the object with a cup and tape
it securely
A 23 yo male is brought to the ED after a car crash, in which he suffered
closed chest trauma. The low pressure alarm is triggered on his volume respirator. This would
most likely be due to a(an):
a. pinched tube
b. pneumothorax
c. leaking cuff
d. increase in lung compliance - ANS-c. leaking cuff
A 28 yo male comes to the ED with the complaint of diffuse pain in his lower back. On physical
exam you note that his heart rate is 130, and that he is very diaphoretic and agitated. You might
suspect:
a. cocaine overdose
b. bipolar disorder
c. narcotics withdrawal
d. panic attack - ANS-c. narcotics withdrawal
A 3 yo who was found by her mother lying face down in a swimming pool arrives to the ED
unconscious and on bag-assisted ventilation. Your first response would be to:
a. maintain ventilation
, b. start a peripheral line
c. check pupillary response
d. tell the mother to wait outside - ANS-a. maintain ventilation
A 30 yo female comes to the ED complaining of fever for several days. She states that she
recently cut her leg while gardening. Her heart rate is 132, respirations 24, BP 80/64, and
temperature 38.6° C. The most likely problem could be:
a. tetanus
b. the flu
c. sepsis
d. dehydration - ANS-c. sepsis
A 30 yo female walks into the ED stating that she is in labor and crying out that the baby's head
is coming out. A baby girl is delivered in the ED.
The immediate care of the infant generally does not include which of the statements below?
a. recording an Apgar score
b. warming the infant
c. estimating the pulse pressure
d. suctioning the infant - ANS-c. estimating the pulse pressure
A 30 yo male, who is known by your ED as a user of narcotics, is carried into the ED by a friend.
The patient is in an unconscious state. The first thing to do is:
a. take the BP
b. administer Narcan
c. contact the family
d. check the pupils - ANS-b. administer Narcan
A 4 yo child is brought to the ED with a temperature of 105°F. Initial care for this conscious
patient would be to:
a. administer antipyretics and watch for seizures
b. cool her body by submersion in ice packs
c. give her an alcohol bath to bring down the temperature
d. obtain a history from the parent/guardian - ANS-a. administer antipyretics and watch for
seizures
A 5 yo child tells you that his invisible friend Ziggy, who is sitting on the bed
with him is afraid of being here. You:
a. conclude that there is something wrong with him having an invisible friend and suggest a
child psychiatrist consult
A 15 yo female comes to the ED with mild abdominal pain and nausea. What would you expect
as the next step in her workup?
a. abdominal x-rays
b. CBC and differential
c. obtaining parental/custodian consent
d. urine sample for a pregnancy test - ANS-c. obtaining parental/custodian consent
A 22 year old male with a history of alcohol abuse is brought to the ED with a pencil sticking out
of his left eye. The initial nursing action would be to
a. irrigate the left eye
b. instill the eye with an antibiotic
c. test the patient for visual acuity
d. cover the object with a cup and tape it securely - ANS-d. cover the object with a cup and tape
it securely
A 23 yo male is brought to the ED after a car crash, in which he suffered
closed chest trauma. The low pressure alarm is triggered on his volume respirator. This would
most likely be due to a(an):
a. pinched tube
b. pneumothorax
c. leaking cuff
d. increase in lung compliance - ANS-c. leaking cuff
A 28 yo male comes to the ED with the complaint of diffuse pain in his lower back. On physical
exam you note that his heart rate is 130, and that he is very diaphoretic and agitated. You might
suspect:
a. cocaine overdose
b. bipolar disorder
c. narcotics withdrawal
d. panic attack - ANS-c. narcotics withdrawal
A 3 yo who was found by her mother lying face down in a swimming pool arrives to the ED
unconscious and on bag-assisted ventilation. Your first response would be to:
a. maintain ventilation
, b. start a peripheral line
c. check pupillary response
d. tell the mother to wait outside - ANS-a. maintain ventilation
A 30 yo female comes to the ED complaining of fever for several days. She states that she
recently cut her leg while gardening. Her heart rate is 132, respirations 24, BP 80/64, and
temperature 38.6° C. The most likely problem could be:
a. tetanus
b. the flu
c. sepsis
d. dehydration - ANS-c. sepsis
A 30 yo female walks into the ED stating that she is in labor and crying out that the baby's head
is coming out. A baby girl is delivered in the ED.
The immediate care of the infant generally does not include which of the statements below?
a. recording an Apgar score
b. warming the infant
c. estimating the pulse pressure
d. suctioning the infant - ANS-c. estimating the pulse pressure
A 30 yo male, who is known by your ED as a user of narcotics, is carried into the ED by a friend.
The patient is in an unconscious state. The first thing to do is:
a. take the BP
b. administer Narcan
c. contact the family
d. check the pupils - ANS-b. administer Narcan
A 4 yo child is brought to the ED with a temperature of 105°F. Initial care for this conscious
patient would be to:
a. administer antipyretics and watch for seizures
b. cool her body by submersion in ice packs
c. give her an alcohol bath to bring down the temperature
d. obtain a history from the parent/guardian - ANS-a. administer antipyretics and watch for
seizures
A 5 yo child tells you that his invisible friend Ziggy, who is sitting on the bed
with him is afraid of being here. You:
a. conclude that there is something wrong with him having an invisible friend and suggest a
child psychiatrist consult
