ER Presentation Questions

A patient comes into the emergency department complaining of headache, blurry vision, and has had a sharp pain in both knees for 2 days. The patient tells you they just got home from studying abroad in Thailand and the symptoms have only gotten worse. What question should you ask next at this time? A. "Did you eat any bad food while on your trip?" B. "Were you around any bats on your trip?" C. "Take some Tylenol and rest at home for a couple of days." D. "Have you been bitten by any bugs since you've been home?"

"Have you been bitten by any bugs since you've been home?"

Forest Gump has been talking about suicide for awhile now, which statement could lead to the imprisonment of his friends for assisted suicide? (Select all that apply) A.) "Hey Jenny, you can have all my money if you would let me borrow your shotgun and one shell tonight" B.) "Hey Bubba I'm going to go fishing later, I left you all my records at the house. Can I borrow your pistol for protection tonight?" C.) "Hey Lieutenant Dan, can I borrow some Tylenol? My eyes hurt." D.) "Momma always said Jenny would catch something, I thought she was a catch as well."

"Hey Jenny, you can have all my money if you would let me borrow your shotgun and one shell tonight" "Hey Bubba I'm going to go fishing later, I left you all my records at the house. Can I borrow your pistol for protection tonight?"

The nurse gives a patient living on a farm safety plans. Which reply would indicate the need for further teaching? A) "I will lift using my legs, not my back." B) "I will buy a first aid kit and place it where it's easily accessible." C) "I don't need to wear gloves or goggles when handling chemicals." D) "I will be aware of my surroundings when I am walking."

"I don't need to wear gloves or goggles when handling chemicals."

A woman comes to an emergency department with a broken nose and multiple bruises after being beaten by her husband. She states, "The beatings have been getting worse, and I'm afraid that next time he might kill me." Which is the appropriate nursing reply? A. "Leopards don't change their spots, and neither will he." B. "There are things you can do to prevent him from losing control." C. "Let's talk about your options so that you don't have to go home." D. "Why don't we call the police so that they can confront your husband with his behavior?"

"Let's talk about your options so that you don't have to go home."

A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response? A. "Come to the emergency department." B. "Apply calamine lotion immediately to the exposed skin areas." C. "Take a shower immediately, lathering and rinsing several times." D. "It is not necessary to do anything if you cannot see anything on your skin.

"Take a shower immediately, lathering and rinsing several times."

The mother of a two year old who has been bitten by the family dog asks the nurse what to do about the bite. What should the nurse tell the mother? A. "You need to take the child to the local urgent care center immediately." B. "Wash the bite area with lots of running water, and then check the injury." C. "Determine when the child's latest tetanus vaccine was administered." D. "Make an appointment to the see the child's physician now to start rabies shot."

"Wash the bite area with lots of running water, and then check the injury."

A 20-year old male client was brought to the ED with a gunshot wound to the chest. In obtaining a history of the incident to determine possible injuries, the nurse should ask which of the following? A. "What was the initial first aid done?" B. "Where did the incident happen?" C. "What direction did the bullet enter into the body?" D. "How long ago did the incident occur?"

"What direction did the bullet enter into the body?"

The nurse is caring for a client that has been declared brain dead. Which response from the nurse is most appropriate when the family states the following: "She is still warm to touch and looks like she is just sleeping. Is there any chance she could come back to us?" A. "There is always a chance of recovery. Miracles happen every day."​ B. "Your loved one feels warm because the machines are breathing for her and keeping her alive. Unfortunately, there is no chance she will regain consciousness again as brain death is final."​​ C. "Your loved one may recover to some degree, given time."​​ D. "Unfortunately, your loved one will not recover. However, organ donation is an option that we can discuss when you are ready."​

"Your loved one feels warm because the machines are breathing for her and keeping her alive. Unfortunately, there is no chance she will regain consciousness again as brain death is final."​​

During a mass casualty how long should each patient assessment take before being classified and moving onto the next patient? A. 5 minutes B. 10 minutes C. 30 seconds or until bleeding is slowed. D. Do a visual assessment only

30 seconds or until bleeding is slowed

The nurse is aware that the patient suspected of being exposed to the smallpox virus is contagious: A) After a rash appears B) Only when pustules form C) Immediately after exposure D) With a body temperature of 38° C/100.4°F

After a rash appears

A 42 year old man presents to the ER for alcohol toxicity. While taking the history, the nurse discovers that he drinks on average one fifth of vodka per night, and often must drink an additional 6-12oz to get "a good buzz." When he doesn't drink, he experiences tremors and feels unwell until he is able to drink again. The nurse knows the client is experiencing which of the following? A. Substance Abuse B. Nothing, the patient likes to get a "buzz" C. Alcohol withdrawal D. All of the above

Alcohol withdrawal

How can you help prevent accidental poisoning by household products? A. Never mix household chemical products together B. Open a window or turn on a fan when using a chemical product C. Never sniff containers to find out what is inside D. Wear the mask if the chemical is smelling a lot E. All of the above

All of the above

Among the biological weapons produced and stockpiled, what were the most common and their methods of infection? A. Anthrax (inhalation) and Botulism (ingestion) B. Plague (inhalation) and Anthrax (inhalation) C. Botulism (inhalation) and Smallpox (ingestion) D. Anthrax (ingestion) and Botulism (inhalation)

Anthrax (inhalation) and Botulism (ingestion)

A nurse is on her way to work when she notices a male laying on the side of the road with copious amounts of blood following a motor vehicle accident. The nurse notices an amputated left arm. Which of the following actions should the nurse perform to control hemorrhage? (Select all that apply) A. Keep driving by and call 911 B. Apply firm, direct pressure C. Lower the extremity, and immobilize D. Call 911 for assistance E. Elevate and immobilize the extremity

Apply firm, direct pressure Call 911 for assistance Elevate and immobilize the extremity

A patient comes into the ER who just survived a deer attack with a severe open wound on his left forearm where the deer's antler stabbed him. What preventions should the patient have taken before coming in? (Select all that apply.) A. Apply pressure on wound with dry clean cloth B. Stop the bleed C. Move the forearm continuously D. Immobilize the arm injured E.Wait a couple of days to see PCP

Apply pressure on wound with dry clean cloth Stop the bleed Immobilize the arm injured

When do you choose to fight back when dealing with an active shooter? a. Immediately b. When he goes into the next room c. As a last resort d. Just lay down and pretend you're in hawaii

As a last resort

A 54 year old male patient has just arrived to the emergency department with a suspected closed head injury with signs of a depressed skull fracture. You received report that he has had slurred speech, bleeding from his ears, and increased irritability. EMS said that there were no witnesses to what happened but it was suspected that he had the injury secondary to blunt force trauma from a baseball bat that was found at the scene. What actions of the ED nurse are priority? Select all that apply. A. Administer opioids as the patient is complaining of a headache. B. Assessment and stabilization of the airway and circulation C. Check level of consciousness, neurological status, and vital signs D. Monitor for changes in the pupils, loss of sight, and for clear fluid draining from nose or ears

Assessment and stabilization of the airway and circulation Check level of consciousness, neurological status, and vital signs Monitor for changes in the pupils, loss of sight, and for clear fluid draining from nose or ears

What are some possible clinical indicators of human trafficking? (Select all that apply) A. Bruises healing in different stages B. Recurrent STI's C. Permanent address D. Negative drug screen E. Malnourished

Bruises healing in different stages Recurrent STI's Malnourished

What is the best way to warm up a patient with suspected frostbite? A. Heating pad B. Rubbing extremities C. Circulating Bath D. Warm towels

Circulating bath

What should you do FIRST to treat a patient with poison ivy, poison oak, and poison sumac? And, what temperature of compress should be applied? A. Cleanse the skin of the plant oils immediately with a cold compress B. Rub affected area with a cold compress C. Cleanse the skin of the plant oils immediately with a warm compress D. Rub affected area with a warm compress

Cleanse the skin of the plant oils immediately with a cold compress

The nurse is assessing a client who is suffering from diarrhea, fever, headache, abdominal pain, and nausea. The client reports having eaten home-canned tomatoes. What foodborne illness should the suspect? A. Campylobacter Jejuni B. Clostridium Botulinum C. Cyclospora Cayetanensis D. Listeria Monocytogenes

Clostridium Botulinum

Which action most accurately reflects the preservation of evidence? A. Collect the sheet from the emergency medical services stretcher and hospital stretcher B. When removing clothing cut through damaged areas to preserve gun residue C. After clothing is removed pick up each piece and place it in a separate plastic bag D. Expect law enforcement officials to document the articles of clothing removed from the patient.

Collect the sheet from the emergency medical services stretcher and hospital stretcher

The nurse is caring for a patient following a traumatic accident. The patient appears to be in a deep sleep but does not respond to any external stimuli. The patient is able to breathe and maintain cardiac function without the assistance of machines. The nurse knows based the assessment findings; the patient is in which of the following states? ​ A. Vegetative State​ B. Brain Death​ C. Coma​ D. Sleeping with a Brain Injury

Coma

What is a set of learned values, beliefs, customs, and practices taught, shared by a group, and passed from one generation to another? 1. Subculture 2. Ethnicity 3. Culture 4. Religion

Culture

A patient has been transported to an emergency room from the scene of a terrorist chemical attack. The emergency room staff members have been trained to follow steps that decrease the risk of secondary exposure to a chemical used in a terrorist attack. Which of the following initial steps must be implemented? A. Universal Precautions B. Triaging C. Defusing D. Decontamination

Decontamination

The student nurse recognizes the following as treatment for drug addiction. Select all that apply. a. Detox b. Counseling c. inpatient rehab d. AA e. Partial hospitalization

Detox Counseling Inpatient rehab Partial hospitalization

What is the best way to prevent from getting an animal bite? A. Pet animals only if they seem nice. B. Feed unfamiliar animal. If they are not hungry they won't bite you. C. If you notice young animal abandoned assess surrounding before approaching the animal. D. Do not pet, feed, or approach unfamiliar animals, and keep your pets restrained.

Do not pet, feed, or approach unfamiliar animals, and keep your pets restrained.

Prior to transporting a patient who is obese, you contact the hospital so that preparations can be made. What information is given, regarding the patient? Select all the apply. A. Estimated time before arrival B. Patient's clinical condition C. Patient's age D. Approximate size of patient E. Current medication list

Estimated time before arrival Patient's clinical condition Approximate size of patient

The nurse is caring for a 64-year-old patient that has been declared brain dead after suffering a motor vehicle accident. The patient has a history of a cardiac condition. The nurse is providing education to the family regarding organ donation. Which of the following statements by the family members shows that education was understood? (Select All That Apply.) A. Even though he had a heart condition, he can still be evaluated and considered as a potential donor."​ B. There is no cost for us regarding his organ donation.​ C. We will be responsible for minimal costs regarding his organ donation.​ D. If he was 65 years old or older, he wouldn't be a candidate for organ donation. ​ E. After the organ donation is complete, an open casket funeral is possible. ​ F. I do not have to worry about the process of organ donation, because there are laws that protect organ donors and their organs.

Even though he had a heart condition, he can still be evaluated and considered as a potential donor."​ There is no cost for us regarding his organ donation.​ After the organ donation is complete, an open casket funeral is possible. ​ I do not have to worry about the process of organ donation, because there are laws that protect organ donors and their organs.

(TRUE OR FALSE) There is antivenom for brown recluse spider.

FALSE

What are the different types of forensic analysts? Select all that apply. A. Firearms examiner B. Pathologist C. Police Officer D. Nurse E. Toxicologist F. Forensic Anthropologist

Firearms examiner Pathologist Toxicologist Forensic Anthropologist

Cognitive Behavioral therapy is defined as? A) Focuses on modifying painful negative emotions and beliefs due to the trauma B) Uses repeated, detailed imaging of the trauma C) Encourages survivors of similar traumatic events to share their experiences D)Is an SSRI prescribed by a physician

Focuses on modifying painful negative emotions and beliefs due to the trauma

Jane is a young woman that was in an MVA two weeks ago. During the event Jane was trapped in her vehicle with major lacerations to her arms, chest, and legs. She is afraid to drive or get into a car now. Her feelings have forced her to stay home from work and avoid activities she once enjoyed. What signs and symptoms will Jane NOT demonstrate if she is experiencing a traumatic stress reaction due to this incident? Select all that apply. A. Pounding heart B. Frequent headaches C. Hot flashes D. Rapid breathing E. Fear

Frequent headaches Hot flashes

A client with a history of three suicide attempts has been taking fluoxetine (Prozac) for 1 month. The client suddenly presents with a bright affect, rates mood at 9/10, and is much more communicative. Which action should be the nurse's priority at this time? A. Give the client off-unit privileges as positive reinforcement. B. Encourage the client to share mood improvement in group. C. Increase frequency of client observation. D. Request that the psychiatrist reevaluate the current medication protocol.

Increase frequency of client observation.

All of the following include general signs of drug abuse except. A. Changes in physical appearance, such as wearing inappropriate or dirty clothing and a lack of interest in grooming B. Bloodshot eyes, poor skin tone, and appearing tired or run down C. Increase in appetite and weight gain D. Altered behavior, such as an increased desire for privacy

Increase in appetite and weight gain

What is the benefit of using a powered high/low exam table when used in the consideration of heavier patients? A- It can sustain a weight capacity up to 1,000 pounds B- It facilitates an easier transition from a wheelchair to the table C- It is considered a must have in the hospital setting due to obese patients having difficulty with walking D- It can sustain a weight capacity of 400 pounds

It facilitates an easier transition from a wheelchair to the table

What is NOT true about Dry Land drowning? a.) It is caused by a laryngospasm b.) It is caused by aspiration c.) It occurs within an hour of the incident d.)It is seen mainly in children

It is caused by aspiration

A 24 year old male presents to the ER with weakness, fatigue, red eyes, diarrhea, and fever. He returned from a trip across the country 21 days again. With a combination of the blood test and the symptoms, he presented with they diagnosed him with Ebola. He asked how did he get this? The nurse's best answer to how this disease is spread is. A. It is air-borne, so someone coughed on him. B. It is spread to contact with blood and body fluid. C. It is spread by a bat biting you D. It is spread by drinking contaminated water

It is spread to contact with blood and body fluid.

If someone is bitten by a snake and you can't get help right away, what first aid can you give? (select all that apply) A. Keep the bite below the level of the heart B. Clean the area with soap and water C. Apply a tourniquet D. Splint the affected limb

Keep the bite below the level of the heart Clean the area with soap and water Splint the affected limb

If you're outside with no shelter, where is the safest place to be during a tornado? A. Under a bridge or overpass. B. Underneath a large vehicle. C. Laying flat in a ditch while covering your head.

Laying flat in a ditch while covering your head.

Which solid organ is most frequently injured in a penetrating trauma? A. Pancreas B. Spleen C. Kidneys D. Liver

Liver

Which acid-base imbalance should be suspected in a patient with hypothermia? A. Metabolic Alkalosis B. Metabolic Acidosis C. Respiratory Alkalosis D. Respiratory Acidosis

Metabolic Acidosis

During a disaster, the nurse sees a victim with a green triage tag. The nurse knows that the person has which type of injuries? A) Chances of survival are minimal B) Injuries are significant and require medical care but can wait hours without threat to life or limb. C) Injury is life-threatening D) Minor and treatment can be delayed hours to days

Minor and treatment can be delayed hours to days

Which chemical or biological warfare agent started the modern era of chemotherapy treatment? A. Mustard gas B. Anthrax C. Plague D. Smallpox

Mustard gas

A 28 year old woman is found passed out in her car with an empty bottle of Hydrocodone 10/325mg in the seat next to her that was only filled 5 days before. The woman is showing obvious signs of an opioid overdose. She is not responding, hardly breathing and is beginning to turn blue. What would be the best antidote for the first responder to administer? A. Acetylcysteine B. Flumazenil C. Naloxone D. Digibind

Naloxone

A 4-year-old child who has a minor burn from trying to cook is brought into the clinic by his 15-year-old brother. Both children have body odor and are wearing clothes that are way too big. While in the room the nurse notices the boys are extremely malnourished and are exhibiting signs of immature social skills. She asks the boys where their parents are and the oldest replies that their mother is a single mom and has to work a lot. The nurse knows she must contact the hospital social worker because the kids are? A. Neglected B. Verbally Abused C. Homeless D. Drug seeking

Neglected

The main difference between saltwater and freshwater drowning involves which action? A. Suffocation B. Heart Attack C. Osmosis D. Hypothermia

Osmosis

What is the job of a SANE nurse? A. Performing a Sexual Assault Forensic Exam. B. Reporting the incident to the police. C. Blaming the patient for what happened to him/her. D. Give the patient a shower to prevent infection.

Performing a Sexual Assault Forensic Exam.

While dealing with a patient and family during an emergency situation within an emergency department which patient and family member are most likely to be at risk for committing a violent act? (Select all that apply) A. Person(s) under the influence of illicit drugs or alcohol B. Person(s) who may have psychiatric disorders C. Person(s) who may be influenced by a social situation such as a gang membership D. Person(s) visiting a recovering patient E.All the above.

Person(s) under the influence of illicit drugs or alcohol Person(s) who may have psychiatric disorders Person(s) who may be influenced by a social situation such as a gang membership

Which biological warfare powder only needs the size of a few grains of table salt to kill an adult? A. Anthrax B. Ricin C. Smallpox D. Pneumonic Plague

Ricin

A nurse is developing a teaching plan for a client who must undergo an above-the-knee amputation of the left leg. After a leg amputation, exercise of the remaining limb: a. Isn't necessary. b. Should begin immediately postoperatively. c. Should begin the day after surgery. d. Begins at a rehabilitation center.

Should begin the day after surgery.

Which injuries are seen on patients during motor vehicle accidents or plane crashes? Select all that apply. A) Spinal cord B) Head injury C) Arterial injury D) Venous injury

Spinal cord Head injury Arterial injury Venous injury

What interventions are needed for a person who is experiencing Hyperthermia? Select All That Apply A. Spray the person with cool water B. Nothing, they will be fine C. Apply cold wet cloths or ice packs to the armpits, neck, and groin D. Loosen or remove extra clothing E. All of the Above

Spray the person with cool water Apply cold wet cloths or ice packs to the armpits, neck, and groin Loosen or remove extra clothing

Which of the following precautions must be put in place for a patient who has been exposed to anthrax by inhalation? A) Contact B) Airborne C) Standard D) Droplet

Standard

What medications are used to treat the plague? Select all that apply. A. Streptomycin B. Vancomycin C. Gentamicin D. Penicillin E. Ciprofloxacin F. Doxycycline

Streptomycin Gentamicin Ciprofloxacin Doxycycline

What are the signs and symptoms of a heat stroke? (Select all that apply) A. Tachycardia B. Oliguria C. Hypertension D. Elevated temperature E. Bradypnea F. red, dry skin

Tachycardia Oliguria Elevated temperature red, dry skin

What can you take off a patient when preparing for an autopsy? Select all that apply. A. IV lines B. Foley C. Telemetry and EKG stickers D. Blood pressure cuff E. Pulse oximetry F. ET tube

Telemetry and EKG stickers Blood pressure cuff Pulse oximetry

There is a disease outbreak that is spreading across the Region. There is need for aid and medical treatment, which organization would be responsible for providing support and assistance in response to the outbreak? A: FEMA B: The CDC C: The Red Cross D: None of The Above

The CDC

A 34 year old male is seeking treatment for his substance abuse problem. In what order would his treatment follow? 1.Out-patient 2. Detox 3. Meetings 4. In-patient A. 1,3,4,2 B. 2,4,1,3 C. 4,3,1,2 D. 2,3,1,4

The correct order is: Detox In-Patient Out-Patient Meetings

How is a family notified of a death in the ER? A. They are never notified B. They are called or brought into the ER as soon as possible C. They get called whenever the nurse feels like it D. They get called once the coroner already has the body

They are called or brought into the ER as soon as possible

A patient was admitted to the clinic with a bite wound asks the nurse. What does the doctor mean by a closed fist bite? The nurse's best answer is. A. This bite occurs when someone punches another person in the mouth. B. The bones and tendons are injured and are at risk for infection. C. Any bite that bleeds a lot. D. Bites of the ear and nose because of the cartilage in this area.

This bite occurs when someone punches another person in the mouth.

A nurse is caring for a patient that has recently been determined brain dead. The nurse knows that which of the following are s/s of brain death? Select all that apply A. Unresponsive pupils​ B. Electroencephalogram (EEG) shows minimal activity​ C. Unresponsive to pain​ D. Absence of gag reflex

Unresponsive pupils​ Unresponsive to pain​ Absence of gag reflex

What education would you provide to a client that will be traveling to Bangladesh to prevent Nipah Virus? Select all that apply. A. Wash and peel fruits before consumption B. Wear mosquito spray C. Regular hand washing D. Avoid being in contact with sick animals

Wash and peel fruits before consumption Regular hand washing Avoid being in contact with sick animals

When should a diver seek medical treatment for the bends? A. When he/she is good and ready B. After an shallow dive lasting 30 mins C. When the diver returns home from vacation D. When the diver shows any signs or symptoms of the bends

When the diver shows any signs or symptoms of the bends

In the MICU, a man who recently experienced a traumatic motorcycle accident is being extubated. You being the student are preparing your assessment. Upon entering the room you ask if he has a family or friends (assessing orientation) and he tells you he has a girlfriend who he does not want to come by. What is your next question? A. Bet she drives you crazy, huh? B. Would you consider you two to have a healthy relationship? C. Do you have a stressful home life? D. How long have you two been together?

Would you consider you two to have a healthy relationship?

A patient comes into the Emergency Department and complains of a headache with nausea. What general triage rating would the nurse give this patient? A. blue B. yellow C. orange D. green

Yellow

During a mass casualty, treatment should start with which patients? Select all that apply A. Patients that are able to walk toward the sound of your voice B. Patients that are closest to you C. Patients with the most stable vital signs

patients that are closest to you