Sample Questions and Answers
- A 60-year-old patient arrives at the emergency department (ED) with chest pain radiating to the left arm. Which action should the nurse take first?
- A. Obtain a complete medical history.
- B. Administer sublingual nitroglycerin.
- C. Apply oxygen via nasal cannula.
- D. Perform a 12-lead ECG.
Answer: D. Perform a 12-lead ECG.
- What is the most appropriate intervention for a patient experiencing hypoglycemia?
- A. Administer glucagon IM.
- B. Provide a high-protein snack.
- C. Administer 1 ampule of D50 IV.
- D. Give 500 mL of D5W.
Answer: C. Administer 1 ampule of D50 IV.
- A triage nurse should prioritize which of the following patients?
- A. A 25-year-old with a swollen ankle after a fall.
- B. A 40-year-old with shortness of breath and diaphoresis.
- C. A 50-year-old with a minor hand laceration.
- D. A 10-year-old with a minor nosebleed.
Answer: B. A 40-year-old with shortness of breath and diaphoresis.
- In emergency triage, what does the “red tag” signify?
- A. Deceased.
- B. Minor injury.
- C. Immediate attention required.
- D. Delayed treatment.
Answer: C. Immediate attention required.
- A patient with suspected spinal cord injury should be managed by which of the following interventions?
- A. Perform a head-to-toe physical exam.
- B. Immobilize the spine.
- C. Perform a Glasgow Coma Scale (GCS) assessment.
- D. Place the patient in a semi-Fowler’s position.
Answer: B. Immobilize the spine.
- A burn patient presents with blisters and severe pain. Which type of burn does the patient likely have?
- A. Superficial.
- B. Full-thickness.
- C. Partial-thickness.
- D. Fourth-degree.
Answer: C. Partial-thickness.
- During cardiac arrest, which rhythm is most appropriate for defibrillation?
- A. Asystole.
- B. Ventricular fibrillation.
- C. Sinus bradycardia.
- D. Atrial fibrillation.
Answer: B. Ventricular fibrillation.
- What is the initial treatment for a patient with an open chest wound?
- A. Cover the wound with a sterile dressing.
- B. Apply a three-sided occlusive dressing.
- C. Administer high-flow oxygen.
- D. Place the patient in a prone position.
Answer: B. Apply a three-sided occlusive dressing.
- In a patient with suspected sepsis, which of the following is the nurse’s priority?
- A. Administer broad-spectrum antibiotics.
- B. Draw blood cultures.
- C. Start fluid resuscitation.
- D. Monitor urine output.
Answer: C. Start fluid resuscitation.
- What is the most critical nursing intervention during a hypertensive crisis?
- A. Administer antihypertensive medication.
- B. Insert a Foley catheter.
- C. Elevate the patient’s legs.
- D. Provide high-flow oxygen.
Answer: A. Administer antihypertensive medication.
- A patient presents with acute anaphylaxis. What is the priority intervention?
- A. Establish an airway.
- B. Administer IV fluids.
- C. Provide diphenhydramine.
- D. Administer epinephrine IM.
Answer: D. Administer epinephrine IM.
- Which medication is most appropriate for a patient with acute opioid overdose?
- A. Naloxone.
- B. Flumazenil.
- C. Atropine.
- D. Activated charcoal.
Answer: A. Naloxone.
- In assessing a patient with head trauma, which finding requires immediate intervention?
- A. Vomiting.
- B. Glasgow Coma Scale (GCS) of 15.
- C. Unequal pupil size.
- D. Headache.
Answer: C. Unequal pupil size.
- A patient arrives with frostbite on both feet. What is the priority intervention?
- A. Rub the affected areas vigorously.
- B. Immerse the feet in warm water (37–40°C).
- C. Administer pain medication.
- D. Apply ice packs to the area.
Answer: B. Immerse the feet in warm water (37–40°C).
- Which lab finding is most concerning for a patient with trauma?
- A. Hemoglobin of 14 g/dL.
- B. Platelet count of 90,000/mm³.
- C. White blood cell count of 11,000/mm³.
- D. Serum sodium of 140 mEq/L.
Answer: B. Platelet count of 90,000/mm³.
- The nurse identifies which of the following as a symptom of carbon monoxide poisoning?
- A. Cyanosis.
- B. Cherry-red skin.
- C. Jaundice.
- D. Petechiae.
Answer: B. Cherry-red skin.
- In managing a patient with a tension pneumothorax, the nurse should prepare for which intervention?
- A. Chest tube insertion.
- B. Bronchoscopy.
- C. Endotracheal intubation.
- D. Needle decompression.
Answer: D. Needle decompression.
- A patient in the ED exhibits signs of acute stroke. What is the priority intervention?
- A. Administer aspirin.
- B. Perform a CT scan of the head.
- C. Check blood glucose levels.
- D. Administer tissue plasminogen activator (tPA).
Answer: B. Perform a CT scan of the head.
- Which intervention is most critical for a patient with a snakebite?
- A. Elevate the affected limb.
- B. Apply a tourniquet.
- C. Immobilize the affected limb.
- D. Administer corticosteroids.
Answer: C. Immobilize the affected limb.
- For a patient with heatstroke, what is the initial nursing intervention?
- A. Administer antipyretics.
- B. Initiate rapid cooling measures.
- C. Provide oral fluids.
- D. Place the patient in a Trendelenburg position.
Answer: B. Initiate rapid cooling measures.
- A patient arrives at the ED with a suspected stroke. Which time-sensitive intervention is most critical?
- A. Start IV fluids.
- B. Perform a head CT scan without contrast.
- C. Draw blood for coagulation studies.
- D. Administer aspirin immediately.
Answer: B. Perform a head CT scan without contrast.
- A patient presents to triage with complaints of abdominal pain rated 9/10, accompanied by hypotension and tachycardia. What is the nurse’s priority?
- A. Initiate IV fluids.
- B. Administer pain medication.
- C. Obtain a urine sample.
- D. Prepare for an ultrasound.
Answer: A. Initiate IV fluids.
- Which finding suggests airway obstruction in a patient?
- A. Stridor.
- B. Wheezing.
- C. Crackles.
- D. Rhonchi.
Answer: A. Stridor.
- A nurse triaging during a mass casualty event assigns which priority level to a patient with a minor laceration on the arm?
- A. Red tag.
- B. Yellow tag.
- C. Green tag.
- D. Black tag.
Answer: C. Green tag.
- In a patient with severe sepsis, which lab result would concern the nurse the most?
- A. Elevated white blood cell count.
- B. Blood glucose of 120 mg/dL.
- C. Serum lactate of 5 mmol/L.
- D. Platelet count of 250,000/mm³.
Answer: C. Serum lactate of 5 mmol/L.
- What is the appropriate nursing intervention for a patient with a suspected cervical spine injury?
- A. Perform a chin-lift maneuver.
- B. Logroll the patient when moving.
- C. Remove the cervical collar to assess.
- D. Elevate the head of the bed to 45 degrees.
Answer: B. Logroll the patient when moving.
- A patient is admitted with diabetic ketoacidosis (DKA). What is the first intervention the nurse should implement?
- A. Administer IV insulin.
- B. Start fluid resuscitation.
- C. Check blood glucose.
- D. Administer potassium supplements.
Answer: B. Start fluid resuscitation.
- A nurse suspects a tension pneumothorax in a trauma patient. Which clinical sign supports this suspicion?
- A. Bilateral crackles.
- B. Tracheal deviation to the unaffected side.
- C. Bradycardia.
- D. Hyperresonance on the affected side.
Answer: B. Tracheal deviation to the unaffected side.
- A child presents with a febrile seizure in the ED. What is the nurse’s priority action?
- A. Administer antipyretics.
- B. Ensure a patent airway.
- C. Apply seizure precautions.
- D. Start an IV for fluid resuscitation.
Answer: B. Ensure a patent airway.
- A patient with suspected meningitis requires which intervention first?
- A. Administer IV antibiotics.
- B. Perform a lumbar puncture.
- C. Start seizure precautions.
- D. Assess the patient’s Glasgow Coma Scale (GCS).
Answer: A. Administer IV antibiotics.
Reviews
There are no reviews yet.