Emergency Nursing Quizzes 4TH Year

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EMERGENCY QUIZZES (benner?

)
1. Which of these types of nitroglycerin that is slow acting
- Patch
2. Select which of the ff. indicates lidocaine toxicity
- Slurring of speech
- Restlessness
- Convulsions
3. The patient was given midazolam via IV, which of the ff. would you monitor?
- RR and BP
4. Dr. Jay ordered you to give an adenosine injection 6mg/2ml via IV push, how many
seconds would you administer the drug?
- 1-2 secs
5. The Dr. ordered to give the patient with anti platelet drug called aspirin, which of the
ff. patient can also be given an aspirin?
- Patient with high cholesterol level and ischemia
6. Which of the ff. is the action of nubain?
- Anti-pain
7. The patient came to the ER and is suspected with cardiogenic shock, after the
suspected diagnosis is confirmed, which of the ff. is the drug of choice?
- Dobutamine
8. –
9. –
10. –
11. The Dr. ordered to give Magnesium SO4, which of the ff. is the mode of action?
- Trigger vasodilation
12. Your patient has a narrow angle glaucoma and is prone to seizure, your Dr. ordered
diazepam 1cc at bedside for seizure, what is your nsg responsibility?
- Allow patient to have enough rest and no stimulus around him
13. The patient has recurrence of seizure the Dr. ordered to standby an anti-seizre drug
diazepam at the bedside of the patient’s room. Which of the ff. is the adverse for this
drug?
- Drowsiness
14. Which of the following is your nsg responsibility for giving Mannitol?
- Monitor urine output
15. What is the action of the nitroglycerine?
- Relaxes arteries and veins
16. Which of the ff. is the mode of action of vasopressin?
- Anti-diuretic action
17. Madam Icy is admitted to the ER and you saw during your assessment that she had a
supraventricular tachycardia and you administered a 6mg dose of Adenosine 6mg via
rapid IV push. After 1-2 mins, it did not subside, how many dose will you give as
ordered?
- 12 mg
18. Mannitol is given to patients with increase ICP, the ff. is your nsg responsibility,
except 1,
- Give it to patients with congestive heart failure
Nightingale quiz
1. You are assessing a patient who is complaining of sudden abdominal pain, labored
breathing and diaphoretic. What is your initial action?
- Check for carotid Pulse

2. A patient is found lying on the floor after a fall from a ladder. The patient is
unconscious and breathing irregularly. What is your immediate action under primary
survey?
- Stabilize cervical spine

3. You are the nurse in charge of the ER a patient who came from a riot went inside
with penetrating chest injury what your next step in regards to the secondary survey.
- Seal the wound first with occlusive dressing

4. The patient is cyanotic and cannot breathe properly, he is rushed to the hospital and
the ER doctor advised his folks that the patient needs to be intubated. Before
intubation which of the following is your nursing responsibility?
- Prepare everything needed and consent

5. John a 14 year old patient fell down from their stairs at home and he continues to
vomit and having seizure. You found out in the CT scan result that he had a blood
clot in his brain which of the following surgical intervention would you anticipate?
- Craniectomy

6. What is the primary focus of secondary survey?


- Identify life threatening injuries

7. Which of the following patient should you give the least priority?
- Patient with diaphoresis with history of stroke

8. A patient is admitted to the ER and after a few minutes he is having seizure. Which
of the following will you do first as an ER nurse?
- Provide restraint and raise side rails

9. You are the first responder at the scene of a motor vehicle accident. A conscious
patient has an open fracture with bone visible on the forearm. What is your
immediate action?
- Apply sterile dressing

10. What is the purpose of splinting the fracture?


- To immobilize

11. A Cervical collar is provided for the patient with cervical spine injury. What kind of
maneuver will you do in order to use this kind of instrument?
- Jaw Thrust
12. You patient came from a burned factory of firecrackers near Brgy. San Juan he has
sustained 80% of burned surface area. Which of the following would you execute as
part of the primary survey?
- Initiate fluid resuscitation

13. Arnold has been hit by a truck near Sagay City


He had the following assessment:
a. GCS 5
b. Labored Breathing
c. Slurring of Speech
d. Heavy bleeding at the left side of the body due to multiple wounds
e. Facial fracture and dislocated limbs and joints
f. Paradoxical Breathing
Which of the following will you do next after he is admitted to the tauma center?
- Get baseline data and assist the doctor for further treatment and interventions

14. A patient's leg had an open fracture. What should you do immediately?
- Splint

15. After completing the primary survey, what is the next step in the assessment of an
injured patient?
- Perform a physical examination

16. Your patient is a victim of a multiple vehicular accident near downtown. You have
the following patients:
a. Patient A- Sustained fracture in the femoral area and dizziness
b. Patient B- Heavy bleeding at the temporal part of the brain, spinal cord injury with
lethargic condition, GCS 7
c. Patient C- Broken tooth and Fracture in the left hand
d. Patient D- Bradycardic, GCS- 3, apneic, with severe blood loss and amputated leg
Which of the following will you prioritize?
- Patient B

17. Patient X had a BP of 170/100 and you noticed that he has a slurring of speech.
Which of the following is your priority when patient is suffering from stroke?
- Assist patient in moving and safety

18. Which of the following is the common challenge for an ER Nurse? choose 2
- A roller coaster of emotions
- Quick decision making even under stressful environment

19. Which of the following is a positive sign of flail chest?


- Paradoxical Chest Movement

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