Emergency Nursing Orientation 3.0:
Patient Assessment - ENA-ENO-C03
Doppler ultrasonography can detect fetal heart tones beginning at about how many
weeks' gestation? - ANS-10 Weeks
Which finding is considered subjective data? - ANS-A family member states that the
patient has a history of seizures.
Which abnormal finding can be detected during the secondary assessment? -
ANS-Friction rub
Which disorder is a possible cause of a decreased level of consciousness? -
ANS-Infection
For a patient with severe sternal retractions, which intervention is the priority? -
ANS-Position the patient to maximize ventilation.
For which patients do baseline arterial blood gas levels (ABGs) reveal compensated
respiratory alkalosis and hypocapnia? - ANS-Obstetric
An infant is prone to which problem? - ANS-Gastric distention
Which finding indicates airway compromise? - ANS-Audible stridor
Which condition could cause a widening pulse pressure? - ANS-Vasodilation
Which statement is the best example of a chief complaint? - ANS-Patient reports
sudden onset of severe right lower abdominal pain.
Which patients are more prone to hypothermia due to ineffective temperature
regulation? - ANS-Geriatric and pediatric
Which finding is evident during the circulation component of the primary assessment? -
ANS-Warm, dry skin
Which disorder could cause an inaccurate pulse oximetry reading? - ANS-Anemia
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