Which of the following would be an abnormal finding in a patient with glomerulonephritis? -
ANSWER Clear urine There is a decrease in urine output for patient's with glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine
would be concentrated and dark brown/tea-colored. - ANSWER Administration of nebulized
epinephrine Moderate to severe croup is treated with dexamethasone and nebulized
epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the emergency department
to monitor the intracranial pressure on a 5-year-old patient. The family does not speak English
and has identified their religion as Muslim. Which of the following interventions is most
supportive of the family? - ANSWER Allow the extended to family members to serve as
interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential child
maltreatment? - ANSWER Bruising to the left ear of a newborn from sleeping on his side Any
bruise in a non-exploratory location in children younger than 4 years and any bruising in a child
younger than 4 months (TEN-4) are cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory
location in children younger than 4 years and any bruising in a child younger than 4 months
(TEN-4) are cause for suspicion of abuse - ANSWER Commotio cordis Commotio cordis occurs
when the chest is struck during the refractory period of the cardiac conduction cycle, resulting
in a ventricular dysrhythmia or asystole. This type of injury usually occurs in recreational sports
such as baseball or ice hockey
, A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is
brought to the emergency department with severe muscle rigidity and hyperthermia. These
symptoms are most likely caused by which of the following? - ANSWER Neuroleptic malignant
syndrome These are classic symptoms of neuroleptic malignant syndrome, which is a rare
reaction to antipsychotic medications.
Which of the following patients should be evaluated first - ANSWER An 18-month-old with
bilious emesis Bilious emesis in an 18-month-old is always considered an emergent symptom
indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication events? -
ANSWER Obtain the patient's weight in kilograms This is the preferred measurement for
medication calculations for pediatric and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of which of the
following diseases? - ANSWER Sickle cell anemia These are all complications of sickle cell
anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential
sex trafficking victim. The trauma informed approach to care emphasizes certain principles in
caring for these types of patients. Which of the following care principles has the highest
priority? - ANSWER Physical and psychological safety Create an environment where patients feel
safe, both physically and psychologically. Increase awareness of the patient's interpersonal
interactions with others to screen for risk of harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory infection.
When gathering a history from the caregiver, the emergency nurse learns that, in addition to the
respiratory symptoms, the infant has had fatty stools. The emergency nurse should be
concerned about which of the following disease processes? - ANSWER Cystic Fibrosis Pancreatic
insufficiency leads to fat malabsorption, which results in the fatty stools seen with cystic fibrosis.
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