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A comprehensive test or assessment for emergency department registered nurses (ed rns). It covers a wide range of topics relevant to emergency nursing practice, including cardiac arrest management, neurological assessment, obstetric emergencies, fluid resuscitation, patient transport, stroke care, chest tube management, overdose management, and more. The questions test the nurse's knowledge and decision-making skills in these critical areas of emergency nursing. This document could be useful for ed rn students or practicing nurses to assess their understanding of key emergency nursing concepts and prepare for exams or competency assessments.
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What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest? 10 mg every 10 minutes 1 mg every 3-5 minutes 1 mg every 7 minutes 0.1 mg every 2 minutes โโ 1 mg every 3-5 minutes A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition? Diabetes mellitus Cerebral palsy Diabetes Insipidus Myxedema coma โโ Diabetes Insipidus A patient presents after sustaining a roll-over motor vehicle accident. They are complaining of pain around the mid-upper back. On your initial triage assessment, you find that patient has preserved motor function below L but is suffering from a loss of sensory function. The assessment findings are consistent with: Posterior cord syndrome Central cord syndrome Anterior cord syndrome Autonomic syndrome โโ Posterior cord syndrome A patient arrives with acute onset of central chest pain. The patient is tachycardic and tachypneic and appears very anxious and restless. What would be the MOST important initial intervention for this patient? Obtain electrocardiogram Administer nitroglycerin Administer oxygen Obtain venous blood gas โโ IDK, but its not administer nitroglycerin or obtain electrocardiogram!! A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition correlates with the presenting symptoms? Abruptio placenta Placenta Previa Ectopic pregnancy Premature rupture of membranes (PROM) โโ Placenta Previa What is a common assessment finding in a patient with a tension
pneumothorax? Petechial chest rash Distended neck veins Equal chest wall expansion
appendix Placenta previa
Abruptio placenta
A patient arrives with suspected appendicitis. What action, if observed, would require additional training for the unlicensed assistive personnel (UAP)? The UAP offers the patient a ginger ale. The UAP allows the patient to move to a position of comfort.
The UAP helps the patient with a bedpan.
Paresthesia of the foot Capillary refill pf toes <2 sec โโ Paresthesia of the foot You are assisting a novice nurse with a blood draw. You observe the nurse draw the
blood, place the specimen tubes in a biohazard bag, and leave the room with the unlabeled specimen tubes. What would you do NEXT?
wait time. โโ
Have an ED provider preform a MSE
presentation? 1 2
storm Myxedema coma โโ Myxedema A new nurse observes their preceptor giving the incorrect dosage of a medication to a patient. Implementing the ethical principle veracity, what action would the new nurse take?
Keep the information confidential to avoid repercussions from the preceptor. Inform the charge nurse about what happened and document it.