Triage/EMTALA
GI/OB
Neuro/Psych
Cardiac/Respiratory
Potpourri
100

What distance from the hospital are we responsible to respond to in case of visitor or staff injury or illness?

250 yards

100

Kehr's sign is indicative of

Ruptured spleen

100

The earliest sign of neurological deterioration and increasing ICP is 

Change in level of consciousness

100

The earliest sign of impending respiratory failure is

Restlessness

100

A patient has epistaxis, what position should you instruct them to assume?

Upright with the head forward

200

The nurse's primary goal in triage is

Immediate and brief assessment to assign an ESI 

200

Hypotension and bright red emesis are expected findings in what type of GI bleed

Upper

200

A patient's GCS is 7 this indicates what level of severity head injury? 

Severe head injury

200

A patient experiencing cardiac tamponade and hypotension require

Pericardiocentesis

200

The most important finding in suspected abuse cases is

An injury that does not match the patient history

300

A patient who presents to the ED being transcutaneously paced by EMS for bradycardia is an ESI level

1

300

A 35 F presents to the ED with suspected placental abruption. The nursing priorities include

Establish large bore IV access, obtain labs including cross and match, notify provider immediately

300

What is a classic sign/symptom of meningococcal meningitis

Nuchal rigidity

Fever

300

A patient presents with chest pain upon deep respiration, relieved by sitting forward. They are most likely experiencing

Pericarditis

300

A patient involved in a motor vehicle accident presents to the ED in respiratory distress. You auscultate bowel sounds in the pt's chest, you suspect

Ruptured diaphragm

400

A coworker experiences a needlestick while performing phlebotomy, their ESI score is

2

400

A 34 week pregnant female presents with HTN, pitting edema, and 3+ protein in her urine, you suspect which diagnosis?

Pre-eclampsia

400

When your patient is having a tonic clonic seizure your nursing priority is

Establish and maintain a patent airway
400

What is the first line vasopressor in a patient in septic shock following fluid resuscitation?

Levophed

400

Early signs of alcohol withdrawal include

Anxiety and restlessness

500

When a patient’s condition requires emergency transport to a tertiary care center, the action by the sending institution which most effectively meets the needs of the patient and family include which of the following?

Explain the patient’s condition and the risks and benefits of transfer

500

What is a modification employed during CPR for a pregnant woman?

Left sided positioning with left lateral uterine displacement

500

The most effective initial intervention to de-escalate a verbally agitated patient is

Place the patient in a quiet and safe room, activate a Code Grey

500

PaCO2 level of 65 mm Hg is indicative of

Acute respiratory failure

500

Traumatic amputated parts should be

Wrapped with sterile gauze moistened in normal saline

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