Bless His Heart
A seven year old develops v-fib. The child weighs 30kg. CPR is already in progress. The correct defibrillation dose to be used by the emergency nurse is
What is 60 Joules?
Elderly patient presents to ER with aggressive behavior from patient's group home residence. The ER nurse observes the patient to be pale and diaphoretic and displaying tonic-clonic movements. Lab test with greatest priority is
What is blood glucose?
Which assessment finding in a patient with adrenal crisis would alert the ER nurse to prepare for an expected complication?
What is hypotension?
A patient with hx of esophageal varices presents to ER complaining of weakness and diaphoresis. The patient suddenly has emesis of bright red blood. The priority intervention for the er nurse to perform is
What is establish IV access with 2 large caliber IV catheters?
Which diagnostic test should the ER nurse anticipate to be performed in a patient with bipolar disorder who has been receiving antipsychotic mediations for treatment of acute mania?
What is a 12 lead ekg?
During triage, the patient states that the pacemaker only fires when the patient's heart rate slows below a certain rate. The nurse anticipates that the patient has a______________pacemaker.
What is a demand pacemaker?
When caring for a elderly dementia patient, the ER nurse is aware that a patient with dementia will directly exhibit first ___________
What is impaired communication?
The key to safe and effective car of the trauma patients is associated which of the following:
a.identified roles and responsibilities of the team members
b. group diversity
c. individual mental processes and individual leadership
d. engage in individual member review of performance activities
What is identified roles and responsibilities of the team members?
What is cholecystitis?
On review of a patient's current meds, the ER nurse identifies that the patient has been prescribed an alternative drug for depression. Which of the following is an alternative drug for depression-Wellbutrin, Celexa, Prozac, or Zoloft?
What is Wellbutrin?
Unrestrained driver who was involved in a multivehicle collision. THe patient is diagnosed with pelvic fracture and left tibial fracture. Which classification of shock would most likely occur as a result of these injuries?
What is Class IV?
Patient presents to ER after being punched in the face and having their neck forced backward. A few hours later, the patient began noticing upper extremity weakness with associated sensory loss. They are also unable to urinate and bladder scan shows 300ml of urine in bladder. Most likely cause of patient symptoms is
What is central cord syndrome?
The acting out of the emotions of fear or anger is a definition of which of the following?
a. anxiety
b. paranoia
c. violence
d. panic
What is violence?
Correct placement of NG tube is best confirmed by which method?
What is obtaining a chest radiograph?
A patient is brought to the ED after exhibiting aggressive behavior toward family members. To assess the patient's current mental state, which question would be most important to ask the patient?
What is What are the voices telling your to do?
The emergency nurse would anticipate abg values from a patient in a severe copd exacerbation to illustrate_____________.
What is respiratory acidosis?
A patient presents to the ED with a headache, and the dx of subarachnoid hemorrhage is confirmed. When reviewing the patient's presenting chief complaint, the ER nurse would expect to find___________
What is a report of the worse headache of my life?
Which of the following assessment findings should the ER nurse be most concerned about in a patient who presents with a fever of unknown origin?
a. altered mental status
b. tachycardia
c. nasal congestion
d. rash
What is altered mental status?
Parents of a 7 month old state that the infant has not been as active as usual and has been crying and drawing up their legs at intervals. The child's abdomen is distended and a mass is palpable in the RUQ. BM earlier today looked dark red with mucous in it. Symptoms most consistent with _________
What is intussusception?
There are four classifications of radiation particles that can affect life: alpha particles, beta particles, gamma radiation, and neutrons. Of these four, which one is able to penetrate the most objects (paper, wood and concrete) and is more dangerous to life?
What are neutrons?
A patient became unconscious during ascent while scuba diving arrives via ems. The patient is unconscious and hypotensive. The most appropriate position to place this patient in during exam by the physician is
What is left lateral decubitus, head down
Which assessment criteria would the ER nurse use to evaluate the patient for the presence of cerebellar dysfunction?
What is finger to nose coordination?
Which of the conditions caused by an insufficient amount of available antidiuretic hormone results in the patient urinating large amounts of diluted urine?
What is diabetes insipidus?
Following a MVA, an uresponsive and intubated patient is received in ER. On assessment, a rigid and bruised abdomen is noted, an US at bedside identifies a ruptured bladder. What is the ER nurse's priority action?
What is establish two large caliber IV's and begin fluid resuscitation?
The ER nurse is aware that a potential sign associated with the presence of cyanide poisoning is:
What is the odor of bitter almonds?