Emergency Room Nursing Test

Name
Phone
Email Address
Position Applying For

MULTIPLE CHOICE:   Select the one correct answer.
The nurse is assessing the child with a suspected diagnosis of appendicitis. The nurse knows that McBurney’s point is located midway between the:
A. Right anterior inferior iliac crest and the umbilicus
B. Left anterior superior iliac crest and the umbilicus
C. Right anterior superior iliac crest and the umbilicus
D. Left anterior superior iliac crest and the umbilicus

2. The client who suffered a crush injury to the leg has a highly positive urine myoglobin level. The nurse assesses this particular client carefully for signs of:
A. Cerebrovascular accident
B. Acute tubular necrosis
C.Respiratory failure
D. Myocardial infarction

3. The nurse is performing an assessment on a child with a seizure disorder. The nurse is interviewing the child’s parents to determine their adjustment to caring for their child who has a chronic illness. Which statement if made by the parents would indicate a need for further teaching?
A. “Our child is involved in a swim program with neighbors and friends.”
B. “Our child sleeps in our bedroom at night.”
C. “Our babysitter just completed CPR training.”
D. “We worry about injuries when our child has a seizure.”

4. A client presents to the ER with upper GI bleeding and is in moderate distress. In planning care, which nursing action would be the first priority for this client?
A. Thorough investigation of precipitating events
B. Insertion of a NG tube and hematest of emesis
C. Complete abdominal exam
D. Assessment of vital signs

5. The nurse is teaching the client with emphysema about positions that help breathing during dyspneic episodes. The nurse instructs the client to avoid which of the following positions, which will aggravate breathing?
A. Sitting up with the elbows resting on knees
B. Standing and leaning against a wall
C. Lying on the back in low Fowler’s position
D. Sitting up and leaning on a table

6. A client brought to the ER is dead on arrival. The family of the client tells the doctor that the client had terminal cancer. The ER doctor examines the client and asks the nurse to contact the medic al examiner regarding an autopsy,. The family of the client tells the nurse that they do not want an autopsy performed. Which of the following responses to the family is most appropriate?
A. “It is required by federal law. Why don’t we talk about it, and why don’t you tell me why you don’t want the autopsy done?”
B. “The decision is made by the medical examiner.”
C. “I will contact the medical examiner regarding your request.”
D. “An autopsy is mandatory for any client who is dead on arrival.”

7. A 4-year old child is diagnosed with otitis media. The mother asks the nurse about the causes of this illness. The nurse responds, knowing that which of the following is an unassociated risk factor related to otitis media?
A. Household smoking
B. Bottle-feeding
C. Exposure to illness in other children
D. A history of urinary tract infections

8. The ER nurse is caring for a child suspected of epiglottitis and has ensured that the child has a patent airway. The next priority in the care of this child would be to:
A. Prepare the child for a chest radiograph
B. Assist the doctor with intubation
C. Prepare the child for tracheotomy
D. Prepare to administer epinephrine

9. The mother arrives at the ER with her 3 year old child. The mother tells the nurse that the child has had a fever and cough for the past 2 days and that this am the child began to wheeze. Viral pneumonia is diagnosed. Based on the diagnosis, the nurse anticipates that which of the following will be a component of the treatment plan?
A. Orally administered antibiotics
B. Hospitalization and IV administered antibiotics
C. Supportive treatment
D. IV fluid administration

10. The nurse is preparing to teach the client how to use crutches safely. Before initiating the teaching, the nurse performs an assessment on the client. The priority nursing assessment should indlude which of the following?
A. The client’s fear related to the use of the crutches
B. The client’s understanding of the need for increased mobility
C. The client’s vital signs, muscle strength, and previous activity level
D. The client’s feelings about the restricted mobility

11. The ER nurse is caring for a client with diabetic ketoacidosis. The doctor prescribes IV insulin. The nurse plans to prepare which type of insulin for the client?
A. NPH
B. Regular
C. Lente
D. Ultralente

12. The nurse has inserted an NG tube to the level of the oropharynx and has repositioned the client’s head in a flexed-forward position. The client has been asked to begin swallowing. The nurse starts slowly to advance the NG tube with each swallow. The client begins to cough, gag, and choke. Which nursing action would least likely result in proper tube insertion and promote client relaxation?
A. Continuing to advance the tub to the desired distance
B. Pulling the tube back slightly
C. Checking the back of the pharynx using a tongue blade and flashlight
D. Instructing the client to breathe slowly and take sips of water

13. A client comes to the ER following an assault and is extremely agitated, is trembling, and is hyperventilating. The most appropriate action would be to:
A. Continuing to advance the tub to the desired distance
B. Pulling the tube back slightly
C. Checking the back of the pharynx using a tongue blade and flashlight
D. Instructing the client to breathe slowly and take sips of water

14. A woman comes into the ER following an assault. She exhibits hyperventilation, pacing, rapid speech, and headache. The nurse assess the level of anxiety to be:
A. Panic
B. Pulling the tube back slightly
C. Checking the back of the pharynx using a tongue blade and flashlight
D. Instructing the client to breathe slowly and take sips of water

15. A client arrives in the ER in a crisis state. The client demonstrates signs of profound anxiety and is unable to focus on anything but the object of the crisis and impact on self. The initial nursing assessment would focus on:
A. The object of the crisis
B. The presence of support systems
C. The physical condition of the client.
D. The client’s coping mechanisms