Texas Nurse Connection, Ltd ®
Emergency Department
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1.  After hearing an attending physician asking an intern to prescribe a hypotonic IV solution
for a client, a nurse would expect which of the following IV solutions to be prescribed by the
intern?
2.  A nurse would need to obtain which of the following IV solutions from the IV storage area
to hang with a unit of packed red blood cells at the client’s bedside?
3.  A nurse on a health team, taking care of a client with severe blood loss that requires
rapid transfusion of several units of blood, asks another health team member to obtain
which to the following devices for use during the transfusion procedure to help reduce the
risk of cardiac dysrhythmias?
4.  A 2-year-old child sustained chest and abdomen burns by grabbing a cup of hot coffee
that was left on the kitchen counter.  An emergency room nurse reviews safety guidelines
with the parents prior to discharge.  Which statement, if made by the parents, shows an
understanding of the measures to provide safety in the home?
5.  A head injury is suspected in a 5-year-old child from what the mother says was from the
child falling off a bunk bed.  An emergency nurse continuously assesses the child for signs
of increased intracranial pressure (ICP).  Which of the following would indicate a late sign of
increased ICP in this child?
6.  A lumbar puncture to obtain cerebrospinal fluid (CSF) is performed on a child suspected
of having bacterial meningitis.  A nurse examines the results of the CSF analysis and
concludes that which of the following results would verify the diagnosis?
7.  Which evaluation data obtained by an emergency nurse would most likely support this a
suspicion of a child being sexually abused?
8.  On the base of physical abuse suspicion, the primary legal nursing responsibility of a
nurse conducting an admission evaluation on a child is which of the following?
9.  Assessing a child diagnosed with epiglottitis, which of the following would indicate to the
nurse monitors that the child may be experiencing airway obstruction?
10.  An emergency nurse reports which of the following in respect to a 10-year-old child with
asthma that is being treated for acute exacerbation, knowing that it is not an indication that
the condition is improving?
11.  An ER nurse has given instructions regarding the use of permethrin 1% (Nix) to the
parents of children diagnosed with pediculosis capitis (head lice).  Which statement if made
by a parent suggests a need for additional instructions?
12.  Which of the following would the nurse expect to note in the evaluation of a client’s oral
cavity if the client has candidiasis (thrush)?
13.  A client was burned at 7:00 a.m.  The client states that before the burn, the body weight
was 198 pounds (90 kg).  Using the Lund and Browder method, a physician has projected
that the total body surface area (TBSA) burned is 83%. Using the Parkland (Baxter) formula,
a nurse ascertains that the total amount of intravenous lactated Ringer’s solution that the
client will receive by 3:00 p.m. of the same day that the burn occurred is which of the
following?
14.  A nurse knows that the expected therapeutic outcome of an escharotomy being
executed for a third degree circumferential arm burn is:
15.  Which finding would an emergency room nurse expect to note as confirming a client’s
diagnosis of diabetic ketoacidosis (DKA)?
16.  An emergency room nurse caring for a client admitted with diabetic ketoacidosis (DKA)
is aware that the primary nursing action of the acute phase is:
17.  A client with emphysema receives oxygen.  The nurse calculates the oxygen flow rate to
make certain that it does not go over:
18.  Which of the following arterial blood gas results could be a sign of metabolic alkalosis?
19.  The results of arterial blood gas values for a client indicate respiratory acidosis.  Which
of the following values would be a sign that this acid-base imbalance is present?
20.  When a nurse instructs a client to use the pursed-lip method of breathing, the client
inquires about the purpose of this type of breathing.  The nurse responds, understanding
that the main function of pursed-lip breathing is to:
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holidays and weekends, the phones will be transferred to on call coordinator on duty and client will receive a call list with back-up numbers.
Emergency Department
Texas Nurse Connection, Ltd * 3385 North 3rd Suite 1 * Abilene, Texas 79603
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