Emergency Nursing Skills: Master the Essentials for Nursing Fundamentals

Question 1

In a high-stress emergency, which communication approach is most effective for conveying information while maintaining composure?

Accepted Answer

Speaking calmly and using clear, concise language

Answer

Speaking rapidly and repeating information

Answer

Using medical jargon and technical terms

Question 2

In an emergency situation, what is the first step in assessing a patient, and what are the key elements of this initial assessment?

Accepted Answer

Scene safety, primary survey

Answer

Vital signs, history, physical exam

Answer

Detailed physical exam, history, lab tests

Question 3

In an emergency involving an unconscious patient, which action should be prioritized to uphold ethical principles?

Accepted Answer

Review the patient's advance directives or consult with family members to honor their wishes

Answer

Initiate CPR immediately, disregarding the patient's preferences

Answer

Call for emergency services without verifying the patient's advance directives

Question 4

Which of the following interventions should be prioritized for a patient with an open chest wound?

Accepted Answer

Covering the wound with a sterile dressing and administering oxygen

Answer

Inserting a chest tube and starting chest compressions

Answer

Immobilizing the patient's head and neck and administering pain medication

Answer

Elevating the patient's legs and applying pressure to the wound

Question 5

When providing emergency care to a patient with a suspected spinal cord injury, the initial step should be:

Accepted Answer

Immobilizing the patient with a rigid cervical collar and backboard

Answer

Performing a neurological exam to assess for signs of spinal cord damage

Answer

Administering oxygen and taking vital signs

Answer

Elevate the patient's legs to improve circulation

Question 6

Automated external defibrillators (AEDs) are indicated for patients who:

Accepted Answer

Are unconscious and have no pulse

Answer

Are unconscious and are breathing normally

Answer

Have a known history of heart disease

Answer

Are over 65 years old

Question 7

Which of the following is NOT a common symptom of a stroke?

Accepted Answer

High blood pressure

Answer

Sudden onset of weakness or numbness on one side of the body

Answer

Severe headache

Answer

Nausea and vomiting

Question 8

The most common trigger for anaphylaxis is:

Accepted Answer

Food allergies

Answer

Insect stings

Answer

Exposure to cold temperatures

Answer

Medications

Question 9

When applying a tourniquet for a severe extremity wound, it should be placed:

Accepted Answer

Proximal to the wound, as close to the body as possible

Answer

Distal to the wound, just above the bleeding site

Answer

Directly on top of the wound

Answer

Loosely around the limb, to avoid cutting off circulation

Question 10

The most commonly used tool to assess a patient's pain level is:

Accepted Answer

Numerical pain rating scale

Answer

Verbal pain scale

Answer

Glasgow Coma Scale

Answer

Respiratory rate

Question 11

When dealing with a patient who may have had a stroke, what action should be prioritized?

Accepted Answer

Calling emergency medical services

Answer

Immobilizing the patient

Answer

Giving aspirin

Question 12

In emergency nursing, what factor should be the primary consideration when setting priorities?

Accepted Answer

Severity of the condition

Answer

Patient's age

Answer

Patient's preferences

Question 13

For two rescuers performing CPR, what is the recommended compression-to-breath ratio?

Accepted Answer

30:2

Answer

15:2

Answer

15:1

Question 14

In emergency nursing, what is the primary purpose of an AED?

Accepted Answer

Automated External Defibrillator (used to treat ventricular fibrillation)

Answer

Automatic External Defibrillator (used to treat asystole)

Answer

Automated Electronic Defibrillator (used to treat bradycardia)

Question 15

During a medical emergency, what is the MOST important thing a nurse should do when communicating?

Accepted Answer

Give clear and simple instructions.

Answer

Use complex medical terms.

Answer

Keep direct eye contact with the patient.

Answer

Speak in a condescending tone.

Question 16

Which action should be performed first when inserting a tracheostomy tube?

Accepted Answer

Insert the obturator into the trachea

Answer

Incise the patient's trachea

Answer

Suction the patient's airway

Question 17

What is the primary goal of cardiopulmonary resuscitation (CPR)?

Accepted Answer

Maintain oxygenated blood flow to vital organs

Answer

Prevent further tissue damage

Answer

Reverse the underlying cause of cardiac arrest

Answer

Restore normal heart rhythm

Question 18

As per the 2020 AHA guidelines, what is the recommended compression-to-ventilation ratio for adult CPR?

Accepted Answer

30:2

Answer

15:2

Answer

20:3

Answer

10:1

Question 19

When a patient is experiencing a seizure, what is the appropriate initial action?

Accepted Answer

Protect the patient from injury

Answer

Administer anticonvulsant medication

Answer

Restraint the patient

Answer

Perform a lumbar puncture

Question 20

Which of the following findings should be prioritized during the assessment of a trauma patient?

Accepted Answer

Open head wound

Answer

Minor laceration on the arm

Answer

Bruising on the abdomen

Question 21

If a healthcare professional witnesses a patient collapse and become unresponsive, what is the recommended action?

Accepted Answer

Activate the emergency response system and initiate CPR

Answer

Call the patient's family

Answer

Check the patient's vital signs

Question 22

In the context of CPR, which action is prioritized to optimize patient outcomes?

Accepted Answer

Ensuring proper chest compressions

Answer

Using a defibrillator

Answer

Performing mouth-to-mouth resuscitations

Answer

Calling for emergency medical services

Question 23

When managing a patient with traumatic injuries, what is the initial and most critical step?

Accepted Answer

Ensure the safety of the scene and yourself

Answer

Call for emergency medical services

Answer

Control bleeding

Answer

Start CPR if necessary

Question 24

In emergency situations, which method is most effective for controlling severe bleeding?

Accepted Answer

Direct pressure on the wound

Answer

Elevating the injured area

Answer

Applying a cold compress

Answer

Using a tourniquet

Question 25

When a patient is experiencing an anaphylactic reaction, what is the most appropriate and immediate intervention?

Accepted Answer

Administration of epinephrine

Answer

Providing supplemental oxygen

Answer

Calling for emergency medical services

Answer

Initiating CPR

Question 26

Which of the following is a warning sign that a patient may be experiencing impending cardiac arrest?

Accepted Answer

Decreased level of consciousness

Answer

Normal breathing

Answer

Increased blood pressure

Answer

Rapid and strong pulse

Question 27

When assessing an unresponsive victim, what should you do first?

Accepted Answer

Check for responsiveness and shout for help

Answer

Give rescue breaths

Answer

Call emergency medical services (911 or local emergency number)

Answer

Start chest compressions

Question 28

Which of the following is a key indicator that a person is choking?

Accepted Answer

Inability to speak, cough, or breathe effectively

Answer

Rapid pulse

Answer

Pale skin

Answer

Sweating

Question 29

What is the primary purpose of splinting a broken bone?

Accepted Answer

To immobilize the bone and minimize pain and further injury

Answer

To reduce swelling

Answer

To promote healing

Answer

To prevent infection

Question 30

Which of the following is NOT a typical symptom of anaphylaxis?

Accepted Answer

Headache

Answer

Swelling

Answer

Hives or rash

Answer

Difficulty breathing

Question 31

In the emergency treatment of anaphylaxis, what medication should be administered first?

Accepted Answer

Epinephrine (EpiPen)

Answer

Albuterol inhaler

Answer

Antihistamines

Answer

Intravenous fluids

Question 32

When assessing a patient with a head injury, which factor is of paramount importance?

Accepted Answer

Level of consciousness

Answer

Heart rate

Answer

Skin color

Answer

Body temperature

Question 33

Which of the following is an indication of an obstructed airway?

Accepted Answer

Stridor

Answer

Sneezing

Answer

Coughing

Answer

Gagging

Question 34

When administering an EpiPen, what is the initial step?

Accepted Answer

Remove the safety cap and hold the device perpendicular to the thigh.

Answer

Inject the medication at a 45-degree angle.

Answer

Massage the injection site vigorously.

Question 35

In an emergency, what is the primary consideration when providing oxygen?

Accepted Answer

Patient's respiratory condition

Answer

Type of oxygen delivery system

Answer

Oxygen flow rate

Answer

Patient's age

Question 36

Which type of wound necessitates immediate medical attention?

Accepted Answer

Open wound exposing bone or tendons

Answer

Minor abrasion

Answer

Small puncture wound with minimal bleeding

Question 37

What is the primary purpose of applying a tourniquet in an emergency?

Accepted Answer

To control severe bleeding that cannot be stopped by direct pressure.

Answer

To stabilize a fracture

Answer

To elevate the injured extremity

Question 38

Which of the following is a telltale sign of respiratory distress in an infant?

Accepted Answer

Nasal flaring accompanied by chest retractions.

Answer

Rapid breathing with clear lungs.

Answer

Absence of respiratory effort.

Answer

Slow breathing with shallow respirations.

Question 39

In the assessment of a wound, which element is crucial to document?

Accepted Answer

Detailed description of wound characteristics and its location.

Answer

Patient's medical history and allergies.

Answer

Patient's vital signs and medical history.

Question 40

Which condition is considered a contraindication for performing a tracheostomy?

Accepted Answer

Unstable cervical spine.

Answer

Patient's age.

Answer

High risk of bleeding.

Answer

Inability to tolerate suctioning.

Question 41

What is the initial step in managing a burn injury?

Accepted Answer

Cool the burn with running water.

Answer

Administer pain medication.

Answer

Apply a sterile dressing.

Answer

Transport the patient to the hospital.

Question 42

What is the recommended dosage of naloxone for a suspected opioid overdose?

Accepted Answer

0.4 mg administered intramuscularly or intravenously. Repeat dose if no response within 2-3 minutes.

Answer

2 mg administered intramuscularly. Repeat dose every 5 minutes.

Answer

0.2 mg administered subcutaneously. Repeat dose every 15 minutes.

Answer

1 mg administered orally. Repeat dose every 10 minutes.

Question 43

Which of the following is the initial step in the assessment of an unresponsive patient?

Accepted Answer

Check for responsiveness by gently tapping the patient's shoulder and calling their name.

Answer

Check vital signs, including pulse and respiration.

Answer

Call for emergency medical services immediately.

Answer

Open the patient's airway by tilting their head back and lifting their chin.

Question 44

Which of the following signs indicates a tension pneumothorax?

Accepted Answer

Tracheal deviation away from the injured side of the chest

Answer

Decreased oxygen saturation

Answer

Elevated blood pressure

Answer

Increased respiratory rate

Question 45

What is the appropriate ratio of compressions to breaths during adult CPR?

Accepted Answer

30 chest compressions to 2 rescue breaths

Answer

20 chest compressions to 3 rescue breaths

Answer

15 chest compressions to 2 rescue breaths

Answer

25 chest compressions to 5 rescue breaths

Question 46

Which of the following is a contraindication for performing CPR?

Accepted Answer

Rigor mortis has occurred

Answer

Severe burns

Answer

Advanced age of the patient

Answer

Pregnancy

Question 47

What is the primary goal of performing the Heimlich maneuver?

Accepted Answer

To dislodge a foreign object obstructing the airway

Answer

To stop bleeding

Answer

To open the airway

Answer

To stimulate respiration

Question 48

Which of the following is the most common cause of anaphylaxis?

Accepted Answer

Allergic reactions to substances such as foods, insect stings, and medications

Answer

Sepsis

Answer

Drug interactions

Answer

Trauma

Question 49

What is the recommended initial action when encountering a patient experiencing a seizure?

Accepted Answer

Protect the patient from injury by moving nearby objects and cushioning their head

Answer

Restrain the patient to prevent further movement

Answer

Administer anticonvulsant medication immediately

Answer

Clear the patient's airway by suctioning

Question 50

Which type of shock is characterized by inadequate cardiac output resulting in decreased tissue perfusion?

Accepted Answer

Cardiogenic shock

Answer

Neurogenic shock

Answer

Hypovolemic shock

Answer

Septic shock

Question 51

What is the purpose of using a tourniquet?

Accepted Answer

To stop severe bleeding

Answer

To reduce pain

Answer

To immobilize a fracture

Answer

To prevent infection