FREE Certified Emergency Nurse MCQ Questions and Answers

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It is believed that a client who was a confined passenger in a high-speed car collision has intra-abdominal hemorrhage. Which of the following tests, if the patient is largely stable, is the most effective way to check for hepatic or splenic rupture?

Correct! Wrong!

If the patient is stable enough, CT is the finest diagnostic tool to check for bleeding. In this situation, imaging techniques like MRI and ultrasound are less effective. A CBC may show that there has been blood loss, but it cannot identify the cause of the bleeding.

A six-week-old male child with projectile vomiting that has gotten worse over many days is brought in by his parents. What congenital abnormalities needs to be taken into account?

Correct! Wrong!

Pyloric stenosis, which is caused by a stenosis at the pyloric junction, affects men more frequently than women and typically manifests at six weeks. Projectile vomiting is a frequent symptom of this illness. Ultrasound is used to confirm the diagnosis.

An ED nurse inserts a nasogastric tube for a patient who has an intestinal obstruction. Which of the following acid-base conditions puts the client at danger as a result?

Correct! Wrong!

An NG tube is inserted to low continuous suction in the event of an intestinal obstruction to remove the stomach's acidic contents, which could otherwise cause vomiting and increase the patient's risk of aspiration. If not corrected, this process could result in a metabolic alkalosis.

An upright KUB film of a patient with stomach pain reveals air under the diaphragm. What of the following is most likely to be the cause?

Correct! Wrong!

Bowel perforation is the most frequent source of air under the diaphragm. Air under the diaphragm may be seen on a chest x-ray or KUB as a result of air leaking caused by a bowel perforation.

An obstruction of the sphincter of Oddi caused by a gallstone affects a customer. What is the most typical side effect of this illness?

Correct! Wrong!

Pancreatitis is the most frequent side effect of a gallstone obstruction of the sphincter of Oddi. Pancreatitis is brought on by inflammation of the pancreas, which is caused by blockage of the sphincter of Oddi.

When pain is palpated in the left bottom quadrant of a client with probable appendicitis, it is felt in the right lower quadrant. What does this diagnostic procedure go by?

Correct! Wrong!

The Rovsing's sign, a physical exam indicator of appendicitis, is pain in the RLQ with palpation in the LLQ. The Psoas sign, which is evaluated by flexing the right hip, is another symptom of potential appendicitis. If this happens, appendicitis can be suspected. Meningitis can be detected by Kernig's and Brudzinski's symptoms.

A client's penetrating abdominal injuries has resulted in hypovolemia. What is the best procedure for resuscitating fluids quickly?

Correct! Wrong!

A large bore peripheral IV is the ideal route of rapid fluid resuscitation for a client with hypovolemia brought on by blood loss from a penetrating abdominal trauma since it will enable faster fluid delivery than a central line.

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