RPN Emergency Response 2

Question 1

A patient arrives in the ED with a suspected tension pneumothorax. Which finding is MOST indicative of this condition?

Accepted Answer

Tracheal deviation away from the affected side

Answer

Tension pneumothorax causes increased intrapleural pressure that shifts the trachea and mediastinum away from the affected side.

Question 2

During a mass casualty incident, a patient is found unresponsive with no spontaneous respirations even after repositioning the airway. Under START triage, this patient is tagged:

Accepted Answer

Black (expectant/deceased)

Answer

START triage tags non-breathing patients who remain apneic after airway repositioning as black (expectant/deceased) due to resource limitations.

Question 3

A patient with a severe bee sting allergy develops hypotension, urticaria, and stridor. The nurse's FIRST action is to administer:

Accepted Answer

Epinephrine 1:1,000 IM into the lateral thigh

Answer

Epinephrine 1:1,000 administered IM into the vastus lateralis is the first-line treatment for anaphylaxis to reverse bronchospasm and vasodilation.

Question 4

A patient is admitted after ingesting an unknown substance. The nurse notes pinpoint pupils, bradycardia, and excessive secretions. Which antidote should the nurse prepare?

Accepted Answer

Atropine

Answer

These are classic signs of organophosphate or cholinergic toxicity, and atropine is the primary antidote to block muscarinic effects.

Question 5

A child is brought to the ED after a near-drowning event. The child is conscious and coughing. The nurse's priority intervention is:

Accepted Answer

Administer 100% oxygen and monitor for respiratory deterioration

Answer

All near-drowning victims require supplemental oxygen and observation for delayed pulmonary edema and hypoxia even if initially appearing well.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Emergency Response 2