MSN Exam for Emergencies

Practice Mode

Welcome to your MSN Exam for Emergencies! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

In emergency situations, the priority is to activate emergency services and assess the patient's condition before beginning interventions.

1 / 30

1. Nurse Avery responds to an emergency call in the ED waiting room where an elderly patient is found lying on the floor. She must quickly assess and intervene to provide life-saving measures. What is the correct order of actions she should follow?

💡 Hint

The triage process requires a strong ability to assess and prioritize patients. Consider who can make critical clinical decisions and perform comprehensive assessments effectively.

2 / 30

2. As the charge nurse in the emergency department, Nurse Linda needs to ensure that the triage area is staffed with the most appropriate team to handle complex and time-sensitive assessments. Which team should she assign to manage the triage area?

💡 Hint

Proper handling of amputated parts involves careful preservation techniques without direct contact with ice or immersion in liquids, to maintain tissue viability.

3 / 30

3. Nurse Brian is caring for a patient who has suffered a chainsaw injury, resulting in the amputation of the first and second digits. He is determining which tasks to delegate to the LPN/LVN. Which task is appropriate to assign to the LPN/LVN?

💡 Hint

Consider the life-threatening complications of delirium tremens, particularly those that can directly impact the patient's physical safety.

4 / 30

4. Nurse Brian is caring for a prisoner with a history of alcohol abuse who has been in police custody for 48 hours. The patient is now exhibiting signs of delirium tremens with disorientation, hallucinations, and hyper-reactivity. What should be the priority nursing diagnosis for this patient?

💡 Hint

The procedure cannot proceed without the parent’s consent for sedation. This situation directly affects the sedation plan and should be addressed with the physician immediately.

5 / 30

5. Nurse Emily is preparing a child for IV conscious sedation before the repair of a facial laceration. During this process, certain situations arise that may require immediate communication with the physician. Which information should Nurse Emily report to the physician right away?

💡 Hint

In trauma care, the first priority is addressing life-threatening conditions following a structured approach that ensures the most critical systems are assessed first.

6 / 30

6. Nurse Sam is caring for a patient who was involved in a one-car rollover accident and presents with multiple injuries. To ensure appropriate trauma care, Nurse Sam must prioritize the following interventions. What steps should he take, in order?

💡 Hint

Start with clinical verification of tube placement through breath sounds before moving on to securing the tube and confirming with imaging.

7 / 30

7. Nurse Alex is assisting in the emergency intubation of a patient. After the procedure, Alex must verify the placement of the endotracheal tube and ensure it is secure. What is the correct order of steps to accomplish this?

  1. Obtain a chest x-ray order to confirm tube placement.
  2. Secure the tube to keep it in position.
  3. Listen to the chest while assisting with ventilation.
  4. Check for equal and bilateral breath sounds.

💡 Hint

Focus on managing symptoms of hyperventilation, which can cause carpal spasms due to respiratory alkalosis. Consider the quickest intervention to normalize breathing.

8 / 30

8. Nurse Carla is assessing a 25-year-old college student who presents with anxiety, tingling sensations, palpitations, and chest tightness. She observes rapid, deep breathing and carpal spasms, indicating possible hyperventilation. What should be Nurse Carla's priority action?

💡 Hint

During a primary survey in trauma, quick assessments focus on the patient's immediate life functions, including airway, breathing, circulation, and disability (neurologic status).

9 / 30

9. Nurse Alex is conducting a primary survey on a trauma patient who just arrived in the emergency department. He needs to focus on the essential steps to quickly assess life-threatening conditions. Which of the following should be one of his priority actions?

💡 Hint

Start by focusing on the patient with signs of a potentially life-threatening condition, especially those indicating possible infection or neurological issues.

10 / 30

10. Nurse Sam is working in the triage area of the emergency department when four patients arrive at the desk simultaneously. In what order should Nurse Sam prioritize these patients for assessment?

  1. A 25-year-old male, ambulatory but dazed, with a head wound that is already bandaged.
  2. An irritable infant presenting with fever, petechiae, and neck stiffness.
  3. A 35-year-old jogger with a twisted ankle, a palpable pedal pulse, and no visible deformity.
  4. A 50-year-old female experiencing moderate abdominal pain and occasional vomiting.

💡 Hint

Consider the most immediate concern related to animal bites, particularly those from cats, and the potential for complications that need prompt attention.

11 / 30

11. Nurse Jenna is assessing a patient who has presented with a cat bite on the left hand. While gathering information, she discovers that the cat's immunizations are current, but the patient cannot recall the date of their last tetanus shot. What should Nurse Jenna identify as the priority nursing diagnosis?

💡 Hint

Think about tasks that are routine and within the scope of a nursing assistant, especially those involving basic patient care after death.

12 / 30

12. Nurse Carla is managing an unexpected death in the emergency department and needs to delegate tasks to the nursing assistant. Which task is most appropriate for the nursing assistant to handle?

💡 Hint

Begin by removing the cause of the injury before managing pain and starting rewarming procedures.

13 / 30

13. Nurse Jenna is providing care to a patient who has sustained frostbite on both feet. To prevent further damage and alleviate discomfort, she needs to follow the appropriate steps in order. What should she do first?

  1. Apply a loose, sterile, bulky dressing to the affected feet.
  2. Administer pain-relieving medication.
  3. Move the patient away from the cold environment.
  4. Immerse the feet in warm water, with a temperature between 100°F and 105°F (40.6°C to 46.1°C).

💡 Hint

Prioritize life-threatening conditions involving vascular emergencies first, followed by cases that could suggest acute surgical issues.

14 / 30

14. Nurse Taylor is assessing multiple patients in the emergency department who are experiencing acute abdominal pain. She must prioritize them according to the urgency of their conditions. How should Nurse Taylor rank the severity of these cases?

  1. A 35-year-old male with severe, cramping abdominal pain and diarrhea two hours after eating.
  2. An 11-year-old boy with low-grade fever, left lower quadrant pain, nausea, and no appetite for the past 2 days.
  3. A 40-year-old female with left upper quadrant pain, vomiting bile, and worsening symptoms over the past week.
  4. A 56-year-old male with a pulsating abdominal mass and sudden, pressure-like pain in the abdomen and flank.

💡 Hint

Focus on basic life support interventions that do not require advanced skills or certification.

15 / 30

15. Nurse David is receiving a patient transported by EMS with severe chest pain. As the patient is moved to the emergency stretcher, Nurse David notices that the patient is unresponsive, not breathing, and has no pulse. He needs to delegate tasks quickly to the nursing assistant. Which task is appropriate for the nursing assistant to perform?

💡 Hint

Look for the patient displaying signs of heat stroke, which is the most severe form of heat-related illness and requires immediate intervention.

16 / 30

16. Nurse Hannah is working in the emergency department during a hot summer day when several patients present with symptoms of heat-related illness. She must prioritize care based on the severity of their conditions. Which patient should Nurse Hannah attend to first?

💡 Hint

Consider an area where the nurse can use her experience but doesn’t need in-depth knowledge of the department's specific protocols or immediate critical decision-making, like trauma or triage.

17 / 30

17. Nurse Jenna, an experienced traveling nurse, has just started her first week in a new emergency department (ED). Although skilled, she is still getting oriented to this specific ED environment. Which area would be the most appropriate for her assignment?

💡 Hint

Chest pain, especially accompanied by other serious symptoms like sweating and dizziness, often signals a potentially life-threatening condition.

18 / 30

18. Nurse Sarah is working in triage when a 56-year-old patient arrives complaining of left-sided chest pain, sweating, and dizziness. Considering the symptoms, Nurse Sarah must quickly determine the appropriate triage category for this patient. How should she prioritize this case?

💡 Hint

Consider the complications of chronic alcohol use, such as preventing Wernicke’s encephalopathy, and what would be most beneficial to the patient in this situation.

19 / 30

19. Nurse Jane is caring for an intoxicated patient presenting with slurred speech, mild confusion, and uncooperative behavior. The patient is not providing a clear history but admits to recent alcohol consumption. What should Nurse Jane's priority action be?

💡 Hint

Consider what component in children's vitamins could lead to serious toxicity, even in asymptomatic cases, and may require urgent intervention.

20 / 30

20. Nurse Kelly is assessing a child brought to the emergency department after ingesting an unknown amount of children's chewable vitamins at an unknown time. The child is alert and shows no symptoms. Which piece of information should Nurse Kelly immediately report to the physician?

💡 Hint

Think about forming a team that represents all staff members affected by violence in the emergency department, ensuring a comprehensive approach.

21 / 30

21. The nursing manager is forming a committee to tackle the issue of violence against emergency department (ED) staff. To ensure all perspectives are considered, which combination of employees would be the most appropriate for this task?

💡 Hint

Consider the first step in managing a bee sting to prevent further venom release before addressing other symptoms.

22 / 30

22. Nurse Jenna is handling telephone triage when a patient calls after being stung by a honey bee. The patient reports pain and localized swelling but denies any signs of respiratory distress or anaphylaxis. What should Nurse Jenna instruct the patient to do?

💡 Hint

Consider which finding indicates a potential compromise of the airway or respiratory system, which should be addressed immediately in trauma situations.

23 / 30

23. Nurse Taylor is assessing a patient who has suffered multiple traumatic injuries. As she prioritizes her assessment findings, which observation indicates the most critical and life-threatening condition?

💡 Hint

The LPN/LVN scope of practice focuses on providing basic care and emotional support, while other tasks require advanced assessment skills or legal documentation expertise.

24 / 30

24. Nurse Laura is managing the care of a sexual assault victim and is assigning tasks to the team. Which task is most appropriate for the LPN/LVN to handle?

💡 Hint

Consider the scope of practice for LPN/LVNs, which includes tasks related to monitoring and reporting, while complex assessments and care planning are typically the RN's responsibility.

25 / 30

25. Nurse Riley is overseeing a patient who experienced a near-drowning event and is working alongside the healthcare team. She needs to delegate certain tasks to the LPN/LVN while ensuring patient safety. Which of the following tasks is the most appropriate for her to assign to the LPN/LVN?

💡 Hint

Prioritize interventions that prevent further injury in a trauma patient, especially when dealing with potential spinal cord damage.

26 / 30

26. A 24-year-old patient presents to the emergency department with a suspected spinal cord injury after a motor vehicle accident. Which intervention should the nurse implement first?

💡 Hint

Consider what action will immediately ensure the patient's safety and security after discharge.

27 / 30

27. Nurse Emma is providing discharge instructions to a woman who has been treated for contusions and bruises after experiencing domestic violence. As she plans her care, what should be Nurse Emma's priority intervention for the patient?

💡 Hint

Think about the essential first step for all healthcare staff when responding to any disaster situation, ensuring coordinated and effective action.

28 / 30

28. Nurse Alex is reviewing disaster preparedness protocols at her hospital, focusing on scenarios involving natural disasters or bioterrorism. As part of her responsibilities, what is her primary role in preparing for such incidents?

💡 Hint

Consider which comment points to a significant change in the patient's condition that could result in complications, such as internal bleeding or infection risk.

29 / 30

29. Nurse Kelly is assessing a teenager who arrived in the emergency department after being poked in the abdomen with a stick. The patient is alert, but his clothes are covered in blood, and his friends are hysterically explaining what happened. Which comment should Nurse Kelly prioritize first?

💡 Hint

In cases of status epilepticus, think about the fastest-acting medication typically used to stop ongoing seizures immediately.

30 / 30

30. Nurse Jamie is preparing to assist with the care of a 35-year-old patient who has been experiencing continuous seizure activity for the past 45 minutes, indicating status epilepticus. Given the patient's history and current condition, which medication does Nurse Jamie anticipate the physician will order?

Exam Mode

Welcome to your MSN Exam for Emergencies! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Alex is reviewing disaster preparedness protocols at her hospital, focusing on scenarios involving natural disasters or bioterrorism. As part of her responsibilities, what is her primary role in preparing for such incidents?

2 / 30

2. Nurse Hannah is working in the emergency department during a hot summer day when several patients present with symptoms of heat-related illness. She must prioritize care based on the severity of their conditions. Which patient should Nurse Hannah attend to first?

3 / 30

3. Nurse Brian is caring for a prisoner with a history of alcohol abuse who has been in police custody for 48 hours. The patient is now exhibiting signs of delirium tremens with disorientation, hallucinations, and hyper-reactivity. What should be the priority nursing diagnosis for this patient?

4 / 30

4. Nurse Brian is caring for a patient who has suffered a chainsaw injury, resulting in the amputation of the first and second digits. He is determining which tasks to delegate to the LPN/LVN. Which task is appropriate to assign to the LPN/LVN?

5 / 30

5. Nurse Jenna, an experienced traveling nurse, has just started her first week in a new emergency department (ED). Although skilled, she is still getting oriented to this specific ED environment. Which area would be the most appropriate for her assignment?

6 / 30

6. Nurse Carla is assessing a 25-year-old college student who presents with anxiety, tingling sensations, palpitations, and chest tightness. She observes rapid, deep breathing and carpal spasms, indicating possible hyperventilation. What should be Nurse Carla's priority action?

7 / 30

7. Nurse Sarah is working in triage when a 56-year-old patient arrives complaining of left-sided chest pain, sweating, and dizziness. Considering the symptoms, Nurse Sarah must quickly determine the appropriate triage category for this patient. How should she prioritize this case?

8 / 30

8. Nurse Sam is working in the triage area of the emergency department when four patients arrive at the desk simultaneously. In what order should Nurse Sam prioritize these patients for assessment?

  1. A 25-year-old male, ambulatory but dazed, with a head wound that is already bandaged.
  2. An irritable infant presenting with fever, petechiae, and neck stiffness.
  3. A 35-year-old jogger with a twisted ankle, a palpable pedal pulse, and no visible deformity.
  4. A 50-year-old female experiencing moderate abdominal pain and occasional vomiting.

9 / 30

9. Nurse Jane is caring for an intoxicated patient presenting with slurred speech, mild confusion, and uncooperative behavior. The patient is not providing a clear history but admits to recent alcohol consumption. What should Nurse Jane's priority action be?

10 / 30

10. Nurse Taylor is assessing a patient who has suffered multiple traumatic injuries. As she prioritizes her assessment findings, which observation indicates the most critical and life-threatening condition?

11 / 30

11. Nurse Alex is conducting a primary survey on a trauma patient who just arrived in the emergency department. He needs to focus on the essential steps to quickly assess life-threatening conditions. Which of the following should be one of his priority actions?

12 / 30

12. Nurse Emma is providing discharge instructions to a woman who has been treated for contusions and bruises after experiencing domestic violence. As she plans her care, what should be Nurse Emma's priority intervention for the patient?

13 / 30

13. Nurse Jenna is handling telephone triage when a patient calls after being stung by a honey bee. The patient reports pain and localized swelling but denies any signs of respiratory distress or anaphylaxis. What should Nurse Jenna instruct the patient to do?

14 / 30

14. Nurse Riley is overseeing a patient who experienced a near-drowning event and is working alongside the healthcare team. She needs to delegate certain tasks to the LPN/LVN while ensuring patient safety. Which of the following tasks is the most appropriate for her to assign to the LPN/LVN?

15 / 30

15. Nurse Jenna is providing care to a patient who has sustained frostbite on both feet. To prevent further damage and alleviate discomfort, she needs to follow the appropriate steps in order. What should she do first?

  1. Apply a loose, sterile, bulky dressing to the affected feet.
  2. Administer pain-relieving medication.
  3. Move the patient away from the cold environment.
  4. Immerse the feet in warm water, with a temperature between 100°F and 105°F (40.6°C to 46.1°C).

16 / 30

16. Nurse Carla is managing an unexpected death in the emergency department and needs to delegate tasks to the nursing assistant. Which task is most appropriate for the nursing assistant to handle?

17 / 30

17. Nurse Avery responds to an emergency call in the ED waiting room where an elderly patient is found lying on the floor. She must quickly assess and intervene to provide life-saving measures. What is the correct order of actions she should follow?

18 / 30

18. The nursing manager is forming a committee to tackle the issue of violence against emergency department (ED) staff. To ensure all perspectives are considered, which combination of employees would be the most appropriate for this task?

19 / 30

19. Nurse Jamie is preparing to assist with the care of a 35-year-old patient who has been experiencing continuous seizure activity for the past 45 minutes, indicating status epilepticus. Given the patient's history and current condition, which medication does Nurse Jamie anticipate the physician will order?

20 / 30

20. Nurse Laura is managing the care of a sexual assault victim and is assigning tasks to the team. Which task is most appropriate for the LPN/LVN to handle?

21 / 30

21. Nurse Taylor is assessing multiple patients in the emergency department who are experiencing acute abdominal pain. She must prioritize them according to the urgency of their conditions. How should Nurse Taylor rank the severity of these cases?

  1. A 35-year-old male with severe, cramping abdominal pain and diarrhea two hours after eating.
  2. An 11-year-old boy with low-grade fever, left lower quadrant pain, nausea, and no appetite for the past 2 days.
  3. A 40-year-old female with left upper quadrant pain, vomiting bile, and worsening symptoms over the past week.
  4. A 56-year-old male with a pulsating abdominal mass and sudden, pressure-like pain in the abdomen and flank.

22 / 30

22. Nurse David is receiving a patient transported by EMS with severe chest pain. As the patient is moved to the emergency stretcher, Nurse David notices that the patient is unresponsive, not breathing, and has no pulse. He needs to delegate tasks quickly to the nursing assistant. Which task is appropriate for the nursing assistant to perform?

23 / 30

23. A 24-year-old patient presents to the emergency department with a suspected spinal cord injury after a motor vehicle accident. Which intervention should the nurse implement first?

24 / 30

24. Nurse Jenna is assessing a patient who has presented with a cat bite on the left hand. While gathering information, she discovers that the cat's immunizations are current, but the patient cannot recall the date of their last tetanus shot. What should Nurse Jenna identify as the priority nursing diagnosis?

25 / 30

25. Nurse Kelly is assessing a child brought to the emergency department after ingesting an unknown amount of children's chewable vitamins at an unknown time. The child is alert and shows no symptoms. Which piece of information should Nurse Kelly immediately report to the physician?

26 / 30

26. Nurse Emily is preparing a child for IV conscious sedation before the repair of a facial laceration. During this process, certain situations arise that may require immediate communication with the physician. Which information should Nurse Emily report to the physician right away?

27 / 30

27. Nurse Alex is assisting in the emergency intubation of a patient. After the procedure, Alex must verify the placement of the endotracheal tube and ensure it is secure. What is the correct order of steps to accomplish this?

  1. Obtain a chest x-ray order to confirm tube placement.
  2. Secure the tube to keep it in position.
  3. Listen to the chest while assisting with ventilation.
  4. Check for equal and bilateral breath sounds.

28 / 30

28. Nurse Sam is caring for a patient who was involved in a one-car rollover accident and presents with multiple injuries. To ensure appropriate trauma care, Nurse Sam must prioritize the following interventions. What steps should he take, in order?

29 / 30

29. As the charge nurse in the emergency department, Nurse Linda needs to ensure that the triage area is staffed with the most appropriate team to handle complex and time-sensitive assessments. Which team should she assign to manage the triage area?

30 / 30

30. Nurse Kelly is assessing a teenager who arrived in the emergency department after being poked in the abdomen with a stick. The patient is alert, but his clothes are covered in blood, and his friends are hysterically explaining what happened. Which comment should Nurse Kelly prioritize first?