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| Section | Weight | Objectives |
|---|---|---|
| Neurological Emergencies | 11% | - Traumatic brain injury - Intracranial hypertension - Seizures & status epilepticus - Spinal cord injury - Stroke & TIA |
| Maxillofacial & Ocular Emergencies | 7% | - Eye injuries & infections - Facial trauma - Dental & ENT emergencies |
| Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies | 12% | - Renal failure & urologic issues - Hepatic & biliary disorders - Gynecologic emergencies - Pregnancy-related emergencies - GI bleeding & obstruction |
| Cardiovascular Emergencies | 12% | - Dysrhythmias - Heart failure - Acute coronary syndrome - Vascular emergencies - Shock states |
| Environment, Toxicology & Communicable Diseases | 10% | - Infection control & isolation - Poisoning & overdose - Heat/cold-related illness - Bites & envenomation |
| Mental Health Emergencies | 7% | - Anxiety & psychosis - Violence & aggression - Substance abuse & withdrawal - Suicide risk assessment |
| Respiratory Emergencies | 11% | - Asthma & COPD - Pulmonary embolism - Respiratory failure - Airway management - Pneumothorax |
| Musculoskeletal & Wound Emergencies | 9% | - Soft tissue injuries - Fractures & dislocations - Wound care & infection control - Compartment syndrome |
| Medical Emergencies | 9% | - Electrolyte imbalances - Endocrine disorders - Hematologic & oncologic issues - Infectious diseases |
| Professional Issues | 10% | - Triage principles - Patient safety & quality improvement - Legal & ethical standards - Documentation & confidentiality |
1. Your patient has come into the emergency department with a self-inflicted wrist laceration that has severe
bleeding. You have begun to apply pressure to the wound. What would your immediate priority be?
A) Monitor the patient for signs of shock.
B) Place the extremity below the level of the heart.
C) See to the patient's need for psychiatric evaluation.
D) Lower the patient's body temperature to decrease circulation.
2. You are providing an education session for you unit on abuse of older patients. Which of the following
patients is most likely to be an abused patient?
A) A 70-year old-patient with newly diagnosed cataracts
B) A 75-year-old patient with moderate hypertension
C) A 90-year-old patient with advanced Parkinson's disease
D) A 68-year-old patient with early Lyme disease
3. Your patient is receiving lithium carbonate (Lithobid). She reports to you that she is having loose, watery
stools and difficulty walking. What do you suspect the patient's lithium level will be?
A) 1.3 mEq/L
B) 1.8 mEq/L
C) 0.7 mEq/L
D) 1 mEq/L
4. You are caring for a patient in the withdrawal process. What medication do you expect the physician to
order to make the withdrawal process easier?
A) Benzodiazepine
B) Amphetamines
C) Naltrexone hydrochloride
D) Tetrahydrocannabinol
5. You are changing the tape on a tracheostomy tube when the patient coughs, and the tube becomes
dislodged. The initial action of the nurse should be:
A) Notify the physician.
B) Cover the site with a sterile dressing.
C) Notify the respiratory therapist.
D) Grasp the retention sutures and spread the opening.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
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