NUR 254 Emergency Nursing EXAM 2026-2027 QUESTIONS AND
ANSWERS 100 % PASS SOLUTION A+ GRADE
The nurse is leading a child safety course at a local hospital for the parents of infants and
preschool aged children. What resource would the nurse recommend to determine whether
contact with a substance requires medical attention?
1. the labeling on the container the substance comes from
2. googling the name of the substance and the word "ingestion"
3. emergency services (dialing 911)
4. poison control - answer>>4
Which of the following patients could wait for treatment in the ER?
1. patient with left sided paralysis who is unable to speak
2. patient with SOB and severe chest pain, satting 92%RA
3. patient with gunshot wound to lower abdomen, bleeding is controlled
4. patient with COPD exacerbation following an asthma attack, O2 is 88%RA - answer>>4
EMS is bringing a patient to the ED who was found trapped in their car after sliding on ice and
crashing into a tree. The patient's body temp on arrival to the hospital is 86F. The nurse knows
that which of the following is the priority for this patient?
1. preparing for immediate CPR and defibrillation
2. warming the patient to at least 88F and then using crash cart
3. slowly infusing warmed fluids and applying a heating blanket
4. the nurse knows that nothing can be done for this patient but a code blue must be called -
answer>>2
The ER nurse takes report from EMS on a patient who had a heart attack. The patient's wife
states that he was on a hunting trip with his friends and got caught in the rain for several hours
in subfreezing temps. The patient got home, was acting strangely, and was very pale and cold.
The wife told him to take a hot shower and found him on the shower floor ten minutes later,
clutching his chest. The nurse knows that which of the following has likely occurred?
1. the cold weather caused his heart to fail
, 2. the cold temperatures caused a buildup of lactic acid, which caused arrhythmias upon the
rapid rewarming of the blood
3. the patient's cardiac tissues were not being perfused in the cold weather and he was likely
having an MI when he got home
4. the patient would have had an MI regardless of the weather - answer>>2
The nurse is triaging several cold weather related ailments. Who should be seen first?
1. homeless patient with a body temp of 97 who is confused but has been given warm clothes
and a blanket in the waiting room
2. 30 year old who slipped on some ice and was unable to get inside for two hours in freezing
rain. R 35, O2 90%, extremities are pink and painful
3. 87 year old with dementia who was found in a local park during a cold snap. Shoes and feet
are soaked and cold, skin is pale and hard. Witness stated "he was standing in the fountain and I
thought he was a statue. He was there for an hour while I was jogging". Patient unable to move
or feel his feet
4. 43 year old who was pulled from a lake after her car spun out on ice and crashed. Patient
reports no pain, but seems confused and dazed. Extremities are cold and hard, body temp 94F. -
answer>>4
A 50 year old male is brought to the ED by his partner, who reports that the patient was
stripping furniture in their basement and lost consciousness as a result of the fumes. What
should be the priority assessments for the nurse? SATA
1. determining what product the patient was exposed to
2. monitoring the patient's O2 levels
3. assessing the patient's vitals every 2 hours
4. inquiring about the patient's family medical history
5. getting the patient on EKG monitoring - answer>>1, 2, 5
A college student is brought to the ED after a night out with friends. She is semi-conscious and
her friends suspect that someone might have put something in one of her drinks. The nurse's
priority action should be:
1. educate the patient and her friends about the dangers of binge drinking
2. assess the patient's vital signs and draw blood for labs
ANSWERS 100 % PASS SOLUTION A+ GRADE
The nurse is leading a child safety course at a local hospital for the parents of infants and
preschool aged children. What resource would the nurse recommend to determine whether
contact with a substance requires medical attention?
1. the labeling on the container the substance comes from
2. googling the name of the substance and the word "ingestion"
3. emergency services (dialing 911)
4. poison control - answer>>4
Which of the following patients could wait for treatment in the ER?
1. patient with left sided paralysis who is unable to speak
2. patient with SOB and severe chest pain, satting 92%RA
3. patient with gunshot wound to lower abdomen, bleeding is controlled
4. patient with COPD exacerbation following an asthma attack, O2 is 88%RA - answer>>4
EMS is bringing a patient to the ED who was found trapped in their car after sliding on ice and
crashing into a tree. The patient's body temp on arrival to the hospital is 86F. The nurse knows
that which of the following is the priority for this patient?
1. preparing for immediate CPR and defibrillation
2. warming the patient to at least 88F and then using crash cart
3. slowly infusing warmed fluids and applying a heating blanket
4. the nurse knows that nothing can be done for this patient but a code blue must be called -
answer>>2
The ER nurse takes report from EMS on a patient who had a heart attack. The patient's wife
states that he was on a hunting trip with his friends and got caught in the rain for several hours
in subfreezing temps. The patient got home, was acting strangely, and was very pale and cold.
The wife told him to take a hot shower and found him on the shower floor ten minutes later,
clutching his chest. The nurse knows that which of the following has likely occurred?
1. the cold weather caused his heart to fail
, 2. the cold temperatures caused a buildup of lactic acid, which caused arrhythmias upon the
rapid rewarming of the blood
3. the patient's cardiac tissues were not being perfused in the cold weather and he was likely
having an MI when he got home
4. the patient would have had an MI regardless of the weather - answer>>2
The nurse is triaging several cold weather related ailments. Who should be seen first?
1. homeless patient with a body temp of 97 who is confused but has been given warm clothes
and a blanket in the waiting room
2. 30 year old who slipped on some ice and was unable to get inside for two hours in freezing
rain. R 35, O2 90%, extremities are pink and painful
3. 87 year old with dementia who was found in a local park during a cold snap. Shoes and feet
are soaked and cold, skin is pale and hard. Witness stated "he was standing in the fountain and I
thought he was a statue. He was there for an hour while I was jogging". Patient unable to move
or feel his feet
4. 43 year old who was pulled from a lake after her car spun out on ice and crashed. Patient
reports no pain, but seems confused and dazed. Extremities are cold and hard, body temp 94F. -
answer>>4
A 50 year old male is brought to the ED by his partner, who reports that the patient was
stripping furniture in their basement and lost consciousness as a result of the fumes. What
should be the priority assessments for the nurse? SATA
1. determining what product the patient was exposed to
2. monitoring the patient's O2 levels
3. assessing the patient's vitals every 2 hours
4. inquiring about the patient's family medical history
5. getting the patient on EKG monitoring - answer>>1, 2, 5
A college student is brought to the ED after a night out with friends. She is semi-conscious and
her friends suspect that someone might have put something in one of her drinks. The nurse's
priority action should be:
1. educate the patient and her friends about the dangers of binge drinking
2. assess the patient's vital signs and draw blood for labs
