ENA EMERGENCY NURSING ORIENTATION 3.0
PRACTICE TEST 2026 CORRECT RESULTS A+
◉ Which disorder is an inherited disease?
A. Syndrome of inappropriate antidiuretic hormone
B. Acute idiopathic thrombocytopenic purpura
C. Acute leukemia
D. Sickle cell disease Answer: D. Sickle cell disease
◉ Which disorder causes unbearable pain due to increased pressure
and dilation of the kidney? Answer: B. Prostatitis
◉ For which drugs can you obtain blood levels to determine
toxicity?
A. Morphine and hydrocodone (Vicodin)
B. Marijuana and cocaine
C. Acetaminophen (Tylenol) and digoxin (Lanoxin)
D. Diazepam (Valium) and midazolam (Versed) Answer: C.
Acetaminophen (Tylenol) and digoxin (Lanoxin)
,◉ Which hourly amount of intravenous fluid should the nurse
administer to a 75-kg patient with a significant electrical burn?
Answer: 1,500 mL/hour
◉ Which intervention is indicated for a patient with an amputation?
A. Maintain the limb in the correct anatomic position.
B. Clean the amputated part with povidone-iodine (Betadine)
solution.
C. Soak the stump in distilled water.
D. Place the amputated part directly in ice. Answer: A. Maintain the
limb in the correct anatomic position.
◉ Which disorder causes unbearable pain due to increased pressure
and dilation of the kidney? Answer: B. Prostatitis
◉ A woman, age 27, presents to your emergency department with
chills, fever, abdominal pain, nausea, vomiting, and tachycardia. The
abdominal pain becomes localized in her right lower quadrant. What
is your priority intervention? Answer: Initiate intravenous access.
◉ Which statement accurately characterizes shock in a pregnant
patient? Answer: The risk of fetal distress exists despite maternal
stability.
,◉ The inadequate or impaired secretion of antidiuretic hormone
(ADH [vasopressin]) causes which endocrine emergency? Answer:
Diabetes insipidus
◉ A patient reports that she had a positive pregnancy test 1 week
ago and now has left lower quadrant pain, which was severe and
then seemed to get better. On assessment, you note that she has a
weak radial pulse, tachycardia, and pallor. Which intervention
should you anticipate as the priority? Answer: Establish vascular
access.
◉ A patient has stable, monomorphic ventricular tachycardia. To
perform synchronized cardioversion with a biphasic defibrillator
and convert this dysrhythmia, which energy setting should be used
first? Answer: 100 joules
◉ A paraplegic patient comes to the ED with a severe headache and
blurred vision. Findings include a flushed face, severe hypertension,
and bradycardia. What is the most likely cause of these signs and
symptoms? Answer: Constipation
◉ Which medication should be administered during the
resuscitation of a patient with ventricular fibrillation?
A. Ibutilide (Corvert)
, B. Procainamide (Pronestyl)
C. Epinephrine (Adrenalin)
D. Sotalol (Betapace) Answer: C.
During the resuscitation of a patient with ventricular fibrillation,
administer intravenous epinephrine (Adrenalin) or vasopressin
(Pitressin) to enhance the effectiveness of the cardiopulmonary
resuscitation. Procainamide (Pronestyl) or sotalol (Betapace) may
be prescribed for a patient with stable ventricular tachycardia.
Ibutilide is used to convert new-onset atrial fibrillation.
◉ A man, age 75, presents with blurred vision, flushing, fever,
tachycardia, and urine retention. These manifestations suggest
which toxidrome?
A. Anticholinergic
B. Opioid
C. Sympathomimetic
D. Cholinergic Answer: A
◉ Which statement accurately characterizes immune
thrombocytopenic purpura?
A. It is caused by immune autoreactive antibodies.
PRACTICE TEST 2026 CORRECT RESULTS A+
◉ Which disorder is an inherited disease?
A. Syndrome of inappropriate antidiuretic hormone
B. Acute idiopathic thrombocytopenic purpura
C. Acute leukemia
D. Sickle cell disease Answer: D. Sickle cell disease
◉ Which disorder causes unbearable pain due to increased pressure
and dilation of the kidney? Answer: B. Prostatitis
◉ For which drugs can you obtain blood levels to determine
toxicity?
A. Morphine and hydrocodone (Vicodin)
B. Marijuana and cocaine
C. Acetaminophen (Tylenol) and digoxin (Lanoxin)
D. Diazepam (Valium) and midazolam (Versed) Answer: C.
Acetaminophen (Tylenol) and digoxin (Lanoxin)
,◉ Which hourly amount of intravenous fluid should the nurse
administer to a 75-kg patient with a significant electrical burn?
Answer: 1,500 mL/hour
◉ Which intervention is indicated for a patient with an amputation?
A. Maintain the limb in the correct anatomic position.
B. Clean the amputated part with povidone-iodine (Betadine)
solution.
C. Soak the stump in distilled water.
D. Place the amputated part directly in ice. Answer: A. Maintain the
limb in the correct anatomic position.
◉ Which disorder causes unbearable pain due to increased pressure
and dilation of the kidney? Answer: B. Prostatitis
◉ A woman, age 27, presents to your emergency department with
chills, fever, abdominal pain, nausea, vomiting, and tachycardia. The
abdominal pain becomes localized in her right lower quadrant. What
is your priority intervention? Answer: Initiate intravenous access.
◉ Which statement accurately characterizes shock in a pregnant
patient? Answer: The risk of fetal distress exists despite maternal
stability.
,◉ The inadequate or impaired secretion of antidiuretic hormone
(ADH [vasopressin]) causes which endocrine emergency? Answer:
Diabetes insipidus
◉ A patient reports that she had a positive pregnancy test 1 week
ago and now has left lower quadrant pain, which was severe and
then seemed to get better. On assessment, you note that she has a
weak radial pulse, tachycardia, and pallor. Which intervention
should you anticipate as the priority? Answer: Establish vascular
access.
◉ A patient has stable, monomorphic ventricular tachycardia. To
perform synchronized cardioversion with a biphasic defibrillator
and convert this dysrhythmia, which energy setting should be used
first? Answer: 100 joules
◉ A paraplegic patient comes to the ED with a severe headache and
blurred vision. Findings include a flushed face, severe hypertension,
and bradycardia. What is the most likely cause of these signs and
symptoms? Answer: Constipation
◉ Which medication should be administered during the
resuscitation of a patient with ventricular fibrillation?
A. Ibutilide (Corvert)
, B. Procainamide (Pronestyl)
C. Epinephrine (Adrenalin)
D. Sotalol (Betapace) Answer: C.
During the resuscitation of a patient with ventricular fibrillation,
administer intravenous epinephrine (Adrenalin) or vasopressin
(Pitressin) to enhance the effectiveness of the cardiopulmonary
resuscitation. Procainamide (Pronestyl) or sotalol (Betapace) may
be prescribed for a patient with stable ventricular tachycardia.
Ibutilide is used to convert new-onset atrial fibrillation.
◉ A man, age 75, presents with blurred vision, flushing, fever,
tachycardia, and urine retention. These manifestations suggest
which toxidrome?
A. Anticholinergic
B. Opioid
C. Sympathomimetic
D. Cholinergic Answer: A
◉ Which statement accurately characterizes immune
thrombocytopenic purpura?
A. It is caused by immune autoreactive antibodies.
