ENA EMERGENCY NURSING // ENA EMERGENCY NURSING
ORIENTATION REAL EXAM AND STUDY GUIDE 400+
QUESTIONS AND CORRECT ANSWERS 2024-2025
LATEST//ALREADY GRADED A+
Which sexually transmitted infection causes pink-gray soft lesions with no discharge? - CORRECT
ANSWER-D. Human papillomavirus
An overdose of which nonsteroidal anti-inflammatory drug can cause seizures?
A. Ketorolac (Toradol)
B. Celecoxib (Celebrex)
C. Indomethacin (Indocin)
D. Piroxicam (Feldene) - CORRECT ANSWER-D. Piroxicam (Feldene)
According to the American Burn Association's classification of injury severity, where should care occur for
an adult younger than age 40 with deep, partial-thickness burns over 27 percent of the total body
surface area? - CORRECT ANSWER-Specialized burn facility
Which sexually transmitted infection causes pink-gray soft lesions with no discharge? - CORRECT
ANSWER-D. Human papillomavirus
In a patient with immune thrombocytopenic purpura, which finding should you expect?
A. Tachypnea
B. Severe pain
C. Petechiae
D. Narrowing pulse pressure - CORRECT ANSWER-C. Petechiae
Which is the main electrolyte disturbance in rhabdomyolysis? - CORRECT ANSWER-C. Hyperkalemia
,Which drug can cause a sense of omnipotence, excitement, hyperalertness, hyperactivity, or
hypersexuality?
A. Clonidine (Catapres)
B. Methaqualone (Quaalude)
C. Amphetamine (Adderall)
D. Amitriptyline (Elavil) - CORRECT ANSWER-C. Amphetamine (Adderall)
Among patients with contact burns, which body region is the most common injury site? - CORRECT
ANSWER-Palm of the hand
Volkmann's contracture may be a complication of which fracture?
A. Shoulder fracture
B. Elbow fracture
C. Scapular fracture
D. Clavicular fracture - CORRECT ANSWER-B. Elbow fracture
Which is the main electrolyte disturbance in rhabdomyolysis? - CORRECT ANSWER-C. Hyperkalemia
What is the cardinal sign of lower gastrointestinal bleeding? - CORRECT ANSWER-hematochezia
Which type of shock is typically associated with acute spinal cord disruption from trauma or spinal
anesthesia? - CORRECT ANSWER-Neurogenic shock
Which medications can precipitate a hyperosmolar hyperglycemic state? - CORRECT ANSWER-
Diuretics
,For a patient with an obstetric emergency, what are the priorities during the initial assessment? -
CORRECT ANSWER-Airway, breathing, and circulation
A preexcitation syndrome, such as Wolff-Parkinson-White syndrome, results from which conduction
pattern? - CORRECT ANSWER-Atrial impulses bypass the typical electrical pathway and activate the
ventricular myocardium directly.
For a patient with partial airway obstruction who cannot tolerate the supine position for spinal
stabilization, which intervention is appropriate? - CORRECT ANSWER-Protect the cervical spine in the
position the patient uses to protect the airway.
Which method delivers nonsynchronous energy to the myocardium?
A. Transcutaneous pacing
B. Cardioversion
C. Defibrillation
D. Transvenous pacing - CORRECT ANSWER-C.
Defibrillation is the nonsynchronous delivery of energy to the heart during any phase of the cardiac
cycle. The intent of this energy delivery is to simultaneously depolarize all of the heart cells, interrupting
the abnormal electrical rhythm and allowing the sinoatrial node to resume its normal pacemaker activity.
In synchronized cardioversion, energy delivery is timed to correspond with the QRS complex to avoid
shock delivery during the relative refractory period, which can induce ventricular fibrillation.
Transcutaneous and transvenous pacemakers electrically stimulate a heartbeat when the heart's intrinsic
electrical system cannot generate a rate that is adequate to support cardiac output.
Which type of toxicity causes hyperglycemia?
A. Methanol
B. Ethanol
C. Isopropanol
, D. Ethylene glycol - CORRECT ANSWER-C
Which disorder is an inherited disease?
A. Syndrome of inappropriate antidiuretic hormone
B. Acute idiopathic thrombocytopenic purpura
C. Acute leukemia
D. Sickle cell disease - CORRECT ANSWER-D. Sickle cell disease
Which disorder causes unbearable pain due to increased pressure and dilation of the kidney? - CORRECT
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) - CORRECT 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? - CORRECT 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.
ORIENTATION REAL EXAM AND STUDY GUIDE 400+
QUESTIONS AND CORRECT ANSWERS 2024-2025
LATEST//ALREADY GRADED A+
Which sexually transmitted infection causes pink-gray soft lesions with no discharge? - CORRECT
ANSWER-D. Human papillomavirus
An overdose of which nonsteroidal anti-inflammatory drug can cause seizures?
A. Ketorolac (Toradol)
B. Celecoxib (Celebrex)
C. Indomethacin (Indocin)
D. Piroxicam (Feldene) - CORRECT ANSWER-D. Piroxicam (Feldene)
According to the American Burn Association's classification of injury severity, where should care occur for
an adult younger than age 40 with deep, partial-thickness burns over 27 percent of the total body
surface area? - CORRECT ANSWER-Specialized burn facility
Which sexually transmitted infection causes pink-gray soft lesions with no discharge? - CORRECT
ANSWER-D. Human papillomavirus
In a patient with immune thrombocytopenic purpura, which finding should you expect?
A. Tachypnea
B. Severe pain
C. Petechiae
D. Narrowing pulse pressure - CORRECT ANSWER-C. Petechiae
Which is the main electrolyte disturbance in rhabdomyolysis? - CORRECT ANSWER-C. Hyperkalemia
,Which drug can cause a sense of omnipotence, excitement, hyperalertness, hyperactivity, or
hypersexuality?
A. Clonidine (Catapres)
B. Methaqualone (Quaalude)
C. Amphetamine (Adderall)
D. Amitriptyline (Elavil) - CORRECT ANSWER-C. Amphetamine (Adderall)
Among patients with contact burns, which body region is the most common injury site? - CORRECT
ANSWER-Palm of the hand
Volkmann's contracture may be a complication of which fracture?
A. Shoulder fracture
B. Elbow fracture
C. Scapular fracture
D. Clavicular fracture - CORRECT ANSWER-B. Elbow fracture
Which is the main electrolyte disturbance in rhabdomyolysis? - CORRECT ANSWER-C. Hyperkalemia
What is the cardinal sign of lower gastrointestinal bleeding? - CORRECT ANSWER-hematochezia
Which type of shock is typically associated with acute spinal cord disruption from trauma or spinal
anesthesia? - CORRECT ANSWER-Neurogenic shock
Which medications can precipitate a hyperosmolar hyperglycemic state? - CORRECT ANSWER-
Diuretics
,For a patient with an obstetric emergency, what are the priorities during the initial assessment? -
CORRECT ANSWER-Airway, breathing, and circulation
A preexcitation syndrome, such as Wolff-Parkinson-White syndrome, results from which conduction
pattern? - CORRECT ANSWER-Atrial impulses bypass the typical electrical pathway and activate the
ventricular myocardium directly.
For a patient with partial airway obstruction who cannot tolerate the supine position for spinal
stabilization, which intervention is appropriate? - CORRECT ANSWER-Protect the cervical spine in the
position the patient uses to protect the airway.
Which method delivers nonsynchronous energy to the myocardium?
A. Transcutaneous pacing
B. Cardioversion
C. Defibrillation
D. Transvenous pacing - CORRECT ANSWER-C.
Defibrillation is the nonsynchronous delivery of energy to the heart during any phase of the cardiac
cycle. The intent of this energy delivery is to simultaneously depolarize all of the heart cells, interrupting
the abnormal electrical rhythm and allowing the sinoatrial node to resume its normal pacemaker activity.
In synchronized cardioversion, energy delivery is timed to correspond with the QRS complex to avoid
shock delivery during the relative refractory period, which can induce ventricular fibrillation.
Transcutaneous and transvenous pacemakers electrically stimulate a heartbeat when the heart's intrinsic
electrical system cannot generate a rate that is adequate to support cardiac output.
Which type of toxicity causes hyperglycemia?
A. Methanol
B. Ethanol
C. Isopropanol
, D. Ethylene glycol - CORRECT ANSWER-C
Which disorder is an inherited disease?
A. Syndrome of inappropriate antidiuretic hormone
B. Acute idiopathic thrombocytopenic purpura
C. Acute leukemia
D. Sickle cell disease - CORRECT ANSWER-D. Sickle cell disease
Which disorder causes unbearable pain due to increased pressure and dilation of the kidney? - CORRECT
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) - CORRECT 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? - CORRECT 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.
