BCIT NSER 7110 EMERGENCY NURSING
1|Page
THEORY REAL QUESTIONS AND CORRECT
ANSWERS 100% VERIFIED GRADED A+
UPDATED
BCIT NSER 7110 EMERGENCY NURSING
THEORY REAL QUESTIONS AND CORRECT
ANSWERS 100% VERIFIED GRADED A+
UPDATED
When resuscitating a severely hypovolemic patient, when should blood products be
considered?
A) after 4-6 litres of crystalloids have been infused and the patient remains unstable
B) after 2-3 litres of crystalloids have been infused and the patient remains unstable
C) only when obvious deadly bleeding is observed
D) only when the serum blood test results reveal a severely low hemoglobin - ANSWER:
B) after 2-3 liters of crystalloids have been infused and the patient remains unstable
,2|Page
True or false: all ectopic pregnancies must be managed surgically? - ANSWER: false
Which blood component contains coagulation factors? a)
PRBC
b) platelets
c) plasma
d) RH positive blood - ANSWER: c) plasma
A geriatric patient presents to your ED with a sudden onset of confusion. What is the most
common cause of acute confusion in the elderly? a)
Adverse effects from medications (i.e. drug-drug interaction or toxic levels of drug)
b)
Untreated anemia c)
Nutritional deficiency d)
It is a normal result from the aging process - ANSWER: A) adverse effects from
medications
Which of the following statements about crystalloids is false? a)
They most closely mimic the body's extracellular fluid b)
They draw fluid from the interstitial and intracellular space into the intravascular space c)
Examples of crystalloids include normal saline and ringers lactate d)
They expand circulating volume so it is important to monitor for fluid excess or overload -
ANSWER: B) they draw fluid from the interstitial and intracellular space into the
intravascular space
Which of the following statements about medications used in RSI are true?
1. An induction agent should be given prior to a neuromuscular blocking agent
, BCIT NSER 7110 EMERGENCY NURSING
3|Page
THEORY REAL QUESTIONS AND CORRECT
ANSWERS 100% VERIFIED GRADED A+
UPDATED
2. A non-depolarizing NMBA might be preferred over a depolarizing NMBA in a patient
with a crush injury, renal disease, or hyperkalemia
3. A dose of Atropine should be considered in infants < 12 months of age to prevent reflex
bradycardia
4. Propofol is a good induction agent choice in the hemodynamically unstable patient due to
it's hemoprotective characteristics a) 1 and 2 b) 2 and 3 c)
1, 2, and 3
d)
1, 3, and 4 - ANSWER: C) 1, 2, 3
1. An induction agent should be given prior to a neuromuscular blocking agent
2. A non-depolarizing NMBA might be preferred over a depolarizing NMBA in a patient
with a crush injury, renal disease, or hyperkalemia
3. A dose of Atropine should be considered in infants < 12 months of age to prevent reflex
bradycardia
Which of the following would be appropriate actions to take when a patient discloses they are
experiencing intimate partner violence?
1. Validate that the disclosure and ask open ended questions about the abuse they are
experiencing2. Determine if they feel safe leaving the ED, and if not, link them to a domestic
violence agency to seek alternative housing3. Offer the opportunity for assistance in
contacting law enforcement should they want to report the IPV4. Provide instructions on how
to keep them (and their children) safe should they need to leave the home quickly if violence
escalates5. Provide a referral to local or national IPV/domestic violence hot lines.
, 4|Page
a) 1, 2,
and 5 b)
1, 3, and 4
c)
2, 3, and 5
d)
1, 2, 3, and 4 e)
1, 2, 3, 4 and 5 - ANSWER: E) 1, 2, 3, 4, 5
Which of the following is not a potential cause of hypovolemic shock? a)
Ruptured ectopic pregnancy b)
Prolonged vomiting and diarrhea c)
A large surface burn d)
A pulmonary embolism - ANSWER: D) pulmonary embolism
The most significant potential problem for a patient with a tubal rupture from an ectopic
pregnancy is: A)
serious abdominal pain B)
hypovolemic shock
C) fetal death D)
surgical scarring - ANSWER: B) hypovolemic shock
A septic patient's MAP is still only 58 after receiving 2 fluid boluses. The physician does not
want to give further crystalloid boluses. What is the next best treatment option?
A)
Trendelenburg position to "fool the baroreceptors" and increase the MAP.
B) giving colloids such as blood or Pentaspan.
C)
MAST pants, if available in the hospital. D)
initiating vasopressors to "squeeze the pipes." - ANSWER: D) initiating vasopressors to
squeeze the pipes
1|Page
THEORY REAL QUESTIONS AND CORRECT
ANSWERS 100% VERIFIED GRADED A+
UPDATED
BCIT NSER 7110 EMERGENCY NURSING
THEORY REAL QUESTIONS AND CORRECT
ANSWERS 100% VERIFIED GRADED A+
UPDATED
When resuscitating a severely hypovolemic patient, when should blood products be
considered?
A) after 4-6 litres of crystalloids have been infused and the patient remains unstable
B) after 2-3 litres of crystalloids have been infused and the patient remains unstable
C) only when obvious deadly bleeding is observed
D) only when the serum blood test results reveal a severely low hemoglobin - ANSWER:
B) after 2-3 liters of crystalloids have been infused and the patient remains unstable
,2|Page
True or false: all ectopic pregnancies must be managed surgically? - ANSWER: false
Which blood component contains coagulation factors? a)
PRBC
b) platelets
c) plasma
d) RH positive blood - ANSWER: c) plasma
A geriatric patient presents to your ED with a sudden onset of confusion. What is the most
common cause of acute confusion in the elderly? a)
Adverse effects from medications (i.e. drug-drug interaction or toxic levels of drug)
b)
Untreated anemia c)
Nutritional deficiency d)
It is a normal result from the aging process - ANSWER: A) adverse effects from
medications
Which of the following statements about crystalloids is false? a)
They most closely mimic the body's extracellular fluid b)
They draw fluid from the interstitial and intracellular space into the intravascular space c)
Examples of crystalloids include normal saline and ringers lactate d)
They expand circulating volume so it is important to monitor for fluid excess or overload -
ANSWER: B) they draw fluid from the interstitial and intracellular space into the
intravascular space
Which of the following statements about medications used in RSI are true?
1. An induction agent should be given prior to a neuromuscular blocking agent
, BCIT NSER 7110 EMERGENCY NURSING
3|Page
THEORY REAL QUESTIONS AND CORRECT
ANSWERS 100% VERIFIED GRADED A+
UPDATED
2. A non-depolarizing NMBA might be preferred over a depolarizing NMBA in a patient
with a crush injury, renal disease, or hyperkalemia
3. A dose of Atropine should be considered in infants < 12 months of age to prevent reflex
bradycardia
4. Propofol is a good induction agent choice in the hemodynamically unstable patient due to
it's hemoprotective characteristics a) 1 and 2 b) 2 and 3 c)
1, 2, and 3
d)
1, 3, and 4 - ANSWER: C) 1, 2, 3
1. An induction agent should be given prior to a neuromuscular blocking agent
2. A non-depolarizing NMBA might be preferred over a depolarizing NMBA in a patient
with a crush injury, renal disease, or hyperkalemia
3. A dose of Atropine should be considered in infants < 12 months of age to prevent reflex
bradycardia
Which of the following would be appropriate actions to take when a patient discloses they are
experiencing intimate partner violence?
1. Validate that the disclosure and ask open ended questions about the abuse they are
experiencing2. Determine if they feel safe leaving the ED, and if not, link them to a domestic
violence agency to seek alternative housing3. Offer the opportunity for assistance in
contacting law enforcement should they want to report the IPV4. Provide instructions on how
to keep them (and their children) safe should they need to leave the home quickly if violence
escalates5. Provide a referral to local or national IPV/domestic violence hot lines.
, 4|Page
a) 1, 2,
and 5 b)
1, 3, and 4
c)
2, 3, and 5
d)
1, 2, 3, and 4 e)
1, 2, 3, 4 and 5 - ANSWER: E) 1, 2, 3, 4, 5
Which of the following is not a potential cause of hypovolemic shock? a)
Ruptured ectopic pregnancy b)
Prolonged vomiting and diarrhea c)
A large surface burn d)
A pulmonary embolism - ANSWER: D) pulmonary embolism
The most significant potential problem for a patient with a tubal rupture from an ectopic
pregnancy is: A)
serious abdominal pain B)
hypovolemic shock
C) fetal death D)
surgical scarring - ANSWER: B) hypovolemic shock
A septic patient's MAP is still only 58 after receiving 2 fluid boluses. The physician does not
want to give further crystalloid boluses. What is the next best treatment option?
A)
Trendelenburg position to "fool the baroreceptors" and increase the MAP.
B) giving colloids such as blood or Pentaspan.
C)
MAST pants, if available in the hospital. D)
initiating vasopressors to "squeeze the pipes." - ANSWER: D) initiating vasopressors to
squeeze the pipes
