Page 1 of 34
EMERGENCY EXAM EVOLVE 2026 QUESTIONS NEWEST
2026 EXAM QUESTIONS LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
The emergency department nurse is assigned to five clients waiting for orders
to be implemented. Which client does the nurse assess first?
A. 60-year-old waiting for transport to the operating room for an emergency
appendectomy
B. 25-year-old with a closed femur fracture who received pain medication 10
minutes ago
C. 30-year-old with nausea and vomiting who has IV fluids infusing and is now
sleeping
D. 28-year-old construction worker with a laceration to the arm that is waiting
to be sutured
Answer: A
Rationale: The 60-year old client is scheduled for an emergent surgery and needs to
be assessed to be transported. The other clients are stable at this time or have less
life-threatening health problems.
A trauma client has been brought to the emergency department after a motor
vehicle crash. The client has severe injuries. What action does the nurse
perform first?
A. Start 2 large-bore IVs and run normal saline.
B. Apply oxygen and an oximeter probe to the client.
C. Stabilize the cervical spine and assess the airway.
D. Place pressure on a large bleeding wound to the forehead.
, Page 2 of 34
Answer: C
Rationale: Establishing an airway is always the priority in a client with major trauma.
The other interventions are done after the airway is established and patent.
What populations are at highest risk of safety compromise while in the ED?
Highest risk populations include older adults, confused patients, patients who were
given pain medication or sedation, patients impaired by drug or alcohol use, those
who are unconscious, and those with no identification. In addition any condition that
can cause dizziness and fainting or lying in the same position can cause a safety
risk. Invasive procedures can increase the patient's risk for infection.
What specific procedures can the unit implement to decrease medication
errors?
Decrease interruptions while obtaining and dispensing medications, ensure using
two methods of identification before giving medications, always ask about allergies
before giving any medication, and use standard policy for identifying unconscious
people or those who do not have identification.
What actions can be delegated to unlicensed personnel in the following areas:
medication administration, skin protection, and fall risk?
a. Medication administration: none
b. Skin protection: Institute turning schedule, keep linens dry and wrinkle free, keep
incontinent patients clean and dry, offer trips to the bathroom frequently for those
who can walk, and ensure that the patient is not lying on supplies or other items.
c. Fall risk: Sit with the patient, reorient the patient, ensure that the call light is within
reach, ensure that side rails are up, and ask about personal needs (e.g., bathroom,
water as allowed).
How can the staff reduce hazard risks for patients who are confused (either as
a chronic condition or as the result of medication side effects) or who have
delirium?
Reorient the patient as needed, provide a calm, quiet environment and have family
or familiar person sit at the bedside; if no family is available, provide a sitter. Use the
smallest dose of medication needed to control symptoms, reassure the patient that
he or she is safe, allow the patient to sit in a chair as tolerated, provide food and
fluids if allowed, keep the patient warm, and meet other needs that might lead to
patient trying to get up. Keep the siderails up and the call light in reach.
, Page 3 of 34
An older client with heat exhaustion is being cooled with cool water spray and
fanning. What assessment indicates to the nurse that the client needs
hospitalization?
A. The client is alert and oriented.
B. The client's mucous membranes are dry and sticky.
C. The client reports weakness and nausea.
D. The client continues to sweat while being cooled.
Answer: B
Rationale: Heat exhaustion is usually treatable with a cool water spray and fanning.
However, if the client does not respond to these interventions, heat stroke can occur
with severe dehydration. Dry and sticky membranes are present in clients with
severe dehydration.
An occupational health nurse is teaching a safety class to city employees who
work outdoors year round. What does the nurse teach are risk factors for
developing frostbite? Select all that apply.
A. Excessive fatigue
B. Prior episodes of frostbite
C. Diabetes or other peripheral vascular disease
D. Dehydration
E. Smoking
F. Wearing polyester socks
Answer: A, B, C, D, E
Rationale: All of these factors predispose a person to frostbite except for wearing
polyester socks.
A client on a climbing expedition reports a headache and nausea. The client
rests 1 day at the current altitude and then climbs further the following day.
The third day, other members of the climbing team note that the client has
developed gross motor coordination difficulties. What action by the team
nurse takes priority?
A. Administering acetazolamide (Diamox)
B. Providing 100% oxygen by facemask
, Page 4 of 34
C. Having the client descend to a lower altitude
D. Ensuring that the client stays warm at all times
Answer: C
Rationale: The client needs to be at a lower altitude first before other interventions
are used. Treating the client at a high altitude will not resolve the clinical
manifestations of altitude illness.
What risk factors did these people have for lightning injury?
The campers were participating in outdoor activities and had little shelter from the
impending storm. Some may have been wet from water activities or in or around
water, which would increase the flashover effect lightning had on that person.
Which person should the nurse assess first, and what is the priority of care of
this patient?
The nurse should assess the unconscious patient first. The most lethal effect of
lightning is on the cardiopulmonary system and can manifest as cardiopulmonary
arrest. If needed, the nurse needs to provide cardiopulmonary resuscitation to this
individual.
What potential complication does the nurse plan to address in the immediate
rescue period?
A potential complication the nurse must consider is the possibility of spinal cord
injury, especially if one of the victims was thrown by the strike. The individuals
reporting lower extremity weakness are also at risk for this complication.
What direction should the nurse give the large crowd of campers and camp
staff?
Unless someone is actively helping in the rescue effort, the nurse should direct the
crowd indoors to prevent further injuries. Someone should call 911 for prompt
evacuation of all injured people to a hospital for further assessment and care. If
available, dry sterile dressings can be applied to any obvious burns.
The nurse is triaging clients arriving at the hospital after a large scale disaster.
Which of these clients is correctly classified?
A. Young adult with closed fractures of her right leg and arm: Yellow tag
B. Older adult with severe abdominal pain who is dazed and confused: Black
tag
EMERGENCY EXAM EVOLVE 2026 QUESTIONS NEWEST
2026 EXAM QUESTIONS LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
The emergency department nurse is assigned to five clients waiting for orders
to be implemented. Which client does the nurse assess first?
A. 60-year-old waiting for transport to the operating room for an emergency
appendectomy
B. 25-year-old with a closed femur fracture who received pain medication 10
minutes ago
C. 30-year-old with nausea and vomiting who has IV fluids infusing and is now
sleeping
D. 28-year-old construction worker with a laceration to the arm that is waiting
to be sutured
Answer: A
Rationale: The 60-year old client is scheduled for an emergent surgery and needs to
be assessed to be transported. The other clients are stable at this time or have less
life-threatening health problems.
A trauma client has been brought to the emergency department after a motor
vehicle crash. The client has severe injuries. What action does the nurse
perform first?
A. Start 2 large-bore IVs and run normal saline.
B. Apply oxygen and an oximeter probe to the client.
C. Stabilize the cervical spine and assess the airway.
D. Place pressure on a large bleeding wound to the forehead.
, Page 2 of 34
Answer: C
Rationale: Establishing an airway is always the priority in a client with major trauma.
The other interventions are done after the airway is established and patent.
What populations are at highest risk of safety compromise while in the ED?
Highest risk populations include older adults, confused patients, patients who were
given pain medication or sedation, patients impaired by drug or alcohol use, those
who are unconscious, and those with no identification. In addition any condition that
can cause dizziness and fainting or lying in the same position can cause a safety
risk. Invasive procedures can increase the patient's risk for infection.
What specific procedures can the unit implement to decrease medication
errors?
Decrease interruptions while obtaining and dispensing medications, ensure using
two methods of identification before giving medications, always ask about allergies
before giving any medication, and use standard policy for identifying unconscious
people or those who do not have identification.
What actions can be delegated to unlicensed personnel in the following areas:
medication administration, skin protection, and fall risk?
a. Medication administration: none
b. Skin protection: Institute turning schedule, keep linens dry and wrinkle free, keep
incontinent patients clean and dry, offer trips to the bathroom frequently for those
who can walk, and ensure that the patient is not lying on supplies or other items.
c. Fall risk: Sit with the patient, reorient the patient, ensure that the call light is within
reach, ensure that side rails are up, and ask about personal needs (e.g., bathroom,
water as allowed).
How can the staff reduce hazard risks for patients who are confused (either as
a chronic condition or as the result of medication side effects) or who have
delirium?
Reorient the patient as needed, provide a calm, quiet environment and have family
or familiar person sit at the bedside; if no family is available, provide a sitter. Use the
smallest dose of medication needed to control symptoms, reassure the patient that
he or she is safe, allow the patient to sit in a chair as tolerated, provide food and
fluids if allowed, keep the patient warm, and meet other needs that might lead to
patient trying to get up. Keep the siderails up and the call light in reach.
, Page 3 of 34
An older client with heat exhaustion is being cooled with cool water spray and
fanning. What assessment indicates to the nurse that the client needs
hospitalization?
A. The client is alert and oriented.
B. The client's mucous membranes are dry and sticky.
C. The client reports weakness and nausea.
D. The client continues to sweat while being cooled.
Answer: B
Rationale: Heat exhaustion is usually treatable with a cool water spray and fanning.
However, if the client does not respond to these interventions, heat stroke can occur
with severe dehydration. Dry and sticky membranes are present in clients with
severe dehydration.
An occupational health nurse is teaching a safety class to city employees who
work outdoors year round. What does the nurse teach are risk factors for
developing frostbite? Select all that apply.
A. Excessive fatigue
B. Prior episodes of frostbite
C. Diabetes or other peripheral vascular disease
D. Dehydration
E. Smoking
F. Wearing polyester socks
Answer: A, B, C, D, E
Rationale: All of these factors predispose a person to frostbite except for wearing
polyester socks.
A client on a climbing expedition reports a headache and nausea. The client
rests 1 day at the current altitude and then climbs further the following day.
The third day, other members of the climbing team note that the client has
developed gross motor coordination difficulties. What action by the team
nurse takes priority?
A. Administering acetazolamide (Diamox)
B. Providing 100% oxygen by facemask
, Page 4 of 34
C. Having the client descend to a lower altitude
D. Ensuring that the client stays warm at all times
Answer: C
Rationale: The client needs to be at a lower altitude first before other interventions
are used. Treating the client at a high altitude will not resolve the clinical
manifestations of altitude illness.
What risk factors did these people have for lightning injury?
The campers were participating in outdoor activities and had little shelter from the
impending storm. Some may have been wet from water activities or in or around
water, which would increase the flashover effect lightning had on that person.
Which person should the nurse assess first, and what is the priority of care of
this patient?
The nurse should assess the unconscious patient first. The most lethal effect of
lightning is on the cardiopulmonary system and can manifest as cardiopulmonary
arrest. If needed, the nurse needs to provide cardiopulmonary resuscitation to this
individual.
What potential complication does the nurse plan to address in the immediate
rescue period?
A potential complication the nurse must consider is the possibility of spinal cord
injury, especially if one of the victims was thrown by the strike. The individuals
reporting lower extremity weakness are also at risk for this complication.
What direction should the nurse give the large crowd of campers and camp
staff?
Unless someone is actively helping in the rescue effort, the nurse should direct the
crowd indoors to prevent further injuries. Someone should call 911 for prompt
evacuation of all injured people to a hospital for further assessment and care. If
available, dry sterile dressings can be applied to any obvious burns.
The nurse is triaging clients arriving at the hospital after a large scale disaster.
Which of these clients is correctly classified?
A. Young adult with closed fractures of her right leg and arm: Yellow tag
B. Older adult with severe abdominal pain who is dazed and confused: Black
tag
