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CHAPTER 72: EMERGENCY NURSING EXAM 2026
QUESTIONS NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED 100
%
The nurse is caring for a victim of a sexual assault. The client is fearful and
experiencing flashbacks. The nurse recognizes that the client is experiencing
which phase of the psychological reaction to rape?
a. Reorganization phase
b. Denial phase
c. Heightened anxiety phase
d.Acute disorganization phase
Heightened anxiety phase
Explanation:
During the heightened anxiety phase, the client demonstrates anxiety,
hyperalertness, and psychosomatic reactions, in addition to fear and flashbacks. The
acute disorganization phase is characterized by shock, disbelief, guilt, humiliation,
and anger. The denial phase is characterized by an unwillingness to talk. The
reorganization phase occurs when the incident is put into perspective. Some clients
never fully recover from rape trauma.
The nurse is caring for a client in the ED with frostbite to the left hand. During
the rewarming process of the hand, the nurse should perform which action?
a. Administer analgesic medications as ordered.
b. Rupture any hemorrhagic blebs that are noted.
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c. Keep the hand in the circulating bath for 1 hour.
d. Have the client complete active range-of-motion exercises.
Administer analgesic medications as ordered.
Explanation:
During rewarming, an analgesic for pain is administered as prescribed because the
rewarming process may be very painful. Frozen extremities are usually placed in a
37°C to 40°C (98.6°F to 104°F) circulating bath for 30- to 40-minute spans. This
treatment is repeated until circulation is effectively restored. Hemorrhagic blebs,
which may develop 1 hour to a few days after rewarming, are left intact and
unruptured. Nonhemorrhagic blisters are debrided to decrease the inflammatory
mediators found in the blister fluid. After rewarming, hourly active motion of any
affected digits is encouraged to promote maximal restoration of function and to
prevent contractures.
The nurse is administering antivenin to a patient who was bitten on the arm by
a poisonous snake. What intervention provided by the nurse is required prior
to the procedure and every 15 minutes after?
a. Measure the circumference of the arm.
b.Administer diphenhydramine (Benadryl).
c. Assess peripheral pulses.
d. Administer cimetidine (Tagamet).
Measure the circumference of the arm.
Explanation:
Before administering antivenin and every 15 minutes thereafter, the circumference of
the affected part is measured. Premedication with diphenhydramine (Benadryl) or
cimetidine (Tagamet) may be indicated, because these antihistamines may decrease
the allergic response to antivenin. Antivenin is administered as an IV infusion
whenever possible, although intramuscular administration can be used.
The intensive care unit nurse is assessing a client who is going to require a
peripheral intravenous (PIV) line for fluids. The nurse should consider what
information in the client's health history when deciding the site for the PIV?
a. The client has a fluid volume restriction
b. The client has hypertension
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c. The client has had a mastectomy on the right side
d. The client has a history of falls
The client has had a mastectomy on the right side
Explanation:
Contraindications to the placement of a PIV line in any specific placement (right vs.
left side) will include history of mastectomy, arterial-venous shunt placement,
peripherally inserted central catheter (PICC) line placement, thrombus, trauma, and
other device placements, such as splints and casts. The nurse will only have the
option to start the PIV on a site in the client's left arm if the client has had a ride-
sided mastectomy. A history of hypertension does not preclude the client from
having a PIV inserted in any specific location. Although fluid requirements are
monitored more strictly with clients who are on a fluid volume restriction, this does
not influence the placement of the PIV. The nurse should always be aware of the
risks of a PIV for a client with a falls history. The tubing can be a tripping hazard,
therefore, the client with a falls history who requires a PIV should be closely
monitored but this does not preclude the client from having a PIV inserted.
What is a common source of airway obstruction in an unconscious client?
a. A foreign object
b. The tongue
c. edema
d. Saliva or mucus
The tongue
Explanation:
In an unconscious client, the muscles controlling the tongue commonly relax,
causing the tongue to obstruct the airway. When this situation occurs, the nurse
should use the head-tilt, chin-lift maneuver to cause the tongue to fall back into
place. If she suspects the client has a neck injury she must perform the jaw-thrust
maneuver.
A nurse is completing her annual cardiopulmonary resuscitation training. The
class instructor tells her that a client has fallen off a ladder and is lying on his
back; he is unconscious and isn't breathing. What maneuver should the nurse
use to open his airway?
CHAPTER 72: EMERGENCY NURSING EXAM 2026
QUESTIONS NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED 100
%
The nurse is caring for a victim of a sexual assault. The client is fearful and
experiencing flashbacks. The nurse recognizes that the client is experiencing
which phase of the psychological reaction to rape?
a. Reorganization phase
b. Denial phase
c. Heightened anxiety phase
d.Acute disorganization phase
Heightened anxiety phase
Explanation:
During the heightened anxiety phase, the client demonstrates anxiety,
hyperalertness, and psychosomatic reactions, in addition to fear and flashbacks. The
acute disorganization phase is characterized by shock, disbelief, guilt, humiliation,
and anger. The denial phase is characterized by an unwillingness to talk. The
reorganization phase occurs when the incident is put into perspective. Some clients
never fully recover from rape trauma.
The nurse is caring for a client in the ED with frostbite to the left hand. During
the rewarming process of the hand, the nurse should perform which action?
a. Administer analgesic medications as ordered.
b. Rupture any hemorrhagic blebs that are noted.
, Page 2 of 30
c. Keep the hand in the circulating bath for 1 hour.
d. Have the client complete active range-of-motion exercises.
Administer analgesic medications as ordered.
Explanation:
During rewarming, an analgesic for pain is administered as prescribed because the
rewarming process may be very painful. Frozen extremities are usually placed in a
37°C to 40°C (98.6°F to 104°F) circulating bath for 30- to 40-minute spans. This
treatment is repeated until circulation is effectively restored. Hemorrhagic blebs,
which may develop 1 hour to a few days after rewarming, are left intact and
unruptured. Nonhemorrhagic blisters are debrided to decrease the inflammatory
mediators found in the blister fluid. After rewarming, hourly active motion of any
affected digits is encouraged to promote maximal restoration of function and to
prevent contractures.
The nurse is administering antivenin to a patient who was bitten on the arm by
a poisonous snake. What intervention provided by the nurse is required prior
to the procedure and every 15 minutes after?
a. Measure the circumference of the arm.
b.Administer diphenhydramine (Benadryl).
c. Assess peripheral pulses.
d. Administer cimetidine (Tagamet).
Measure the circumference of the arm.
Explanation:
Before administering antivenin and every 15 minutes thereafter, the circumference of
the affected part is measured. Premedication with diphenhydramine (Benadryl) or
cimetidine (Tagamet) may be indicated, because these antihistamines may decrease
the allergic response to antivenin. Antivenin is administered as an IV infusion
whenever possible, although intramuscular administration can be used.
The intensive care unit nurse is assessing a client who is going to require a
peripheral intravenous (PIV) line for fluids. The nurse should consider what
information in the client's health history when deciding the site for the PIV?
a. The client has a fluid volume restriction
b. The client has hypertension
, Page 3 of 30
c. The client has had a mastectomy on the right side
d. The client has a history of falls
The client has had a mastectomy on the right side
Explanation:
Contraindications to the placement of a PIV line in any specific placement (right vs.
left side) will include history of mastectomy, arterial-venous shunt placement,
peripherally inserted central catheter (PICC) line placement, thrombus, trauma, and
other device placements, such as splints and casts. The nurse will only have the
option to start the PIV on a site in the client's left arm if the client has had a ride-
sided mastectomy. A history of hypertension does not preclude the client from
having a PIV inserted in any specific location. Although fluid requirements are
monitored more strictly with clients who are on a fluid volume restriction, this does
not influence the placement of the PIV. The nurse should always be aware of the
risks of a PIV for a client with a falls history. The tubing can be a tripping hazard,
therefore, the client with a falls history who requires a PIV should be closely
monitored but this does not preclude the client from having a PIV inserted.
What is a common source of airway obstruction in an unconscious client?
a. A foreign object
b. The tongue
c. edema
d. Saliva or mucus
The tongue
Explanation:
In an unconscious client, the muscles controlling the tongue commonly relax,
causing the tongue to obstruct the airway. When this situation occurs, the nurse
should use the head-tilt, chin-lift maneuver to cause the tongue to fall back into
place. If she suspects the client has a neck injury she must perform the jaw-thrust
maneuver.
A nurse is completing her annual cardiopulmonary resuscitation training. The
class instructor tells her that a client has fallen off a ladder and is lying on his
back; he is unconscious and isn't breathing. What maneuver should the nurse
use to open his airway?
