NUR 202 EMERGENCY NURSING EXAM 2026 QUESTIONS
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Question and Accurate Answers
A nurse is handling evidence from a gunshot victim. Which action is correct?
A. Shaking out the clothing to ensure all debris is removed.
B. Cutting through the bullet holes in the clothing to remove it quickly. C.
Placing clothing in a paper bag after it has air-dried.
D. Scrubbing the patient's hands to remove gunpowder before the police
arrive.
C. Placing clothing in a paper bag after it has air-dried.
Rationale: Clothing should be air-dried and placed in paper bags to preserve
evidence
How does chain of command look like?
-do not cut through clothing that has entry marks of knives or bullets
-don't shake, drop, or throw away any clothing
-place on paper sheets
-allow them to dry then fold and place in evidence bags that are paper labeled
Patients needing surgery will have the evidence sheet accompany them
-send any skin from around wound to pathology labeled for gross exam
-If the patient goes to the OR, handle bullets with gloves, place in a sterile container
with 4x4's and each bullet should be in separate containers
-If the patient dies in the OR, then all of the material stays in the body
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the evidence should always be marked with
-removal site
-patients name and DOB
-providers name
-date, time
-who placed in the sealed envelope
-evidence flow sheet mycst be signed and given to law enforcement
How does evidence handling/collection look like?
Must treat the trauma
-Evidence collection obligation to law enforcement (Police will be there to
photograph)
-Do not touch or remove any impaled weapons
-document location and wounds
-for photos use ruler to determine depths and location
-Use of paper pads to hold clothes that are removed
-Air dry clothing on paper sheets, do not shake, drop, or throw away any clothing
-Place in paper bags, have two nurses verify. Label what is inside, time and date,
patient's name if known, your name, and contents of the bag.
-Cover hands, do no scrub gun powder off skin
Select All That Apply (SATA): According to EMTALA (The "No Dump Law"),
what must occur before a patient is transferred to another facility?
A. The patient must be stabilized if the condition is acute.
B. The patient must consent to the transfer if the transfer is deemed necessary
C. The accepting hospital must have room and assume care.
D. The patient must provide proof of insurance or COBRA coverage.
E. A nurse-to-nurse report is given after the patient is transferred
A. The patient must be stabilized if the condition is acute.
B. The patient must consent to the transfer if the transfer is deemed necessary.
C. The accepting hospital must have room and assume care.
E. A nurse-to-nurse report is given after the patient is transferred
Rationale: EMTALA requires screening, stabilization, patient consent, and hospital-
to-hospital coordination
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-all ED have a medicare agreement: the must screen all patients that come to the ED
if condition is acute, they must stabilize the patient
-provider to provider report is given as well
-if patient is unresponsive patients family will be asked, if deemed medically needed,
than provider can make decision to transfer
-Provider consent if it is an emergent situation and no family is present
-The hospital the patient is being transferred from needs to take care of the
transport, not the receiving hospital
Case Study Part 1: A 58-year-old male arrives at the Emergency Department
(ED) complaining of "crushing" chest pain rated 7/10. He is diaphoretic and
pale. According to the Emergency Severity Index (ESI), which level should the
nurse assign this patient?
A. ESI 1
B. ESI 2
C. ESI 3
D. ESI 4
B. ESI 2
Rationale: ESI 2 is for high-risk patients with chest pain or those needing
stabilization
What is considered ESI level 2 in the five tired ESI emergency severity index?
high risk patients:
-chest pain ---7/10 on a pain scale
-confision/disorientated
-sexual assault or abuse
-severe agitiation because you would need more than 3 people
Would you put O2 on a patient who was experiencing chest pain but has an
oxygen saturation of 92%? why or why not?
no because you would only need to if 90%. or less, this could possible worsen their
condition esepcially if the chest pain is associated with right sided MI
While assessing the patient in Question 1, the nurse notes his heart rate is 42
bpm and his respiratory effort is gasping. He suddenly loses consciousness
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and becomes pulseless. The nurse should immediately re-triage this patient to
which ESI level?
A. ESI 1
B. ESI 2
C. ESI 3
D. ESI 5
A. ESI 1
Rationale: ESI 1 is for patients near coding, pulseless, or needing immediate
resuscitation
Case Study Part 3: The patient's family asks for a copy of his medical record
immediately to take to another hospital. Based on the sources, what is the
nurse's best response?
A. Provide a printed copy of the chart immediately to maintain autonomy.
B. Inform the family they must go through the Medical Records department
and the patient must grant permission.
C. Explain that HIPAA does not apply in emergency cardiac situations.
D. Tell them that once a patient is an ESI Level 1, the chart becomes public
record.
B. Inform the family they must go through the Medical Records department and the
patient must grant permission.
Rationale: Families are not allowed copies of charts; they must go through medical
records with patient consent
A nurse is triaging victims at the scene of a mass casualty bus accident. A
victim has a sucking chest wound and significant respiratory distress. Which
triage tag color should the nurse assign?
A. Green
B. Yellow
C. Red
D. Black