Please write clearly in block capitals.
Centre number Candidate number
Surname
Forename(s)
Candidate
signature
I declare this is my own work.
A+/level
ENA Emergency Nursing Orientation 3.0: A+ Graded End Term Exam with Verified
Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
AQA/ETM/FTEDF
,A patient with severe neutropenia has a temperature of 100.4°F (38°C). Which intervention is indicated for this patient?
A. Obtain blood cultures.
B. Maintain respiratory isolation.
C. Administer packed red blood cells.
D. Administer antibody-purified factor IX. - A. Obtain blood cultures.
The administration of azithromycin (Zithromax) is indicated for which sexually transmitted infection? - C. Chlamydia
infection
Which gastric decontamination technique is most effective for treating a patient who has swallowed cocaine-filled
balloons?
A. Whole bowel irrigation
B. Activated charcoal administration
C. Gastric lavage
D. Syrup of ipecac administration - A. Whole bowel irrigation
Which of the following is the first step performed when removing a helmet from a suspected spinal injured patient? -
Apply in-line stabilization by placing hands on each side of the helmet with fingers on the patient's mandible.
The administration of azithromycin (Zithromax) is indicated for which sexually transmitted infection? - C. Chlamydia
infection
Which fracture results in multiple splintered bone fragments?
A. Depressed fracture
B. Impacted fracture
C. Compression fracture
,D. Comminuted fracture - D. Comminuted fracture
Which sign is an indicator of cholecystitis - Murphy's sign
Which disorder is a cause of cardiogenic shock? - Dysrhythmias
A patient with hyperosmolar hyperglycemic state is likely to have which laboratory test result? - Normal blood pH
Which of these is a common cause of postpartum hemorrhage? - Uterine atony
Which medication should be administered during the resuscitation of a patient with ventricular fibrillation? -
Epinephrine (Adrenalin)
Which sexually transmitted infection is caused by bacteria and develops as a small bump in the genitals? - A. Chancroid
Which hydrocarbon is least likely to result in aspiration?
A. Lighter fluid
B. Kerosene
C. Gasoline
D. Motor oil - D
Which adjunct is most effective in managing adults with sickle cell disease?
A. Hydroxyurea (Droxin)
B. Heparin
C. Prednisone (Deltasone)
D. Rho(D) immunoglobulin (RhoGAM) - A. Hydroxyurea (Droxin)
Which sexually transmitted infection is caused by bacteria and develops as a small bump in the genitals? - A. Chancroid
Which finding is a sign of serotonin syndrome?
, A. Bradycardia
B. Diaphoresis
C. Hypothermia
D. Lethargy - B. Diaphoresis
Which sign or symptom is a characteristic of carbon monoxide poisoning? - Headache
Which receptor is located in the lungs?
A. Alpha
B. Beta1
C. Beta2
D. Dopaminergic - C.
Beta2 receptors are located in the lungs and peripheral vessels. Alpha receptors exist in vascular smooth muscle. Beta1
receptors are in the myocardium. Dopaminergic receptors are found in renal, mesenteric, cerebral, and coronary
arteries.
A fracture of which bone does not always require anatomic alignment for healing?
A. Wrist
B. Hip
C. Elbow
D. Clavicle - D. Clavicle
Which organ is responsible for absorbing nutrients and other products of digestion - Small intestine
In a pediatric patient, which finding is an early sign of shock? - Delayed capillary refill
Which finding is most closely associated with syndrome of inappropriate antidiuretic hormone? - Seizures
Centre number Candidate number
Surname
Forename(s)
Candidate
signature
I declare this is my own work.
A+/level
ENA Emergency Nursing Orientation 3.0: A+ Graded End Term Exam with Verified
Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
AQA/ETM/FTEDF
,A patient with severe neutropenia has a temperature of 100.4°F (38°C). Which intervention is indicated for this patient?
A. Obtain blood cultures.
B. Maintain respiratory isolation.
C. Administer packed red blood cells.
D. Administer antibody-purified factor IX. - A. Obtain blood cultures.
The administration of azithromycin (Zithromax) is indicated for which sexually transmitted infection? - C. Chlamydia
infection
Which gastric decontamination technique is most effective for treating a patient who has swallowed cocaine-filled
balloons?
A. Whole bowel irrigation
B. Activated charcoal administration
C. Gastric lavage
D. Syrup of ipecac administration - A. Whole bowel irrigation
Which of the following is the first step performed when removing a helmet from a suspected spinal injured patient? -
Apply in-line stabilization by placing hands on each side of the helmet with fingers on the patient's mandible.
The administration of azithromycin (Zithromax) is indicated for which sexually transmitted infection? - C. Chlamydia
infection
Which fracture results in multiple splintered bone fragments?
A. Depressed fracture
B. Impacted fracture
C. Compression fracture
,D. Comminuted fracture - D. Comminuted fracture
Which sign is an indicator of cholecystitis - Murphy's sign
Which disorder is a cause of cardiogenic shock? - Dysrhythmias
A patient with hyperosmolar hyperglycemic state is likely to have which laboratory test result? - Normal blood pH
Which of these is a common cause of postpartum hemorrhage? - Uterine atony
Which medication should be administered during the resuscitation of a patient with ventricular fibrillation? -
Epinephrine (Adrenalin)
Which sexually transmitted infection is caused by bacteria and develops as a small bump in the genitals? - A. Chancroid
Which hydrocarbon is least likely to result in aspiration?
A. Lighter fluid
B. Kerosene
C. Gasoline
D. Motor oil - D
Which adjunct is most effective in managing adults with sickle cell disease?
A. Hydroxyurea (Droxin)
B. Heparin
C. Prednisone (Deltasone)
D. Rho(D) immunoglobulin (RhoGAM) - A. Hydroxyurea (Droxin)
Which sexually transmitted infection is caused by bacteria and develops as a small bump in the genitals? - A. Chancroid
Which finding is a sign of serotonin syndrome?
, A. Bradycardia
B. Diaphoresis
C. Hypothermia
D. Lethargy - B. Diaphoresis
Which sign or symptom is a characteristic of carbon monoxide poisoning? - Headache
Which receptor is located in the lungs?
A. Alpha
B. Beta1
C. Beta2
D. Dopaminergic - C.
Beta2 receptors are located in the lungs and peripheral vessels. Alpha receptors exist in vascular smooth muscle. Beta1
receptors are in the myocardium. Dopaminergic receptors are found in renal, mesenteric, cerebral, and coronary
arteries.
A fracture of which bone does not always require anatomic alignment for healing?
A. Wrist
B. Hip
C. Elbow
D. Clavicle - D. Clavicle
Which organ is responsible for absorbing nutrients and other products of digestion - Small intestine
In a pediatric patient, which finding is an early sign of shock? - Delayed capillary refill
Which finding is most closely associated with syndrome of inappropriate antidiuretic hormone? - Seizures
