Emergency & Trauma Nursing Clinical Test Bank (2025
Edition) | Pharmacology, Triage, Toxicology, and Crisis
Management | NCLEX®, BCEN®, NP Board Ready
Emergency & Trauma Nursing Clinical Test Bank (2025 Edition) | Pharmacology, Triage,
Toxicology, and Crisis Management | NCLEX®, BCEN®, NP Board Ready ........................... 1
Triage & Prioritization................................................................................................. 1
Airway, Breathing, Circulation (ABCs) ....................................................................... 18
Cardiac Emergencies .............................................................................................. 35
Neurological Emergencies ....................................................................................... 52
Trauma................................................................................................................... 69
Orthopedic & Musculoskeletal Injuries ..................................................................... 86
Pediatric Emergencies ............................................................................................. 97
Toxicology & Overdose .......................................................................................... 115
Environmental & Disaster Response ....................................................................... 132
Mental Health & Behavioral Crises ......................................................................... 148
Emergency Pharmacology ..................................................................................... 164
OB/GYN Emergencies ........................................................................................... 180
1
,Triage & Prioritization
1. A 42-year-old woman arrives at the emergency department with complaints of chest
tightness and shortness of breath that started 20 minutes ago. She is diaphoretic, has a
blood pressure of 88/60 mmHg, and oxygen saturation of 89% on room air.
A. Assign to the fast-track area for ECG
B. Place in the waiting area and reassess in 10 minutes
C. Immediate placement in a resuscitation bay
D. Triage as non-urgent and refer to outpatient
Answer: C
Rationale:
The patient exhibits signs of potential myocardial infarction and hemodynamic instability
(hypotension, hypoxia). She requires immediate resuscitative care.
• A: Incorrect – Fast-track is inappropriate for potentially life-threatening conditions.
• B: Incorrect – Delay in treatment risks deterioration.
• D: Incorrect – Non-urgent triage is inappropriate in this scenario.
Difficulty Level: High
Cognitive Level: Analysis
Mapped To: Emergency Nursing Core Competencies (ENA) – Emergency Triage
Nursing Process: Assessment
2. A 6-year-old presents with a minor laceration on the forearm sustained while playing. He
is alert, hemodynamically stable, and accompanied by a parent.
A. Emergent
B. Urgent
C. Non-urgent
D. Immediate
Answer: C
Rationale:
This is a non-urgent case with no threat to life, limb, or function.
• A/B/D: Incorrect – These levels are reserved for more critical cases involving threat
to airway, circulation, or significant injury.
2
,Difficulty Level: Low
Cognitive Level: Application
Mapped To: Emergency Nursing Triage Principles
Nursing Process: Assessment
3. A 33-year-old male walks into the ED with a productive cough, fever of 38.5°C (101.3°F),
and mild shortness of breath. He is stable with normal vital signs. His oxygen saturation is
97% on room air.
A. Immediate
B. Urgent
C. Non-urgent
D. Emergent
Answer: B
Rationale:
The patient has a potential lower respiratory infection, possibly pneumonia, but is
stable. Requires urgent evaluation, but not immediate resuscitation.
• A/D: Incorrect – Not unstable.
• C: Incorrect – Could deteriorate if treatment is delayed too long.
Difficulty Level: Medium
Cognitive Level: Application
Mapped To: ENA Triage Guidelines
Nursing Process: Assessment
4. A 26-year-old female with a history of type 1 diabetes is found unconscious at a bus
stop. Bystanders report she appeared confused before collapsing. Her capillary glucose is
32 mg/dL.
A. Emergent
B. Non-urgent
C. Immediate
D. Urgent
Answer: C
3
, Rationale:
This is a true emergency requiring immediate intervention for hypoglycemia to prevent
neurological damage or death.
• A: Close but not specific enough; "Immediate" is most appropriate in the
Emergency Severity Index (ESI) or Canadian Triage Acuity Scale (CTAS).
• B/D: Inappropriate for critical altered mental status and unstable glucose.
Difficulty Level: High
Cognitive Level: Analysis
Mapped To: ENA – Emergency Severity Index (ESI) Level 1
Nursing Process: Assessment
5. A 60-year-old man presents with sudden right-sided weakness and slurred speech that
started 1 hour ago. BP is 150/88 mmHg, HR 78, SpO₂ 96%.
A. Emergent
B. Immediate
C. Urgent
D. Non-urgent
Answer: A
Rationale:
This is a classic stroke presentation within the thrombolytic window. Needs rapid neuro
assessment and imaging.
• B: “Immediate” is reserved for airway/circulation threats.
• C/D: Delay risks poor neurological outcomes.
Difficulty Level: High
Cognitive Level: Analysis
Mapped To: Stroke Protocols / Time-Sensitive Interventions
Nursing Process: Planning
6. A 28-year-old arrives in the ED after a minor car accident. He is ambulatory, has no
visible injuries, and reports mild neck pain with full range of motion.
4
Edition) | Pharmacology, Triage, Toxicology, and Crisis
Management | NCLEX®, BCEN®, NP Board Ready
Emergency & Trauma Nursing Clinical Test Bank (2025 Edition) | Pharmacology, Triage,
Toxicology, and Crisis Management | NCLEX®, BCEN®, NP Board Ready ........................... 1
Triage & Prioritization................................................................................................. 1
Airway, Breathing, Circulation (ABCs) ....................................................................... 18
Cardiac Emergencies .............................................................................................. 35
Neurological Emergencies ....................................................................................... 52
Trauma................................................................................................................... 69
Orthopedic & Musculoskeletal Injuries ..................................................................... 86
Pediatric Emergencies ............................................................................................. 97
Toxicology & Overdose .......................................................................................... 115
Environmental & Disaster Response ....................................................................... 132
Mental Health & Behavioral Crises ......................................................................... 148
Emergency Pharmacology ..................................................................................... 164
OB/GYN Emergencies ........................................................................................... 180
1
,Triage & Prioritization
1. A 42-year-old woman arrives at the emergency department with complaints of chest
tightness and shortness of breath that started 20 minutes ago. She is diaphoretic, has a
blood pressure of 88/60 mmHg, and oxygen saturation of 89% on room air.
A. Assign to the fast-track area for ECG
B. Place in the waiting area and reassess in 10 minutes
C. Immediate placement in a resuscitation bay
D. Triage as non-urgent and refer to outpatient
Answer: C
Rationale:
The patient exhibits signs of potential myocardial infarction and hemodynamic instability
(hypotension, hypoxia). She requires immediate resuscitative care.
• A: Incorrect – Fast-track is inappropriate for potentially life-threatening conditions.
• B: Incorrect – Delay in treatment risks deterioration.
• D: Incorrect – Non-urgent triage is inappropriate in this scenario.
Difficulty Level: High
Cognitive Level: Analysis
Mapped To: Emergency Nursing Core Competencies (ENA) – Emergency Triage
Nursing Process: Assessment
2. A 6-year-old presents with a minor laceration on the forearm sustained while playing. He
is alert, hemodynamically stable, and accompanied by a parent.
A. Emergent
B. Urgent
C. Non-urgent
D. Immediate
Answer: C
Rationale:
This is a non-urgent case with no threat to life, limb, or function.
• A/B/D: Incorrect – These levels are reserved for more critical cases involving threat
to airway, circulation, or significant injury.
2
,Difficulty Level: Low
Cognitive Level: Application
Mapped To: Emergency Nursing Triage Principles
Nursing Process: Assessment
3. A 33-year-old male walks into the ED with a productive cough, fever of 38.5°C (101.3°F),
and mild shortness of breath. He is stable with normal vital signs. His oxygen saturation is
97% on room air.
A. Immediate
B. Urgent
C. Non-urgent
D. Emergent
Answer: B
Rationale:
The patient has a potential lower respiratory infection, possibly pneumonia, but is
stable. Requires urgent evaluation, but not immediate resuscitation.
• A/D: Incorrect – Not unstable.
• C: Incorrect – Could deteriorate if treatment is delayed too long.
Difficulty Level: Medium
Cognitive Level: Application
Mapped To: ENA Triage Guidelines
Nursing Process: Assessment
4. A 26-year-old female with a history of type 1 diabetes is found unconscious at a bus
stop. Bystanders report she appeared confused before collapsing. Her capillary glucose is
32 mg/dL.
A. Emergent
B. Non-urgent
C. Immediate
D. Urgent
Answer: C
3
, Rationale:
This is a true emergency requiring immediate intervention for hypoglycemia to prevent
neurological damage or death.
• A: Close but not specific enough; "Immediate" is most appropriate in the
Emergency Severity Index (ESI) or Canadian Triage Acuity Scale (CTAS).
• B/D: Inappropriate for critical altered mental status and unstable glucose.
Difficulty Level: High
Cognitive Level: Analysis
Mapped To: ENA – Emergency Severity Index (ESI) Level 1
Nursing Process: Assessment
5. A 60-year-old man presents with sudden right-sided weakness and slurred speech that
started 1 hour ago. BP is 150/88 mmHg, HR 78, SpO₂ 96%.
A. Emergent
B. Immediate
C. Urgent
D. Non-urgent
Answer: A
Rationale:
This is a classic stroke presentation within the thrombolytic window. Needs rapid neuro
assessment and imaging.
• B: “Immediate” is reserved for airway/circulation threats.
• C/D: Delay risks poor neurological outcomes.
Difficulty Level: High
Cognitive Level: Analysis
Mapped To: Stroke Protocols / Time-Sensitive Interventions
Nursing Process: Planning
6. A 28-year-old arrives in the ED after a minor car accident. He is ambulatory, has no
visible injuries, and reports mild neck pain with full range of motion.
4
