Page 1 of 113
ENA EMERGENCY NURSING ORIENTATION ALL
500 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THISR YEAR
QUESTION: A fracture of which bone does not always require anatomic alignment for healing?
A. Wrist
B. Hip
C. Elbow
D. Clavicle - ANSWER-D. Clavicle
QUESTION: Which organ is responsible for absorbing nutrients and other products of digestion -
ANSWER-Small intestine
QUESTION: In a pediatric patient, which finding is an early sign of shock? - ANSWER-Delayed
capillary refill
QUESTION: Which finding is most closely associated with syndrome of inappropriate
antidiuretic hormone? - ANSWER-Seizures
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QUESTION: Your patient with preeclampsia is receiving magnesium sulfate while waiting to be
transferred out of the emergency department. While the patient is in your care, you should
monitor her closely for which finding? - ANSWER-Absence of deep tendon reflexes
QUESTION: Which disorder is likely to produce a delta wave on the cardiac monitor? - ANSWER-
Wolff-Parkinson-White syndrome
QUESTION: Which of the following is the first step performed when initiating spinal protection?
- ANSWER-Leader is positioned at the head of the patient with hands on each side of the
patient's head.
QUESTION: Which dysrhythmia has premature P waves with a different configuration than
other P waves in the cardiac cycle?
A. Atrial flutter
B. Premature atrial complex
C. First-degree atrioventricular block
D. Second-degree atrioventricular block, type II - ANSWER-B.
Premature atrial complexes are ectopic beats that are initiated by an irritable atrial focus. P
waves are present, but because the ectopic focus originates the impulse outside the sinoatrial
node, the premature P waves have a different configuration. Atrial flutter causes no P waves,
but it causes flutter waves in a sawtoothed pattern. First-degree atrioventricular block has a P
wave for every QRS complex, but the PR interval is consistently prolonged. Second-degree
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atrioventricular block, type II, has one or more P waves for every QRS complex. In first-degree
atrioventricular block and second-degree atrioventricular block, type II, the P wave
configuration is consistent from P wave to P wave
QUESTION: Nutmeg toxicity is likely to cause which finding?
A. Hallucinations
B. Salivation
C. Rhabdomyolysis
D. Seizures - ANSWER-A
QUESTION: In a patient with immune thrombocytopenic purpura, which finding should you
expect?
A. Tachypnea
B. Severe pain
C. Petechiae
D. Narrowing pulse pressure - ANSWER-C. Petechiae
QUESTION: Which is the main electrolyte disturbance in rhabdomyolysis? - ANSWER-C.
Hyperkalemia
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QUESTION: Which drug can cause a sense of omnipotence, excitement, hyperalertness,
hyperactivity, or hypersexuality?
A. Clonidine (Catapres)
B. Methaqualone (Quaalude)
C. Amphetamine (Adderall)
D. Amitriptyline (Elavil) - ANSWER-C. Amphetamine (Adderall)
QUESTION: Among patients with contact burns, which body region is the most common injury
site? - ANSWER-Palm of the hand
QUESTION: Volkmann's contracture may be a complication of which fracture?
A. Shoulder fracture
B. Elbow fracture
C. Scapular fracture
D. Clavicular fracture - ANSWER-B. Elbow fracture
Q;Which type of shock causes a temporary loss of motor, sensory, and reflex functions below
the level of a lesion? - ANSWER-Spinal shock
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ENA EMERGENCY NURSING ORIENTATION ALL
500 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THISR YEAR
QUESTION: A fracture of which bone does not always require anatomic alignment for healing?
A. Wrist
B. Hip
C. Elbow
D. Clavicle - ANSWER-D. Clavicle
QUESTION: Which organ is responsible for absorbing nutrients and other products of digestion -
ANSWER-Small intestine
QUESTION: In a pediatric patient, which finding is an early sign of shock? - ANSWER-Delayed
capillary refill
QUESTION: Which finding is most closely associated with syndrome of inappropriate
antidiuretic hormone? - ANSWER-Seizures
1
, Page 2 of 113
QUESTION: Your patient with preeclampsia is receiving magnesium sulfate while waiting to be
transferred out of the emergency department. While the patient is in your care, you should
monitor her closely for which finding? - ANSWER-Absence of deep tendon reflexes
QUESTION: Which disorder is likely to produce a delta wave on the cardiac monitor? - ANSWER-
Wolff-Parkinson-White syndrome
QUESTION: Which of the following is the first step performed when initiating spinal protection?
- ANSWER-Leader is positioned at the head of the patient with hands on each side of the
patient's head.
QUESTION: Which dysrhythmia has premature P waves with a different configuration than
other P waves in the cardiac cycle?
A. Atrial flutter
B. Premature atrial complex
C. First-degree atrioventricular block
D. Second-degree atrioventricular block, type II - ANSWER-B.
Premature atrial complexes are ectopic beats that are initiated by an irritable atrial focus. P
waves are present, but because the ectopic focus originates the impulse outside the sinoatrial
node, the premature P waves have a different configuration. Atrial flutter causes no P waves,
but it causes flutter waves in a sawtoothed pattern. First-degree atrioventricular block has a P
wave for every QRS complex, but the PR interval is consistently prolonged. Second-degree
2
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atrioventricular block, type II, has one or more P waves for every QRS complex. In first-degree
atrioventricular block and second-degree atrioventricular block, type II, the P wave
configuration is consistent from P wave to P wave
QUESTION: Nutmeg toxicity is likely to cause which finding?
A. Hallucinations
B. Salivation
C. Rhabdomyolysis
D. Seizures - ANSWER-A
QUESTION: In a patient with immune thrombocytopenic purpura, which finding should you
expect?
A. Tachypnea
B. Severe pain
C. Petechiae
D. Narrowing pulse pressure - ANSWER-C. Petechiae
QUESTION: Which is the main electrolyte disturbance in rhabdomyolysis? - ANSWER-C.
Hyperkalemia
3
, Page 4 of 113
QUESTION: Which drug can cause a sense of omnipotence, excitement, hyperalertness,
hyperactivity, or hypersexuality?
A. Clonidine (Catapres)
B. Methaqualone (Quaalude)
C. Amphetamine (Adderall)
D. Amitriptyline (Elavil) - ANSWER-C. Amphetamine (Adderall)
QUESTION: Among patients with contact burns, which body region is the most common injury
site? - ANSWER-Palm of the hand
QUESTION: Volkmann's contracture may be a complication of which fracture?
A. Shoulder fracture
B. Elbow fracture
C. Scapular fracture
D. Clavicular fracture - ANSWER-B. Elbow fracture
Q;Which type of shock causes a temporary loss of motor, sensory, and reflex functions below
the level of a lesion? - ANSWER-Spinal shock
4