, Sheehy's Emergency Nursing:
Principles and Practice
Emergency Nurses Association | 7th
Edition | Test Bank
Complete Chapter List
1. Emergency Nursing Practice 13. Management of the Critical Care
2. Legal and Regulatory Patient in the Emergency
Considerations Department
3. Approaching Diversity 14. Palliative and End-of-Life Care
4. Evidence-Based Practice in the Emergency Department
5. Research 15. Organ and Tissue Donation
6. Ethical Considerations 16. Air and Surface Patient
Transport
7. Workplace Violence
17. Emergency Preparedness
8. Triage
18. Chemical, Biological,
9. Patient Assessment
Radiological, Nuclear (CBRN)
10. Pain
Threats
11. Wound Management
19. Communicable Diseases
12. Family Presence During
20. Fluids and Electrolytes
Resuscitation
21. Shock Emergencies
22. Respiratory Emergencies
,23. Cardiovascular Emergencies 37. Spinal Trauma
24. Neurologic Emergencies 38. Thoracic Trauma
25. Gastrointestinal Emergencies 39. Abdominal and Genitourinary
26. Renal and Genitourinary Trauma
Emergencies 40. Orthopedic and Neurovascular
27. Gynecologic Emergencies Trauma
28. Endocrine Emergencies 41. Burn Trauma
29. Hematologic and Oncologic 42. Pediatric Trauma
Emergencies 43. Obstetric Trauma
30. Environmental Emergencies 44. Geriatric Trauma
31. Toxicologic Emergencies 45. Pediatric Emergencies
32. Dental, Ear, Nose, Throat, and 46. Geriatric Emergencies
Facial Emergencies 47. Behavioral Health Emergencies
33. Ocular Emergencies 48. Emergency Forensic
34. Epidemiology and Mechanisms Considerations
of Injury 49. Abuse and Neglect
35. Head Trauma 50. Substance Abuse
36. Maxillofacial Trauma 51. Sexual Assault
,Chapter 1. Emergency Nursing Practice
Question 1
A patient arrives to the emergency department with findings most consistent
with initial priority assessment concerns in Emergency Nursing Practice.
A) Rely on a single vital sign trend without integrating the broader clinical
picture.
B) Choose comfort-only measures before treating the likely life-threatening
process.
C) Prioritize a focused assessment, initiate evidence-based stabilization, and
reassess response within minutes.
D) Transfer responsibility before initial stabilization and reassessment are
performed.
✅ Correct Answer: C) Prioritize a focused assessment, initiate evidence-
based stabilization, and reassess response within minutes.
Rationale: This option is most appropriate because it combines early
recognition, prioritized stabilization, and timely reassessment—core
emergency nursing principles that reduce preventable deterioration. In this
context (Emergency Nursing Practice), initial priority assessment demands
structured prioritization and frequent reassessment to detect trajectory
changes early. Delaying treatment for nonurgent completeness can worsen
outcomes in emergency settings. Single-parameter decision-making
increases diagnostic and treatment error risk. Handoffs without initial
stabilization compromise continuity and safety. Comfort measures are
important but should not precede management of immediate threats unless
goals-of-care indicate otherwise.
DIF: Easy
,TOP: Emergency Nursing Practice - initial priority assessment
MSC: NCLEX Client Needs Category: Physiological Integrity/Basic Care
and Comfort
Question 2
During care in Emergency Nursing Practice, the nurse identifies cues
indicating a need to prioritize time-sensitive intervention.
A) Choose comfort-only measures before treating the likely life-threatening
process.
B) Rely on a single vital sign trend without integrating the broader clinical
picture.
C) Transfer responsibility before initial stabilization and reassessment are
performed.
D) Prioritize a focused assessment, initiate evidence-based stabilization, and
reassess response within minutes.
✅ Correct Answer: D) Prioritize a focused assessment, initiate evidence-
based stabilization, and reassess response within minutes.
Rationale: This option is most appropriate because it combines early
recognition, prioritized stabilization, and timely reassessment—core
emergency nursing principles that reduce preventable deterioration. In this
context (Emergency Nursing Practice), time-sensitive intervention demands
structured prioritization and frequent reassessment to detect trajectory
changes early. Delaying treatment for nonurgent completeness can worsen
outcomes in emergency settings. Single-parameter decision-making
increases diagnostic and treatment error risk. Handoffs without initial
,stabilization compromise continuity and safety. Comfort measures are
important but should not precede management of immediate threats unless
goals-of-care indicate otherwise.
DIF: Moderate
TOP: Emergency Nursing Practice - time-sensitive intervention
MSC: NCLEX Client Needs Category: Physiological
Integrity/Pharmacological and Parenteral Therapies
Question 3
A patient arrives to the emergency department with findings most consistent
with high-risk complication recognition concerns in Emergency Nursing
Practice.
A) Prioritize a focused assessment, initiate evidence-based stabilization, and
reassess response within minutes.
B) Transfer responsibility before initial stabilization and reassessment are
performed.
C) Choose comfort-only measures before treating the likely life-threatening
process.
D) Delay intervention until all nonurgent diagnostics are complete.
✅ Correct Answer: A) Prioritize a focused assessment, initiate evidence-
based stabilization, and reassess response within minutes.
Rationale: This option is most appropriate because it combines early
recognition, prioritized stabilization, and timely reassessment—core
emergency nursing principles that reduce preventable deterioration. In this
context (Emergency Nursing Practice), high-risk complication recognition
,demands structured prioritization and frequent reassessment to detect
trajectory changes early. Delaying treatment for nonurgent completeness can
worsen outcomes in emergency settings. Single-parameter decision-making
increases diagnostic and treatment error risk. Handoffs without initial
stabilization compromise continuity and safety. Comfort measures are
important but should not precede management of immediate threats unless
goals-of-care indicate otherwise.
DIF: Moderate
TOP: Emergency Nursing Practice - high-risk complication recognition
MSC: NCLEX Client Needs Category: Physiological Integrity/Reduction of
Risk Potential
Question 4
In a rapidly evolving case relevant to Emergency Nursing Practice, which
intervention should be implemented first for team communication and
escalation?
A) Delay intervention until all nonurgent diagnostics are complete.
B) Prioritize a focused assessment, initiate evidence-based stabilization, and
reassess response within minutes.
C) Transfer responsibility before initial stabilization and reassessment are
performed.
D) Rely on a single vital sign trend without integrating the broader clinical
picture.
✅ Correct Answer: B) Prioritize a focused assessment, initiate evidence-
based stabilization, and reassess response within minutes.
, Rationale: This option is most appropriate because it combines early
recognition, prioritized stabilization, and timely reassessment—core
emergency nursing principles that reduce preventable deterioration. In this
context (Emergency Nursing Practice), team communication and escalation
demands structured prioritization and frequent reassessment to detect
trajectory changes early. Delaying treatment for nonurgent completeness can
worsen outcomes in emergency settings. Single-parameter decision-making
increases diagnostic and treatment error risk. Handoffs without initial
stabilization compromise continuity and safety. Comfort measures are
important but should not precede management of immediate threats unless
goals-of-care indicate otherwise.
DIF: Difficult
TOP: Emergency Nursing Practice - team communication and escalation
MSC: NCLEX Client Needs Category: Physiological Integrity/Physiological
Adaptation
Question 5
During care in Emergency Nursing Practice, the nurse identifies cues
indicating a need to prioritize monitoring parameter interpretation.
A) Rely on a single vital sign trend without integrating the broader clinical
picture.
B) Choose comfort-only measures before treating the likely life-threatening
process.
C) Use a structured, patient-centered intervention that mitigates immediate
risk and documents objective outcomes.
Principles and Practice
Emergency Nurses Association | 7th
Edition | Test Bank
Complete Chapter List
1. Emergency Nursing Practice 13. Management of the Critical Care
2. Legal and Regulatory Patient in the Emergency
Considerations Department
3. Approaching Diversity 14. Palliative and End-of-Life Care
4. Evidence-Based Practice in the Emergency Department
5. Research 15. Organ and Tissue Donation
6. Ethical Considerations 16. Air and Surface Patient
Transport
7. Workplace Violence
17. Emergency Preparedness
8. Triage
18. Chemical, Biological,
9. Patient Assessment
Radiological, Nuclear (CBRN)
10. Pain
Threats
11. Wound Management
19. Communicable Diseases
12. Family Presence During
20. Fluids and Electrolytes
Resuscitation
21. Shock Emergencies
22. Respiratory Emergencies
,23. Cardiovascular Emergencies 37. Spinal Trauma
24. Neurologic Emergencies 38. Thoracic Trauma
25. Gastrointestinal Emergencies 39. Abdominal and Genitourinary
26. Renal and Genitourinary Trauma
Emergencies 40. Orthopedic and Neurovascular
27. Gynecologic Emergencies Trauma
28. Endocrine Emergencies 41. Burn Trauma
29. Hematologic and Oncologic 42. Pediatric Trauma
Emergencies 43. Obstetric Trauma
30. Environmental Emergencies 44. Geriatric Trauma
31. Toxicologic Emergencies 45. Pediatric Emergencies
32. Dental, Ear, Nose, Throat, and 46. Geriatric Emergencies
Facial Emergencies 47. Behavioral Health Emergencies
33. Ocular Emergencies 48. Emergency Forensic
34. Epidemiology and Mechanisms Considerations
of Injury 49. Abuse and Neglect
35. Head Trauma 50. Substance Abuse
36. Maxillofacial Trauma 51. Sexual Assault
,Chapter 1. Emergency Nursing Practice
Question 1
A patient arrives to the emergency department with findings most consistent
with initial priority assessment concerns in Emergency Nursing Practice.
A) Rely on a single vital sign trend without integrating the broader clinical
picture.
B) Choose comfort-only measures before treating the likely life-threatening
process.
C) Prioritize a focused assessment, initiate evidence-based stabilization, and
reassess response within minutes.
D) Transfer responsibility before initial stabilization and reassessment are
performed.
✅ Correct Answer: C) Prioritize a focused assessment, initiate evidence-
based stabilization, and reassess response within minutes.
Rationale: This option is most appropriate because it combines early
recognition, prioritized stabilization, and timely reassessment—core
emergency nursing principles that reduce preventable deterioration. In this
context (Emergency Nursing Practice), initial priority assessment demands
structured prioritization and frequent reassessment to detect trajectory
changes early. Delaying treatment for nonurgent completeness can worsen
outcomes in emergency settings. Single-parameter decision-making
increases diagnostic and treatment error risk. Handoffs without initial
stabilization compromise continuity and safety. Comfort measures are
important but should not precede management of immediate threats unless
goals-of-care indicate otherwise.
DIF: Easy
,TOP: Emergency Nursing Practice - initial priority assessment
MSC: NCLEX Client Needs Category: Physiological Integrity/Basic Care
and Comfort
Question 2
During care in Emergency Nursing Practice, the nurse identifies cues
indicating a need to prioritize time-sensitive intervention.
A) Choose comfort-only measures before treating the likely life-threatening
process.
B) Rely on a single vital sign trend without integrating the broader clinical
picture.
C) Transfer responsibility before initial stabilization and reassessment are
performed.
D) Prioritize a focused assessment, initiate evidence-based stabilization, and
reassess response within minutes.
✅ Correct Answer: D) Prioritize a focused assessment, initiate evidence-
based stabilization, and reassess response within minutes.
Rationale: This option is most appropriate because it combines early
recognition, prioritized stabilization, and timely reassessment—core
emergency nursing principles that reduce preventable deterioration. In this
context (Emergency Nursing Practice), time-sensitive intervention demands
structured prioritization and frequent reassessment to detect trajectory
changes early. Delaying treatment for nonurgent completeness can worsen
outcomes in emergency settings. Single-parameter decision-making
increases diagnostic and treatment error risk. Handoffs without initial
,stabilization compromise continuity and safety. Comfort measures are
important but should not precede management of immediate threats unless
goals-of-care indicate otherwise.
DIF: Moderate
TOP: Emergency Nursing Practice - time-sensitive intervention
MSC: NCLEX Client Needs Category: Physiological
Integrity/Pharmacological and Parenteral Therapies
Question 3
A patient arrives to the emergency department with findings most consistent
with high-risk complication recognition concerns in Emergency Nursing
Practice.
A) Prioritize a focused assessment, initiate evidence-based stabilization, and
reassess response within minutes.
B) Transfer responsibility before initial stabilization and reassessment are
performed.
C) Choose comfort-only measures before treating the likely life-threatening
process.
D) Delay intervention until all nonurgent diagnostics are complete.
✅ Correct Answer: A) Prioritize a focused assessment, initiate evidence-
based stabilization, and reassess response within minutes.
Rationale: This option is most appropriate because it combines early
recognition, prioritized stabilization, and timely reassessment—core
emergency nursing principles that reduce preventable deterioration. In this
context (Emergency Nursing Practice), high-risk complication recognition
,demands structured prioritization and frequent reassessment to detect
trajectory changes early. Delaying treatment for nonurgent completeness can
worsen outcomes in emergency settings. Single-parameter decision-making
increases diagnostic and treatment error risk. Handoffs without initial
stabilization compromise continuity and safety. Comfort measures are
important but should not precede management of immediate threats unless
goals-of-care indicate otherwise.
DIF: Moderate
TOP: Emergency Nursing Practice - high-risk complication recognition
MSC: NCLEX Client Needs Category: Physiological Integrity/Reduction of
Risk Potential
Question 4
In a rapidly evolving case relevant to Emergency Nursing Practice, which
intervention should be implemented first for team communication and
escalation?
A) Delay intervention until all nonurgent diagnostics are complete.
B) Prioritize a focused assessment, initiate evidence-based stabilization, and
reassess response within minutes.
C) Transfer responsibility before initial stabilization and reassessment are
performed.
D) Rely on a single vital sign trend without integrating the broader clinical
picture.
✅ Correct Answer: B) Prioritize a focused assessment, initiate evidence-
based stabilization, and reassess response within minutes.
, Rationale: This option is most appropriate because it combines early
recognition, prioritized stabilization, and timely reassessment—core
emergency nursing principles that reduce preventable deterioration. In this
context (Emergency Nursing Practice), team communication and escalation
demands structured prioritization and frequent reassessment to detect
trajectory changes early. Delaying treatment for nonurgent completeness can
worsen outcomes in emergency settings. Single-parameter decision-making
increases diagnostic and treatment error risk. Handoffs without initial
stabilization compromise continuity and safety. Comfort measures are
important but should not precede management of immediate threats unless
goals-of-care indicate otherwise.
DIF: Difficult
TOP: Emergency Nursing Practice - team communication and escalation
MSC: NCLEX Client Needs Category: Physiological Integrity/Physiological
Adaptation
Question 5
During care in Emergency Nursing Practice, the nurse identifies cues
indicating a need to prioritize monitoring parameter interpretation.
A) Rely on a single vital sign trend without integrating the broader clinical
picture.
B) Choose comfort-only measures before treating the likely life-threatening
process.
C) Use a structured, patient-centered intervention that mitigates immediate
risk and documents objective outcomes.
