Question 1

A 65yearold man presents to the emergency department with complaint of painless visual disturbances including loss of central vision, photopsia, "floaters" and shadows in his vision. The most important intervention for this patient is to:

Options :

A : Discharge to home with a referral to an ophthalmologist.

B : Call an ophthalmologist for consult in the ED.

C : Administer antibiotics and discharge to home.

D : Administer steroids and discharge to home.

Answer: B

Question 2

Patients with any form of hepatitis should be instructed to do all of the following EXCEPT:

Options :

A : Avoid Alcohol

B : Eat small frequent meals low in fat

C : Avoid Steroid medications

D : Eat small frequent meals low in carbohydrates

Answer: D

Question 3

The normal progression to cardiac arrest in children is:

Options :

A : Shock; Respiratory distress and failure; Cardiopulmonary failure; Cardiac Arrest

B : Cardiopulmonary failure; Shock; Respiratory distress and failure; Cardiac Arrest

C : Respiratory distress and failure; Shock; Cardiopulmonary failure; Cardiac Arrest

D : Shock; Cardiopulmonary failure; Respiratory distress and failure; Cardiac Arrest

Answer: C

Question 4

Mrs. F, 86, is brought into the ED by her daughter with reports of dull abdominal pain x 3 days. She states she has had "thin" stools for the 3 days before the onset of her abdominal pain. She has not been passing much flatus in the last three days. She states she feels weaker and more lethargic. An IV is established, O2 and cardiac monitor are placed. Labs have been sent. Her bowel sounds are absent. The nurse should suspect:

Options :

A : Volvulus

B : Small bowel obstruction

C : Large bowel obstruction

D : Diverticulitis

Answer: C

Question 5

A patient is intubated for respiratory failure. There is a sudden decrease in the oxygenation. A nurse should use the mnemonic ________ to assess the situation.

Options :

A : SAMPLE

B : MONA

C : DOPE

D : FAME

Answer: C

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