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Medical Tests Certified Emergency Nurse Sample Questions:

1. Which of the following patients would the nurse want to delegate to unlicensed assistive personnel?

A) A patient whose husband died and needs to talk
B) A patient with a nasogastric feedings and foley catheter
C) A patient with leakage from an ostomy
D) An ambulatory patient who has been on the unit for 3 days

2. You will be working with an unlicensed staff member this shift. Which of the following should be priority
before delegating care to the staff member?

A) Preparing written instructions on how to perform skill
B) Assessing whether the staff member is competent to perform the skill
C) Informing the patient that an unlicensed staff member will perform the care
D) Gathering supplies

3. An elderly patient comes into the emergency department to rule out stroke. On admission, vital signs are
pulse 90, blood pressure 150/100 and respirations 20. Upon reassessment 30 minutes later, vital signs
are pulse 78, blood pressure 170/90 and respirations 24 and irregular. What should be the nurse's first
priority?

A) Check the patient's Dilantin level.
B) Encourage the patient to drink.
C) Decrease fluids.
D) Have the patient describe how they are feeling.

4. You have drawn an arterial blood gas on your patient. In reviewing the results you note the following: pH
7 .45, PCO2 of 30 mm Hg, and bicarbonate of 22mEq/L. What do you interpret these results to mean?

A) Respiratory alkalosis, compensated
B) Metabolic alkalosis, compensated
C) Respiratory acidosis, compensated
D) Metabolic acidosis, compensated

5. You are caring for a child with respiratory syncytial virus (RSV). You are preparing to give the child
ribavirin (Virazole). Which route is most appropriate for administering this medication?

A) Intramuscular
B) Oxygen tent
C) Subcutaneous
D) Oral

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