NCLEX : Emergency Procedures
Study concepts, example questions & explanations for NCLEX
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Example Questions
Example Question #11 : Procedures And Care
A 39-year-old man presents to the ER with weakness, confusion, and vertigo. His heart rate is 91 and bounding, blood pressure is 
Hypertension
Infection
Panic attack
Hypoglycemia
Hypoglycemia
The most likely cause of his symptoms is hypoglycemia, which is defined as a blood glucose below 
A temperature of 
His blood pressure is slightly elevated, but it is unclear whether this is typical for him or whether this represents a significant change from his normal blood pressure. Regardless it would not likely be sufficiently elevated to cause his symptoms.
It is also possible he may be experiencing a panic attack, but in the presence of his depressed blood sugar (and absence of signs of anxiety), hypoglycemia is the most likely cause of his symptoms.
Example Question #1 : Emergency Procedures
Abdominal rigidity and decreased bowel sounds would raise your suspicions of what condition?
Cystitis
Cholecystitis
Peritonitis
Ulcerative colitis
Peritonitis
Abdominal rigidity and decreased bowel sounds are classic signs of peritontis. In addition, the patient will often want to lie very still, as any motion often increases pain. Cystitis, ulcerative colitis, and cholecystitis all may cause significant abdominal tenderness but would not generally result in rigidity or decreased bowel sounds.
Example Question #21 : Ethics, Processing, And Care
Why are blind finger-sweeps not recommended in infants with foreign objects in their oral cavities or airways?
They may trigger a gasping reflex
They may trigger a vomiting reflex
They may injure the oral cavity
They may force the object in deeper
They may force the object in deeper
Blind finger sweeps are not recommended in an infant with airway restriction due to a foreign object because they may inadvertently force the object deeper into the airway. A finger sweep should only be used if the object can be visualized. Injury to the oral cavity would not be a primary concern in the case of airway restriction, and a finger sweep would not be expected to trigger either gasping or vomiting in an infant.
Example Question #22 : Ethics, Processing, And Care
All of the following are forms of shock except __________.
hypovolemic
anaphylactic
All of these are forms of shock.
cardiogenic
All of these are forms of shock.
The four main categories of shock are as follows:
- Cardiogenic: Sudden inability of the heart to pump sufficient blood to the body, most commonly due to acute myocardial infarction.
- Hypovolemic: Due to loss of fluids or hemorrhage.
- Septic: Also known as endotoxic shock. Dangerously low blood pressure as the result of systemic inflammatory response to infection.
- Anaphylactic: Systemic inflammatory response to an allergen.
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