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COLLEGE OF NURSING

ROTATION EXAM IN EMERGENCY ROOM (ER) AREA

Name of Student: __________________________________________________ Date of Exam: ____________________


Year and Group #:_______________Sem & School Yr: ____________________ Score: ___________________________
Instructions: Read the situation and the questions carefully and encircle the correct answer, please avoid erasures.

SITUATION: A 53 years old male rush to the ER SITUATION: The newly hired ER nurse is reviewing his
complaining of chest pain, the doctor instructs the nurse notes in CPR.
on duty to conduct an ECG test. The following questions
6. Where should you put your hands to do chest
refers to basic ECG Procedures
compressions on an adult or child?
A. Between the nipples
1. The nurse understands that the ECG refers the
B. Just below the nipple line
electrical activity of the heart conduction system,
C. Anywhere on the upper 1/3 of the chest
which of the following choices refers to the heart
D. Just above nipple line
conduction system?
A. Systolic & Diastolic 7. For effective compressions on an adult, all of the
B. Rhythmic relaxation & contraction of the atria following are correct, except for:
& ventricles A. Push hard, at least 2 inches.
C. Lub & Dub Sound of the heart B. Push fast, at least 100 compressions per
D. All of the choices minute.
C. Minimize interruptions to compressions.
2. The normal sequence of ECG result is called? D. Use one hand for compression
A. Asystole
8. The rate of chest compressions is at least ___/min.
B. Sinus Tachycardia
A. 60 B. 80 C. 100 D. 120
C. Sinus Bradycardia
D. Normal Sinus Rhythm 9. What are the major symptoms of a heart attack?
A. Confusion, sweaty skin, restlessness
3. Which of the following is true about ECG portable B. Slurred speech, uneven smile, weakness in arm
machine’s leads? C. Chest pain, shortness of breath, sweating a lot
A. 6 limbs leads & 4 pericardial leads D. Hot, flushed, dry skin; confusion; thirst
B. 6 pericardial leads & 4 limb leads
10. What does “full recoil” for chest compressions mean?
C. 4 limbs leads & 4 pericardial leads
A. Bend your elbows as much as possible during
D. 4 pericardial leads & 5 limb leads
chest compressions.
B. Take your full weight off the chest, do not lean
4. Prior to ECG exam the patient should be place in,
on the chest, between compressions.
which of the following position?
C. Keep some weight on the chest between
A. Supine
compressions.
B. Sitting
D. Remove your hands from the chest to get a
C. Dorsal Recumbent
bouncing action with each compression.
D. Trendelenburg
11. . What are the major symptoms of a stroke?
5. After providing privacy and leads placements, A. Confusion, sweaty skin, restlessness
instruct the client to: B. Slurred speech, uneven smile, weakness in one
A. Deep Breath arm
B. Remove dress C. Chest pain, shortness of breath, sweating a lot
C. Do not move D. Hot, flushed, dry skin; confusion; extreme
D. Hold the railings thirst
12. Respiratory arrest can cause cardiac arrest in a child 22. The doctor’s order is Paracetamol (Aeknil), 150 mg
or infant. It may be caused by: IV, available on hand is 1 ampule in 2 ml and the
A. Poisoning ampule indicates 75mg/ml. the amounts of drugs to
B. Drowning be administer is, which of the following?
C. Choking A. 1 ml B. 2 ml C. 3 ml D. 1.5 ml
D. All of the above
23. The doctor’s order is D5 LR 1L to run in 10 hours,
13. Use ___________ to do chest compressions on an using a macroset of 20 DF, compute for the
infant. Drops/minute administration;
A. 2 hands A. 25 gtts/min C. 17 gtts/min
B. 1 hand B. 33 gtts/min D. 13 gtts/min
C. 2 fingers
24. The patient is 5 years old female, and the order is D5
D. 1 or 2 hands
IMB 1L fast drip to 100cc then regulate to 6 hours,
SITUATION: The ER nurse on duty is performing the what is the flow rate per minute?
hospital triage system. A. 25 µgtts/min C. 125 µgtts/min
B. 33 µgtts/min D. 150 µgtts/min
14. A 5 yr old child brought by mother in ER complaining
about diarrhea and vomiting since yesterday, this 25. On skin test preparation, the 0.9ml is water and the
should fall in which category for triage? medication is the 0.1ml, which of the following to be
A. White B. Green C. Yellow D. Red withdrawn first for mixing?
A. Water B. Drugs C. D5W D. NaCl
15. An old man came to ER for NGT replacement?
A. White B. Green C. Yellow D. Red SITUATION: The following question refers to basic
nursing procedures.
16. 60 years old vendor complaining to ER nurse about
his chest pain and difficulty of breathing? 26. While NGT insertion, instruct the patient to?
A. White B. Green C. Yellow D. Red A. Deep breatheC. Hold Still
B. Swallow D. Cough
17. While waiting on ER the wife of the vendor is also
having a chest pain due to anxiety of his husband’s 27. To identify and verified the NGT placement
condition, assessment using ER triage system will be independently the nurse should?
on what category? A. Check doctors order
A. White B. Green C. Yellow D. Red B. Arranged appointment for X-ray
C. Auscultate abdomen for air sound using
18. A vehicular accident happened in front of the
Asepto syringe
hospital, the victim suddenly rushed to ER for bruises
D. Instil 50 ml of water via Asepto Syringe
and open wound abrasion, the nurse will triage as:
A. White B. Green C. Yellow D. Red 28. The normal value for blood glucose is
A. 70-130 mg/dL C. 70-150 mg/dL
19. The other victim of VA is complaining of right leg
B. 50-100 mg/dL D. 50-120 mg/dL
broken fracture:
A. White B. Green C. Yellow D. Red 29. After disinfecting and pricking the site for blood
glucose the nurse should do the following, except;
20. An elder person complains about dizziness, the nurse
A. Get the first blood for monitoring
initial action is BP taking, the result is 180/100, the
B. Wipe the residue blood
nurse should place the elder in which triage system?
C. Document properly and inform doctor
A. White B. Green C. Yellow D. Red
D. Apply cotton on the site after the procedure
SITUATION: The Nurse is studying notes on drug
30. Rationale behind in oxygen administration for putting
medication and administration
a humidifier with sterile water is to:
21. The doctor’s order is Ampicilin 250 mg IM, availability A. Prevent coughing
on vial is 500 mg to reconstitute in 2ml. How many B. Prevent pulmonary embolism
amounts of drug to be administer? C. Prevent pulmonary edema
A. 1 ml B. 2 ml C. 3 ml D. 1.5 ml D. Prevent drying of mucus

- End of exam, Good Luck & God Bless you  -