1. Which therapy should not be implemented for the patient with hemorrhagic complications from oral anticoagulants?
A. Volume replacement
B. Whole blood
C. Fresh frozen plasma
D. Protomine sulfate

2. A 4-year-old boy is admitted because of a sudden high fever. His mother noted that he has been generally weak and dyspenic and has had generalized pain and recurrent infections. He is found to have an elevated white blood cell (WBC) count and anemic, as well as being thrombocytopenic and tachycardic. A diagnosis of acute lymphocytic leukemia is made.

A common complication in the acute phase of leukemia is:
A. Thrombocytosis
B. Polycythemia vera
C. Gram-negative septicemia
D. Seizures

3. The most appropriate basis for discontinuing life-support in a comoatose patient without any hope of meaningful recovery is:
A. An agreement reached by the health team and family
B. Two flat electroencephalograms
C. State law regarding discontinuing life-support
D. Physician's order of "no code"

4. Under what circumstances, if any, may a nurse use force against a patient?
A. Under no circumstances
B. To bring an emotionally distraught patient back to his senses
C. To asses an unconscious patient's level of reaction to physical stimuli.
D. In self-defense, but only if the nurse has reasonable grounds to believe that she is being, or is about to be attacked.

5.  If a nurse is floated to a unit where she has no experience and, as a result, commits an act of negligence, who is legally liable?
A. The hospital
B. The nurse
C. The nurse and the hospital
D. The supervisor who floated the nurse

6. A 22-year-old woman who has a recent history of an upper respiratory tract infection is seen in the emergency department (ED). She complains of hoarsness that has lasted 3 days, along with pain on speaking, nasal congestion, and dysphagia. Assessment findings reveal a purulent nasal disharge, erythematous posterior oropharynx, and a temperature of 101^o F (38^o C)

These assesment findings indicate what condition?
A. Acute laryngitis
B. Chronic laryngitis
C. Laryngeal carcinoma
D. Vocal cord polyps

7. An 18-year-old man, who was sleeping awoke suddenly with complaints of "something moving" in his ear, comes to the ED. On physical examination a large, live cockroach is noted in his external auditory canal.

The nurse would anticipate the initial treatment to be:
A. Removing the insect with forceps
B. Spraying lidocaine (Xylocaine) 10% in the auditory canal
C. Irrigating the ear with warm water
D. Instilling warm mineral oil in the ear

8. A 65-year-old man with a known history os chronic obstructive pulmonary disease (COPD) and laryngeal carcinoma is seen in the ED. Is currently undergoing radiation therapy and presents symptoms of acute respiratory distress. Assessment reveals inspiratory stridor, dyspnea, increasing apprehension, and facial flushing.

Immediate action should include:
A. Arterial blood gas evacuation (ABGs) and 100% oxygen via mask
B. Tracheotomy
C. Intubation
D. Chest X-ray

9. A 40-year-old man is brought to the ED after being mugged. Blood is coming from his left ear, and the physician diagnoses a ruptured tympanic membrane.

The initial treatment for this patient should include:
A. Remove clots and pack canal
B. Administer antibacterial otic drops
C. Administer ampicillin (Amcill) 500mg P.O t.i.d.
D. Administer tetanus toxoid

10. A 26-year-old man was involved in an automobile accident. Approximately 20 minutes elapsed between the time of the accident and the arrival of the paramedics. He sustained severe abdominal injuries as well as multiple fractures. When he arrives in the emergency department (ED), his vital signs are as follows:
Blood Pressure: 80/50 mm Hg
Heart Rate: 120 beats/minute
Respiratory Rate: 30 breaths/minute

Which of the following nursing actions is inappropriate during the initial stabilization of this patient?
A. Administering oxygen therapy
B. Applying medical antishock trousers (MAST)
C. Placing the patient in the Trendelenburg (head-down) position
D. Infusing lactated Ringer's solution via large-bore IV line

11. Which of the following statement regarding MAST suits is false?
A. It is a single-unit suit with three compartments
B. Each compartment may be pressurized and deflated individually or in combination
C. When inflated, it achieves pressures ranging from 0 to 160 mm Hg
D. Once optimal pressure is achieved, automatic release valves prevent further pressure increases

12. A patient arrives in the emergency department (ED) with an ice pick protruding from his left lower abdominal quadrant. An appropriate nursing action is to:
A. Immediately remove the object and apply firm pressure to the wound
B. Leave the object in place until the patient is in the operating room (OR)
C. Establish two large-bore intravenous (IV) line and then remove the object
D. Obtain an abdominal X-ray and then remove the object

13. Which type of penetrating injury would a gunshot wound at the sixth intercostal space be?
A. Chest
B. Abdominal
C. Thoracoabdominal
D. Pelvic

14. Pancreatitis occurs as a complication of perforated duodenal ulcer when:
A. Serum amylase is elevated to dangerous levels
B. A perforation erodes into the pancreas
C. The patient has a high alcohol intake
D. The pancreatic duct is obstructed