1. A 12-year-old patient is brought to the emergency department by his parents after accidentally swallowing a disk battery while changing the battery in his watch. A chest x-ray reveals that the battery is in the patient's esophagus. He is able to swallow and breathe without difficulty. The most appropriate intervention for this patient is to:

2. An alcoholic patient well known to the emergency department staff presents to the department with complaints of generalized weakness, low-grade fever off and on for the last month, new onset ankle edema, anorexia, right upper quadrant abdominal pain and vomiting. He denies any bloody or coffee ground emesis. This patient should be evaluated for esophageal varices.

3. According to the American Heart Association stroke recommendations, the critical goal time from arrival to the Emergency Department to CT brain scan is:

4. You assume care for the patient in the ED. During the time she has been in the ED, she has consistently complained of photophobia, a stiff neck, increasing confusion, and nausea. Her history shows a motor vehicle accident several days ago. She states the pain is the worst headache she has ever had. You suspect she might have a:

5. When evaluating a patient for Acute Renal Failure, it is helpful to use the RIFLE criteria for classification. This acronym refers to:

6. A young man is brought to the Emergency Department after receiving multiple fire ant bites while working in his yard. Although initially alert and oriented, he begins to develop wheezing and an itchy throat. He complains of nausea and severe anxiety. The ED nurse should prepare to administer all of the following for initial treatment EXCEPT:

7. A nurse has inserted a nasogastric (NG) tube for the relief of nausea and vomiting. The technician working with the nurse does not have any special training or certification. The nurse asks the technician to take care of the patient while I go to lunch". While the nurse is out of the department

8. A 36-year-old African American man presented to the emergency department with burns to his hands that were suffered when his car radiator boiled over onto his hands. He has run cool water over his hands but he is still experiencing what he describes as "horrible" pain. He does not have burns on any other area of his body. How should this burn be classified according to the American Burn Association's guidelines?

9. A patient has been admitted to the Emergency Department with persistent epistaxis. Vital signs are stable. The correct position for this patient is:

10. The nurse in a small rural hospital is caring for a pregnant woman who is at 34-weeks gestation in her first pregnancy. She is complaining of intermittent lower abdominal pain. The hospital does not have a labor and delivery unit, but the on-call physician has determined that her cervix is dilated to 3 cm. The fetal heart sounds are strong at a rate of 150 beats per minute. The woman is accompanied by her husband. The nearest hospital with a labor and delivery unit is 30 minutes away. The correct action in this situation is to:

11. You are caring for a patient who has just been diagnosed with hepatitis A. The discharge instructions for this patient will likely include all of the following EXCEPT:

12. Preload refers to:

13. The child pictured on the right is seen in the ED for a left forearm fracture. The orthopedic surgeon reduces the fracture in the ED and applies the cast. The discharge instructions have not been understood because:

14. You are providing positive pressure ventilation through an ET tube to a patient in respiratory distress. Indications that you are ventilating too fast include all of the following EXCEPT:

15. A 16-year-old boy is brought to the ED by his parents. They state that he awoke from sleep with nausea, vomiting, and pain in his scrotum. The nurse notes that the boy's scrotum is swollen and he has a low-grade fever. His urinalysis is normal. The physician suspects a testicular torsion. The definitive treatment for this boy is:

16. A 24-year-old woman is seen in the emergency department complaining of urinary frequency, pain with urination and urgency. Vital signs are stable and within normal limits. When you obtain a urine specimen, you note that it is cloudy and foul smelling. You should prepare the patient for:

17. The National Institute of Neurological Disorders and Stokes (NINDS) has set the goal for immediate general assessment by a stroke team or emergency physician as:

18. The ENA Code of Ethics expects the emergency nurse to do all of the following EXCEPT:

19. When suctioning during a cardiac arrest, suctioning should be limited to which of the following?

20. The medication indicated for a suspected opioid overdose is:

21. The Emergency Department nurse knows that the best way to prevent transmission of nosocomial infections is:

22. A young woman is brought to the ED by her roommates. The nurse notes that a knitting needle is sticking out of her right eye. All of the following are appropriate initial interventions EXCEPT:

23. The nurse has assisted in an emergent delivery of an infant in the Emergency Department. The infant was born 2 weeks before the due date and is small for gestational age. The nurse documents a thin upper lip, small eye openings, and a smooth philtrum above the upper lip. This child may be diagnosed with:

24. A woman is admitted to the ED with complaints of lower abdominal pain, smelly vaginal discharge, pain with intercourse, and burning with urination. Her vital signs are stable, and she has no other symptoms. Treatment for this patient will likely include:

25. To quickly evaluate a child's neurological status, all of the following standard evaluations can be used EXCEPT: