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DOH Emergency & Critical Care Nursing Practice Questions
What this topic covers
Triage, shock, sepsis, anaphylaxis, CPR and ACLS basics, trauma, burns and poisoning.
Free DOH emergency & critical care nursing questions
- Tracheal deviation away from the injured side
- Muffled heart sounds
- Paradoxical movement of a segment of the chest wall
- A barrel-shaped chest
Show answer and rationale
Answer: C. Paradoxical movement of a segment of the chest wall
When several adjacent ribs are broken in more than one place, the loose segment moves inward on inspiration and outward on expiration. Tracheal deviation suggests tension pneumothorax and muffled heart sounds suggest cardiac tamponade.
Reference: Lewis Medical-Surgical Nursing – chest trauma
- Apply a non-rebreather mask at 15 L/min
- Record a full set of vital signs
- Insert a urinary catheter to monitor output
- Suction the oropharynx
Show answer and rationale
Answer: D. Suction the oropharynx
Gurgling indicates fluid such as secretions, blood or vomit in the upper airway, which must be cleared by suction to maintain a patent airway. Oxygen is ineffective if the airway is obstructed.
Reference: Resuscitation Council ABCDE approach
- Compressions are delivered at 110 per minute
- The colleague leans on the chest between compressions
- The heel of the hand is on the lower half of the sternum
- Compressors are being switched every 2 minutes
Show answer and rationale
Answer: B. The colleague leans on the chest between compressions
Leaning on the chest prevents full chest recoil, which reduces venous return and coronary perfusion. The other observations reflect correct high-quality CPR.
Reference: AHA BLS 2020
- Deltoid muscle
- Dorsogluteal muscle
- Anterolateral thigh
- Abdominal subcutaneous tissue
Show answer and rationale
Answer: C. Anterolateral thigh
The anterolateral aspect of the middle third of the thigh (vastus lateralis) gives the most rapid and reliable absorption of IM adrenaline.
Reference: Resuscitation Council anaphylaxis guidance
- Flush it with 50 mL of saline
- Change the dressing
- Confirm tip position with a chest X-ray
- Measure the patient's temperature
Show answer and rationale
Answer: C. Confirm tip position with a chest X-ray
A chest X-ray confirms correct tip position and excludes complications such as pneumothorax before a jugular or subclavian central line is used.
Reference: Lewis Medical-Surgical Nursing – central venous access
Questions are written with AI assistance. About 10% (150+) have been reviewed by a licensed nurse so far, and more are reviewed every month. Practice questions are for study only and may contain mistakes; verify with official study guides from your destination country. Report a question
Study tip
Use the ABCDE approach for every unstable-patient question, and treat what kills first.
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