CEN Domain 5: Psychosocial and Medical Emergencies

A patient presents with acute agitation, dilated pupils, tachycardia, and hallucinations after attending a music festival. Which substance is most likely responsible for these symptoms?

A 25-year-old patient is brought to the emergency department with severe, sudden-onset chest pain radiating to the back. The patient has a history of Marfan syndrome. Which of the following is the most likely diagnosis?

An emergency nurse is assessing a patient who reports a feeling of hopelessness and has been diagnosed with major depressive disorder. Which of the following questions is MOST important to assess suicide risk?

A patient with schizophrenia is experiencing severe agitation and aggression in the emergency department. Which of the following medications is most appropriate for rapid tranquilization?

In the emergency department, a patient presents with symptoms of severe dehydration and history of an eating disorder. Laboratory tests reveal hypokalemia and metabolic alkalosis. Which eating disorder is most consistent with these findings?

A patient presents with symptoms of severe abdominal pain, vomiting, constipation, and psychiatric disturbances. Which of the following conditions should the emergency nurse suspect?

A 40-year-old patient presents with unilateral, pulsating headache with nausea and photophobia. The patient reports that the headache worsens with physical activity. Which of the following is the most appropriate initial management?

An emergency nurse is assessing a patient who reports hearing voices telling him to harm others. The patient is diagnosed with acute psychosis. Which of the following is the MOST appropriate next step?

A patient presents with rapid onset of palpitations, chest discomfort, and shortness of breath. The ECG shows a narrow complex tachycardia with a heart rate of 180 bpm. Which of the following is the most appropriate initial management?

In the emergency department, a patient presents with dry mucous membranes, sunken eyes, and decreased skin turgor. The nurse notes a rapid pulse and low blood pressure. Which of the following is the most appropriate initial treatment?

A patient presents to the emergency department with a high fever, headache, stiff neck, and photophobia. Which of the following is the most likely diagnosis?

A patient with a known history of bipolar disorder presents in the manic phase with grandiose delusions and a markedly elevated mood. Which of the following medications is most appropriate to manage mania in this patient?

A patient presents to the emergency department with symptoms of confusion, ataxia, and ophthalmoplegia. The nurse suspects a deficiency in which of the following vitamins?

In the emergency department, a patient presents with sudden onset of palpitations, chest pain, and a sensation of fainting. The patient's ECG reveals a wide complex tachycardia. What is the most appropriate first-line treatment?

A patient with a known history of heart failure is brought to the emergency department with worsening dyspnea, orthopnea, and bilateral pedal edema. Which of the following medications should be administered first?

A patient presents with severe abdominal pain, distention, and vomiting. X-ray shows air under the diaphragm. Which of the following is the most likely diagnosis?

A patient with a history of intravenous drug use presents with fever, night sweats, weight loss, and a cough producing bloody sputum. Which of the following should be most highly suspected?

An emergency nurse is assessing a patient with suspected carbon monoxide poisoning. Which of the following is the most appropriate diagnostic test?

A patient presents with high fever, severe headache, and a petechial rash that started on the ankles and wrists and is spreading to the trunk. Which of the following diseases should be suspected?

A patient presents with acute onset of flank pain, hematuria, and nausea. The emergency nurse should suspect which of the following conditions?