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Exam (elaborations)

CEN EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS

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CEN EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS

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  • September 16, 2024
  • 55
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CEN
  • CEN
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YANCHY
CEN EXAM 2024/2025 WITH 100%
ACCURATE SOLUTIONS


Which of the following statements made by a patient would lead the
nurse to conclude that the patient understands risk factors for pulmonary
embolism?
While on a long flight, I should get up and walk to stretch my legs every
hour.
Resuming my birth control pills will lower my risk of cancer and my
risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't
happen again.
Switching from my regular cigarettes to the electronic ones can reduce
my risk. - Precise Answer ✔✔While on a long flight, I should get up
and walk to stretch my legs every hour.


An emergency nurse is providing discharge instructions for a patient
with pelvic inflammatory disease. Which statement made by the patient
indicates an understanding of these instructions?
Getting pregnant shouldn't be a problem once the infection goes away.
I'll take the medicine for nausea when I feel sick to my stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow. - Precise Answer ✔✔I will
be at increased risk for ectopic pregnancy.

,A 16-year-old presents with severe left upper quadrant abdominal pain
after an over-the-handlebars bicycle collision. Vital signs are BP 100/60
mm Hg, HR 100 beats/min, RR 30 breaths/min, T 37.0 C (98.6 F), SpO2
89% without supplemental oxygen. There is bruising over the left upper
quadrant of the abdomen. Auscultation reveals diminished breath sounds
on the left accompanied by gurgling. Based on this history and
assessment, the nurse suspects which injury?
Small bowel rupture
Ruptured diaphragm
Flail chest
Hepatic injury - Precise Answer ✔✔Ruptured diaphragm


A patient presents with chest pain. The nurse performs a 12-lead
electrocardiogram that reveals an abnormal Q wave. What does the
nurse suspect?
A current injury
An old infarction
An acute infarction
Ischemia - Precise Answer ✔✔An old infarction


A patient is brought to the ED by emergency medical services with
increased aggression and making clear homicidal threats. What
immediate action will the nurse expect to promote staff and patient
safety?
Administration of antipsychotics
One-to-one observation

,Place in a seclusion room
Application of restraints - Precise Answer ✔✔Place in a seclusion room


A 28-year-old female presents with shortness of breath, dizziness, and
diaphoresis. Her vital signs are BP 118/74 mm Hg, HR 122 beats/min,
RR 26 breaths/min, T 37.7 C (99.9 F), SpO2 92% without supplemental
oxygen. Her health history includes fractures of the left tibia and fibula
following an MVC 3 weeks ago. Surgical fixation was required. Her
only current medications are an oral contraceptive and intermittent
ibuprofen for pain. Assessment of the casted left leg reveals that the toes
are swollen. With this information, which diagnostic testing will the
nurse expect as the highest priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography
Radiograph of the left leg - Precise Answer ✔✔Computed tomographic
pulmonary angiography


A family of 10 presents to the ED with complaints of fever, muscle pain,
and unexplained bruising ongoing for 7 days. After completing the
screening, the nurse notes that the family recently traveled to Sierra
Leone. What is the highest priority intervention the triage nurse needs to
perform?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room

, Inform those waiting that Ebola has been detected - Precise Answer
✔✔Notify infection prevention


A patient presents to the ED with complaints of fatigue and insomnia.
Assessment findings reveal the patient is awake, alert, and oriented, has
a round moon face, buffalo hump back, hirsutism and prominent striae
on the trunk. Vital signs are normal. Which of the following scenarios is
most consistent with this patient's presentation?
A high school wrestler who admits to taking his grandfather's
furosemide before a meet
A patient with insulin-dependent diabetes who took insulin, without
eating breakfast.
A patient with severe chronic asthma who has been on prednisone for
several years
A patient who underwent a thyroidectomy several years ago who
recently ran out of medication - Precise Answer ✔✔A patient with
severe chronic asthma who has been on prednisone for several years


A patient who was brought to the ED by ambulance following a motor
vehicle collision, in which the driver hit a tree, has BP 92/48 mm Hg,
HR 128 beats/min, RR 34 breaths/min, SpO2 91% with supplemental
oxygen via a nonrebreather. He has labored breathing, cyanosis, absent
breath sounds on the right, and jugular vein distension. Which of the
following conditions would be suspected?
Aspiration
Flail chest
Cardiac tamponade

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