CEN Exam with Complete Solutions
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 t...
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 Correct Ans-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 Correct Ans-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
, CEN Exam with Complete Solutions
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?
, CEN Exam with Complete 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. Correct
Ans-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. Correct Ans-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
, CEN Exam with Complete Solutions
Ruptured diaphragm
Flail chest
Hepatic injury Correct Ans-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 Correct Ans-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 Correct Ans-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
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