Exam (elaborations)

CEN - practice exam questions and answers

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Cen

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Cen

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Uploaded on December 30, 2023
Number of pages 24
Written in 2023/2024
Type Exam (elaborations)
Contains Questions & answers

cen practice exam

Institution Cen
Course Cen

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CEN - practice exam
The nurse is caring for a patient who has a high fever, central nervous system dysfunction and
tachycardia. The nurse should recognize that the patient may be experiencing

A. myxedema crisis.
B. Beck's triad.
C. thyroid storm.
D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS). - Correct answer C. Thyroid storm"

"Which of the following assessment findings associated with a skull fracture indicate the need for
further intervention?
A. otorrhea, nausea, and vomiting
B. decreasing level of consciousness and restlessness
C. early evidence of periorbital ecchymosis and photophobia
D. rhinorrhea and headache or dizziness - Correct answer B. decreasing level of consciousness and
restlessness"

"Upon initial assessment of a male patient involved in a motor vehicle crash, the nurse observes
bruises in various stages of healing to his torso. He denies any medical history. When asked about the
bruising, the patient avoids eye contact, states that he fell yesterday, and asks if his male partner has
arrived to the ED. The nurse suspects:

A. the patient may have undiagnosed coagulopathy.
B. the bruising was sustained during the motor vehicle crash.
C. the patient may be a victim of domestic violence.
D. the bruising is a result of the stated fall. - Correct answer C. the patient may be a victim of
domestic violence."

"The nurse is caring for a patient who became unresponsive after diving head-first into a shallow
pool. The patient is experiencing refractory hypotension. The nurse should prepare for the
administration of
a. lactated Ringers.
b. norepinephrine.
c. normal saline.
d. epinephrine. - Correct answer b. norepinephrine"

"A 3-year-old child who has acute respiratory distress is admitted to the emergency department. The
child is sitting forward and drooling, and the neck is extended. These findings support the diagnosis
of
A. epiglottitis.
B. bronchiolitis.
C. croup.
D. aspiration of a foreign body. - Correct answer A. epiglottitis"

"The nurse understands that adenosine is administered
A. IV push over 1-2 seconds.

,B. as a bolus over 10-15 minutes.
C. as a bolus over 1 hour.
D. IV push over 1-2 minutes. - Correct answer A. IV push over 1-2 seconds."

"A man who briefly lost consciousness after a motor vehicle crash is alert and oriented upon arrival
at the emergency department. The patient states that he is fine except for an abrasion where his
head hit the door frame of the vehicle. The patient complains of blurred vision 1 hour later. The
nurse should FIRST
A. repeat the neurologic assessment.
B. obtain orthostatic vital signs.
C. assess visual acuity.
D. obtain blood glucose measurement. - Correct answer A. repeat the neurologic assessment."

"After a non-traumatic resuscitation, the patient has a perfusing ECG rhythm and a stable blood
pressure, but the patient remains comatose. The nurse should NEXT prepare for
A. initiation of targeted temperature management.
B. initiation of stroke protocol.
C. transport to the cardiac catheterization lab.
D. transport to the neurovascular suite. - Correct answer A. initiation of targeted temperature
management."

"After a patient has an episode of violent behavior in the waiting room, an important intervention is
to
A. tell the patient to get himself under control.
B. instruct the patient to be quiet and speak only when spoken to.
C. allow the patient to go home as soon as possible.
D. encourage the patient to verbalize his feelings about the situation. - Correct answer D. encourage
the patient to verbalize his feelings about the situation."

"The nurse is caring for a patient with complaints of progressive, ascending paralysis starting from
the feet and progressing over the last week. It would be a PRIORITY for the nurse to monitor the
patient's
A. pupillary response.
B. peripheral pulses.
C. respiratory status.
D. Blood glucose - Correct answer C. respiratory status."

"A patient with acute cocaine intoxication should be expected to have
A. rising core body temperature.
B. drowsiness.
C.flaccid extremities.
D. first-degree AV block. - Correct answer A. rising core body temperature."

"Which of the following ocular conditions requires the HIGHEST treatment priority?
A. periorbital hematoma with edema
B. hyphema following a blow to the eye
C. a retained metal foreign body

, D. sudden, painless loss of vision in one eye - Correct answer D. sudden, painless loss of vision in one
eye"

"A patient presents with complaints of fatigue and exhaustion, and reveals a recent move across
country for a new high stress job. The patient admits to recent increase in alcohol consumption. The
nurse suspects the patient is experiencing:
A. schizophrenia.
B. situational crisis.
C. psychotic depression.
D. acute mania. - Correct answer B. situational crisis."

"The nurse is caring for a patient who suddenly stops breathing and is in ventricular fibrillation. The
nurse should FIRST
A. perform synchronized cardioversion at 200 joules.
B. provide oxygen and ventilation via a bag-mask device.
C. start chest compressions.
D. administer 1 mg of intravenous epinephrine. - Correct answer C. start chest compressions."

"A patient presents with his family members, who state that he has struck his brother and has been
violent and paranoid. The nurse should FIRST
A. place the patient into a treatment room with the door open.
B. assess the brother for possible injuries.
C. escort the patient to the quiet room to await the social worker.
D. notify police of the assault. - Correct answer A. place the patient into a treatment room with the
door open."

"Human tetanus immune globulin provides passive immunity for
A. 1 year.
B. 30 days.
C. 6 months.
D. 72 hours. - Correct answer B. 30 days."

"A patient who is trembling, sweating, and hyperventilating is having an anxiety attack. Arterial blood
gas analysis is likely to show which of the following?
A. oxygen saturation < 96%
B. pH < 7.35
C. HCO3-level > 26 mEq/L
D. PaCO2 < 35 mm Hg - Correct answer D. PaCO2 < 35 mm Hg"

"A pediatric patient is treated for otitis media complicated by a ruptured tympanic membrane.
Discharge education is proven effective when the patient's father states,
A. I will position my son upright in bed when he goes to sleep.
B. I will keep my son from getting his ear wet.
C. I will feed him soft foods until the ear drum heals itself.
D. I will use antibiotic ear drops four times a day for one week. - Correct answer B. I will keep my son
from getting his ear wet."

"Assessment of a patient who has acute cholecystitis is MOST likely to reveal

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