Exam (elaborations)
BCEN STUDY GUIDE PART ONE (QUESTIONS & ANSWERS) 2024!!
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BCEN STUDY GUIDE PART ONE (QUESTIONS & ANSWERS) 2024!!
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Name: Score:10 Multiple choice questions
Term 1 of 10
The ER nurse is participating in the care of an obtunded patient presumed to have taken an OD if
a tricyclics antidepressant. The patient has a palpable pulse and an EKG is obtained. The nurse
would anticipate which EKG finding?
Sinus bradycardia with normal QRS and QT intervals
Ventricular fibrillation
Narrow complex SVT
Sinus tachycardia with both a widened QRS interval and prolonged QT interval
, Term 2 of 10
A patient complains of chest pain, dyspnea, and diaphoresis. Which of the following assessment
factors would indicate a possible diagnosis of acute coronary syndrome?
A. Pleuritic chest pain
B. Positional chest pain
C. Chest pain that radiates to the shoulders, with pain in the right shoulder worse than pain in the
left shoulder
D. Pain reproducible with chest wall palpation
B) An end-tidal carbon dioxide level reading less than 10% after 20 minutes of high-quality
CPR
A low ETC02 level indicates a lack of both end cellular perfusion and adenosine
triphosphate production, resulting in cellular death
WRONG ANSWER RATIONALES:
A) changes in BVM compliance may indicate development of a pneumothorax, which
requires immediate intervention to prevent development of a tension pneumothorax
C) with an initial rhythm of PEA, there should be a review of potential underlying causes
with initial of the appropriate interventions before discontinuing resuscitative efforts
D) early defibrillation if a shockable rhythm, such as vtach or vfib, is associated with a
higher rate of survival
A. No supplemental oxygen at this time as it is not indicated in normoxia. Giving
supplemental oxygen in the setting of normoxia does not improve outcome and has been
shown to extend the size of an MI.
A) Endocarditis
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