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CEN Exam- Challenge Questions with 100- correct answers
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CEN Exam- Challenge Questions with 100- correct answers
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CEN Exam- ChallengeQuestions with 100%
correct answers
A patient presents to the ED in the manic phase of a bipolar affective
disorder. Which of the following statements made by the ER Nurse, is
most therapeutic for a patient with this diagnosis?
1. "I want you to ell me what you are feeling right now"
2. "I need you to stay in this room and someone will stay here with you"
3. "Tell me what is going on in your life right now that may have made
you feel out of control for the past few days"
4. "We are worried that you may be a danger to yourself of others in
your present state, so we are going to have someone from psychiatry
come down and discuss with you what you are feeling". - answer 2. "I
need you to stay in this room and someone will stay here with you"
With Mania, keep sentences brief and direct. Do not encourage the pt
to speak and avoid rambling.
Atropine is effective for overdoses caused by:
,1. antihistamines
2. posion mushrooms
3. lysergic acid diethylamide (LSD)
4. the seeds of the Jimson weed plant. - answer 2. Poison mushrooms
OD on certain mushrooms=Cholinergic effect, Atropine is an Anti-
Cholinergic drug. Antihistamines are their own toxindrome, LSD is
sympathomimetic, Jimson week is an anticholinergic substance.
The ED nurse notices 3rd Degree Heart Block on telemetry...
Which of the following substances did this patient most likely overdose
on?
1. Digoxin
2. Lorazepam
3. Ethylene glycol
4. Acetaminophen - answer 1. Digoxin
this is the only option that will cause heart block in particular.
Effective Treatment for an overdose on tricyclic antidepressants should
cause
, 1. widening QT interval
2. serum pH above normal.
3. decreasing BP
4. Dilation of pupils - answer 2. serum pH above normal
GOAL is a pH of 7.5-5.5, Pts who OD on this substance already have
wide QTs and are already hypotensive. Pupils are irrelevant.
Effective treatment for heat stroke should result in:
1. the onset of shivering
2. the cessation of sweating
3. A GCS above 8.
4. a core body temperature of 102F (38.9C). - answer 4. a core body
temperature of 102F (38.9C).
shivering heats the body back up, sweating helps with heat loss through
evaporation, main goal is to decrease the body temp!!
Which of the following lab studies is most likely to be altered in the
hours after envenomation by coral snakes?
1. Coag studies
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