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Exam (elaborations)

CEN - practice exam Questions and Answers (100% Pass)

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CEN - practice exam Questions and Answers (100% Pass)

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  • August 14, 2024
  • 56
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CEN
  • CEN
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OliviaWest
©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM




CEN - practice exam Questions and Answers (100% Pass)


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). - ✔️✔️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 - ✔️✔️B. decreasing level of consciousness and

restlessness




1

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM


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. - ✔️✔️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. - ✔️✔️b. norepinephrine




2

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM


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. - ✔️✔️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. - ✔️✔️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.




3

, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM


C. assess visual acuity.


D. obtain blood glucose measurement. - ✔️✔️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. - ✔️✔️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. - ✔️✔️D. encourage

the patient to verbalize his feelings about the situation.




4

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