CEN - Practice exam with Verified Solutions
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 ...
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 Ans-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 Ans-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.
, CEN - Practice exam with Verified Solutions
D. encourage the patient to verbalize his feelings about the situation. Correct Ans-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 Ans-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 Ans-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
, CEN - Practice exam with Verified Solutions
D. sudden, painless loss of vision in one eye Correct Ans-D. sudden, painless loss of vision
in one eye
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 Ans-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 Ans-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:
, CEN - Practice exam with Verified Solutions
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 Ans-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 Ans-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 Ans-A. epiglottitis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TheeGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
