CEN Exam 1- Questions and Answers
Which of the following is NOT appropriate for screening for domestic violence by the
emergency department nurse?
g if the person has been hit, kicked, or otherwise hurt by someone in the past year; if
so, by whom
g, "Do you feel safe in your present relatio...
Which of the following is NOT appropriate for screening for domestic violence by the
emergency department nurse?
a.asking if the person has been hit, kicked, or otherwise hurt by someone in the past year; if
so, by whom
b.asking, "Do you feel safe in your present relationship?"
c.avoid asking about intimate person violence if the patient is in the emergency department
for a medical ailment, not trauma
d.asking if there is a partner from a previous relationship that makes the individual feel
unsafe Correct Ans-C: Domestic violence, nearly always perpetrated against women, is a
major problem confronted by the emergency nurse. Screening for possible cases should
include answers A, B and D. Interestingly, victims of intimate partner violence often present
with a medical ailment, not trauma. These include back, abdominal, or pelvic pain,
headaches, urinary infections, sexually transmitted disease, or symptoms consistent with
posttraumatic stress disorder (PTSD). Sometimes evidence of old trauma such as healing
fractures or cosmetically concealed bruises may point toward the presence of domestic
violence. Many victims will deny it but sometimes compassionate questioning in a private
setting will elicit a positive response. The nurse may then offer advice, refer to a social agency
or shelter, or ask for a consultation by the hospital social worker.
A patient is intubated and on mechanical ventilation. The ventilator alarm rings and the
airway pressure is found to be elevated. Possible causes include the following EXCEPT:
a.endotracheal tube obstruction with sputum
b.pneumothorax
c.bronchospasm
, CEN Exam 1- Questions and Answers
d.cuff leak Correct Ans-D: Mechanical ventilation requires diligent observation of the
patient and ventilator by the emergency nurse. Modern ventilators usually come with alarms
that indicate high or low airway pressure. High pressure may be caused by endotracheal tube
obstruction with sputum or kinks or inadvertent endobronchial displacement. The airway
should be suctioned and tube placement checked. A chest x-ray is frequently helpful in
determining the cause. Lung collapse, worsening of the underlying disease, and
bronchospasm are also causes of elevated pressure. Leaks around the endotracheal tube cuffs
will cause low airway pressure. Auto-positive end-expiratory pressure (auto-PEEP) is caused
by premature inspiratory delivery before full expiration (as in asthma or COPD patients) and
may lead to increased pressure and lung damage.
A 2-year-old is brought to the emergency department with mild fever, persistent restlessness,
crying, and pulling his left ear. He has had a cold for about a week. Examination of the ear
reveals a distorted light reflex and slight bulging of the tympanic membrane. What is the
proper diagnosis and treatment?
a.otitis externa and antibiotics
b.otitis media and antibiotics
c.otitis media and myringotomy
d.acute labyrinthitis and antivertigo drug Correct Ans-B: Ear infections may cause severe
and persistent pain, especially in children in the 6-month to 3-year age group and are a
frequent cause of emergency department visits. Loss or distortion of the light reflex and
bulging of the tympanic membrane are cardinal signs of otitis media, usually caused by
bacteria such as Streptococcus Influenza or Haemophilus Influenza. Sinusitis and purulent
rhinitis may accompany the otitis. Antibiotics to cover these organisms, topical warmed otic
analgesics, and antipyretics are the usual treatment modalities. Otitis externa or swimmer's
ear also causes otalgia and frequently follows swimming in contaminated water or a foreign
body in the ear. Keeping the ear dry and using otic analgesics and antibiotics are indicated.
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 $12.99. You're not tied to anything after your purchase.
