Cen Review Questions

36 Questions  I  By Rapidresponse on October 6, 2009
CEN review for CEN exam.    

  
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1.  A 5 yo child recently had adeno-tonsillectomy and is brought to the ED d/t profuse bleeding from the nose and mouth. The child is weak, pale, tachycardic and hypotensive. Priority is:
A.
B.
C.
D.
2.  22 yo woman h/o URI c/o hoarseness x 3 days, pain with speaking, nasal congestion and dysphagia.  Assessment: purulent nasal discharge, erythematous posterior oropharynx and temp 101 F.Which condition is indicative of the patients assessment findings?
A.
B.
C.
D.
3.  22 yo woman h/o URI c/o hoarseness x 3 days, pain with speaking, nasal congestion and dysphagia.  Assessment: purulent nasal discharge, erythematous posterior oropharynx and temp 101 F.
A.
B.
C.
D.
4.  22 yo woman h/o URI c/o hoarseness x 3 days, pain with speaking, nasal congestion and dysphagia.  Assessment: purulent nasal discharge, erythematous posterior oropharynx and temp 101 F.How would you promote patient comfort?
A.
B.
C.
D.
5.  1. Which of the following PQRST mnemonic descriptions is untrue?
A.
B.
C.
D.
6.  Define the following signs/symptoms: Right upper quadrant pain, fever (chills), and jaundice associated with cholangitis.
A.
B.
C.
D.
7.  Define the following signs/symptoms: Calf pain with forcible dorsiflexion of the foot, associated with venous thrombosis.
A.
B.
C.
D.
8.  Which of the following is not a characteristic of Beck's triad? 
A.
B.
C.
D.
9.  Which of the following matches the definition: cycles of gradually increasing tidal volume followed by gradually decreasing tidal volume, usually separated by brief periods of apnea?
A.
B.
C.
D.
10.  Which of the following changes is not found with hypokalaemia?
A.
B.
C.
D.
11.  Which of the following is not a cause of Right Axis Deviation?
A.
B.
C.
D.
12.  Describe the Green Color of Triage?
A.
B.
C.
D.
13.  Which of the following is not a charteristic of Mitral Stenosis?
A.
B.
C.
D.
14.  Which of the following matches the definition: minute, pinpoint hemorrhages into the skin, mucosal or serosal surfaces?
A.
B.
C.
D.
15.  After a motor vehicle crash, a patient is unconscious for several minutes. On arrival in the emergency department, the patient answers questions appropriately. Assessment data reveal neck and leg pain, vomiting, lacerations of the parietal scalp, a blood pressure of 90/40 mm Hg, a heart rate of 110 beats/min, and respirations of 28/min. In order of priority, the proper nursing actions for this patient’s care are to: 
A.
B.
C.
D.
16.  During the assessment of a patient in diabetic ketoacidosis, the emergency nurse would expect to find all of the following EXCEPT:
A.
B.
C.
D.
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17.  An adolescent is found lying in an open field after a night in which the temperature dropped to -7 degrees C (20 degrees F) and the wind-chill factor reached -26.1 degrees C (-15 degrees F). The emergency nurse who removes the patient’s wet clothing discovers that his feet are white and solid to the touch. The patient’s frostbite injury is considered:  
A.
B.
C.
D.
18.  An adolescent is found lying in an open field after a night in which the temperature dropped to -7 degrees C (20 degrees F) and the wind-chill factor reached -26.1 degrees C (-15 degrees F). The emergency nurse who removes the patient’s wet clothing discovers that his feet are white and solid to the touch. After re-warming the patient’s feet, the emergency nurse would NOT expect the feet to:
A.
B.
C.
D.
19.  Signs and symptoms of cocaine intoxication include: 
A.
B.
C.
D.
20.  Which of the following drugs should be given to a patient suspected of taking a heroin overdose? 
A.
B.
C.
D.
21.  Which of the following is NOT associated with dehydration? 
A.
B.
C.
D.
22.  You may forego gastric emptying in patients who ingest:
A.
B.
C.
D.
23.  Adrenergic manifestations of cocaine uses include hypertension, tachycardia and hyperthermia. The symptoms are best treated with: 
A.
B.
C.
D.
24.  A patient is being transported for a cardiac catheterization based on ischemic changes on EKG, positive cardiac enzymes and admitted cocaine usage. The first priorities in treating cocaine overdose after the ABCs are: 
A.
B.
C.
D.
25.  4. Prior to transporting a crush syndrome patient, the referring nurse reports that the urine pH is 6.0. The best method to ensure adequate alkalization of urine is to: 
A.
B.
C.
D.
26.  During the transport of an adult patient with suspected cardiac tamponade, the earliest clinical sign is: 
A.
B.
C.
D.
27.  Which finding is NOT a component of Beck’s triad? 
A.
B.
C.
D.
28.  A hydrocephalic infant with a shunt dysfunction is being transported to a tertiary care center. Which of the following interventions should the nurse anticipate while transporting this infant? 
A.
B.
C.
D.
29.  A hydrocephalic infant with a shunt dysfunction is being transported to a tertiary care center. The infant develops fixed and dilated pupils. Which medication is most appropriate? 
A.
B.
C.
D.
30.  The primary reason for initiating a magnesium sulfate infusion prior to transporting a patient who has preeclampsia is to: 
A.
B.
C.
D.
31.  A patient with a forearm cast is being transported. Which of the following would be an early sign of compartment syndrome? 
A.
B.
C.
D.
32.  The nurse prepares to transport a patient who collapsed. The patient is awake and confused, with hot, dry, flushed skin, low blood pressure, and a rapid thready pulse. The patient is receiving oxygen by nonrebreather mask and IV fluids. Which of the following would be an indication that further intervention is necessary? 
A.
B.
C.
D.
33.  The team is transporting an unresponsive patient who fell 15 feet from a deer stand. Pupils are unequal and sluggish. The systolic blood pressure is 80 mmHg and heart rate is 50/min. The patient's skin is warm and dry, and there are no obvious signs of trauma. After airway management and infusion of 2 L of crystalloids, vital signs remain unchanged. Which of the following would be the most appropriate intervention? 
A.
B.
C.
D.
34.  During the transport of a patient with a drug overdose of unknown etiology, the transport nurse suspects amphetamine abuse. Which of the following would support this assessment?  
A.
B.
C.
D.
35.  Adrenergic manifestations of cocaine uses include hypertension, tachycardia and hyperthermia. The symptoms are best treated with: 
A.
B.
C.
D.
36.  During the transport of an adult patient with suspected cardiac tamponade, the earliest clinical sign is: 
A.
B.
C.
D.
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