CEN Review Questions

36 Questions  I  By Rapidresponse
Please take the quiz to rate it.

CEN Quizzes & Trivia
CEN review for CEN exam.

  
Changes are done, please start the quiz.


Questions and Answers

Removing question excerpt is a premium feature

Upgrade and get a lot more done!
  • 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. 

      Clearing clots from nose and mouth

    • B. 

      Postnasal packing

    • C. 

      Drawing blood for H&H and type and cross-match

    • D. 

      Give IV LR


  • 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. 

      Acute laryngitis

    • B. 

      Chronic laryngitis

    • C. 

      Laryngeal carcinoma

    • D. 

      Vocal cord polyps


  • 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. 

      Voice rest, whispering permitted

    • B. 

      Complete voice rest

    • C. 

      Swish and gargle with alcohol based astringent

    • D. 

      Gargle with aspirin and salt water


  • 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. 

      Alupent/metaproterenol

    • B. 

      Icebag to throat

    • C. 

      Have pt. gargle with antiseptic solution

    • D. 

      Have pt. swish and swallow a topical anesthetic solution of lidocaine (xylocaine) before eating


  • 5. 
    1. Which of the following PQRST mnemonic descriptions is untrue?
    • A. 

      P: prodromal/palliative

    • B. 

      Q: quality of pain (stabbing, aching)

    • C. 

      R: region and radiation (if so, where)

    • D. 

      S: severity on a scale of 0 to 20


  • 6. 
    Define the following signs/symptoms: Right upper quadrant pain, fever (chills), and jaundice associated with cholangitis.
    • A. 

      Bouchard's Nodes

    • B. 

      Chandelier's Sign

    • C. 

      Charcot's Triad

    • D. 

      Chvostek's Sign


  • 7. 
    Define the following signs/symptoms: Calf pain with forcible dorsiflexion of the foot, associated with venous thrombosis.
    • A. 

      Hegar's Sign

    • B. 

      Hoffmann's Sign/Reflex

    • C. 

      Homans' Sign

    • D. 

      Horner's Syndrome


  • 8. 
    Which of the following is not a characteristic of Beck's triad? 
    • A. 

      Rising jugular venous pressure is evidenced by distended jugular veins while in a non-supine position.

    • B. 

      The fall in systolic pressure results when the fluid in the pericardial cavity accumulates to a degree that it impairs ventricular stretch.

    • C. 

      The suppressed heart sounds occur due to the muffling effects of the sounds passing through the fluid surrounding the heart.

    • D. 

      Pain and tingling in fingers after exposure to cold.


  • 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. 

      Cheyne-Stokes Respiration

    • B. 

      Biot's Respiration

    • C. 

      Apneusis

    • D. 

      Kussmaul's breathing


  • 10. 
    Which of the following changes is not found with hypokalaemia?
    • A. 

      Small or absent T waves

    • B. 

      Wide QRS

    • C. 

      First or second degree AV block

    • D. 

      Slight depression of the ST segment


  • 11. 
    Which of the following is not a cause of Right Axis Deviation?
    • A. 

      Left ventricular hypertrophy

    • B. 

      Chronic lung disease even without pulmonary hypertension

    • C. 

      Anterolateral myocardial infarction

    • D. 

      Pulmonary embolus


  • 12. 
    Describe the Green Color of Triage?
    • A. 

      Delayed care / can delay up to three hours

    • B. 

      Urgent care / can delay up to one hour

    • C. 

      Immediate care / life-threatening

    • D. 

      Victim is dead / no care required


  • 13. 
    Which of the following is not a charteristic of Mitral Stenosis?
    • A. 

      There is atrial fibrillation.

    • B. 

      No P waves are visible.

    • C. 

      The rhythm is irregularly irregular (random).

    • D. 

      Left axis deviation


  • 14. 
    Which of the following matches the definition: minute, pinpoint hemorrhages into the skin, mucosal or serosal surfaces?
    • A. 

      Purpura

    • B. 

      Ecchymoses

    • C. 

      Petechiae

    • D. 

      Fibrinolytic


  • 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. 

      Apply a soft collar, obtain an x-ray film of the lateral cervical spine, and establish a large-bore IV line.

    • B. 

      Obtain an x-ray film of the lateral cervical spine, insert an indwelling urinary catheter, and prepare to intubate the patient.

    • C. 

      Stabilize the neck, establish a large-bore IV line, and perform a rapid secondary survey.

    • D. 

      Stabilize the neck, perform a complete secondary survey, and splint possible fractures.


  • 16. 
    During the assessment of a patient in diabetic ketoacidosis, the emergency nurse would expect to find all of the following EXCEPT:
    • A. 

      Cool, clammy skin.

    • B. 

      Rapid, deep respirations.

    • C. 

      Orthostatic hypotension.

    • D. 

      Fruity odor on the breath


  • 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. 

      First degree.

    • B. 

      Superficial second degree.

    • C. 

      Deep second degree.

    • D. 

      Third degree.


  • 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. 

      turn purplish-blue.

    • B. 

      blister.

    • C. 

      Bleed.

    • D. 

      Be painful.


  • 19. 
    Signs and symptoms of cocaine intoxication include: 
    • A. 

      Bradycardia, hypertention, and agitation.

    • B. 

      Tachycardia, hypertension, and fever.

    • C. 

      Tachypnea, lethargy, and mydriasis.

    • D. 

      Hypotension, nausea, and vomiting.


  • 20. 
    Which of the following drugs should be given to a patient suspected of taking a heroin overdose? 
    • A. 

      Atropine.

    • B. 

      Naloxone (Narcan).

    • C. 

      Methylphenidate (Ritalin).

    • D. 

      Physostigmine (Antilirium).


  • 21. 
    Which of the following is NOT associated with dehydration? 
    • A. 

      A decreased hematocrit.

    • B. 

      Dry mucous membranes.

    • C. 

      Postural hypotension.

    • D. 

      Thirst.


  • 22. 
    You may forego gastric emptying in patients who ingest:
    • A. 

      Large doses of drugs that would overwhelm activated charcoal.

    • B. 

      Shortly before presentation with severe illness.

    • C. 

      Large doses many hours earlier but are asymptomatic.

    • D. 

      Agents not absorbed to activated charcoal.


  • 23. 
    Adrenergic manifestations of cocaine uses include hypertension, tachycardia and hyperthermia. The symptoms are best treated with: 
    • A. 

      Nitroprusside (Nipride).

    • B. 

      Lorazepam (Ativan).

    • C. 

      Chlorpromazine (Thorazine).

    • D. 

      Beta-adrenergic antagonists.


  • 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. 

      Cooling and sedation.

    • B. 

      Blood pressure and heart rate control.

    • C. 

      Fluid boluses and urine alkalization.

    • D. 

      Anti-arrhythmic and vasodilator drugs.


  • 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. 

      Administer NSS at a rate of 200 cc/hr.

    • B. 

      Mannitol 1 Gm/kg IV bolus.

    • C. 

      Add 50 mEq of sodium bicarbonate to every litre of normal saline solution.

    • D. 

      Check arterial blood gases for metabolic alkalosis.


  • 26. 
    During the transport of an adult patient with suspected cardiac tamponade, the earliest clinical sign is: 
    • A. 

      Hypotension.

    • B. 

      Anxiety.

    • C. 

      Jugular venous distention.

    • D. 

      Tachycardia.


  • 27. 
    Which finding is NOT a component of Beck’s triad? 
    • A. 

      Tachycardia

    • B. 

      Hypotension

    • C. 

      Muffled heart tones

    • D. 

      Severe jugular venous distention


  • 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. 

      Ventilatory assistance to keep CO2 > 45

    • B. 

      Manual pumping of the shunt

    • C. 

      Elevation of head of bed 15 degrees

    • D. 

      Administration of anticonvulsants


  • 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. 

      Dexamethasone

    • B. 

      Diamox

    • C. 

      Mannitol

    • D. 

      Phenobarbital


  • 30. 
    The primary reason for initiating a magnesium sulfate infusion prior to transporting a patient who has preeclampsia is to: 
    • A. 

      Treat hypertension.

    • B. 

      Reduce seizure potential.

    • C. 

      Increase placental perfusion.

    • D. 

      Prevent preterm labor.


  • 31. 
    A patient with a forearm cast is being transported. Which of the following would be an early sign of compartment syndrome? 
    • A. 

      Nailbed cyanosis

    • B. 

      Slight finger swelling

    • C. 

      Pain with finger extension

    • D. 

      Capillary refill of 2 seconds


  • 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. 

      Glasgow Coma Score of 7

    • B. 

      Urine output of 30 mL/h

    • C. 

      Oxygen saturation of 94%

    • D. 

      Profuse diaphoresis


  • 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. 

      Infuse colloids (albumin).

    • B. 

      Administer packed red blood cells.

    • C. 

      Initiate a dopamine (Intropin) infusion.

    • D. 

      Continue a crystalloid bolus to maintain blood pressure


  • 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. 

      Hypertension, increased temperature, and dilated pupils

    • B. 

      Lethargy, hyperreflexia, and decreased temperature

    • C. 

      Tremors, aggression, and constricted pupils

    • D. 

      Euphoria, tremors, and hypotension


  • 35. 
    Adrenergic manifestations of cocaine uses include hypertension, tachycardia and hyperthermia. The symptoms are best treated with: 
    • A. 

      Nitroprusside (Nipride)

    • B. 

      Lorazepam (Ativan)

    • C. 

      Chlorpromazine (Thorazine)

    • D. 

      Beta-adrenergic antagonists.


  • 36. 
    During the transport of an adult patient with suspected cardiac tamponade, the earliest clinical sign is: 
    • A. 

      Hypotension.

    • B. 

      Anxiety.

    • C. 

      Jugular venous distention.

    • D. 

      Tachycardia.


Back to top

Removing ad is a premium feature

Upgrade and get a lot more done!
Take Another Quiz
We have sent an email with your new password.