CEN Certification Exam Prep Test
(138).jpg "CEN Certification Exam Prep Test - Quiz")
When you call the ambulance because of an emergency, the first medical practitioner sees you as the emergency nurse. They are charged with providing immediate and effective medical care and performing emergency medical procedures to stabilize patients. Are you studying to be a Certified Emergency Nurse? Take up the quiz below and see how ready you are for the CEN Certification exam.
- 1.A 5-years-old child recently had adenotonsillectomy and is brought to the ED d/t profuse bleeding from the nose and mouth. The child is weak, pale, tachycardia, and hypotension. 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.A 22-years-old 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 patient's assessment findings?
- A.
Acute laryngitis
- B.
Chronic laryngitis
- C.
Laryngeal carcinoma
- D.
Vocal cord polyps
- 3.A 22-years-old 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.A 22-years-old 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 the patient gargle with antiseptic solution
- D.
Have pt. swish and swallow a topical anesthetic solution of lidocaine (xylocaine) before eating
- 5.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 characteristic 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 respiration 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 use 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.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.
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