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CEN EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.
An emergency nurse recently obtained specialty certification.
Which category of lifelong learning includes this type of
achievement?
Professional development
Informal learning
Self-teaching
Problem-based learning - correct answer -Professional
development
Wolff-Parkinson-White is what type of dysrhythmia?
Supraventricular
Ventricular
Junctional
Heart block - correct answer -Supraventricular
Emergency medical services bring in a woman at 36 weeks
gestation who has fallen from a balcony. The patient has no pulse
and is not breathing. Chest compressions are in progress. What is
highest priority for this patient?
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Inserting two large bore intravenous lines
Placing the patient in the left lateral position
Continue maternal resuscitation
Obtaining fetal cardiac activity - correct answer -Continue
maternal resuscitation
When providing discharge instructions for a patient with
gonorrhea, the nurse tells the patient?
If the infection is still active when you go into labor, you may
need a C-section.
Tell all sexual partners to seek evaluation and treatment.
Abstain from having sexual intercourse for 7 days after treatment
has been completed.
Come back to the emergency department for follow-up treatment.
- correct answer -Tell all sexual partners to seek evaluation and
treatment.
A patient presents to the ED after spending the past three days
gardening. The chief complaint is chest pain. There is no
shortness of breath, but breathing makes it hurt worse.
Assessment reveals bilateral clear breath sounds, tenderness to
palpation along the left sternal border. The 12-lead ECG and
cardiac enzymes are within normal limits. What is the most likely
treatment for this condition?
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Nitroglycerin and aspirin
Antibiotic therapy
Corticosteroids
Ibuprofen and heat - correct answer -Ibuprofen and heat
Distributive shock is best characterized by which of the following
patient presentations?
Following a motor vehicle collision, a 20-year-old female has
decreased sensation below the nipple line. Vital signs are BP
80/50 mm Hg, HR 54 beats/min, RR 10 breaths/min, T 36.7 C
(98.2 F), SpO2 93% on 15 L/min via nonrebreather mask.
Following a motor vehicle collision, a 45-year-old male suffered
massive blood loss from a partially amputated leg. Vital signs are
BP 90/48 mm Hg, HR 120 beats/min, RR 24 breaths/min, T 36.7
C (98.2 F), SpO2 96% without supplemental oxygen.
A 36-year-old female with fatigue for two days presents with the
following vital signs BP 89/45 mm Hg, HR 190 beats/min, RR 26
breaths/min, T 36.7 C (98.2 F), SpO2 88% with 15 L/min via
nonrebreather mask.
A 20-year-old male with sudden onset of shortness of breath. His
vital signs are BP 104/70 mm Hg, HR 96 beats/min, RR 22
breaths/min, T 36.7 C (98.2 F) - correct answer -Following a
motor vehicle collision, a 20-year-old female has decreased
sensation below the nipple line. Vital signs are BP 80/50 mm Hg,
HR 54 beats/min, RR 10 breaths/min, T 36.7 C (98.2 F), SpO2
93% on 15 L/min via nonrebreather mask.
, Page | 4
A patient reports testicular swelling that he believes is due to
physical activity. On physical exam, he is orthopneic, has
dyspnea on exertion with a respiratory rate of 28 breaths/min, and
has 3+ pitting edema of bilateral lower extremities, scrotum, and
abdomen. These findings are most consistent with which of the
following conditions?
Heart failure
Sexually transmitted infection
Obesity
Lymphedema - correct answer -Heart failure
After exposure in a house fire, the patient presents to the
emergency department with dyspnea and hoarse vocalization.
Which condition does the nurse suspect?
Angioedema
Pneumonia
Asthma exacerbation
Respiratory distress syndrome - correct answer -Angioedema
A patient is brought to the ED following a motor vehicle collision in
which the patient was ejected from the vehicle. He has obvious
bruising on his sternum. He has muffled heart sounds, jugular
CEN EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.
An emergency nurse recently obtained specialty certification.
Which category of lifelong learning includes this type of
achievement?
Professional development
Informal learning
Self-teaching
Problem-based learning - correct answer -Professional
development
Wolff-Parkinson-White is what type of dysrhythmia?
Supraventricular
Ventricular
Junctional
Heart block - correct answer -Supraventricular
Emergency medical services bring in a woman at 36 weeks
gestation who has fallen from a balcony. The patient has no pulse
and is not breathing. Chest compressions are in progress. What is
highest priority for this patient?
, Page | 2
Inserting two large bore intravenous lines
Placing the patient in the left lateral position
Continue maternal resuscitation
Obtaining fetal cardiac activity - correct answer -Continue
maternal resuscitation
When providing discharge instructions for a patient with
gonorrhea, the nurse tells the patient?
If the infection is still active when you go into labor, you may
need a C-section.
Tell all sexual partners to seek evaluation and treatment.
Abstain from having sexual intercourse for 7 days after treatment
has been completed.
Come back to the emergency department for follow-up treatment.
- correct answer -Tell all sexual partners to seek evaluation and
treatment.
A patient presents to the ED after spending the past three days
gardening. The chief complaint is chest pain. There is no
shortness of breath, but breathing makes it hurt worse.
Assessment reveals bilateral clear breath sounds, tenderness to
palpation along the left sternal border. The 12-lead ECG and
cardiac enzymes are within normal limits. What is the most likely
treatment for this condition?
, Page | 3
Nitroglycerin and aspirin
Antibiotic therapy
Corticosteroids
Ibuprofen and heat - correct answer -Ibuprofen and heat
Distributive shock is best characterized by which of the following
patient presentations?
Following a motor vehicle collision, a 20-year-old female has
decreased sensation below the nipple line. Vital signs are BP
80/50 mm Hg, HR 54 beats/min, RR 10 breaths/min, T 36.7 C
(98.2 F), SpO2 93% on 15 L/min via nonrebreather mask.
Following a motor vehicle collision, a 45-year-old male suffered
massive blood loss from a partially amputated leg. Vital signs are
BP 90/48 mm Hg, HR 120 beats/min, RR 24 breaths/min, T 36.7
C (98.2 F), SpO2 96% without supplemental oxygen.
A 36-year-old female with fatigue for two days presents with the
following vital signs BP 89/45 mm Hg, HR 190 beats/min, RR 26
breaths/min, T 36.7 C (98.2 F), SpO2 88% with 15 L/min via
nonrebreather mask.
A 20-year-old male with sudden onset of shortness of breath. His
vital signs are BP 104/70 mm Hg, HR 96 beats/min, RR 22
breaths/min, T 36.7 C (98.2 F) - correct answer -Following a
motor vehicle collision, a 20-year-old female has decreased
sensation below the nipple line. Vital signs are BP 80/50 mm Hg,
HR 54 beats/min, RR 10 breaths/min, T 36.7 C (98.2 F), SpO2
93% on 15 L/min via nonrebreather mask.
, Page | 4
A patient reports testicular swelling that he believes is due to
physical activity. On physical exam, he is orthopneic, has
dyspnea on exertion with a respiratory rate of 28 breaths/min, and
has 3+ pitting edema of bilateral lower extremities, scrotum, and
abdomen. These findings are most consistent with which of the
following conditions?
Heart failure
Sexually transmitted infection
Obesity
Lymphedema - correct answer -Heart failure
After exposure in a house fire, the patient presents to the
emergency department with dyspnea and hoarse vocalization.
Which condition does the nurse suspect?
Angioedema
Pneumonia
Asthma exacerbation
Respiratory distress syndrome - correct answer -Angioedema
A patient is brought to the ED following a motor vehicle collision in
which the patient was ejected from the vehicle. He has obvious
bruising on his sternum. He has muffled heart sounds, jugular
