CEN Practice questions with answers
(100% verified)
An indwelling urinary catheter is ordered for a patient
who has sustained a straddle injury to his external
genitalia. Before catheter insertion, the nurse should
assess the patient for:
1. penile tenderness.
2. scrotal or penile swelling.
3. blood at the urinary meatus.
4. the ability to void spontaneously. - CORRECT ANSWERS
✔✔3. blood at the urinary meatus.
When assessing a trauma patient with blood at the
urinary meatus, it is important to know that this is a sign
of a possible pelvic fracture and that a urinary drainage
catheter insertion is contraindicated. Penile tenderness
and scrotal or penile swelling are expected complaints
after the described trauma, but alone they are not a
contraindication for a urinary drainage catheter insertion.
The ability to void spontaneously is not an indication or
contraindication for the insertion of a urinary drainage
catheter.
,Trauma Nursing Core Course, 8th ed. 2020, pg. 154
Emergency Nursing Core Curriculum, 7th ed. 2018, pg.
520
The MOST beneficial action of morphine in the treatment
of pulmonary edema is to:
1. decrease preload.
2. decrease cardiac reserve.
3. increase systemic vascular resistance.
4. increase oxygen consumption. - CORRECT ANSWERS
✔✔Morphine sulfate has several beneficial effects in the
patient experiencing pulmonary edema, particularly
pulmonary edema due to heart failure. Morphine reduces
pain and anxiety but, most importantly, by increasing
venous capacitance (through vasodilation), less blood is
delivered to the lungs.
Emergency Nursing Core Curriculum, 7th ed. 2018, pg.
171
Sheehy's Emergency Nursing: Principles and Practice, 7th
ed. 2020, pg. 223
,An elderly woman presents with vague complaints of
abdominal pain. The patient states that the people she
lives with are stealing from her. The nurse should:
1. call the family to discuss the situation.
2. arrange for protective custody of the patient.
3. assess the patient for signs of neglect and
maltreatment.
4. obtain consent for evaluation by social services. -
CORRECT ANSWERS ✔✔3. assess the patient for signs of
neglect and maltreatment.
Maltreatment of the elderly cannot be assessed quickly or
easily from a cluster of signs and vague presenting
symptoms. Keen awareness when performing the physical
examination is essential to identify elder abuse.
Emergency Nursing Core Curriculum, 7th ed. 2018, pg.
40-41
A patient who has a long-leg cast has pain out of
proportion to the injury and decreased sensation in the
affected leg. Urinalysis reveals myoglobinemia. These
findings MOST likely indicate:
, 1. fat emboli.
2. nerve laceration.
3. compartment syndrome.
4. deep vein thrombosis. - CORRECT ANSWERS ✔✔3.
compartment syndrome.
Characteristic signs of compartment syndrome are pain
out of proportion of the extent of the injury and
decreased sensation. Muscle damage due to
compression/damage of the muscle releases myoglobin,
which will be evident in the urinalysis.
Trauma Nursing Core Course, 8th ed. 2020, pg. 196-198
A 14-year-old patient whose airway is obstructed is
conscious and unable to speak. The nurse should FIRST:
1. remove the obstruction with Magill forceps.
2. administer back blows.
3. administer abdominal thrusts.
4. encourage the patient to cough. - CORRECT ANSWERS
✔✔3. administer abdominal thrusts.
(100% verified)
An indwelling urinary catheter is ordered for a patient
who has sustained a straddle injury to his external
genitalia. Before catheter insertion, the nurse should
assess the patient for:
1. penile tenderness.
2. scrotal or penile swelling.
3. blood at the urinary meatus.
4. the ability to void spontaneously. - CORRECT ANSWERS
✔✔3. blood at the urinary meatus.
When assessing a trauma patient with blood at the
urinary meatus, it is important to know that this is a sign
of a possible pelvic fracture and that a urinary drainage
catheter insertion is contraindicated. Penile tenderness
and scrotal or penile swelling are expected complaints
after the described trauma, but alone they are not a
contraindication for a urinary drainage catheter insertion.
The ability to void spontaneously is not an indication or
contraindication for the insertion of a urinary drainage
catheter.
,Trauma Nursing Core Course, 8th ed. 2020, pg. 154
Emergency Nursing Core Curriculum, 7th ed. 2018, pg.
520
The MOST beneficial action of morphine in the treatment
of pulmonary edema is to:
1. decrease preload.
2. decrease cardiac reserve.
3. increase systemic vascular resistance.
4. increase oxygen consumption. - CORRECT ANSWERS
✔✔Morphine sulfate has several beneficial effects in the
patient experiencing pulmonary edema, particularly
pulmonary edema due to heart failure. Morphine reduces
pain and anxiety but, most importantly, by increasing
venous capacitance (through vasodilation), less blood is
delivered to the lungs.
Emergency Nursing Core Curriculum, 7th ed. 2018, pg.
171
Sheehy's Emergency Nursing: Principles and Practice, 7th
ed. 2020, pg. 223
,An elderly woman presents with vague complaints of
abdominal pain. The patient states that the people she
lives with are stealing from her. The nurse should:
1. call the family to discuss the situation.
2. arrange for protective custody of the patient.
3. assess the patient for signs of neglect and
maltreatment.
4. obtain consent for evaluation by social services. -
CORRECT ANSWERS ✔✔3. assess the patient for signs of
neglect and maltreatment.
Maltreatment of the elderly cannot be assessed quickly or
easily from a cluster of signs and vague presenting
symptoms. Keen awareness when performing the physical
examination is essential to identify elder abuse.
Emergency Nursing Core Curriculum, 7th ed. 2018, pg.
40-41
A patient who has a long-leg cast has pain out of
proportion to the injury and decreased sensation in the
affected leg. Urinalysis reveals myoglobinemia. These
findings MOST likely indicate:
, 1. fat emboli.
2. nerve laceration.
3. compartment syndrome.
4. deep vein thrombosis. - CORRECT ANSWERS ✔✔3.
compartment syndrome.
Characteristic signs of compartment syndrome are pain
out of proportion of the extent of the injury and
decreased sensation. Muscle damage due to
compression/damage of the muscle releases myoglobin,
which will be evident in the urinalysis.
Trauma Nursing Core Course, 8th ed. 2020, pg. 196-198
A 14-year-old patient whose airway is obstructed is
conscious and unable to speak. The nurse should FIRST:
1. remove the obstruction with Magill forceps.
2. administer back blows.
3. administer abdominal thrusts.
4. encourage the patient to cough. - CORRECT ANSWERS
✔✔3. administer abdominal thrusts.
