CEN Practice Test 003 QUIZ Bank Exam with Actual Q & A
2023/2024 VERIFIED
The nurse is caring for a patient who has a high fever, central nervous system dysfunction and
tachycardia. The nurse should recognize that the patient may be experiencing
A. myxedema crisis.
B. Beck's triad.
C. thyroid storm.
D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS). correct answers C. Thyroid storm
Which of the following assessment findings associated with a skull fracture indicate the need for further
intervention?
A. otorrhea, nausea, and vomiting
B. decreasing level of consciousness and restlessness
C. early evidence of periorbital ecchymosis and photophobia
D. rhinorrhea and headache or dizziness correct answers B. decreasing level of consciousness and
restlessness
Upon initial assessment of a male patient involved in a motor vehicle crash, the nurse observes bruises in
various stages of healing to his torso. He denies any medical history. When asked about the bruising, the
patient avoids eye contact, states that he fell yesterday, and asks if his male partner has arrived to the
ED. The nurse suspects:
A. the patient may have undiagnosed coagulopathy.
B. the bruising was sustained during the motor vehicle crash.
C. the patient may be a victim of domestic violence.
D. the bruising is a result of the stated fall. correct answers C. the patient may be a victim of domestic
violence.
The nurse is caring for a patient who became unresponsive after diving head-first into a shallow pool.
The patient is experiencing refractory hypotension. The nurse should prepare for the administration of
a. lactated Ringers.
b. norepinephrine.
c. normal saline.
d. epinephrine. correct answers b. norepinephrine
A 3-year-old child who has acute respiratory distress is admitted to the emergency department. The child
is sitting forward and drooling, and the neck is extended. These findings support the diagnosis of
A. epiglottitis.
B. bronchiolitis.
C. croup.
D. aspiration of a foreign body. correct answers A. epiglottitis
The nurse understands that adenosine is administered
A. IV push over 1-2 seconds.
B. as a bolus over 10-15 minutes.
,C. as a bolus over 1 hour.
D. IV push over 1-2 minutes. correct answers A. IV push over 1-2 seconds.
A man who briefly lost consciousness after a motor vehicle crash is alert and oriented upon arrival at the
emergency department. The patient states that he is fine except for an abrasion where his head hit the
door frame of the vehicle. The patient complains of blurred vision 1 hour later. The nurse should FIRST
A. repeat the neurologic assessment.
B. obtain orthostatic vital signs.
C. assess visual acuity.
D. obtain blood glucose measurement. correct answers A. repeat the neurologic assessment.
After a non-traumatic resuscitation, the patient has a perfusing ECG rhythm and a stable blood pressure,
but the patient remains comatose. The nurse should NEXT prepare for
A. initiation of targeted temperature management.
B. initiation of stroke protocol.
C. transport to the cardiac catheterization lab.
D. transport to the neurovascular suite. correct answers A. initiation of targeted temperature
management.
After a patient has an episode of violent behavior in the waiting room, an important intervention is to
A. tell the patient to get himself under control.
B. instruct the patient to be quiet and speak only when spoken to.
C. allow the patient to go home as soon as possible.
D. encourage the patient to verbalize his feelings about the situation. correct answers D. encourage the
patient to verbalize his feelings about the situation.
The nurse is caring for a patient with complaints of progressive, ascending paralysis starting from the
feet and progressing over the last week. It would be a PRIORITY for the nurse to monitor the patient's
A. pupillary response.
B. peripheral pulses.
C. respiratory status.
D. Blood glucose correct answers C. respiratory status.
A patient with acute cocaine intoxication should be expected to have
A. rising core body temperature.
B. drowsiness.
C.flaccid extremities.
D. first-degree AV block. correct answers A. rising core body temperature.
Which of the following ocular conditions requires the HIGHEST treatment priority?
A. periorbital hematoma with edema
B. hyphema following a blow to the eye
C. a retained metal foreign body
D. sudden, painless loss of vision in one eye correct answers D. sudden, painless loss of vision in one eye
A patient presents with complaints of fatigue and exhaustion, and reveals a recent move across country
for a new high stress job. The patient admits to recent increase in alcohol consumption. The nurse
suspects the patient is experiencing:
, A. schizophrenia.
B. situational crisis.
C. psychotic depression.
D. acute mania. correct answers B. situational crisis.
The nurse is caring for a patient who suddenly stops breathing and is in ventricular fibrillation. The nurse
should FIRST
A. perform synchronized cardioversion at 200 joules.
B. provide oxygen and ventilation via a bag-mask device.
C. start chest compressions.
D. administer 1 mg of intravenous epinephrine. correct answers C. start chest compressions.
A patient presents with his family members, who state that he has struck his brother and has been
violent and paranoid. The nurse should FIRST
A. place the patient into a treatment room with the door open.
B. assess the brother for possible injuries.
C. escort the patient to the quiet room to await the social worker.
D. notify police of the assault. correct answers A. place the patient into a treatment room with the door
open.
Human tetanus immune globulin provides passive immunity for
A. 1 year.
B. 30 days.
C. 6 months.
D. 72 hours. correct answers B. 30 days.
A patient who is trembling, sweating, and hyperventilating is having an anxiety attack. Arterial blood gas
analysis is likely to show which of the following?
A. oxygen saturation < 96%
B. pH < 7.35
C. HCO3-level > 26 mEq/L
D. PaCO2 < 35 mm Hg correct answers D. PaCO2 < 35 mm Hg
A pediatric patient is treated for otitis media complicated by a ruptured tympanic membrane. Discharge
education is proven effective when the patient's father states,
A. I will position my son upright in bed when he goes to sleep.
B. I will keep my son from getting his ear wet.
C. I will feed him soft foods until the ear drum heals itself.
D. I will use antibiotic ear drops four times a day for one week. correct answers B. I will keep my son from
getting his ear wet.
Assessment of a patient who has acute cholecystitis is MOST likely to reveal
A. pain that radiates to the left shoulder and positive results on a stool guaiac test.
B. pain in the left upper quadrant of the abdomen and positive results on a guaiac test of vomitus.
C. pain in the right upper quadrant of the abdomen and slight scleral icterus.
D. epigastric pain that radiates to the back and watery stools. correct answers C. pain in the right upper
quadrant of the abdomen and slight scleral icterus.
2023/2024 VERIFIED
The nurse is caring for a patient who has a high fever, central nervous system dysfunction and
tachycardia. The nurse should recognize that the patient may be experiencing
A. myxedema crisis.
B. Beck's triad.
C. thyroid storm.
D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS). correct answers C. Thyroid storm
Which of the following assessment findings associated with a skull fracture indicate the need for further
intervention?
A. otorrhea, nausea, and vomiting
B. decreasing level of consciousness and restlessness
C. early evidence of periorbital ecchymosis and photophobia
D. rhinorrhea and headache or dizziness correct answers B. decreasing level of consciousness and
restlessness
Upon initial assessment of a male patient involved in a motor vehicle crash, the nurse observes bruises in
various stages of healing to his torso. He denies any medical history. When asked about the bruising, the
patient avoids eye contact, states that he fell yesterday, and asks if his male partner has arrived to the
ED. The nurse suspects:
A. the patient may have undiagnosed coagulopathy.
B. the bruising was sustained during the motor vehicle crash.
C. the patient may be a victim of domestic violence.
D. the bruising is a result of the stated fall. correct answers C. the patient may be a victim of domestic
violence.
The nurse is caring for a patient who became unresponsive after diving head-first into a shallow pool.
The patient is experiencing refractory hypotension. The nurse should prepare for the administration of
a. lactated Ringers.
b. norepinephrine.
c. normal saline.
d. epinephrine. correct answers b. norepinephrine
A 3-year-old child who has acute respiratory distress is admitted to the emergency department. The child
is sitting forward and drooling, and the neck is extended. These findings support the diagnosis of
A. epiglottitis.
B. bronchiolitis.
C. croup.
D. aspiration of a foreign body. correct answers A. epiglottitis
The nurse understands that adenosine is administered
A. IV push over 1-2 seconds.
B. as a bolus over 10-15 minutes.
,C. as a bolus over 1 hour.
D. IV push over 1-2 minutes. correct answers A. IV push over 1-2 seconds.
A man who briefly lost consciousness after a motor vehicle crash is alert and oriented upon arrival at the
emergency department. The patient states that he is fine except for an abrasion where his head hit the
door frame of the vehicle. The patient complains of blurred vision 1 hour later. The nurse should FIRST
A. repeat the neurologic assessment.
B. obtain orthostatic vital signs.
C. assess visual acuity.
D. obtain blood glucose measurement. correct answers A. repeat the neurologic assessment.
After a non-traumatic resuscitation, the patient has a perfusing ECG rhythm and a stable blood pressure,
but the patient remains comatose. The nurse should NEXT prepare for
A. initiation of targeted temperature management.
B. initiation of stroke protocol.
C. transport to the cardiac catheterization lab.
D. transport to the neurovascular suite. correct answers A. initiation of targeted temperature
management.
After a patient has an episode of violent behavior in the waiting room, an important intervention is to
A. tell the patient to get himself under control.
B. instruct the patient to be quiet and speak only when spoken to.
C. allow the patient to go home as soon as possible.
D. encourage the patient to verbalize his feelings about the situation. correct answers D. encourage the
patient to verbalize his feelings about the situation.
The nurse is caring for a patient with complaints of progressive, ascending paralysis starting from the
feet and progressing over the last week. It would be a PRIORITY for the nurse to monitor the patient's
A. pupillary response.
B. peripheral pulses.
C. respiratory status.
D. Blood glucose correct answers C. respiratory status.
A patient with acute cocaine intoxication should be expected to have
A. rising core body temperature.
B. drowsiness.
C.flaccid extremities.
D. first-degree AV block. correct answers A. rising core body temperature.
Which of the following ocular conditions requires the HIGHEST treatment priority?
A. periorbital hematoma with edema
B. hyphema following a blow to the eye
C. a retained metal foreign body
D. sudden, painless loss of vision in one eye correct answers D. sudden, painless loss of vision in one eye
A patient presents with complaints of fatigue and exhaustion, and reveals a recent move across country
for a new high stress job. The patient admits to recent increase in alcohol consumption. The nurse
suspects the patient is experiencing:
, A. schizophrenia.
B. situational crisis.
C. psychotic depression.
D. acute mania. correct answers B. situational crisis.
The nurse is caring for a patient who suddenly stops breathing and is in ventricular fibrillation. The nurse
should FIRST
A. perform synchronized cardioversion at 200 joules.
B. provide oxygen and ventilation via a bag-mask device.
C. start chest compressions.
D. administer 1 mg of intravenous epinephrine. correct answers C. start chest compressions.
A patient presents with his family members, who state that he has struck his brother and has been
violent and paranoid. The nurse should FIRST
A. place the patient into a treatment room with the door open.
B. assess the brother for possible injuries.
C. escort the patient to the quiet room to await the social worker.
D. notify police of the assault. correct answers A. place the patient into a treatment room with the door
open.
Human tetanus immune globulin provides passive immunity for
A. 1 year.
B. 30 days.
C. 6 months.
D. 72 hours. correct answers B. 30 days.
A patient who is trembling, sweating, and hyperventilating is having an anxiety attack. Arterial blood gas
analysis is likely to show which of the following?
A. oxygen saturation < 96%
B. pH < 7.35
C. HCO3-level > 26 mEq/L
D. PaCO2 < 35 mm Hg correct answers D. PaCO2 < 35 mm Hg
A pediatric patient is treated for otitis media complicated by a ruptured tympanic membrane. Discharge
education is proven effective when the patient's father states,
A. I will position my son upright in bed when he goes to sleep.
B. I will keep my son from getting his ear wet.
C. I will feed him soft foods until the ear drum heals itself.
D. I will use antibiotic ear drops four times a day for one week. correct answers B. I will keep my son from
getting his ear wet.
Assessment of a patient who has acute cholecystitis is MOST likely to reveal
A. pain that radiates to the left shoulder and positive results on a stool guaiac test.
B. pain in the left upper quadrant of the abdomen and positive results on a guaiac test of vomitus.
C. pain in the right upper quadrant of the abdomen and slight scleral icterus.
D. epigastric pain that radiates to the back and watery stools. correct answers C. pain in the right upper
quadrant of the abdomen and slight scleral icterus.
