CEN EXAMS
Which of the following statements made by a patient would lead the
nurse to conclude that the patient understands risk factors for
pulmonary embolism?
While on a long flight, I should get up and walk to stretch my legs
every hour.
Resuming my birth control pills will lower my risk of cancer and my
risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't
happen again.
Switching from my regular cigarettes to the electronic ones can
reduce my risk. - While on a long flight, I should get up and walk to
stretch my legs every hour.
An emergency nurse is providing discharge instructions for a patient
with pelvic inflammatory disease. Which statement made by the
patient indicates an understanding of these instructions?
Getting pregnant shouldn't be a problem once the infection goes
away.
I'll take the medicine for nausea when I feel sick to my stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow. - I will be at increased risk
for ectopic pregnancy.
A 16-year-old presents with severe left upper quadrant abdominal
pain after an over-the-handlebars bicycle collision. Vital signs are BP
100/60 mm Hg, HR 100 beats/min, RR 30 breaths/min, T 37.0 C (98.6
F), SpO2 89% without supplemental oxygen. There is bruising over
the left upper quadrant of the abdomen. Auscultation reveals
diminished breath sounds on the left accompanied by gurgling. Based
on this history and assessment, the nurse suspects which injury?
Small bowel rupture
Ruptured diaphragm
,Flail chest
Hepatic injury - Ruptured diaphragm
A patient presents with chest pain. The nurse performs a 12-lead
electrocardiogram that reveals an abnormal Q wave. What does the
nurse suspect?
A current injury
An old infarction
An acute infarction
Ischemia - An old infarction
A patient is brought to the ED by emergency medical services with
increased aggression and making clear homicidal threats. What
immediate action will the nurse expect to promote staff and patient
safety?
Administration of antipsychotics
One-to-one observation
Place in a seclusion room
Application of restraints - Place in a seclusion room
A 28-year-old female presents with shortness of breath, dizziness, and
diaphoresis. Her vital signs are BP 118/74 mm Hg, HR 122 beats/min,
RR 26 breaths/min, T 37.7 C (99.9 F), SpO2 92% without
supplemental oxygen. Her health history includes fractures of the left
tibia and fibula following an MVC 3 weeks ago. Surgical fixation was
required. Her only current medications are an oral contraceptive and
intermittent ibuprofen for pain. Assessment of the casted left leg
reveals that the toes are swollen. With this information, which
diagnostic testing will the nurse expect as the highest priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography
Radiograph of the left leg - Computed tomographic pulmonary
angiography
,A family of 10 presents to the ED with complaints of fever, muscle
pain, and unexplained bruising ongoing for 7 days. After completing
the screening, the nurse notes that the family recently traveled to
Sierra Leone. What is the highest priority intervention the triage
nurse needs to perform?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room
Inform those waiting that Ebola has been detected - Notify infection
prevention
A patient presents to the ED with complaints of fatigue and insomnia.
Assessment findings reveal the patient is awake, alert, and oriented,
has a round moon face, buffalo hump back, hirsutism and prominent
striae on the trunk. Vital signs are normal. Which of the following
scenarios is most consistent with this patient's presentation?
A high school wrestler who admits to taking his grandfather's
furosemide before a meet
A patient with insulin-dependent diabetes who took insulin, without
eating breakfast.
A patient with severe chronic asthma who has been on prednisone
for several years
A patient who underwent a thyroidectomy several years ago who
recently ran out of medication - A patient with severe chronic asthma
who has been on prednisone for several years
A patient who was brought to the ED by ambulance following a motor
vehicle collision, in which the driver hit a tree, has BP 92/48 mm Hg,
HR 128 beats/min, RR 34 breaths/min, SpO2 91% with supplemental
oxygen via a nonrebreather. He has labored breathing, cyanosis,
absent breath sounds on the right, and jugular vein distension. Which
of the following conditions would be suspected?
Aspiration
Flail chest
Cardiac tamponade
, Tension pneumothorax - Tension pneumothorax
What is the most common cause of cardiogenic shock?
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy - Myocardial infarction
The disease most commonly associated with the catarrhal,
paroxysmal and convalescent stages is best treated with classification
of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics - Macrolide antibiotics
A 28-year-old female presents to the ED with complaints of dizziness,
fear of dying, and hot flashes that began 10 minutes prior to arrival.
The patient is trembling and tachypneic. Which anxiety disorder is
the patient exhibiting?
Post-traumatic stress disorder
Panic attack
Acute stress disorder
Generalized anxiety disorder - Panic attack
A 30-year-old male presents to the emergency department with
excruciating pain on the right side of his head. It has been coming and
going all day. His right eye is reddened and skin is flushed. What type
of headache is this patient experiencing?
Tension
Traumatic
Cluster
Migraine - Cluster
Which of the following statements made by a patient would lead the
nurse to conclude that the patient understands risk factors for
pulmonary embolism?
While on a long flight, I should get up and walk to stretch my legs
every hour.
Resuming my birth control pills will lower my risk of cancer and my
risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't
happen again.
Switching from my regular cigarettes to the electronic ones can
reduce my risk. - While on a long flight, I should get up and walk to
stretch my legs every hour.
An emergency nurse is providing discharge instructions for a patient
with pelvic inflammatory disease. Which statement made by the
patient indicates an understanding of these instructions?
Getting pregnant shouldn't be a problem once the infection goes
away.
I'll take the medicine for nausea when I feel sick to my stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow. - I will be at increased risk
for ectopic pregnancy.
A 16-year-old presents with severe left upper quadrant abdominal
pain after an over-the-handlebars bicycle collision. Vital signs are BP
100/60 mm Hg, HR 100 beats/min, RR 30 breaths/min, T 37.0 C (98.6
F), SpO2 89% without supplemental oxygen. There is bruising over
the left upper quadrant of the abdomen. Auscultation reveals
diminished breath sounds on the left accompanied by gurgling. Based
on this history and assessment, the nurse suspects which injury?
Small bowel rupture
Ruptured diaphragm
,Flail chest
Hepatic injury - Ruptured diaphragm
A patient presents with chest pain. The nurse performs a 12-lead
electrocardiogram that reveals an abnormal Q wave. What does the
nurse suspect?
A current injury
An old infarction
An acute infarction
Ischemia - An old infarction
A patient is brought to the ED by emergency medical services with
increased aggression and making clear homicidal threats. What
immediate action will the nurse expect to promote staff and patient
safety?
Administration of antipsychotics
One-to-one observation
Place in a seclusion room
Application of restraints - Place in a seclusion room
A 28-year-old female presents with shortness of breath, dizziness, and
diaphoresis. Her vital signs are BP 118/74 mm Hg, HR 122 beats/min,
RR 26 breaths/min, T 37.7 C (99.9 F), SpO2 92% without
supplemental oxygen. Her health history includes fractures of the left
tibia and fibula following an MVC 3 weeks ago. Surgical fixation was
required. Her only current medications are an oral contraceptive and
intermittent ibuprofen for pain. Assessment of the casted left leg
reveals that the toes are swollen. With this information, which
diagnostic testing will the nurse expect as the highest priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography
Radiograph of the left leg - Computed tomographic pulmonary
angiography
,A family of 10 presents to the ED with complaints of fever, muscle
pain, and unexplained bruising ongoing for 7 days. After completing
the screening, the nurse notes that the family recently traveled to
Sierra Leone. What is the highest priority intervention the triage
nurse needs to perform?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room
Inform those waiting that Ebola has been detected - Notify infection
prevention
A patient presents to the ED with complaints of fatigue and insomnia.
Assessment findings reveal the patient is awake, alert, and oriented,
has a round moon face, buffalo hump back, hirsutism and prominent
striae on the trunk. Vital signs are normal. Which of the following
scenarios is most consistent with this patient's presentation?
A high school wrestler who admits to taking his grandfather's
furosemide before a meet
A patient with insulin-dependent diabetes who took insulin, without
eating breakfast.
A patient with severe chronic asthma who has been on prednisone
for several years
A patient who underwent a thyroidectomy several years ago who
recently ran out of medication - A patient with severe chronic asthma
who has been on prednisone for several years
A patient who was brought to the ED by ambulance following a motor
vehicle collision, in which the driver hit a tree, has BP 92/48 mm Hg,
HR 128 beats/min, RR 34 breaths/min, SpO2 91% with supplemental
oxygen via a nonrebreather. He has labored breathing, cyanosis,
absent breath sounds on the right, and jugular vein distension. Which
of the following conditions would be suspected?
Aspiration
Flail chest
Cardiac tamponade
, Tension pneumothorax - Tension pneumothorax
What is the most common cause of cardiogenic shock?
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy - Myocardial infarction
The disease most commonly associated with the catarrhal,
paroxysmal and convalescent stages is best treated with classification
of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics - Macrolide antibiotics
A 28-year-old female presents to the ED with complaints of dizziness,
fear of dying, and hot flashes that began 10 minutes prior to arrival.
The patient is trembling and tachypneic. Which anxiety disorder is
the patient exhibiting?
Post-traumatic stress disorder
Panic attack
Acute stress disorder
Generalized anxiety disorder - Panic attack
A 30-year-old male presents to the emergency department with
excruciating pain on the right side of his head. It has been coming and
going all day. His right eye is reddened and skin is flushed. What type
of headache is this patient experiencing?
Tension
Traumatic
Cluster
Migraine - Cluster
