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CEN EXAM – ACTUAL SOLUTION
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. - ANS-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. - ANS-I will be at increased risk for ectopic pregnancy.
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 - ANS-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 - ANS-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
Inform those waiting that Ebola has been detected - ANS-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 - ANS- 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
Antiretroviral therapy Macrolide antibiotics - ANS- 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 - ANS- 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 - ANS-Cluster To make certain that chain of custody has been followed appropriately, what is the most responsible task performed by the emergency nurse? Keep the evidence at their work station until released to law enforcement Sign and date the tamper resistant tape in front of law enforcement
in order for the patient to be properly cared for? A suicide risk assessment Administration of antipsychotics Application of restraints Medical clearance - ANS-Medical clearance A patient has just been diagnosed with endocarditis. While preparing for surgery for valvular repair, which intervention will the nurse perform? Insert a urinary catheter Insert a gastric tube Begin an infusion of nitroprusside Administer antibiotics - ANS- Administer antibiotics A patient has an unsteady gait, weakness, diminished sensation to
the face and arms, and vision changes. These findings are most likely associated with neurological condition? Myasthenia gravis Amyotrophic lateral sclerosis Multiple sclerosis Parkinson's disease - ANS-Multiple sclerosis The emergency nurse knows that a patient who has experienced a severe electrical injury is at risk for which of the following? Arrhythmias Carboxyhemoglobinemia Tissue liquefaction Hypocalcemia - ANS-Arrhythmias
A 67-year-old male presents with sudden-onset, sharp, stabbing pain in his chest, flank, and back. He states he's taken ibuprofen and sublingual nitroglycerin prescribed for his angina. There has been no relief. Assessment reveals he is slurring his words, there is a facial droop, and his grip strength is weaker on the right. Vital signs are BP 108/86 mm Hg, HR 96 beats/min, RR 18 breaths/min, T 37.0 C (98.6 F), SpO2 91% without supplemental oxygen. What assessment can the nurse do to further determine the cause of these signs and symptoms? Take a blood pressure on the other arm Send blood to the laboratory for toxicology Perform an assessment for stroke
Send blood to the laboratory for cardiac enzymes - ANS-Take a blood pressure on the other arm A patient has just been diagnosed with diabetes insipidus. Which medication will the nurse expect to give? Hypertonic saline Methylprednisolone Vasopressin Furosemide - ANS-Vasopressin A 56-year-old female presents with vague complaints of fatigue and bloating. Assessment reveals pitting edema of hands and feet, abdominal distention, and prominent neck veins. What condition is described by these clinical manifestations?
Which complication is associated with orbital wall fractures? Trismus Development of mastoiditis Ocular entrapment Inability to protect one's own airway
- ANS-Ocular entrapment What intervention is used to manage seasonal affective disorder? Increasing caffeine intake Vitamin D supplements Moving to a warmer climate Use tanning beds - ANS-Vitamin D supplements Which of the following would be indicative of Alzheimer's disease?
Gradual onset of memory loss and aphasia Sudden onset of disorganized speech and disorientation Acute onset of dysarthria and ataxia Chronic symptoms of sadness, slow speech, and flat affect - ANS-Gradual onset of memory loss and aphasia What is the best way to promote a successful family presence practice? Ensure that social services leads the practice Allow immediate family to be present Have administrative support Make it a facility requirement - ANS- Have administrative support
