CEN Exam Questions and Answers 2024, Exams of Nursing

Download CEN Exam Questions and Answers 2024 and more Exams Nursing in PDF only on Docsity! CEN Exam Questions and Answers 2024 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 - Which of the following interventions would be appropriate for a patient who has been diagnosed with renal calculi? Apply ice to the flank area Immediate surgical intervention Administer antiemetics NPO status - Administer antiemetics 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 - 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 - 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? Myocardial infarction Aortic dissection Right-sided heart failure Left-sided heart failure - Right-sided heart failure An emergency nurse is interviewing fellow staff nurses in order to understand how the emotional states of fatigued nurses impact outcomes of patients with behavioral health disorders. What type of research study is the nurse conducting? Quantitative study Cohort study Randomized controlled trials Qualitative study - Qualitative study Which complication is associated with orbital wall fractures? Trismus Development of mastoiditis Ocular entrapment Inability to protect one's own airway - 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 - 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 - 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 - Have administrative support A patient arrives unresponsive. Cardiopulmonary monitoring indicates a ventricular tachycardia. He has no pulse. What will the nurse anticipate as the next intervention? Synchronized cardioversion Administer epinephrine intravenously Administer atropine intravenously Defibrillation - Defibrillation What is a late sign of intussusception? Colicky pain Ribbon-like stools Left lower quadrant tenderness Currant jelly-like stools - Currant jelly-like stools A patient presents with a sudden onset of shortness of breath, cough, and mild chest pain. Past medical history includes heart failure and recent treatment for pneumonia. Considering the patient's history, the nurse anticipates a workup for which respiratory problem? Chronic bronchitis Pleural effusion Pulmonary embolism Pulmonary contusion - Pleural effusion A patient presents to the emergency department with right-sided facial drooping, right arm weakness and slurred speech. Which of the following assessments indicates exclusion criteria for receiving tissue plasminogen activator (tPA)? Blood glucose of 180 mg/dL BP 190/110 mm Hg NIH stroke scale of 6 Headache - BP 190/110 mm Hg A 16-year-old male is brought to the ED by his coach. The patient was playing football in moderately cold weather one hour prior to arrival and felt severe pain in the left groin area. This is suggestive of which genitourinary emergency? Paraphimosis Testicular torsion Priapism Acute epididymitis - Testicular torsion A 3-year-old boy is brought to the ED by his mother, who noticed bruises on the boy's left thigh, back, and feet developing over the last week. Past medical history includes a mild respiratory virus a month ago. The assessment reveals, he is awake and alert, with some bleeding noted around the gums. Initial laboratory values include a low platelet count with a normal white blood cell count. Hemoglobin and hematocrit are slightly low. Which disorder does the nurse suspect is the cause of his signs and symptoms? Leukemia Thrombocytosis Disseminated intravascular coagulopathy Idiopathic thrombocytopenia purpura - Idiopathic thrombocytopenia purpura A 50-year-old male arrives at the emergency department via ambulance after sustaining a knife wound to the right side of his back. He has loss of movement on the right side and loss of sensation on the left side of his body. The nurse suspects that this is which type of spinal cord injury? Brown-Séquard syndrome Anterior cord syndrome Posterior cord syndrome Central cord syndrome - Irrigation A 22-year-old patient presents with upper respiratory symptoms, nausea and vomiting and a low-grade fever. She has a history of leukemia and underwent chemotherapy 2 weeks ago. What is the nurse's priority? Protective isolation Ondansetron oral dissolving tablet Intravenous fluid bolus Morphine intravenous - Protective isolation A patient presents to the ED with a chief complaint of "It feels like I have something in my eye, but I can't see it." What eye injury is this most likely to represent? Corneal ulcer Keratitis Hyphema Corneal abrasion - Corneal abrasion In compensated shock, what physiological response increases serum sodium? Sympathetic nervous system (SNS) response Intracellular fluid shift Renin-angiotensin-aldosterone system (RAAS) Altered capillary permeability - Renin-angiotensin-aldosterone system (RAAS) A patient describes symptoms of recent onset of eye pain and denies any traumatic injury. He is seeing haloes around lights and is experiencing nausea, vomiting, and headaches. The nurse's assessment reveals loss of peripheral vision and redness of the affected eye. Which condition does this set of clinical manifestations describe? Acute angle glaucoma Keratitis Corneal ulcer Retinal detachment - Acute angle glaucoma Which of the following clinical presentations is most consistent with a patient who has pancreatitis? Pain with palpation of the right subcostal area during inspiration Diffuse cramping abdominal pain Epigastric pain that radiates to the back Dull, constant umbilical pain - Epigastric pain that radiates to the back Administration of activated charcoal is indicated for which of the following overdoses? Hydrofluoric acid Carbamazepine Ferrous sulfate Lithium - Carbamazepine Which one of the following is an appropriate intervention for acute lithium toxicity? IV fluids with hypertonic solution Urine alkalinization Hemodialysis Give activated charcoal - Hemodialysis The level of alertness and attention displayed by a patient with a diffuse axonal injury is determined by which segment of the neurological system? Reticular activating system Brainstem Frontal lobe Limbic system - Reticular activating system What is the first intervention that is appropriate for the nurse to perform once a neonate has been delivered? Thoroughly dry the neonate Suction the mouth and nose Measure APGAR score Clamp the umbilical cord - Thoroughly dry the neonate The nurse is giving discharge instructions to a patient with chronic obstructive pulmonary disease - emphysema. Which response indicates the patient understands the instructions? I need to limit my fluids to prevent fluid overload. I need to sleep with my feet elevated to prevent swelling. I need to get the pneumococcal vaccine. I need to avoid snacking between meals. - I need to get the pneumococcal vaccine. A patient, who has suffered deep, full-thickness (third degree) thermal burns to the circumferential chest and abdomen, as well as burns of varying depth to the upper extremities, has been transferred to your emergency department from a small, rural community hospital. Ventilating the intubated patient via bag-mask device is becoming increasingly difficult and chest rise with ventilation is poor. The emergency nurse anticipates which procedure? Tracheostomy Cricothyroidotomy Escharotomy Fasciotomy - Escharotomy A patient presents to the ED with disorientation to time, place and person, memory impairment, and personality changes for the past 6 days. This patient is most likely exhibiting which psychosocial emergency? Dementia Schizophrenia Depression Delirium - Delirium A patient arrives with complaints of shortness of breath and a history of asthma. The assessment reveals mild tachypnea, biphasic (expiratory and inspiratory) wheezing, and use of accessory muscles. Peak expiratory flow is 48% of personal best. What is the severity of this asthma exacerbation? Severe Moderate Slight Mild - Moderate A hazard vulnerability analysis (HVA) was completed for a rural area ED. One finding was that the electrical system was antiquated and could not handle power outages with generator back-up. The director of emergency preparedness acknowledged this issue and initiated a plan to ensure that the electrical system received the necessary upgrades. What phase of disaster preparedness is this related to? Mitigation Preparedness Response Recovery - Mitigation A patient presents to the ED with complaints of right arm weakness, and difficulty speaking. The symptoms started about 40 minutes ago and are now improving. She said this happened yesterday too, but went away. What is she experiencing? Hemorrhagic stroke Ischemic stroke Bell's palsy Transient ischemic attacks - Transient ischemic attacks A 37-year-old female walks into the ED holding her abdomen. She is writhing in pain. Her history includes vaginal bleeding for the past 6 days. She soaked 5 sanitary pads in 2 hours. What is the most likely cause of the heavy bleeding? Uterine fibroids The nurse is providing discharge instructions to a patient with asthma. Which of the following statements indicates understanding from the patient? I should avoid air conditioning if I begin having symptoms I'm going to wash my bed linen once a week in hot water. To get a baseline peak expiratory flow, I'll do it right before I use my inhaler. My son uses a spacer, but since I'm an adult and can coordinate the inhaler, I don't need one. - I'm going to wash my bed linen once a week in hot water. Discharge instructions are given to a patient with a prescription for phenazopyridine. Which statement by the patient indicates an understanding of the medication's side effects? My urine will have an orange discoloration. I can continue to take it even if I develop a rash. This medication does not have any side effects. I may gain weight while taking this medication. - My urine will have an orange discoloration. A patient presents to the ED stating he had been hit in the right eye with a glass bottle two days ago. On assessment, the eye is reddened, tearing, and there is an irregular pupil. Which ocular emergency is associated with these assessment findings? Retinal detachment Hyphema Foreign body Iritis - Iritis A patient presents to the ED with complaints of feeling guilty and sad. He also has had decreased appetite and sleep disturbances for the past 3 weeks. What intervention is priority for this patient? Performing a suicide risk assessment Placing patient in a low stimulus area Administering antidepressants or anxiolytics Providing a discharge referral for support services - Performing a suicide risk assessment An ED patient is being prepared for surgical intervention for a large bowel obstruction. The surgeon needs to obtain a signature for informed consent. The patient is unable to sign the consent form because of having been heavily sedated. Which advanced directive allows for a family member to sign the consent form? Durable power of attorney for finance Living will Do not resuscitate order Durable power of attorney for healthcare - Durable power of attorney for healthcare A male patient arrives following a motor vehicle collision. Emergency medical services report vital signs: HR 92 beats/min, RR 20 breaths/min, BP 128/74 mm Hg, SpO2 96% with a nonrebreather at 15 L/min. They state that the airbag malfunctioned and he hit the steering wheel. The nurse assesses the patient and finds bruising to the sternum, muffled heart tones, and the following vital signs: HR 102 beats/min, RR 18 breaths/min, BP 122/94 mm Hg, SpO2 92%. What pathophysiologic process does the nurse recognize? Low pulse pressure Decrease in afterload High pulse pressure Cushing triad - Low pulse pressure Which inherited bleeding disorder is the most common? Von Willebrand Classic hemophilia Christmas disease Rosenthal syndrome - Von Willebrand Which complication is the most common risk for all puncture wounds? Joint effusion Osteomyelitis Abscess Hemorrhage - Abscess 79. A patient presents with vaginal bleeding and cramping. She tells the emergency nurse, "I passed clots at home. I think I lost my baby." Pelvic examination reveals that the cervical os is open. Which type of spontaneous abortion most likely occurred? Missed abortion Septic abortion Inevitable abortion Threatened abortion - Inevitable abortion The nurse practitioner ordered a procalcitonin to be drawn on a patient. This will identify which condition? Parathyroid disease Hyperosmolar hyperglycemic syndrome (HHS) Tuberculosis Sepsis - Sepsis A patient presents with a sore throat and difficulty swallowing. Assessment reveals fever, muffled voice, and cervical lymphadenitis. What is the highest priority? Airway protection Pain management Preparation for incision and drainage Intravenous access for fluid resuscitation - Airway protection A 42-year-old female patient presents to the emergency department with complaints of having right upper quadrant cramping pain that radiates to the right scapula and shoulder areas. She also complains of being "bloated and passing gas." With her history, which gastrointestinal disorder is she at risk for? Cholecystitis Hepatitis Pancreatitis Diverticulitis - Cholecystitis A patient presents to the ED with chest pain. The nurse assesses the pain and determines that rest relieves the pain. What does the nurse determine this indicates? Stable angina Unstable angina Non-ST elevation myocardial infarction ST elevation myocardial infarction - Stable angina A 32-year-old female patient is brought to the emergency department via emergency medical services with a complaint of coughing for the past two weeks. The patient is now complaining of severe epigastric pain and is violently retching and vomiting blood. She has a history of alcohol abuse and bulimia. Which type of gastrointestinal disorder is the most likely cause of these symptoms? Diverticulitis Mallory-Weiss syndrome Pancreatitis Gastric ulcer - Mallory-Weiss syndrome Which stage pressure ulcer includes partial thickness skin loss? Stage 2 Stage 1 Stage 3 Stage 4 - Stage 2 The Frank-Starling law applies to which component of cardiac output? Stroke volume Preload Heart rate Winter months Acute physical illness - History of past attempts A 21-year-old female presents to the ED with complaints of pelvic pain. What possible cause of the pain is assessed for first? Urinary tract infection Ectopic pregnancy Ruptured ovarian cyst Kidney stones - Ectopic pregnancy The emergency nurse is giving discharge instructions to a patient who has just had a laceration closed with wound glue. Which statement indicates the patient understands the instructions? I should use sunscreen tomorrow when I go outside. I'll watch for it to slough off in the next two days. I should keep it covered with a bandage. I should look for redness or drainage. - I should look for redness or drainage. The nurse is reviewing laboratory results in a patient who presents with hyperglycemia. Which of the following statements about the difference between diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome is true? The patient with hyperosmolar hyperglycemic syndrome presents with a more significant acidosis than the patient with diabetic ketoacidosis The patient with diabetic ketoacidosis presents with ketones in the urine and the patient with hyperosmolar hyperglycemic syndrome does not The patient with diabetic ketoacidosis presents with a higher blood glucose level than the patient with hyperosmolar hyperglycemic syndrome Diabetic ketoacidosis (DKA) is a more common presentation in patients with type 1 diabetes mellitus, while hyperosmolar hyperglycemic syndrome (HHS) is more common in patients with type 2 diabetes mellitus. - The patient with diabetic ketoacidosis presents with ketones in the urine and the patient with hyperosmolar hyperglycemic syndrome does not The licensed provider orders a medication that the patient has a known allergy to. The nurse mistakenly administers the medication to the patient. Which ethical principle did the nurse breach? Justice Nonmaleficence Beneficence Autonomy - Nonmaleficence A patient presents with an amputated thumb after an incident with a power saw. The nurse is readying the patient for transport to a trauma center for replantation. Which of the following represents a step in preparation of the amputated part? Cleanse with iodine Irrigate with distilled water Wrap in saline-soaked gauze Place the part in iced saline - Wrap in saline-soaked gauze Which term refers to a complete disruption of the articulating surface of the joint? Dislocation Subluxation Sprain Strain - Dislocation Which cranial nerves are responsible for airway protection and speech? III, IV, VI V, VIII, VII I, II, XI IX, X, XII - IX, X, XII An adult male presents to the ED complaining of pain to the fingers of his right hand after using rust remover containing hydrofluoric acid earlier in the day. He states the pain began about 30 minutes ago. The distal digits are discolored and painful, but the fingernails are intact. After decontaminating the patient with copious amounts of water, the emergency nurse anticipates application of which treatment to the affected areas? Calcium gluconate gel to the affected areas A topical fat emollient to the affected areas Calcium chloride gel to the affected areas Ice directly to the affected areas - Calcium gluconate gel to the affected areas What is the mode of transmission for the multidrug resistant organism vancomycin- resistant Enterococcus? Blood and body fluid Direct contact Respiratory droplets Airborne particles - Direct contact A 13-year-old presents to the emergency department. His parents state that he passed out at home and had been vomiting and had diarrhea for the last few days. He answers questions appropriately, although he complains of dizziness. His vital signs on arrival: BP 70/40 mm Hg, HR 132 beats/min, RR 24 breaths/min, T 36.9 C (98.4 F), and SpO2 97% without supplemental oxygen. A new graduate nurse inserted an intravenous line and is about to begin a fluid bolus of D5W. What does the preceptor explain to the new graduate nurse regarding fluid resuscitation? Because of the electrolyte disturbances from vomiting and diarrhea, use D5.45% sodium chloride. Because the patient is likely in septic shock, the fluid resuscitation is done slowly. The appropriate fluid for hypotension is isotonic crystalloid, not D5W As a pediatric patient, D5W fluid is given at a bolus rate of 20 mL/kg. - The appropriate fluid for hypotension is isotonic crystalloid, not D5W An 11-month-old patient presents to the ED with grunting, nasal flaring, copious nasal secretions, mild intercostal retractions, and expiratory wheezing. Vital signs include BP 78/54 mm Hg, HR 148 beats/min, RR 74 breaths/min, T 37.8 C (100.0 F), SpO2 93% without supplemental oxygen. Which intervention will be the nurses highest priority? Give a bolus of normal saline Prepare for intubation Administer antibiotics Suction the nares - Suction the nares Which of the following statements is most significant when assessing a patient for Guillain-Barré syndrome? My mother says I have been forgetful. Both of my legs really hurt at night. I've lost control of my bladder a few times. My eye twitches a lot lately. - Both of my legs really hurt at night. A patient with chest pain has an electrocardiogram that reveals ST-segment elevation in diffuse leads, and no reciprocal changes. The patient feels better sitting forward. Which is the most likely condition this patient is experiencing? Pulmonary embolism Endocarditis Unstable angina Pericarditis - Pericarditis An 83-year-old female patient with a two-day history of vomiting and diarrhea is brought to the emergency department via ambulance from a nursing home. The patient does not respond to verbal stimuli. Pitting edema is noted to both lower extremities. Her vital signs are as follows: BP 85/45 mm Hg, HR 38 beats/min, RR 28 breaths/min, and SpO2 96% with oxygen at 15 LPM on nonrebreather mask. Which type of shock is displayed in this patient's presentation? Obstructive shock Uncompensated shock Compensated shock Cyanide An 8-year-old boy with a history of sickle cell disease presents with right knee pain that he rates at 8 out of 10 on the numeric scale. He denies history of recent injury. There is no redness or swelling at the site. The knee is tender to light palpation, but it radiates no heat to touch. The nurse anticipates the use of which of the following pharmacological agents? Morphine Meperidine Fentanyl Ibuprofen - Morphine A 68-year-old male presents to the emergency department with a complaint of increasing confusion over the past week after he tripped and fell, hitting his head. What type of brain injury is suspected? Mild traumatic brain injury Epidural hematoma Subdural hematoma Basilar skull fracture - Subdural hematoma Bilevel positive airway pressure (BiPAP) can be an ideal therapy to use on a respiratory failure patient with which associated assessment finding? Absent gag reflex Nasal deformity Distended neck veins Excessive oral secretions - Distended neck veins Which assessment finding indicates magnesium toxicity in a patient with preeclampsia who is receiving a magnesium sulfate infusion? Shortness of breath Hyperactive patellar reflexes Elevated liver function tests Decreased urinary output - Shortness of breath An emergency nurse knows that quality cardiopulmonary resuscitation in a neonate is achieved by? Hyperventilating the neonate to improve oxygenation Rotating persons that perform chest compressions every four minutes Beginning resuscitation with 100% oxygen Performing chest compressions with minimal interruptions - Performing chest compressions with minimal interruptions A 20-year-old male presents with a sudden onset of pleuritic chest pain, mild dyspnea, and a cough. Assessment reveals a tall, thin patient with tachycardia and diminished breath sounds on the right side. What thoracic condition is the most likely cause? Spontaneous pneumothorax Open pneumothorax Tension pneumothorax Hemothorax - Spontaneous pneumothorax Which of the following techniques is the most effective way to determine homicidal ideation? Inquire about the patient's interaction with family members and friends Ask the patient about plans to carry out violence and any prohibiting factors Observe the patient for threatening statements, movements, or actions Be aware of any threatening feelings experienced while interacting with the patient - Ask the patient about plans to carry out violence and any prohibiting factors A patient presents with a positive purified protein derivative (PPD) test that was administered 2 days ago. She has no other symptoms. Which isolation precautions will the nurse initiate? Contact Standard Airborne Droplet - Standard Which intervention is a priority for a patient with a retinal detachment? Bilateral eye patching Warm compresses Immediate irrigation Antibiotic therapy - Bilateral eye patching A 32-year-old female patient presents to the ED with complaints of abdominal pain that is 10 out of 10 on a numeric rating scale. A pregnancy test is negative. A computed tomography (CT) scan of the abdomen has been ordered. The physician wants to hold analgesia until the CT is completed. As an advocate for the patient, what might the emergency nurse do in this situation? Request an order for an opioid Request an order for a nonopioid Have the patient use distraction techniques Have the patient use deep breathing - Request an order for an opioid A patient presents to the emergency department with superficial reddened welts to the hands and upper extremities incurred after placing his hands and arms into the jellyfish tank at the local zoo. After irrigating the wounds with normal saline and removing the tentacles with forceps, what is the best treatment for pain management? Application of a fat emollient Application of a pressure bandage Application of topical antihistamines Application of acetic acid - Application of acetic acid A 58-year-old male arrives to the ED following a motor vehicle collision. Assessment reveals bony crepitus and bruising over the left chest with paradoxical chest wall movement. He complains that it is difficult to breathe and his chest hurts. His vital signs are BP 118/60 mm Hg, HR 110 beats/min, RR 32 breaths/min and shallow, T 37.0 C (98.6 F) SpO2 95% with 15 L/min via nonrebreather mask. The nurse will prepare for which priority intervention? Portable chest radiograph 12-lead electrocardiogram Chest tube insertion - Intubation with positive end-expiratory pressure A patient arrives via emergency medical services and is unresponsive, pale, and with involuntary movements on the right side of body. Symptoms continue despite midazolam having been administered in the field. What is the priority intervention for this patient? Endotracheal intubation Airway protection Computed tomography scan Phenytoin level - Airway protection A 12-year-old male is brought to the emergency department by his mother with complaints of difficulty breathing, swollen eyes and lips, and hives. The mother states that the child had just finished eating a peanut butter cookie. Epinephrine was administered. What is the next class of medications to be administered to the patient? Inhaled beta 2 agonist Corticosteroid Antihistamine Anticholinergic - Inhaled beta 2 agonist Elevation of the head of the bed, but not the affected extremity, ambulation as tolerated, and thrombolytic therapy are interventions for which type of peripheral vascular disease? Lymphedema Peripheral artery disease Deep vein thrombosis Peripheral venous disease - 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) - 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. 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 - 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 - 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 venous distention, and low blood pressure. This group of clinical manifestations is also known as: Cushing's triad Kehr's sign Beck's triad Kussmaul's sign - Beck's triad A 40-year-old man presents to the emergency department with minimal urine output for the past two days. His history includes recent kidney stones. Which type of renal injury does this represent? Intrarenal Intrinsic Prerenal Postrenal - Postrenal