CEN EXAM PREP SOLVED QUESTIONS
ACCURATE ANSWERS PREMIUM REVIEW
◉ The nurse has assisted in an emergent delivery of an infant in
the Emergency Department. The infant was born 2 weeks before
the due date and is small for gestational age. The nurse
documents a thin upper lip, small eye openings, and a smooth
philtrum above the upper lip. This child may be diagnosed with:
a. Vitamin B12 deficiency
b. Folic acid deficiency
c. Fetal alcohol syndrome
d. Diabetes
Answer: c. Fetal alcohol syndrome
The symptoms described in the scenario are classic signs of fetal
alcohol syndrome caused by maternal consumption of alcohol
during pregnancy. The other vitamin deficiencies can result in
defects and delays in growth and development, but the particular
facial deformities in this scenario are unique to FAS.
◉ A young man is brought to the Emergency Department after
receiving multiple fire ant bites while working in his yard.
Although initially alert and oriented, he begins to develop
wheezing and an itchy throat. He complains of nausea and severe
, anxiety. The ED nurse should prepare to administer all of the
following for initial treatment EXCEPT:
a. Adrenaline
b. Antibiotic
c. Oxygen
d. Antihistamines
Answer: b. Antibiotic
The nurse should recognize that these signs and symptoms
indicate possible anaphylaxis following the fire ant bites.
Antibiotics are not indicated for the initial treatment of
anaphylaxis. They may be necessary at a future time if the ant
bites become infected. Adrenaline, oxygen, and antihistamines
will help reduce some of the symptoms the patient is
experiencing. The nurse should also be prepared for emergency
intubation if the respiratory problems increase and result in
respiratory distress.
◉ An eight-year-old child is brought to the emergency
department by his parents after receiving multiple fire ant bites at
his home. His lips are swollen, and he is complaining of itching.
During your assessment, you note that he is wheezing. The most
appropriate immediate treatment for this child is:
a. Antibiotic
b. IV antihistamine
ACCURATE ANSWERS PREMIUM REVIEW
◉ The nurse has assisted in an emergent delivery of an infant in
the Emergency Department. The infant was born 2 weeks before
the due date and is small for gestational age. The nurse
documents a thin upper lip, small eye openings, and a smooth
philtrum above the upper lip. This child may be diagnosed with:
a. Vitamin B12 deficiency
b. Folic acid deficiency
c. Fetal alcohol syndrome
d. Diabetes
Answer: c. Fetal alcohol syndrome
The symptoms described in the scenario are classic signs of fetal
alcohol syndrome caused by maternal consumption of alcohol
during pregnancy. The other vitamin deficiencies can result in
defects and delays in growth and development, but the particular
facial deformities in this scenario are unique to FAS.
◉ A young man is brought to the Emergency Department after
receiving multiple fire ant bites while working in his yard.
Although initially alert and oriented, he begins to develop
wheezing and an itchy throat. He complains of nausea and severe
, anxiety. The ED nurse should prepare to administer all of the
following for initial treatment EXCEPT:
a. Adrenaline
b. Antibiotic
c. Oxygen
d. Antihistamines
Answer: b. Antibiotic
The nurse should recognize that these signs and symptoms
indicate possible anaphylaxis following the fire ant bites.
Antibiotics are not indicated for the initial treatment of
anaphylaxis. They may be necessary at a future time if the ant
bites become infected. Adrenaline, oxygen, and antihistamines
will help reduce some of the symptoms the patient is
experiencing. The nurse should also be prepared for emergency
intubation if the respiratory problems increase and result in
respiratory distress.
◉ An eight-year-old child is brought to the emergency
department by his parents after receiving multiple fire ant bites at
his home. His lips are swollen, and he is complaining of itching.
During your assessment, you note that he is wheezing. The most
appropriate immediate treatment for this child is:
a. Antibiotic
b. IV antihistamine
