CEN COMPREHENSIVE EXAM QUESTIONS
AND CORRECT ANSWERS STUDY GUIDE
●● For a patient with manic phase of bipolar disorder, the nurse should
expect to find which manifestation of the patient's mood?
Answer: Sexual language
●● pelvic pain, vomiting, dysuria and a shuffling gait
Answer: pelvic inflammatory disease
●● Junctional rhythm
Answer: the P waves are not disassociated with the QRS complex.
However, the PR interval is <.12 seconds, or the P waves are buried in
the QRS, or the P waves occur after the QRS complex.
●● First degree AV block
Answer: There is no atrial-ventricular dissociation. There is a delay in
the movement of the electrical impulse from the atria to the ventricles.
This is evidenced by a PR interval that is greater than .20 seconds on the
rhythm strip.
●● Second degree AV block Type I
,Answer: There is no atrial-ventricular dissociation in second degree AV
block Type 1. There is a gradual lengthening of the PR interval until
there is a dropped beat. This is a recurring pattern evident on the rhythm
strip.
●● Third degree AV block
Answer: the P-P intervals are consistent and the R-R intervals are
consistent; however, there is not a consistent relationship between the P-
waves and QRS complexes indicating a "dissociation" characteristic of
third degree AV block.
●● V5, V6, & I
Answer: st elevation: Lateral wall MI
●● V1, V2, V3 & V4
Answer: st elevation: anterior wall MI
●● II, III, AVF
Answer: inferior wall MI
●● all leads ST elevation
Answer: Pericarditis
, ●● An electrical current that is delivered to the ventricle during
ventricular repolarization is called:
Answer: R on T phenomenon.
●● defibrillation.
Answer: the electrical current is delivered at a random time in the
cardiac cycle.
●● cardioversion
Answer: the electrical current is delivered at the peak of the R wave,
when the ventricles are depolarizing.
●● orthostatic hypotension
Answer: decrease of 20 mmHg (or more) in systolic pressure or a
decrease of 10 mmHg (or more) in diastolic pressure. The measurement
of heart rate along with blood pressure can aid in differential diagnosis.
For example, a postural drop in blood pressure accompanied by an
increase in heart rate may indicate a non-neurogenic cause (e.g primary
or secondary autonomic system).
●● compensated hypovolemic shock
Answer: The sympathetic nervous system is activated and body systems
work to retain fluid. Respirations are increased, the serum glucose level
increases due to glycogenesis in the liver, the blood pressure remains
stable, and the skin is cool and clammy.
AND CORRECT ANSWERS STUDY GUIDE
●● For a patient with manic phase of bipolar disorder, the nurse should
expect to find which manifestation of the patient's mood?
Answer: Sexual language
●● pelvic pain, vomiting, dysuria and a shuffling gait
Answer: pelvic inflammatory disease
●● Junctional rhythm
Answer: the P waves are not disassociated with the QRS complex.
However, the PR interval is <.12 seconds, or the P waves are buried in
the QRS, or the P waves occur after the QRS complex.
●● First degree AV block
Answer: There is no atrial-ventricular dissociation. There is a delay in
the movement of the electrical impulse from the atria to the ventricles.
This is evidenced by a PR interval that is greater than .20 seconds on the
rhythm strip.
●● Second degree AV block Type I
,Answer: There is no atrial-ventricular dissociation in second degree AV
block Type 1. There is a gradual lengthening of the PR interval until
there is a dropped beat. This is a recurring pattern evident on the rhythm
strip.
●● Third degree AV block
Answer: the P-P intervals are consistent and the R-R intervals are
consistent; however, there is not a consistent relationship between the P-
waves and QRS complexes indicating a "dissociation" characteristic of
third degree AV block.
●● V5, V6, & I
Answer: st elevation: Lateral wall MI
●● V1, V2, V3 & V4
Answer: st elevation: anterior wall MI
●● II, III, AVF
Answer: inferior wall MI
●● all leads ST elevation
Answer: Pericarditis
, ●● An electrical current that is delivered to the ventricle during
ventricular repolarization is called:
Answer: R on T phenomenon.
●● defibrillation.
Answer: the electrical current is delivered at a random time in the
cardiac cycle.
●● cardioversion
Answer: the electrical current is delivered at the peak of the R wave,
when the ventricles are depolarizing.
●● orthostatic hypotension
Answer: decrease of 20 mmHg (or more) in systolic pressure or a
decrease of 10 mmHg (or more) in diastolic pressure. The measurement
of heart rate along with blood pressure can aid in differential diagnosis.
For example, a postural drop in blood pressure accompanied by an
increase in heart rate may indicate a non-neurogenic cause (e.g primary
or secondary autonomic system).
●● compensated hypovolemic shock
Answer: The sympathetic nervous system is activated and body systems
work to retain fluid. Respirations are increased, the serum glucose level
increases due to glycogenesis in the liver, the blood pressure remains
stable, and the skin is cool and clammy.
