CEN Exam Study Guide with Questions and Answers

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