CEN Exam Preparation with right Rationale

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 ️️ 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 ️️ 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 ️️ Arrhythmias Which heart block is associated with a lengthening PR interval until a QRS complex is dropped? First degree Second degree type II Third degree Second degree type I ️️ Second degree type I 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