CEN Exam 1 Review Practice Test.
1. Which dysrhythmia would hematuria is present on
be identified on an urinalysis. What is the most
ECG/EKG likely diagnosis?
six-second strip by a heart
rate of 76 and a PR a.ureteral calcium oxalate cal-
interval of 0.24?
a.sinus tachycardia
b.first-degree
atrioventricular block
c.sinus bradycardia
d.junctional escape
rhythm
2. Which blood test may
indicate infection or
inflammation and would
need to be used as part
of the clinical picture with
diag- nosing and treating
abdominal pain?
a.white blood cell (WBC)
count of 5.0
b.hematocrit (HCT) of
45 c.WBC count of 28.0
d.blood sugar (BS) of 74
3. A 30-year-old man comes
to the emergency
department with the
acute onset of left flank
pain radiating to the
groin. Microscopic
, CEN Exam 1 Review Practice Test.
B: First-degree atrioventricular block is stone, helical CT is now the preferred diagnostic method.
diagnosed partially by an EKG showing a PR Additional workup includes CBC, chemistry panel,
interval of greater than 0.20 seconds. urinalysis, and straining of urine to catch a passed
stone for chemical analysis. Nursing attention should
be directed to intravenous hydration with
C: An elevated WBC count would be
indicative of infection or inflammation. The
WBC count of 5.0 is normal. The HCT and BS
levels listed would also be considered within
normal limits.
A: Ureteral calculi are a quite common
cause of acute emer- gency evaluation,
usually causing flank pain with radiation to
the back and/or groin. About 75% of these are
calcium oxalate or phosphate; less common
are struvite, uric acid, or cystine calculi.
While KUB or ultrasound may show the
, CEN Exam 1 Review Practice Test.
culus input and output recording and narcotic or narcotic
b.ureteral cystine plus NSAID (e.g., ketorolac) administration for pain.
calculus c.testicular Some patients may be discharged with analgesics
torsion d.cystitis and instructions for hydration and calculus capture.
Testicular torsion is most common in adolescents and
usually presents with testicular and groin pain with
abdominal radiation; increasing pain by lifting the
scrotum to the level of the pubic symphysis causes
exacer- bation of the pain (Prehn sign). Cystitis may
be infectious or drug-induced, but cystitis usually
causes dysuria and pyuria and shows positive urine
4. Which of the following is
cultures.
NOT appropriate for
screening for C: Domestic violence, nearly always perpetrated
against women, is a major problem confronted by the
emergency
domestic violence by the emer- nurse. Screening for possible cases should include
answers A,
gency department nurse? B and D. Interestingly, victims of intimate partner violence
often
a.asking if the person has been present with a medical ailment, not trauma. These
include
hit, kicked, or otherwise hurt back, abdominal, or pelvic pain, headaches, urinary
infections,
by someone in the past year; if sexually transmitted disease, or symptoms
consistent with
so, by whom posttraumatic stress disorder (PTSD). Sometimes
b.asking, "Do you feel evidence of old trauma such as healing fractures or
safe in your present cosmetically concealed bruises may point toward the
relationship?" c.avoid presence of domestic violence. Many victims will deny
asking about intimate it but sometimes compassionate ques-
person violence if the patient is tioning in a private setting will elicit a positive
response. The
1. Which dysrhythmia would hematuria is present on
be identified on an urinalysis. What is the most
ECG/EKG likely diagnosis?
six-second strip by a heart
rate of 76 and a PR a.ureteral calcium oxalate cal-
interval of 0.24?
a.sinus tachycardia
b.first-degree
atrioventricular block
c.sinus bradycardia
d.junctional escape
rhythm
2. Which blood test may
indicate infection or
inflammation and would
need to be used as part
of the clinical picture with
diag- nosing and treating
abdominal pain?
a.white blood cell (WBC)
count of 5.0
b.hematocrit (HCT) of
45 c.WBC count of 28.0
d.blood sugar (BS) of 74
3. A 30-year-old man comes
to the emergency
department with the
acute onset of left flank
pain radiating to the
groin. Microscopic
, CEN Exam 1 Review Practice Test.
B: First-degree atrioventricular block is stone, helical CT is now the preferred diagnostic method.
diagnosed partially by an EKG showing a PR Additional workup includes CBC, chemistry panel,
interval of greater than 0.20 seconds. urinalysis, and straining of urine to catch a passed
stone for chemical analysis. Nursing attention should
be directed to intravenous hydration with
C: An elevated WBC count would be
indicative of infection or inflammation. The
WBC count of 5.0 is normal. The HCT and BS
levels listed would also be considered within
normal limits.
A: Ureteral calculi are a quite common
cause of acute emer- gency evaluation,
usually causing flank pain with radiation to
the back and/or groin. About 75% of these are
calcium oxalate or phosphate; less common
are struvite, uric acid, or cystine calculi.
While KUB or ultrasound may show the
, CEN Exam 1 Review Practice Test.
culus input and output recording and narcotic or narcotic
b.ureteral cystine plus NSAID (e.g., ketorolac) administration for pain.
calculus c.testicular Some patients may be discharged with analgesics
torsion d.cystitis and instructions for hydration and calculus capture.
Testicular torsion is most common in adolescents and
usually presents with testicular and groin pain with
abdominal radiation; increasing pain by lifting the
scrotum to the level of the pubic symphysis causes
exacer- bation of the pain (Prehn sign). Cystitis may
be infectious or drug-induced, but cystitis usually
causes dysuria and pyuria and shows positive urine
4. Which of the following is
cultures.
NOT appropriate for
screening for C: Domestic violence, nearly always perpetrated
against women, is a major problem confronted by the
emergency
domestic violence by the emer- nurse. Screening for possible cases should include
answers A,
gency department nurse? B and D. Interestingly, victims of intimate partner violence
often
a.asking if the person has been present with a medical ailment, not trauma. These
include
hit, kicked, or otherwise hurt back, abdominal, or pelvic pain, headaches, urinary
infections,
by someone in the past year; if sexually transmitted disease, or symptoms
consistent with
so, by whom posttraumatic stress disorder (PTSD). Sometimes
b.asking, "Do you feel evidence of old trauma such as healing fractures or
safe in your present cosmetically concealed bruises may point toward the
relationship?" c.avoid presence of domestic violence. Many victims will deny
asking about intimate it but sometimes compassionate ques-
person violence if the patient is tioning in a private setting will elicit a positive
response. The
