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Exam Solution
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CEN Exam Comprehensive Review for Emergency Medi
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cine 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS
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AND VERIFIED ANSWERS (FAD21)
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QUESTION 1 zm
The nurse is caring for a patient who has a high fever, central nervous system dysfun
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ction and tachycardia. The nurse should recognize that the patient may be experienci
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ng
A. myxedema crisis.
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B. Beck's triad.
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C. thyroid storm.
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D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS).
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ANSWER
C. Thyroid storm
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QUESTION 2 zm
Which of the following assessment findings associated with a skull fracture indicate th
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e need for further intervention?
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A. otorrhea, nausea, and vomiting
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B. decreasing level of consciousness and restlessness
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C. early evidence of periorbital ecchymosis and photophobia
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D. rhinorrhea and headache or dizziness
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ANSWER
B. decreasing level of consciousness and restlessness
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QUESTION 3 zm
The nurse is caring for a patient who became unresponsive after diving head-
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first into a shallow pool. The patient is experiencing refractory hypotension. The nurs
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e should prepare for the administration of
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,a. lactated Ringers.
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b. norepinephrine.
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c. normal saline.
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d. epinephrine.
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ANSWER
b. norepinephrine
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QUESTION 4 zm
A 3-year-
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old child who has acute respiratory distress is admitted to the emergency department
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. The child is sitting forward and drooling, and the neck is extended. These findings s
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upport the diagnosis of zm zm zm
A. epiglottitis.
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B. bronchiolitis.
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C. croup.
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D. aspiration of a foreign body.
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ANSWER
A. epiglottitis
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QUESTION 5 zm
The nurse understands that adenosine is administered
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A. IV push over 1-2 seconds.
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B. as a bolus over 10-15 minutes.
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C. as a bolus over 1 hour.
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D. IV push over 1-2 minutes.
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ANSWER
A. IV push over 1-2 seconds.
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QUESTION 6 zm
After a non- zm zm
traumatic resuscitation, the patient has a perfusing ECG rhythm and a stable blood pr
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essure, but the patient remains comatose. The nurse should NEXT prepare for
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A. initiation of targeted temperature management.
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B. initiation of stroke protocol.
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C. transport to the cardiac catheterization lab.
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D. transport to the neurovascular suite.
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ANSWER
,A. initiation of targeted temperature management.
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QUESTION 7 zm
After a patient has an episode of violent behavior in the waiting room, an important i
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ntervention is to zm zm
A. tell the patient to get himself under control.
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B. instruct the patient to be quiet and speak only when spoken to.
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C. allow the patient to go home as soon as possible.
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D. encourage the patient to verbalize his feelings about the situation.
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ANSWER
D. encourage the patient to verbalize his feelings about the situation.
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QUESTION 8 zm
The nurse is caring for a patient with complaints of progressive, ascending paralysis s
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tarting from the feet and progressing over the last week. It would be a PRIORITY for t
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he nurse to monitor the patient's
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A. pupillary response.
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B. peripheral pulses.
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C. respiratory status.
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D. Blood glucose
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ANSWER
C. respiratory status.
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QUESTION 9 zm
A patient with acute cocaine intoxication should be expected to have
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A. rising core body temperature.
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B. drowsiness. C.flaccid extremities.
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D. first-degree AV block.
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ANSWER
A. rising core body temperature.
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QUESTION 10 zm
Which of the following ocular conditions requires the HIGHEST treatment priority?
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A. periorbital hematoma with edema
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B. hyphema following a blow to the eye
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C. a retained metal foreign body
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D. sudden, painless loss of vision in one eye
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, ANSWER
D. sudden, painless loss of vision in one eye
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QUESTION 11 zm
A patient presents with complaints of fatigue and exhaustion, and reveals a recent mo
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ve across country for a new high stress job. The patient admits to recent increase in a
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lcohol consumption. The nurse suspects the patient is experiencing:
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A. schizophrenia.
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B. situational crisis.
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C. psychotic depression.
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D. acute mania.
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ANSWER
B. situational crisis.
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QUESTION 12 zm
The nurse is caring for a patient who suddenly stops breathing and is in ventricular fi
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brillation. The nurse should FIRST zm zm zm zm
A. perform synchronized cardioversion at 200 joules.
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B. provide oxygen and ventilation via a bag-mask device.
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C. start chest compressions.
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D. administer 1 mg of intravenous epinephrine.
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ANSWER
C. start chest compressions.
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QUESTION 13 zm
A patient presents with his family members, who state that he has struck his brother
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and has been violent and paranoid. The nurse should FIRST
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A. place the patient into a treatment room with the door open.
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B. assess the brother for possible injuries.
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C. escort the patient to the quiet room to await the social worker.
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D. notify police of the assault.
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ANSWER
A. place the patient into a treatment room with the door open.
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QUESTION 14 zm
Exam Solution
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CEN Exam Comprehensive Review for Emergency Medi
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cine 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS
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AND VERIFIED ANSWERS (FAD21)
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QUESTION 1 zm
The nurse is caring for a patient who has a high fever, central nervous system dysfun
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ction and tachycardia. The nurse should recognize that the patient may be experienci
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ng
A. myxedema crisis.
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B. Beck's triad.
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C. thyroid storm.
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D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS).
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ANSWER
C. Thyroid storm
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QUESTION 2 zm
Which of the following assessment findings associated with a skull fracture indicate th
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e need for further intervention?
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A. otorrhea, nausea, and vomiting
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B. decreasing level of consciousness and restlessness
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C. early evidence of periorbital ecchymosis and photophobia
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D. rhinorrhea and headache or dizziness
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ANSWER
B. decreasing level of consciousness and restlessness
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QUESTION 3 zm
The nurse is caring for a patient who became unresponsive after diving head-
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first into a shallow pool. The patient is experiencing refractory hypotension. The nurs
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e should prepare for the administration of
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,a. lactated Ringers.
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b. norepinephrine.
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c. normal saline.
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d. epinephrine.
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ANSWER
b. norepinephrine
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QUESTION 4 zm
A 3-year-
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old child who has acute respiratory distress is admitted to the emergency department
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. The child is sitting forward and drooling, and the neck is extended. These findings s
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upport the diagnosis of zm zm zm
A. epiglottitis.
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B. bronchiolitis.
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C. croup.
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D. aspiration of a foreign body.
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ANSWER
A. epiglottitis
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QUESTION 5 zm
The nurse understands that adenosine is administered
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A. IV push over 1-2 seconds.
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B. as a bolus over 10-15 minutes.
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C. as a bolus over 1 hour.
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D. IV push over 1-2 minutes.
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ANSWER
A. IV push over 1-2 seconds.
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QUESTION 6 zm
After a non- zm zm
traumatic resuscitation, the patient has a perfusing ECG rhythm and a stable blood pr
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essure, but the patient remains comatose. The nurse should NEXT prepare for
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A. initiation of targeted temperature management.
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B. initiation of stroke protocol.
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C. transport to the cardiac catheterization lab.
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D. transport to the neurovascular suite.
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ANSWER
,A. initiation of targeted temperature management.
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QUESTION 7 zm
After a patient has an episode of violent behavior in the waiting room, an important i
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ntervention is to zm zm
A. tell the patient to get himself under control.
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B. instruct the patient to be quiet and speak only when spoken to.
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C. allow the patient to go home as soon as possible.
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D. encourage the patient to verbalize his feelings about the situation.
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ANSWER
D. encourage the patient to verbalize his feelings about the situation.
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QUESTION 8 zm
The nurse is caring for a patient with complaints of progressive, ascending paralysis s
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tarting from the feet and progressing over the last week. It would be a PRIORITY for t
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he nurse to monitor the patient's
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A. pupillary response.
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B. peripheral pulses.
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C. respiratory status.
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D. Blood glucose
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ANSWER
C. respiratory status.
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QUESTION 9 zm
A patient with acute cocaine intoxication should be expected to have
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A. rising core body temperature.
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B. drowsiness. C.flaccid extremities.
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D. first-degree AV block.
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ANSWER
A. rising core body temperature.
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QUESTION 10 zm
Which of the following ocular conditions requires the HIGHEST treatment priority?
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A. periorbital hematoma with edema
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B. hyphema following a blow to the eye
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C. a retained metal foreign body
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D. sudden, painless loss of vision in one eye
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, ANSWER
D. sudden, painless loss of vision in one eye
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QUESTION 11 zm
A patient presents with complaints of fatigue and exhaustion, and reveals a recent mo
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ve across country for a new high stress job. The patient admits to recent increase in a
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lcohol consumption. The nurse suspects the patient is experiencing:
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A. schizophrenia.
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B. situational crisis.
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C. psychotic depression.
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D. acute mania.
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ANSWER
B. situational crisis.
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QUESTION 12 zm
The nurse is caring for a patient who suddenly stops breathing and is in ventricular fi
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brillation. The nurse should FIRST zm zm zm zm
A. perform synchronized cardioversion at 200 joules.
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B. provide oxygen and ventilation via a bag-mask device.
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C. start chest compressions.
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D. administer 1 mg of intravenous epinephrine.
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ANSWER
C. start chest compressions.
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QUESTION 13 zm
A patient presents with his family members, who state that he has struck his brother
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and has been violent and paranoid. The nurse should FIRST
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A. place the patient into a treatment room with the door open.
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B. assess the brother for possible injuries.
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C. escort the patient to the quiet room to await the social worker.
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D. notify police of the assault.
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ANSWER
A. place the patient into a treatment room with the door open.
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QUESTION 14 zm
