CEN - Practice Exam Questions and Answers

The nurse is caring for a patient who has a high fever, central nervous system dysfunction and tachycardia. The nurse should recognize that the patient may be experiencing A. myxedema crisis. B. Beck's triad. C. thyroid storm. D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS). C. Thyroid storm Which of the following assessment findings associated with a skull fracture indicate the need for further intervention? A. otorrhea, nausea, and vomiting B. decreasing level of consciousness and restlessness C. early evidence of periorbital ecchymosis and photophobia D. rhinorrhea and headache or dizziness B. decreasing level of consciousness and restlessness Upon initial assessment of a male patient involved in a motor vehicle crash, the nurse observes bruises in various stages of healing to his torso. He denies any medical history. When asked about the bruising, the patient avoids eye contact, states that he fell yesterday, and asks if his male partner has arrived to the ED. The nurse suspects: A. the patient may have undiagnosed coagulopathy. B. the bruising was sustained during the motor vehicle crash. C. the patient may be a victim of domestic violence. D. the bruising is a result of the stated fall. C. the patient may be a victim of domestic violence. The nurse is caring for a patient who became unresponsive after diving head-first into a shallow pool. The patient is experiencing refractory hypotension. The nurse should prepare for the administration of a. lactated Ringers. b. norepinephrine. c. normal saline. d. epinephrine. b. norepinephrine A 3-year-old child who has acute respiratory distress is admitted to the emergency department. The child is sitting forward and drooling, and the neck is extended. These findings support the diagnosis of A. epiglottitis. B. bronchiolitis. C. croup. D. aspiration of a foreign body. A. epiglottitis