CEN Pretest (PDB Nurse Education,
LLC) Exam Q&A 100% Pass
Pulse pressure is the difference between systolic blood pressure and
diastolic blood pressure, and is widened in which of the following
disorders?
A. early hypovolemic shock
B. increased intracranial pressure
C. cardiac tamponade
D. neurogenic shock - ✔✔B- increased intracranial pressure
pulse pressure (SBP-DBP) is widened in increased ICP. pulse pressure is
narrow in early shock, cardiac tamponade, and aortic valve stenosis
Parents bring in their 4-week-old infant with non-bilious projectile vomiting
and persistent hunger. Which of the following conditions is suspected?
A. pyloric stenosis
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B. intussusception
C. appendicitis
D. volvulus - ✔✔A- pyloric stenosis
pyloric stenosis is characterized by non-bilious projectile vomiting and
persistent hunger. volvulus has bilious vomiting
Systemic vascular resistance (SVR) is decreased in which type of shock?
A. hypovolemic
B. cardiogenic
C. obstructive
D. distributive - ✔✔D- distributive
afterload (pressure) is low in distributive shock (neurogenic, septic,
anaphylactic) due to vasodilation, and high in all other forms of shock due
to vasoconstriction
A 64-year-old female fell and transported to the ED via EMS for severe hip
pain and inability to move. What classification of medications may mask the
early signs of hypovolemic shock?
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A. beta-blockers
B. ACE inhibitors
C. angiotensin receptor blockers
D. calcium channel blockers - ✔✔A- beta blockers
beta blockers mask the early signs of shock and hypoglycemia
A patient is transported to the ED via EMS for headache, vomiting, and
progressive confusion after a fall three days ago. Which of the following
head injuries is the most likely cause of these symptoms?
A. concussion
B. epidural hematoma
C. subdural hematoma
D. basilar skull fracture - ✔✔C- subdural hematoma
subdural hematomas are slower bleeds since venous. seen commonly in
alcoholics, elderly, and from shaken impact syndrome.
Which of the following is the hallmark symptom of Prinzmetal's angina?
A. chest pain with physical exertion
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B. chest pain at rest due to coronary vasospasm
C. chest pain relieved by nitroglycerin and rest
D. atypical symptoms such as epigastric pain - ✔✔B- chest pain at rest d/t
coronary vasospasm
the hallmark sign of Prinzmetal's angina is pain at rest. It is due to coronary
vasospasm, so may be seen with stimulant use
A patient with a stab wound to the left flank is unable to move his left side
and unable to feel the right side of his body. These symptoms are
associated with which of the following incomplete spinal cord injuries?
A. anterior cord syndrome
B. posterior cord syndrome
C. central cord syndrome
D. Brown-Sequard syndrome - ✔✔D- Brown-Sequard syndrome
Brown-Sequard syndrome is the incomplete cord syndrome with ipsilateral
motor loss and contralateral loss of sensation. It has a high rehab
prognosis.