CEN review questions and answers with solutions 2025

4 Hallmark signs of a bowel obstruction - ANSWER 1) abdominal pain 2) Abdominal distention 3) vomiting 4) Marked constipation. *Note: bowel sounds assessment is not completely reliable Treatment of superficial gastritis - ANSWER a combination of treatments: If H. pylori is the cause then antimicrobial therapy is initiated with an H2 receptor antagonist such as ranitidine. 90% effectiveness is found with ranitidine, flagyl, and amoxicillin. Factors that provoke gastritis - ANSWER smoking, ASA, and parents with gastritis. Note: meditation and exercise would decrease patient stress and decrease the risk of developing gastritis Most common cause of peptic ulcer disease - ANSWER Helicobacter Pylori CIAMPEDS (mneumonic for pediatric triage) - ANSWER Chief complaint, Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury PQRST (mneumonic to obtain Pt historyA) - ANSWER Provocation, Quality, Region / Radiation, Severity, Timing AVPU (mneumonic to assess level of consciousness) - ANSWER Alert, Voice - responds to, Pain - responds to painful stimuli, Unresponsive Pediatric assessment triangle - ANSWER Appearance --> breathing --> circulation --> Cheyne-Stokes respirations - ANSWER Respirations gradually become faster and deeper - then become slower followed by periods of apnea. Apneustic Respirations - ANSWER Prolonged, gasping inspirations followed by short expirations. Eupnea Respirations - ANSWER Desciption of nor