CEN 2025/2026
___________are associated with extreme pain, a foreign body sensation, photophobia, and
tearing - ANS-Corneal lacerations
A bacterial infection with an incubation period of 7-10 days and highly contagious "whooping
cough" - ANS-Pertussis
An adolescent patient presents to the emergency room with reports that they were hit in the eye
with a baseball. No visual loss is noted when a Snellen visual acuity is performed, but while
waiting to be assessed by a provider, the patient reports "aching" pain in their eye and sudden
onset of blurry vision. What statement made is greatest concern in the emergency nurse? -
ANS-Comments: "Seeing red" is an indication that blood is present in the anterior chamber.
Activities such as coughing, sneezing, or leaning forward can cause the bleeding to continue or
increase. This causes the anterior chamber to fill with blood and can lead to increased
intraocular pressure due to blood clotting. Increased swelling and lacrimation are anticipated
after an eye injury. Decreased ability to look upward may be a sign on entrapment, however
without vision loss, this would take less priority than the chamber of the eye filling with blood.
_____Reference: Sheehy's Emergency Nursing: Principles and Practice, 7th Edition (2019), p.
369
Ataxic - ANS-An irregular , unpredictable respiratory rate and tidal volume. Brainstem.
Biot's respiratory pattern - ANS-Is characterized by neuro (meningitis, encephalopathy, head
trauma)
bronchovesicular breath sounds - ANS-medium-pitched and quieter sounds normally heard over
the mainstem bronchi
Egophony (abnormal) - ANS-Over area of consolidation or compression the spoken "eeee"
sound changes to a bleating long "aaaaa" sound
Kussmaul - ANS-rapid deep respirations that are characteristic of an acid-base imbalance
(frequently seen in uncontrolled diabetes/metabolic acidosis)
mild persistent asthma - ANS-Symptoms occur >2x/wk, but not daily
moderate persistent asthma - ANS-FEV1/PEF 60-80%, daily symptoms. SABA, daily moderate
dose ICS, or low dose ICS and LABA
Pleural effusion causes - ANS--Heart, Liver, or renal Failure
-Chest wall trauma
-Pulmonary infarction
-Neoplasm (Tumor)
-Pleural tear
-Complication of anticoagulant therapy after chest surgery
Scarlet fever symptoms - ANS-high fever, bright red "sandpaper" rash that begins on chest,
strawberry tongue
Strep A
vesicular breath sounds - ANS-soft, fine, breezy, low-pitched sounds heard over peripheral lung
tissue
___________are associated with extreme pain, a foreign body sensation, photophobia, and
tearing - ANS-Corneal lacerations
A bacterial infection with an incubation period of 7-10 days and highly contagious "whooping
cough" - ANS-Pertussis
An adolescent patient presents to the emergency room with reports that they were hit in the eye
with a baseball. No visual loss is noted when a Snellen visual acuity is performed, but while
waiting to be assessed by a provider, the patient reports "aching" pain in their eye and sudden
onset of blurry vision. What statement made is greatest concern in the emergency nurse? -
ANS-Comments: "Seeing red" is an indication that blood is present in the anterior chamber.
Activities such as coughing, sneezing, or leaning forward can cause the bleeding to continue or
increase. This causes the anterior chamber to fill with blood and can lead to increased
intraocular pressure due to blood clotting. Increased swelling and lacrimation are anticipated
after an eye injury. Decreased ability to look upward may be a sign on entrapment, however
without vision loss, this would take less priority than the chamber of the eye filling with blood.
_____Reference: Sheehy's Emergency Nursing: Principles and Practice, 7th Edition (2019), p.
369
Ataxic - ANS-An irregular , unpredictable respiratory rate and tidal volume. Brainstem.
Biot's respiratory pattern - ANS-Is characterized by neuro (meningitis, encephalopathy, head
trauma)
bronchovesicular breath sounds - ANS-medium-pitched and quieter sounds normally heard over
the mainstem bronchi
Egophony (abnormal) - ANS-Over area of consolidation or compression the spoken "eeee"
sound changes to a bleating long "aaaaa" sound
Kussmaul - ANS-rapid deep respirations that are characteristic of an acid-base imbalance
(frequently seen in uncontrolled diabetes/metabolic acidosis)
mild persistent asthma - ANS-Symptoms occur >2x/wk, but not daily
moderate persistent asthma - ANS-FEV1/PEF 60-80%, daily symptoms. SABA, daily moderate
dose ICS, or low dose ICS and LABA
Pleural effusion causes - ANS--Heart, Liver, or renal Failure
-Chest wall trauma
-Pulmonary infarction
-Neoplasm (Tumor)
-Pleural tear
-Complication of anticoagulant therapy after chest surgery
Scarlet fever symptoms - ANS-high fever, bright red "sandpaper" rash that begins on chest,
strawberry tongue
Strep A
vesicular breath sounds - ANS-soft, fine, breezy, low-pitched sounds heard over peripheral lung
tissue
