CEN Review 2025 - Questions Answered With Expert
Insight
4 Hallmark signs of a bowel obstruction Right Ans - 1) abdominal pain 2)
Abdominal distention 3) vomiting 4) Marked constipation. *Note: bowel
sounds assessment is not completely reliable
Treatment of superficial gastritis Right Ans - 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 Right Ans - 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 Right Ans - Helicobacter Pylori
CIAMPEDS (mneumonic for pediatric triage) Right Ans - 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) Right Ans - Provocation, Quality,
Region / Radiation, Severity, Timing
AVPU (mneumonic to assess level of consciousness) Right Ans - Alert,
Voice - responds to, Pain - responds to painful stimuli, Unresponsive
Pediatric assessment triangle Right Ans - Appearance --> breathing -->
circulation -->
Cheyne-Stokes respirations Right Ans - Respirations gradually become
faster and deeper - then become slower followed by periods of apnea.
Apneustic Respirations Right Ans - Prolonged, gasping inspirations
followed by short expirations.
, Eupnea Respirations Right Ans - Desciption of normal respiratory rate and
rhythm
Abdominal Vessels Right Ans - Mesentary, Descending Abdominal Aorta,
Inferior Vena Cava, Iliac artery, Renal Artery
Right Upper Quadrant organs Right Ans - Liver, Gallbladder, Pylorus,
Duodenum, Head of Panacreas, (R) kidney and adrenal gland, Hepatic flexure
of the colon, Section of the ascending and transverse colon
Left Upper Quadrant Organs Right Ans - (L) lobe of liver, Stomach, Spleen,
Body of pancreas, portion of (L) kidney and adrenal gland, Section of the
transverse and descending colon
Right Lower Quadrant Organs Right Ans - Appendix, cecum, lower pole of
kidney, (R) ureter, (R) ovary, (R) spermatic cord
Left Lower Quadrant Organs Right Ans - sigmoid colon, section of the
descending colon, lower pole of (L) kidney, (L) ureter, (L) ovary, (L) spermatic
cord
Acute gastroenteritis is considered more serious in what patient population
Right Ans - Infants (due to less tolerate of changes in body fluids - elderly
second)
The child who is mildly dehydrated should initially be treated with: Right
Ans - A balanced electrolyte solution by mouth (as long as the child can
tolerate oral fluids)
The emergency physician orders a barium enema for a child with
intussusception. The nurse knows that Right Ans - A barium enema is
diagnostic for intussusception and may even reduce it and eliminate the need
for surgery.
Which symptoms would best indicate that the appendix might have ruptured?
Right Ans - A temperature spike may be seen a few hours after the appendix
has ruptured. Surprisingly, there may also be an initial relief of pain with an
appendix rupture, then a few hours later, fever and worsening abdominal pain
Insight
4 Hallmark signs of a bowel obstruction Right Ans - 1) abdominal pain 2)
Abdominal distention 3) vomiting 4) Marked constipation. *Note: bowel
sounds assessment is not completely reliable
Treatment of superficial gastritis Right Ans - 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 Right Ans - 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 Right Ans - Helicobacter Pylori
CIAMPEDS (mneumonic for pediatric triage) Right Ans - 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) Right Ans - Provocation, Quality,
Region / Radiation, Severity, Timing
AVPU (mneumonic to assess level of consciousness) Right Ans - Alert,
Voice - responds to, Pain - responds to painful stimuli, Unresponsive
Pediatric assessment triangle Right Ans - Appearance --> breathing -->
circulation -->
Cheyne-Stokes respirations Right Ans - Respirations gradually become
faster and deeper - then become slower followed by periods of apnea.
Apneustic Respirations Right Ans - Prolonged, gasping inspirations
followed by short expirations.
, Eupnea Respirations Right Ans - Desciption of normal respiratory rate and
rhythm
Abdominal Vessels Right Ans - Mesentary, Descending Abdominal Aorta,
Inferior Vena Cava, Iliac artery, Renal Artery
Right Upper Quadrant organs Right Ans - Liver, Gallbladder, Pylorus,
Duodenum, Head of Panacreas, (R) kidney and adrenal gland, Hepatic flexure
of the colon, Section of the ascending and transverse colon
Left Upper Quadrant Organs Right Ans - (L) lobe of liver, Stomach, Spleen,
Body of pancreas, portion of (L) kidney and adrenal gland, Section of the
transverse and descending colon
Right Lower Quadrant Organs Right Ans - Appendix, cecum, lower pole of
kidney, (R) ureter, (R) ovary, (R) spermatic cord
Left Lower Quadrant Organs Right Ans - sigmoid colon, section of the
descending colon, lower pole of (L) kidney, (L) ureter, (L) ovary, (L) spermatic
cord
Acute gastroenteritis is considered more serious in what patient population
Right Ans - Infants (due to less tolerate of changes in body fluids - elderly
second)
The child who is mildly dehydrated should initially be treated with: Right
Ans - A balanced electrolyte solution by mouth (as long as the child can
tolerate oral fluids)
The emergency physician orders a barium enema for a child with
intussusception. The nurse knows that Right Ans - A barium enema is
diagnostic for intussusception and may even reduce it and eliminate the need
for surgery.
Which symptoms would best indicate that the appendix might have ruptured?
Right Ans - A temperature spike may be seen a few hours after the appendix
has ruptured. Surprisingly, there may also be an initial relief of pain with an
appendix rupture, then a few hours later, fever and worsening abdominal pain
