CEN EXAM
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A pt presents to triage wq/ c/o a severe throbbing-type HA px above the left eye and the left
side of the face. The pt has a hx of polymyalgia rheumatica. The nurse suspects that the pt's
current discomfort is related to the presence of which of the following?
A. Temporomandibular joint (TMJ) dislocation
B. Temporal arteritis
C. Cluster headache
D. Sinusitis
- Answer ✓✓B. Temporal arteritis
B. Temporal arteritis is also referred to as systemics arterial vasculitis or giant cell arteritis
and produces a severe frontal throbbing type of pain. palpation over the temporal region
TEST BANK 1
, CEN EXAM
results in severe discomfort for the patient. Pts who experience temporal arteritis may have
a hx of polymyalgia rheumatica and are usually over the age of 50.
A. TMJ dislocation is a displacement of the mandibular condyle that results in spasms and
muscle contraction of the jaw muscles, so the condyles cannot return to their normal
position. TMJ dislocation can occur as a result of trauma or from simply opening the
mouth too wide for extended periods, such as during dental work.
C. Cluster HAs affect men more than women and are related to a dysfunction of the
trigeminal nerve. The HA is characterized by an intense unilateral px in the orbital or
termporal region that lasts from 15 mins to 3 hrs.
D. Sinusitis results from the blockage from the paranasal sinuses. It can be caused by a
recent URI or allergic rhinitis. The HA is typically bilateral and is described as dull achy
discomfort over the affected sinus.
An unresponsice pt arrives at the ED w/ upper- and midfacial injuries after involvement in
a high-speed motor vehicle collision. Which of the following interventions should be used
initially to maintain an open airway for this pt?
A. Intubate w/ an uncuffed endotracheal tube
B. Insert an oropharyngeal airway
C. Place the pt in a left lateral position
D. Use the head tilt-chin lift maneuver
- Answer ✓✓B. Insert an oropharyngeal airway
B. This pt is unresponsive and has midfacial injuries, so an oropharyngeal airway would be
used. A nasopharyngeal airway should not be used for this pt because there is a possibility
TEST BANK 2
, CEN EXAM
of facial fx. This is a temporary measure until a definitive airway can be established or the
pt becomes conscious.
A. This pt will probably need a definitive airway, but a cuffed tube is recommended for all
pts.
C. Placing the pt into a left lateral position should not be performed until the presence or
absence of a cervical spine injury can be determined.
D. With an unresponsive pt, the jaw-thrust maneuver, not the head tilt-chin lift maneuver,
should be used to open the airway until cervical spine injury has been ruled out. Someone
would also need to maintain the position to keep the airway open.
A pt is being treated in the ED for SI. The pt lives along, recently lost their job, and will
soon lose their apartment. The pt has been talking to friends about not being around and
admits to having a plan. Which of the following is the most appropriate disposition for this
pt?
A. Inpatient admission to a psychiatric unit
B. Discharge to home and follow up w/ primary care
C. Inpatient admission to an ICU
D. Discharge to a friend's home w/ outpatient counseling
- Answer ✓✓A. Inpatient admission to a psychiatric unit
A. This patient is considered a high risk for suicide because of multiple risk factors (jon
loss, loss of home, saying they won't be around, and having a plan). The pt should be
admitted until they are more stable and an appropriate follow-up plan can be developed.
TEST BANK 3
, CEN EXAM
B. Discharge to home is not appropriate for this pt. The pt is high risk and needs
monitoring in an inpatient psychiatric setting. This pt will need follow-up w/ counseling
and other psychiatric services.
C. This pt does not need admission to an ICU. There is no medical reason for the
admission. Discharge to home is not appropriated for tis pt. The pt is high risk and needs
monitoring in an inpatient psychiatric setting. This patient will need follow-up w/
counseling and other psychiatric services.
D. Discharge to a friend's home is not appropriate for this pt. The pt is high risk and needs
monitoring in an inpatient setter. This pt will need follow up w/ counseling and other
psychiatric services.
A pt involved in a MVC is dx with an unstable pelvic ring fx. Which classification of
hypovolemic shock would most likely occur as a result of this injury?
A. Class IV
B. Class III
C. Class II
D. Class I
- Answer ✓✓A. Class IV
A. Class IV hypovolemic shock occurs with blood loss greater than 2000 mL or 40% of total
blood volume. The human body has approximately 5 L of blood. Estimated blood loss from
an unstable pelvic ring fx is > 3000 mL. Sever s&s of hypovolemia would be present.
B. Class III hypovolemic chock is defined as blood loss of 1500-2000 mL or 30%-40% of
total blood volume. With a possible blood loss of > 3000 mL from the fx pelvis, the blood
loss would be well beyond the Class III category.
TEST BANK 4
CEN FINAL EXAM Predictor test bank
Verified Questions and Answers with
Detailed Rationales Already Graded A+
Guaranteed Pass – Ace Exam
Pdf Download
A pt presents to triage wq/ c/o a severe throbbing-type HA px above the left eye and the left
side of the face. The pt has a hx of polymyalgia rheumatica. The nurse suspects that the pt's
current discomfort is related to the presence of which of the following?
A. Temporomandibular joint (TMJ) dislocation
B. Temporal arteritis
C. Cluster headache
D. Sinusitis
- Answer ✓✓B. Temporal arteritis
B. Temporal arteritis is also referred to as systemics arterial vasculitis or giant cell arteritis
and produces a severe frontal throbbing type of pain. palpation over the temporal region
TEST BANK 1
, CEN EXAM
results in severe discomfort for the patient. Pts who experience temporal arteritis may have
a hx of polymyalgia rheumatica and are usually over the age of 50.
A. TMJ dislocation is a displacement of the mandibular condyle that results in spasms and
muscle contraction of the jaw muscles, so the condyles cannot return to their normal
position. TMJ dislocation can occur as a result of trauma or from simply opening the
mouth too wide for extended periods, such as during dental work.
C. Cluster HAs affect men more than women and are related to a dysfunction of the
trigeminal nerve. The HA is characterized by an intense unilateral px in the orbital or
termporal region that lasts from 15 mins to 3 hrs.
D. Sinusitis results from the blockage from the paranasal sinuses. It can be caused by a
recent URI or allergic rhinitis. The HA is typically bilateral and is described as dull achy
discomfort over the affected sinus.
An unresponsice pt arrives at the ED w/ upper- and midfacial injuries after involvement in
a high-speed motor vehicle collision. Which of the following interventions should be used
initially to maintain an open airway for this pt?
A. Intubate w/ an uncuffed endotracheal tube
B. Insert an oropharyngeal airway
C. Place the pt in a left lateral position
D. Use the head tilt-chin lift maneuver
- Answer ✓✓B. Insert an oropharyngeal airway
B. This pt is unresponsive and has midfacial injuries, so an oropharyngeal airway would be
used. A nasopharyngeal airway should not be used for this pt because there is a possibility
TEST BANK 2
, CEN EXAM
of facial fx. This is a temporary measure until a definitive airway can be established or the
pt becomes conscious.
A. This pt will probably need a definitive airway, but a cuffed tube is recommended for all
pts.
C. Placing the pt into a left lateral position should not be performed until the presence or
absence of a cervical spine injury can be determined.
D. With an unresponsive pt, the jaw-thrust maneuver, not the head tilt-chin lift maneuver,
should be used to open the airway until cervical spine injury has been ruled out. Someone
would also need to maintain the position to keep the airway open.
A pt is being treated in the ED for SI. The pt lives along, recently lost their job, and will
soon lose their apartment. The pt has been talking to friends about not being around and
admits to having a plan. Which of the following is the most appropriate disposition for this
pt?
A. Inpatient admission to a psychiatric unit
B. Discharge to home and follow up w/ primary care
C. Inpatient admission to an ICU
D. Discharge to a friend's home w/ outpatient counseling
- Answer ✓✓A. Inpatient admission to a psychiatric unit
A. This patient is considered a high risk for suicide because of multiple risk factors (jon
loss, loss of home, saying they won't be around, and having a plan). The pt should be
admitted until they are more stable and an appropriate follow-up plan can be developed.
TEST BANK 3
, CEN EXAM
B. Discharge to home is not appropriate for this pt. The pt is high risk and needs
monitoring in an inpatient psychiatric setting. This pt will need follow-up w/ counseling
and other psychiatric services.
C. This pt does not need admission to an ICU. There is no medical reason for the
admission. Discharge to home is not appropriated for tis pt. The pt is high risk and needs
monitoring in an inpatient psychiatric setting. This patient will need follow-up w/
counseling and other psychiatric services.
D. Discharge to a friend's home is not appropriate for this pt. The pt is high risk and needs
monitoring in an inpatient setter. This pt will need follow up w/ counseling and other
psychiatric services.
A pt involved in a MVC is dx with an unstable pelvic ring fx. Which classification of
hypovolemic shock would most likely occur as a result of this injury?
A. Class IV
B. Class III
C. Class II
D. Class I
- Answer ✓✓A. Class IV
A. Class IV hypovolemic shock occurs with blood loss greater than 2000 mL or 40% of total
blood volume. The human body has approximately 5 L of blood. Estimated blood loss from
an unstable pelvic ring fx is > 3000 mL. Sever s&s of hypovolemia would be present.
B. Class III hypovolemic chock is defined as blood loss of 1500-2000 mL or 30%-40% of
total blood volume. With a possible blood loss of > 3000 mL from the fx pelvis, the blood
loss would be well beyond the Class III category.
TEST BANK 4
