CEN FINAL EXAM STUDY GUIDE TEST.
While on a long flight, I
1. Which of the following statements made by a patient
should get up and walk to
would lead the nurse to conclude that the patient
stretch my legs every hour.
understands risk factors for pulmonary embolism?
While on a long flight, I should get up and walk to
stretch my legs every hour.
Resuming my birth control pills will lower my risk of
cancer and my risk of another clot.
If I drink plenty of water while driving on a long trip,
this shouldn't happen again.
Switching from my regular cigarettes to the electronic
ones can reduce my risk.
I will be at increased risk
2. An emergency nurse is providing discharge instruc-
for ectopic pregnancy.
tions for a patient with pelvic inflammatory disease.
Which statement made by the patient indicates an
understanding of these instructions?
Getting pregnant shouldn't be a problem once the
infection goes away.
I'll take the medicine for nausea when I feel sick to my
stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow.
Ruptured diaphragm
3. A 16-year-old presents with severe left upper quad-
rant abdominal pain after an over-the-handlebars bi-
cycle collision. Vital signs are BP 100/60 mm Hg, HR
100 beats/min, RR 30 breaths/min, T 37.0 C (98.6
F), SpO2 89% without supplemental oxygen. There is
bruising over the left upper quadrant of the abdomen.
Auscultation reveals diminished breath sounds on the
left accompanied by gurgling. Based on this history
and assessment, the nurse suspects which injury?
, CEN FINAL EXAM STUDY GUIDE TEST.
Small bowel rupture
Ruptured diaphragm
Flail chest
Hepatic injury
4. A patient presents with chest pain. The nurse per- An old infarction
forms a 12-lead electrocardiogram that reveals an ab-
normal Q wave. What does the nurse suspect?
A current injury
An old infarction
An acute infarction
Ischemia
5. A patient is brought to the ED by emergency med- Place in a seclusion room
ical services with increased aggression and making
clear homicidal threats. What immediate action will
the nurse expect to promote staff and patient safety?
Administration of antipsychotics
One-to-one observation
Place in a seclusion room
Application of restraints
6. A 28-year-old female presents with shortness of Computed tomographic
breath, dizziness, and diaphoresis. Her vital signs pulmonary angiography
are BP 118/74 mm Hg, HR 122 beats/min, RR 26
breaths/min, T 37.7 C (99.9 F), SpO2 92% without sup-
plemental oxygen. Her health history includes frac-
tures of the left tibia and fibula following an MVC 3
weeks ago. Surgical fixation was required. Her only
current medications are an oral contraceptive and in-
termittent ibuprofen for pain. Assessment of the cast-
ed left leg reveals that the toes are swollen. With this
, CEN FINAL EXAM STUDY GUIDE TEST.
information, which diagnostic testing will the nurse
expect as the highest priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography
Radiograph of the left leg
7. A family of 10 presents to the ED with complaints of Notify infection prevention
fever, muscle pain, and unexplained bruising ongoing
for 7 days. After completing the screening, the nurse
notes that the family recently traveled to Sierra Leone.
What is the highest priority intervention the triage
nurse needs to perform?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room
Inform those waiting that Ebola has been detected
8. A patient presents to the ED with complaints of fatigue A patient with severe
and insomnia. Assessment findings reveal the patient chronic asthma who has
is awake, alert, and oriented, has a round moon face, been on prednisone for
buffalo hump back, hirsutism and prominent striae several years
on the trunk. Vital signs are normal. Which of the fol-
lowing scenarios is most consistent with this patient's
presentation?
A high school wrestler who admits to taking his
grandfather's furosemide before a meet
A patient with insulin-dependent diabetes who took
insulin, without eating breakfast.
A patient with severe chronic asthma who has been
on prednisone for several years
, CEN FINAL EXAM STUDY GUIDE TEST.
A patient who underwent a thyroidectomy several
years ago who recently ran out of medication
9. A patient who was brought to the ED by ambulance Tension pneumothorax
following a motor vehicle collision, in which the driver
hit a tree, has BP 92/48 mm Hg, HR 128 beats/min,
RR 34 breaths/min, SpO2 91% with supplemental oxy-
gen via a nonrebreather. He has labored breathing,
cyanosis, absent breath sounds on the right, and jugu-
lar vein distension. Which of the following conditions
would be suspected?
Aspiration
Flail chest
Cardiac tamponade
Tension pneumothorax
10. What is the most common cause of cardiogenic Myocardial infarction
shock?
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy
11. The disease most commonly associated with the ca- Macrolide antibiotics
tarrhal, paroxysmal and convalescent stages is best
treated with classification of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics
12. A 28-year-old female presents to the ED with com- Panic attack
plaints of dizziness, fear of dying, and hot flashes
While on a long flight, I
1. Which of the following statements made by a patient
should get up and walk to
would lead the nurse to conclude that the patient
stretch my legs every hour.
understands risk factors for pulmonary embolism?
While on a long flight, I should get up and walk to
stretch my legs every hour.
Resuming my birth control pills will lower my risk of
cancer and my risk of another clot.
If I drink plenty of water while driving on a long trip,
this shouldn't happen again.
Switching from my regular cigarettes to the electronic
ones can reduce my risk.
I will be at increased risk
2. An emergency nurse is providing discharge instruc-
for ectopic pregnancy.
tions for a patient with pelvic inflammatory disease.
Which statement made by the patient indicates an
understanding of these instructions?
Getting pregnant shouldn't be a problem once the
infection goes away.
I'll take the medicine for nausea when I feel sick to my
stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow.
Ruptured diaphragm
3. A 16-year-old presents with severe left upper quad-
rant abdominal pain after an over-the-handlebars bi-
cycle collision. Vital signs are BP 100/60 mm Hg, HR
100 beats/min, RR 30 breaths/min, T 37.0 C (98.6
F), SpO2 89% without supplemental oxygen. There is
bruising over the left upper quadrant of the abdomen.
Auscultation reveals diminished breath sounds on the
left accompanied by gurgling. Based on this history
and assessment, the nurse suspects which injury?
, CEN FINAL EXAM STUDY GUIDE TEST.
Small bowel rupture
Ruptured diaphragm
Flail chest
Hepatic injury
4. A patient presents with chest pain. The nurse per- An old infarction
forms a 12-lead electrocardiogram that reveals an ab-
normal Q wave. What does the nurse suspect?
A current injury
An old infarction
An acute infarction
Ischemia
5. A patient is brought to the ED by emergency med- Place in a seclusion room
ical services with increased aggression and making
clear homicidal threats. What immediate action will
the nurse expect to promote staff and patient safety?
Administration of antipsychotics
One-to-one observation
Place in a seclusion room
Application of restraints
6. A 28-year-old female presents with shortness of Computed tomographic
breath, dizziness, and diaphoresis. Her vital signs pulmonary angiography
are BP 118/74 mm Hg, HR 122 beats/min, RR 26
breaths/min, T 37.7 C (99.9 F), SpO2 92% without sup-
plemental oxygen. Her health history includes frac-
tures of the left tibia and fibula following an MVC 3
weeks ago. Surgical fixation was required. Her only
current medications are an oral contraceptive and in-
termittent ibuprofen for pain. Assessment of the cast-
ed left leg reveals that the toes are swollen. With this
, CEN FINAL EXAM STUDY GUIDE TEST.
information, which diagnostic testing will the nurse
expect as the highest priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography
Radiograph of the left leg
7. A family of 10 presents to the ED with complaints of Notify infection prevention
fever, muscle pain, and unexplained bruising ongoing
for 7 days. After completing the screening, the nurse
notes that the family recently traveled to Sierra Leone.
What is the highest priority intervention the triage
nurse needs to perform?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room
Inform those waiting that Ebola has been detected
8. A patient presents to the ED with complaints of fatigue A patient with severe
and insomnia. Assessment findings reveal the patient chronic asthma who has
is awake, alert, and oriented, has a round moon face, been on prednisone for
buffalo hump back, hirsutism and prominent striae several years
on the trunk. Vital signs are normal. Which of the fol-
lowing scenarios is most consistent with this patient's
presentation?
A high school wrestler who admits to taking his
grandfather's furosemide before a meet
A patient with insulin-dependent diabetes who took
insulin, without eating breakfast.
A patient with severe chronic asthma who has been
on prednisone for several years
, CEN FINAL EXAM STUDY GUIDE TEST.
A patient who underwent a thyroidectomy several
years ago who recently ran out of medication
9. A patient who was brought to the ED by ambulance Tension pneumothorax
following a motor vehicle collision, in which the driver
hit a tree, has BP 92/48 mm Hg, HR 128 beats/min,
RR 34 breaths/min, SpO2 91% with supplemental oxy-
gen via a nonrebreather. He has labored breathing,
cyanosis, absent breath sounds on the right, and jugu-
lar vein distension. Which of the following conditions
would be suspected?
Aspiration
Flail chest
Cardiac tamponade
Tension pneumothorax
10. What is the most common cause of cardiogenic Myocardial infarction
shock?
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy
11. The disease most commonly associated with the ca- Macrolide antibiotics
tarrhal, paroxysmal and convalescent stages is best
treated with classification of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics
12. A 28-year-old female presents to the ED with com- Panic attack
plaints of dizziness, fear of dying, and hot flashes
