NURS EXAM zm
Exam Solution zm
CEN Exam 1 2026 A+ GRADE ASSURED COMPLETE SOL
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UTIONS AND VERIFIED ANSWERS (7B598) zm zm zm zm
QUESTION 1 zm
A. The use of supplemental oxygen in normoxic patients has not been established. In
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patients with potential coronary artery syndrome, withholding of additional suppleme
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ntal oxygen should be considered for those in the prehospital or in-
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patient hospital setting and the emergency department.
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ANSWER
A patient presents to the emergency department with chest pain and diaphoresis, and denies dyspne
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a. Vital signs are BP 148/70 mm Hg, HR 72 beats/minute, RR 18 breaths/minute, Sp02 98% on roo
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m air. Breath sounds are clear and equal. rlhe electrocardiogram shows an inferior wall ST segment
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elevation. You anticipate the following oxygen order.
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A. No supplemental oxygen at this time
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B. Nasal cannula at 6 L per minute
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C. Partial rebreather mask at 10 L per minute
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D. Nonrebreather mask at 15 L per minute
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QUESTION 2 zm
C. Chest pain that radiates to both shoulders has a likelihood ratio of 7.1, and pain th
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at radiates to the right shoulder has a stronger likelihood ratio of 2.9 of predicting ac
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ute COronary syndro compared with pain that radiates only to the left shoulder.
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ANSWER
A patient complains of chest pain, dyspnea, and diaphoresis. Which of the following assessment facto
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rs would indicate a possible diagnosis of acute coronary syndrome?
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A. Pleuritic chest pain
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B. Positional chest pain
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C. Chest pain that radiates to the shoulders, with pain in the right shoulder worse than pain in the l
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eft shoulder
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D. Pain reproducible with chest wall palpation
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QUESTION 3 zm
Exam Solution zm
CEN Exam 1 2026 A+ GRADE ASSURED COMPLETE SOL
zm zm zm zm zm zm zm zm
UTIONS AND VERIFIED ANSWERS (7B598) zm zm zm zm
QUESTION 1 zm
A. The use of supplemental oxygen in normoxic patients has not been established. In
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patients with potential coronary artery syndrome, withholding of additional suppleme
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ntal oxygen should be considered for those in the prehospital or in-
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patient hospital setting and the emergency department.
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ANSWER
A patient presents to the emergency department with chest pain and diaphoresis, and denies dyspne
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a. Vital signs are BP 148/70 mm Hg, HR 72 beats/minute, RR 18 breaths/minute, Sp02 98% on roo
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m air. Breath sounds are clear and equal. rlhe electrocardiogram shows an inferior wall ST segment
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elevation. You anticipate the following oxygen order.
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A. No supplemental oxygen at this time
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B. Nasal cannula at 6 L per minute
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C. Partial rebreather mask at 10 L per minute
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D. Nonrebreather mask at 15 L per minute
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QUESTION 2 zm
C. Chest pain that radiates to both shoulders has a likelihood ratio of 7.1, and pain th
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at radiates to the right shoulder has a stronger likelihood ratio of 2.9 of predicting ac
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ute COronary syndro compared with pain that radiates only to the left shoulder.
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ANSWER
A patient complains of chest pain, dyspnea, and diaphoresis. Which of the following assessment facto
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rs would indicate a possible diagnosis of acute coronary syndrome?
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A. Pleuritic chest pain
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B. Positional chest pain
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C. Chest pain that radiates to the shoulders, with pain in the right shoulder worse than pain in the l
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eft shoulder
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D. Pain reproducible with chest wall palpation
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QUESTION 3 zm
