CEN Summarized Questions And Verrified Answers
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Pulmonary Embolism – Risk Factors
Question:
Which statement by the patient shows understanding of risk factors for pulmonary
embolism?
Answer:
“While on a long flight, I should get up and walk to stretch my legs every hour.”
Explanation:
Prolonged immobility increases the risk of blood clots. Walking promotes circulation and
reduces clot formation.
Pelvic Inflammatory Disease (PID) – Discharge Teaching
Question:
Which patient statement indicates understanding of discharge instructions for pelvic
inflammatory disease?
Answer:
“I will be at increased risk for ectopic pregnancy.”
Explanation:
PID can cause scarring of the fallopian tubes, increasing the risk for ectopic pregnancy in the
future.
Trauma Assessment – Bicycle Injury
Question:
Based on the assessment findings, which injury does the nurse most suspect?
Answer:
,Ruptured diaphragm
Explanation:
Left upper quadrant trauma, diminished breath sounds, gurgling sounds, and low oxygen
saturation suggest abdominal organs have moved into the chest cavity due to a diaphragmatic
rupture.
Electrocardiogram (ECG) Interpretation
Question:
A 12-lead ECG shows an abnormal Q wave. What does the nurse suspect?
Answer:
A previous (old) myocardial infarction
Explanation:
Abnormal Q waves indicate past heart muscle damage, not a current injury.
An old infarction
An acute infarction
Ischemia
An old infarction
A patient is brought to the ED by emergency medical 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
Place in a seclusion room
A 28-year-old female presents with shortness of breath, dizziness, and diaphoresis. Her vital
signs are BP 118/74 mm Hg, HR 122 beats/min, RR 26 breaths/min, T 37.7 C (99.9 F), SpO2
92% without supplemental oxygen. Her health history includes fractures 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 intermittent ibuprofen for pain. Assessment of the
casted left leg reveals that the toes are swollen. With this 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
Computed tomographic pulmonary angiography
A family of 10 presents to the ED with complaints of 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
Notify infection prevention
A patient presents to the ED with complaints of fatigue and insomnia. Assessment findings
reveal the patient is awake, alert, and oriented, has a round moon face, buffalo hump back,
hirsutism and prominent striae on the trunk. Vital signs are normal. Which of the following
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
A patient who underwent a thyroidectomy several years ago who recently ran out of
medication
A patient with severe chronic asthma who has been on prednisone for several years
A patient who was brought to the ED by ambulance 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 oxygen via a nonrebreather. He has labored breathing, cyanosis,
absent breath sounds on the right, and jugular vein distension. Which of the following
conditions would be suspected?
Aspiration
Flail chest
, Cardiac tamponade
Tension pneumothorax
Tension pneumothorax
What is the most common cause of cardiogenic shock?
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy
Myocardial infarction
The disease most commonly associated with the catarrhal, paroxysmal and convalescent
stages is best treated with classification of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics
Macrolide antibiotics
A 28-year-old female presents to the ED with complaints of dizziness, fear of dying, and hot
flashes that began 10 minutes prior to arrival. The patient is trembling and tachypneic. Which
anxiety disorder is the patient exhibiting?
Post-traumatic stress disorder
Panic attack
Acute stress disorder
Generalized anxiety disorder
Panic attack
A 30-year-old male presents to the emergency department with excruciating pain on the right
side of his head. It has been coming and going all day. His right eye is reddened and skin is
flushed. What type of headache is this patient experiencing?
Tension
Traumatic
Cluster
Migraine
Cluster
For Better Grades Garanteed By Acemarket And
Pulmonary Embolism – Risk Factors
Question:
Which statement by the patient shows understanding of risk factors for pulmonary
embolism?
Answer:
“While on a long flight, I should get up and walk to stretch my legs every hour.”
Explanation:
Prolonged immobility increases the risk of blood clots. Walking promotes circulation and
reduces clot formation.
Pelvic Inflammatory Disease (PID) – Discharge Teaching
Question:
Which patient statement indicates understanding of discharge instructions for pelvic
inflammatory disease?
Answer:
“I will be at increased risk for ectopic pregnancy.”
Explanation:
PID can cause scarring of the fallopian tubes, increasing the risk for ectopic pregnancy in the
future.
Trauma Assessment – Bicycle Injury
Question:
Based on the assessment findings, which injury does the nurse most suspect?
Answer:
,Ruptured diaphragm
Explanation:
Left upper quadrant trauma, diminished breath sounds, gurgling sounds, and low oxygen
saturation suggest abdominal organs have moved into the chest cavity due to a diaphragmatic
rupture.
Electrocardiogram (ECG) Interpretation
Question:
A 12-lead ECG shows an abnormal Q wave. What does the nurse suspect?
Answer:
A previous (old) myocardial infarction
Explanation:
Abnormal Q waves indicate past heart muscle damage, not a current injury.
An old infarction
An acute infarction
Ischemia
An old infarction
A patient is brought to the ED by emergency medical 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
Place in a seclusion room
A 28-year-old female presents with shortness of breath, dizziness, and diaphoresis. Her vital
signs are BP 118/74 mm Hg, HR 122 beats/min, RR 26 breaths/min, T 37.7 C (99.9 F), SpO2
92% without supplemental oxygen. Her health history includes fractures 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 intermittent ibuprofen for pain. Assessment of the
casted left leg reveals that the toes are swollen. With this 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
Computed tomographic pulmonary angiography
A family of 10 presents to the ED with complaints of 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
Notify infection prevention
A patient presents to the ED with complaints of fatigue and insomnia. Assessment findings
reveal the patient is awake, alert, and oriented, has a round moon face, buffalo hump back,
hirsutism and prominent striae on the trunk. Vital signs are normal. Which of the following
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
A patient who underwent a thyroidectomy several years ago who recently ran out of
medication
A patient with severe chronic asthma who has been on prednisone for several years
A patient who was brought to the ED by ambulance 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 oxygen via a nonrebreather. He has labored breathing, cyanosis,
absent breath sounds on the right, and jugular vein distension. Which of the following
conditions would be suspected?
Aspiration
Flail chest
, Cardiac tamponade
Tension pneumothorax
Tension pneumothorax
What is the most common cause of cardiogenic shock?
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy
Myocardial infarction
The disease most commonly associated with the catarrhal, paroxysmal and convalescent
stages is best treated with classification of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics
Macrolide antibiotics
A 28-year-old female presents to the ED with complaints of dizziness, fear of dying, and hot
flashes that began 10 minutes prior to arrival. The patient is trembling and tachypneic. Which
anxiety disorder is the patient exhibiting?
Post-traumatic stress disorder
Panic attack
Acute stress disorder
Generalized anxiety disorder
Panic attack
A 30-year-old male presents to the emergency department with excruciating pain on the right
side of his head. It has been coming and going all day. His right eye is reddened and skin is
flushed. What type of headache is this patient experiencing?
Tension
Traumatic
Cluster
Migraine
Cluster
