CEN exam- challenge questions and answers with solutions 2025

A patient presents to the ED in the manic phase of a bipolar affective disorder. Which of the following statements made by the ER Nurse, is most therapeutic for a patient with this diagnosis? 1. "I want you to ell me what you are feeling right now" 2. "I need you to stay in this room and someone will stay here with you" 3. "Tell me what is going on in your life right now that may have made you feel out of control for the past few days" 4. "We are worried that you may be a danger to yourself of others in your present state, so we are going to have someone from psychiatry come down and discuss with you what you are feeling". - ANSWER 2. "I need you to stay in this room and someone will stay here with you" With Mania, keep sentences brief and direct. Do not encourage the pt to speak and avoid rambling. Atropine is effective for overdoses caused by: 1. antihistamines 2. posion mushrooms 3. lysergic acid diethylamide (LSD) 4. the seeds of the Jimson weed plant. - ANSWER 2. Poison mushrooms OD on certain mushrooms=Cholinergic effect, Atropine is an Anti-Cholinergic drug. Antihistamines are their own toxindrome, LSD is sympathomimetic, Jimson week is an anticholinergic substance. The ED nurse notices 3rd Degree Heart Block on telemetry... Which of the following substances did this patient most likely overdose on? 1. Digoxin 2. Lorazepam 3. Ethylene glycol 4. Acetaminophen - ANSWER 1. Digoxin this is the only option that will cause heart block in particular. Effective Treatment for an overdose on tricyclic antidepressants should cause 1. widening QT interval 2. serum pH above normal. 3. decreasing BP 4. Dilation of pupils - ANSWER 2. serum pH above normal