CEN Review Test Your Knowledge. McKenzie Williams MSN, RN, CEN

Transcription

1 CEN Review Test Your Knowledge. McKenzie Williams MSN, RN, CEN

2 Right sided heart failure is characterized by which of the following symptoms? a) Crackles in the lungs b) Peripheral edema c) Dyspnea d) Fatigue

3 Which of the following symptoms is most commonly found in a patient with Pericarditis? a) Pain exacerbated by deep inspiration b) Bradycardia and bradypnea c) EKG changes seen in leads II, III, and AVF d) Aferbrile

4 In a subdural hematoma the collection of blood is located: a) Between the arachnoid mater and the pia mater b) Between the skull and the dura c) Between the pia mater and the cereberal cortex d) Between the dura mater and the subarachnoid layer of the meninges

5 An elderly unrestrained driver was involved in a head on collision. The patient is complaining of abdominal pain that radiates to the left shoulder, dyspnea, and upon auscultation heart sound are noted on the right side of the chest. What is the likely cause of these symptoms? a) Pneumothorax b) Hemeothorax c) Pulmonary contusion d) Ruptured diaphragm

6 A patient diagnosed with a Basilar skull fracture is experiencing anosmia, epistaxis, visual disturbances, and loss of sensation to the forehead. The nurse would suspect the fracture is in the: a) Anterior Fossa b) Middle Fossa c) Posterior Fossa d) Lateral Fossa

7 Which of the following statements made by a patient being discharged after a gout attack indicates additional discharge teaching is necessary? a) I need to be drinking 2-3L a day of water. b) I do not need to limit my intake of red meat. c) I will decrease my intake of alcohol especially beer. d) I need to work on losing weight.

8 The results of an LP done on a 19 year old male show the fluid is cloudy, WBC is 20,000, decreased glucose, and elevated protein. These results are indicative of what type of meningitis? a) Viral b) Fungal c) Bacterial d) Parasitic

9 The paroxysmal stage of Pertussis last for: a) 2-4 weeks b) weeks c) 3-5 days d) 7-10 days

10 Which of the following volumes of crystalloid bolus is appropriate for an adult patient who is in septic shock? a) 20 ml/kg b) 30 ml/kg c) 40 ml/kkg d) 50 ml/kg

11 Which of the following lab values are most consistent with disseminated intravascular coagulation? a) Decreased platelet count, elevated prothrombin time, elevated D-dimer b) Elevated platelet count, decreased fibrinogen levels, decreased prothrombin time c) Decreased platelet count, elevated d-dimer, elevated hematocrit d) Elevated prothrombin time, decreased partial thromboplastin time, elevated hemoglobin

12 A patient arrives to the ED stating that he felt a pinprick sensation on his leg about 30 minutes ago. Patient is complaining of muscle spasms, nausea, vomiting, and weakness. The nurse notes what looks to be a bite to the patients right leg. With these symptoms the nurse can suspect the patient was bitten by what type of spider: a) Brown recluse b) Wolf spider c) Long body cellar spider d) Black widow spider

13 The definition of beneficence can be described as: a) Ability of an individual to determine his or her own course of action. b) Requires that we not intentionally create a needless harm or injury to the patient either through acts of commission or omission c) Providing all the information needed to make an informed and balanced decision d) The duty of health care providers to be of a benefit to the patient, as well as to take positive steps to prevent and remove harm from the patient.

14 When caring for a patient with a Lefort III fracture the nurse would expect which of the following symptoms? a) Fractured teeth b) Headache c) Alerted level of consciousness d) Diplopia

15 A rash with a red base and bluish gray specks that starts in the mouth and spreads to the face and torso is which infectious disease? a) Shingles b) Chicken pox c) Measles d) Mumps

16 Immediately after endotracheal intubation, a disposable exhaled CO2 color indicator device is connected to the end of the tube. How many breaths do you wait to read if its in the correct place? a) Three b) Four c) Five d) Six

17 A 30 year old female who is 27 weeks pregnant was involved in a MVC. She arrives in C-spine precautions and on a back board. She reports feeling some nausea, dizziness and appears pale and diaphoretic. What intervention would be the first priority? a) Establish and IV b) Place in left lateral recombinant position c) Administer 2 L O2 via NC d) Call the OB nurse

18 A patient diagnosed with Otitis Media their tympanic membrane would look like: a) Bulging and discolored red or whitishyellow b) Green and perforation of the tympanic membrane c) Red and perforation of the tympanic membrane d) Bulging with white drainage

19 Which assessment finding would the nurse expect in a patient diagnosed with pyloric stenosis? a) Continual hunger and constipation b) Colicky pain associates with peristalsis c) Increased weight gain d) Mucus bloody stool that may look like grape jelly

20 What signs and symptoms are classic of an arterial occlusion? a) Pain is always present b) Pain is more common with walking c) Localized to the area around the occlusion d) Pain is described as an aching or throbbing feeling

21 Which statement by a patient would indicate understanding of discharge instructions for chronic bronchitis? a) I do not need to get a pneumococcal immunization b) I need to keep hydrated to keep my sections moist c) I need to encase my pillow and mattress in vinyl d) I need to keep my pets outside the house

22 Questions?

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