Certified emergenCy nurse Cen exam Q-Bank

Certified emergenCy nurse (Cen) exam Q-Bank – aCtual Questions & CorreCt solutions for guaranteed Pass /

◉ airborne precautions - negative pressure room, N-95 mask (TB, pertussis, influenza)

◉ droplet precautions - surgical mask (meningitis, pertussis)

◉ contact precautions - gloves and gowns, single use equipment

◉ varicella precautions - contact and airborne

◉ measles precautions - contact and airborne

◉ rubella precautions - contact and airborne

◉ small pox precautions - contact and airborne

◉ measles (rubeola) - incubation period of 8-12 days

cough, conjunctivitis, rhinitis 1 / 4

***Koplik spots rash

tx: supportive care

◉ mumps (parotitis) - contagious 16-18 days

swelling of salivary glands leads to airway compromise.

complication is orchitis and infertility

◉ rubella - contagious for up to a week prior to symptoms and a week after rash

complication of birth defects and arthritis

◉ pertussis - contagious for 7-10 days.

limits ability to clear respiratory tract of secretions

3 stages:

1) catarrhal- rhinitis, sneezing, low grade fever 2) paroxysmal- whooping cough, petechial rash above nipple line 3) convalescent- gradual recovery 2 / 4

treatment is macrolide antibiotics and antitussives

◉ chicken pox - infectious for 48 hours after rash appears, contagious until all skin lesions are crusted over

treatment is antivirals, antihistamines and antipyretics.

****NO NSAIDs, associated with reye's syndrome

◉ diptheria - incubation is 1-8 days

sore throat; low grade fever; thick & grey membranous covering on tonsils and pharynx; orchitis

complications are airway obstruction, myocarditis and infertility

TX: erythromycin stat

◉ mononucleosis - epstein barr virus, spread by body fluids (esp saliva)

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lymphadenopathy, fatigue, myalgia, abdominal pain

complications: splenomegaly and hepatomegaly

***no contact sports, risk for splenic rupture

DX: monospot

tx: supportive

◉ tuberculosis tx - 6 months of combination antibiotic therapy (rifampin and isoniazid)

◉ rifampin considerations - bright yellow body fluids (no contacts)

◉ avulsed tooth - preserve tooth by placing back in socket or between cheek/gum or under tongue IF PT IS ALERT AND ORIENTED.

if altered LOC, place tooth in milk or calcium based solution and replant within 6 hours

◉ lip lac - consider expert consult if through the vermillion border

◉ Bell's Palsy - unilateral facial paralysis r/t inflammation of cranial nerve 7

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