FREE NURSING AND STUDY GAMES ABOUT CEN STUDY

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FREE NURSING AND STUDY GAMES ABOUT CEN STUDY

QUESTIONS EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -73 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: A patient is being discharged from the emergency department with a

diagnosis of acute prostatitis. The discharge instructions should include:

Answer:

Increase daily fluid intake to assist in eliminating the bacteria.

Question 2: The QRS complex represents what mechanical event in the heart?

Answer:

Ventricular contraction is represented by the QRS complex.Question 3: When teaching patients with asthma, which of the following are correct discharge instructions?

Answer:

If the patient's peak flow is 50-79% of their personal best they can use their rescue inhaler. If they drop below 50% of their personal best they should seek help immediately which may include calling 911.Question 4: Which of the following is an expected outcome in a patient with a suspected pericardial tamponade undergoing a pericardiocentesis?

Answer:

Jugular venous distention (JVD) is a sign of increased intrathoracic pressure, which can be caused by cardiac tamponade. After a pericardiocentesis, intrathoracic pressure should return to normal and JVD

is not an expected finding.Question 5: The nursing management of a patient with compartment syndrome may include:

Answer:

Measurements are part of the initial assessment in a patient with an acute case of compartment syndrome.Question 6: Which of the following laboratory values would indicate viral versus bacterial meningitis?

Answer:

Leukocytes are less than 1000 cells/mL in viral meningitis and greater than 1000 cells/mL in bacterial meningitis; normal range is 0 to 5 white blood cells.Question 7: Which of the following is the drug of choice to inhibit the catecholamine effects associated with thyroid storm?

Answer:

In thyroid storm there are excess catecholamines. Propanol (Inderal), a beta blocker, will lessen adrenergic effects. It also blocks conversion of T4 to T3. The goal is to keep the heart rate less than 100 beats/minute.Question 8: An acute coronary syndrome (ACS) patient reports taking ginkgo biloba for memory, garlic for cholesterol and ginger for arthritis. Which of the following medications should be administered with caution and careful monitoring?

Answer:

All three of these herbal products have anticoagulation effects which may potentiate heparin and increase the risk of bleeding.Question 9: A patient with a complete spinal cord lesion at the level of C4 would exhibit which of the following?

Answer:

Injuries in the cervical region will affect the use of both upper and lower extremities resulting in quadriplegia.Question 10: A nurse would expect all of the following treatments for a patient diagnosed with

renal calculi EXCEPT:

Answer:

It is NOT indicated to restrict fluid administration. Although it is common to deliver increased intravenous fluids, this has not been shown to decrease duration or intensity of ureteral obstruction of renal calculi.

Question 11: Increasing respiratory difficulties in the elderly patient are usually due to:

Answer:

The normal elderly patient loses both muscle mass and strength with age. Weakening of the diaphragmatic muscle results in increased difficulty in maintaining normal respirations.Question 12: Which of the following laboratory values would require immediate attention and intervention?

Answer:

A serum osmolality of 360mOsm/kg is considered high, with a normal range of 285-295mOsm/kg.Question 13: A 3-year-old patient has been vomiting for three days and presents with hypotension, narrow complex tachycardia, decreased capillary refill time, and decreased responsiveness. To help with treatment decisions, the nurse would initially obtain:

Answer:

The (Broselow tape) is a reference that allows caregivers to estimate body weight based on a child's crown-to-heel length. It is used to determine drug doses, fluid resuscitation, and sizes of supplies used on pediatric patients.Question 14: Which of the following assessment findings is expected in a patient with altered mental status and suspected opioid ingestion?

Answer:

Pinpoint fixed pupils are an expected finding in the patient with suspected ingestion of opioids.Question 15: The local police escort a patient who was found in the parking lot of the local store without clothes on and running in circles around cars. The priority for this patient is which of the following?

Answer:

The main priority for this patient is maintaining safety. The patient is at high risk for injury due to the increased motor activity, increased energy, extreme hyperactivity, agitation, disorganized activity, and poor impulse control.Question 16: The purpose of administering beta-blockers to patients experiencing an

ST-segment elevation myocardial infarction (STEMI) is to:

Answer:

Current guidelines from the AHA and the American College of Cardiology recommend administration of beta-blockers on arrival (or within 24 hours) to reduce morbidity and mortality in patients with STEMI if there are no contraindications.

Question 17: A splint has been placed on a fractured upper extremity. The patient continues to have 10/10 pain despite administration of intravenous narcotics. Which of the following conditions is the most likely cause of this patient's unrelieved pain?

Answer:

Unrelieved pain is a cardinal sign of compartment syndrome.Question 18: Which of the following is an absolute CONTRAINDICATION to the administration of recombinant human activated protein C (Xigris) in patients with multiple organ failure?

Answer:

Recombinant human activated protein C (Xigris) is contraindicated in the presence of a bleeding risk.Question 19: S/p fall, a pt is noted to have loss of function in the BUE, but the lower extremity function remains intact. There was no loss of bowel or bladder control. These symptoms are associated with which of the following incomplete spinal cord injuries?

Answer:

Central cord syndrome is caused by hyperextension and is seen most often in elderly patients following a fall. This syndrome results in loss of function of upper extremities while the lower extremities remain functional. Bowel and bladder function is main Question 20: An axial loading type injury to the vertebral column is most likely caused by a:

Answer:

The direct force transmitted along the length of the vertebral column caused by a diving injury results in an axial loading injury.

Question 21: A non-English speaking female presents to the emergency department

complaining of vaginal discharge. Her 12-year old child is acting as an interpreter for her. What is the primary reason the emergency department nurse should utilize a medical interpreter

Answer:

The child may not understand all the terms associated with getting a complete history on a woman who is experiencing vaginal discharge. This lack of understanding may affect the interpretation that is done, which may mean erroneous information is obtained Question 22: The tetanus, diphtheria, and pertussis vaccine recommended by CDC Advisory Committee on Immunization Practices (ACIP) for children under seven years of age is:

Answer:

DtaP (Daptacel) is the pediatric formulation that contains tetanus, diphtheria, and pertussis vaccine.Hint: Upper case "D" is for pediatric formulation and lower case "d" is for adult formulations.