CEN ReviewTest Your Knowledge…….

McKenzie Williams MSN, RN, CEN

Right sided heart failure is characterized by which of the following symptoms?

a) Crackles in the lungsb) Peripheral edemac) Dyspnead) Fatigue

Which of the following symptoms is most commonly found in a patient with Pericarditis?

a) Pain exacerbated by deep inspirationb) Bradycardia and bradypneac) EKG changes seen in leads II, III, and AVFd) Aferbrile

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 durac) Between the pia mater and the

cereberal cortexd) Between the dura mater and the

subarachnoid layer of the meninges

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) Pneumothoraxb) Hemeothoraxc) Pulmonary contusiond) Ruptured diaphragm

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 Fossab) Middle Fossac) Posterior Fossad) Lateral Fossa

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.”

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) Fungalc) Bacteriald) Parasitic

The paroxysmal stage of Pertussis last for:

a) 2-4 weeksb) 11-15 weeksc) 3-5 daysd) 7-10 days

Which of the following volumes of crystalloid bolus is appropriate for an adult patient who is in septic shock?

a) 20 mL/kgb) 30 mL/kgc) 40 mL/kkgd) 50 mL/kg

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

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 recluseb) Wolf spiderc) Long body cellar spiderd) Black widow spider

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.

When caring for a patient with a Lefort III fracture the nurse would expect which of the following symptoms?

a) Fractured teethb) Headachec) Alerted level of consciousnessd) Diplopia

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) Shinglesb) Chicken poxc) Measlesd) Mumps

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) Threeb) Fourc) Fived) Six

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 IVb) Place in left lateral recombinant positionc) Administer 2 L O2 via NCd) Call the OB nurse

A patient diagnosed with Otitis Media their tympanic membrane would look like:

a) Bulging and discolored red or whitish-yellow

b) Green and perforation of the tympanic membrane

c) Red and perforation of the tympanic membrane

d) Bulging with white drainage

Which assessment finding would the nurse expect in a patient diagnosed with pyloric stenosis?

a) Continual hunger and constipationb) Colicky pain associates with peristalsisc) Increased weight gaind) Mucus bloody stool that may look like

grape jelly

What signs and symptoms are classic of an arterial occlusion?

a) Pain is always presentb) Pain is more common with walkingc) Localized to the area around the

occlusiond) Pain is described as an aching or

throbbing feeling

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”

Questions?