CEN Practice Exam (Certified Emergency Nurse) - Question List

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81. You are caring for a patient who has been involuntarily admitted to the hospital because of violent behavior. The patient is demanding to leave the hospital. The nurse understands that keeping the patient will lead to:
  1. Charges of imprisonment
  2. Charges of assault
  3. Charges of slander
  4. No charges because the nurse’s actions are reasonable.
82. Which of the following symptoms would require the nurses immediate attention if the patient had bipolar affective disorder?
  1. Outlandish behaviors and inappropriate dress
  2. Grandiose delusions of being a royal descendent of King Arthur
  3. Nonstop physical activity and poor nutritional intake
  4. Constant, incessant talking that includes sexual innuendoes and teasing the staff
83. You are caring for a patient who came into the emergency department in a severe state of anxiety following a care accident. What would be appropriate nursing intervention for the patient?
  1. Remain with the patient.
  2. Put the patient in a quiet room.
  3. Teach the patient to deep breathe.
  4. Encourage the patient to talk about their feelings.
84. Which of the following assessments by the nurse would indicate a possible manifestation of dementia?
  1. Presence of personal hygienic care
  2. Improvement in sleeping
  3. Absence of sundown syndrome
  4. Confabulation
85. You are caring for a patient who is becoming more aggressive. He is pacing and agitated. His speech is becoming rapid and his affect belligerent. What should the nurse’s first priority be?
  1. Provide safety for the patient and other patients on the unit.
  2. Offer the patient a less stimulated area to calm down and gain control.
  3. Provide the patients on the unit with a sense of comfort and safety.
  4. Assist the staff in caring for the patient in controlled environment.

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