Practice Quiz

CEN Practice Exam (Certified Emergency Nurse) - Question List

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111. You are caring for a patient with chronic obstructive pulmonary disease who has come in with respiratory distress. The patient takes theophylline (Theo-Dur). A therapeutic level is drawn on the patient. You would know the patient needs to be educated on complying with medication if the therapeutic is what?
  1. 10 mcg/mL
  2. 12 mcg/mL
  3. 15 mcg/mL
  4. 18 mcg/mL
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112. You have assisted the physician with insertion of a chest tube. As you monitor the fluid level in the water seal chamber you notice fluctuations in the fluid. What is the appropriate action?
  1. Notify the physician.
  2. Encourage the patient to deep breathe.
  3. This is a normal finding.
  4. Reinforce the dressing.
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113. You are caring for a patient with a chest tube. When you turn the patient to the side the tube comes disconnected. What action should you take next?
  1. Notify the physician
  2. Place the tube in a bottle of sterile water
  3. Replace the chest tube
  4. Put a sterile dressing over the disconnected site
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114. You are assisting the physician with removal of a chest tube. The nurse should instruct the patient to:
  1. Remain very still.
  2. Inhale and exhale quickly.
  3. Exhale slowly.
  4. Perform the Valsalva’s maneuver.
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115. You are changing the tape on a tracheostomy tube when the patient coughs, and the tube becomes dislodged. The initial action of the nurse should be:
  1. Cover the site with a sterile dressing.
  2. Notify the physician.
  3. Grasp the retention sutures and spread the opening.
  4. Notify the respiratory therapist.
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