CEN Practice Exam (Certified Emergency Nurse) - Question List

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116. You are caring for a patient who had a radical neck dissection. The endotracheal tube has just been removed. Which of the following signs would you want to report to the physician immediately?
  1. Stridor
  2. Occasional pink-tinged sputum
  3. Respiratory rate of 24 breaths a minute
  4. Basilar crackles on the right side
117. You are caring for an older patient who is on complete bedrest. What interventions would you take to prevent respiratory complications?
  1. Monitoring vital signs routinely
  2. Decreasing oral fluid intake
  3. Turning the patient every two hours
  4. Instructing the patient to bear down every hour and hold their breath
118. You are caring for a toddler with croup. Which of the following clinical manifestations would you not see with croup?
  1. Worsening symptoms at night, that improve during the day
  2. Worsening symptoms during the day that improve with sleep
  3. Harsh, brassy cough
  4. Inspiratory stridor and low grade fever
119. If you were caring for a child who had croup that had to be in a cool mist tent, what action would you need to take if the child became frightened and began crying consistently?
  1. Notify the physician and get an order for sedation.
  2. Have the mother make the child stay in the tent.
  3. Give the child a toy to play with in the tent.
  4. Place the child in mom’s lap and direct cool mist over the child’s face.
120. You are caring for a patient with suspected cystic fibrosis. A sweat test has been performed on the child. Which of the following test results would be considered a positive result?
  1. Chloride of 20 mEq/L
  2. Chloride of 30 mEq/L
  3. Chloride of 40 mEq/L
  4. Chloride of 70 mEq/L

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