Practice Quiz

CEN Practice Exam (Certified Emergency Nurse) - Question List

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146. Your patient has come into the emergency department with a self-inflicted wrist laceration that has severe bleeding. You have begun to apply pressure to the wound. What would your immediate priority be?
  1. See to the patient’s need for psychiatric evaluation.
  2. Lower the patient’s body temperature to decrease circulation.
  3. Place the extremity below the level of the heart.
  4. Monitor the patient for signs of shock.
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147. Your patient has been stung by a bee. What signs and symptoms would you see if the patient had an allergic reaction to the sting?
  1. Normal respiratory rate
  2. Prolonged expiratory phase
  3. Wheezing on inspiration
  4. Decreased respiratory rate
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148. You are caring for a patient in shock. Which parameter would you want to monitor to determine if treatment is effective?
  1. Cardiac output
  2. Respiratory rate
  3. Peripheral pulse rate
  4. Central venous pressure
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149. Which finding would make you suspect that your patient might be in cardiogenic shock?
  1. Decreased or muffled heart sounds
  2. A cardiac index greater than 2.2 L/min
  3. Bounding pulses
  4. Increased cardiac output
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150. You are caring for a patient who was brought into the emergency department unresponsive, hypotensive and tachypneic. Upon further assessment, you realize that the patient’s temperature is 106 degrees Fahrenheit. You suspect heat stroke. What would your priority nursing intervention be?
  1. Obtain a history from the patient.
  2. Take oral temperature to monitor effectiveness of treatment.
  3. Call the family for consent to treat.
  4. Take off the patient’s clothing, wrap him or her in wet towels and place a fan on the patient.
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