Practice Quiz

CEN Practice Exam (Certified Emergency Nurse) - Question List

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151. You are about to administer blood to a patient. You have verified that it is the correct blood for the patient with another nurse. What do you need to assess before you start the blood?
  1. Vital signs
  2. Skin color
  3. Hemoglobin level
  4. Creatinine level
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152. Which IV fluids would you need to hang with a transfusion?
  1. Lactated ringers
  2. Dextrose 5% and normal saline 0.9%
  3. Dextrose 5% and normal saline 0.45%
  4. Normal saline 0.9%
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153. You are caring for a patient who has been receiving a blood transfusion for the last 30 minutes. On assessment, you find the patient to be dyspneic and show bilateral crackles and a heart rate of 110. Which of the following complications do you suspect the patient is experiencing?
  1. Immune response
  2. Hypovolemia
  3. Fluid overload
  4. Polycythemia vera
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154. You determine that the patient you are caring for is having a transfusion reaction. You stop the blood immediately. Which action would you take next?
  1. Notify a physician.
  2. Determine the patient’s white blood cell count.
  3. Administer normal saline at KVO.
  4. Administer normal saline bolus.
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155. You are caring for a patient with a gunshot wound. As a result of the patient’s Coumadin therapy, the prothrombin time is twice the normal amount. Which blood product do you expect the physician to order?
  1. Fresh frozen plasma
  2. Random donor platelets
  3. Red blood cells
  4. Crystalloids
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