CEN Practice Exam (Certified Emergency Nurse) - Question List

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161. You are caring for an infant with a diagnosis of sepsis. Which is the priority assessment for this infant?
  1. Skin integrity
  2. Temperature
  3. Jaundice
  4. Respiratory function
162. Your patient came in to the emergency department with chest pain. Over the last hour the patient’s blood pressure has dropped, pulse has increased and respirations have increased. What do you suspect these changes indicate?
  1. Cardiogenic shock
  2. Cardiac tamponade
  3. Pulmonary embolism
  4. Aortic aneurysm
163. What would you want to assess your patient for if they have a myocardial infarction that is developing into cardiogenic shock?
  1. Ventricular dysrhythmia
  2. Bradycardia
  3. Rising diastolic blood pressure
  4. Falling central venous pressure
164. You are caring for a patient in cardiogenic shock who has a multilumen pulmonary artery catheter in place. What cardiac output (CO) and pulmonary capillary wedge pressure (PCWP) would you see if the patient were unstable?
  1. CO 5 L/min, PCWP low
  2. CO 4 L/min, PCWP high
  3. CO 3 L/min, PCWP high
  4. CO 2 L/min, PCWP low
165. Your patient is in cardiogenic shock and has had an intraaortic balloon pump placed through the left femoral artery. On assessment you note that the left foot is cool and mottled and the pedal pulse weak. What is the priority for this patient?
  1. Document the data because it is expected.
  2. Reevaluate in an hour.
  3. Increase the rate on the nitroglycerin drip.
  4. Notify the physician.

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