CEN Practice Exam (Certified Emergency Nurse) - Question List

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196. Which of the following clinical manifestations are the most likely indicators of perforation of the gastrointestinal tract?
  1. Shortness of breath, abdominal tenderness and nausea
  2. Abdominal tenderness, temperature of 101.5
  3. Severe abdominal pain, distention and a board like abdomen
  4. Fluid and electrolyte imbalances, hypotension, paralytic ileus
197. What is the main intervention that needs to occur if a patient develops a perforation of the gastro intestinal tract?
  1. Surgical intervention
  2. Fluid resuscitation
  3. Nasogastric tube placement to low wall suction
  4. Hold all food and assess for signs of bleeding
198. Which diagnostic test is considered the “gold standard” for diagnosis of gastrointestinal bleeding?
  1. Colonoscopy
  2. Endoscopy
  3. Exploratory laparoscopy
  4. Upper Gastrointestinal Series
199. A 54 year old woman has been admitted with a diagnosis of sepsis. What would be the first signs and symptoms that the patient may have a gastrointestinal bleed?
  1. Blood in feces
  2. Weakness and fatigue
  3. Abdominal pain and discomfort
  4. Weight loss and anorexia
200. The most common cause of gastrointestinal bleed is:
  1. Trauma
  2. Endoscopy procedures
  3. Peptic ulcer
  4. Alcohol intake

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