CEN Practice Exam (Certified Emergency Nurse) - Question List

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201. Your patient is in shock. Their pulse pressure is narrow and there is a decrease in preload. What type of shock is your patient experiencing?
  1. Aggressive
  2. Decompensated
  3. Compensated
  4. Compensatory
202. A thirty seven year old male is being treated for shock related to acute Pancreatitis. The patient states that he has Paresthesia around his fingers and mouth. The nurse observes that the patient’s wrists and foot are tremoring. When she applies the blood pressure cuff to the patient’s arm, the entire hand and arm has spasms. What abnormality is the patient exhibiting signs and symptoms of?
  1. Tetany
  2. Shock
  3. Chvostek’s sign
  4. Hypersensitivity reaction
203. What is the leading cause of shock in newborns?
  1. Dehydration
  2. Third-spacing of fluids
  3. Hypovolemia
  4. Bradycardia
204. Which of the following are beta1 effects of the epinephrine released during shock compensation?
  1. Increase in chronotropy (heart rate)
  2. Increase in inotropy (strength of muscular contractions)
  3. Increase in dromotropic rate (electrical pulses in the heart).
  4. Increase in peripheral vascular resistance
  5. Relaxation of smooth musculature in the GI tract
205. A 60 year old male admitted in hospital with spinal shock develop complication. Which one of the following does not occurs after unchecked sympathetic stimulation spinal shock patient?
  1. Hypertension
  2. Loss of bladder control
  3. Sweating
  4. Bradycardia

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