CEN Practice Exam (Certified Emergency Nurse) - Question List

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206. A 30 year old male was hit by a car and there was almost complete transection of spinal cord. Diagnosis of spinal shock was confirmed. What is not related to spinal shock?
  1. Reflexes below spinal cord injury level are depressed
  2. Gradual recovery of reflexes
  3. Reflexes above spinal cord injury level are normal
  4. No initial motor paralysis.
207.

The nurse observes that the patient's right pedal pulses are absent and the leg is swollen. The nurse's first action should be to:

  1. Obtain a Glasgow Score
  2. Attach an EKG
  3. Order an isotonic fluid infusion through two large-bore IV lines
  4. Proceed with a survey
208.
Which of these statements about hemothorax is accurate?
  1. Hemothorax is typically caused by blunt force trauma to the lower chest
  2. The jugular veins will almost always appear flat in hemothorax, a sign of hypotension
  3. Parenchymal hemothoraxes are typically self-limiting in nature and rarely cause life-threatening hemorrhage
  4. The pleural space is small, only able to hold 750mL to 1L, depending on the size and age of the person
209.

The major physiologic insult which occurs in a near drowning victim is which of the following?

  1. hypothermia
  2. pneumonia
  3. dysrhythmia
  4. hypoxemia

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