CEN Study Questions
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| show | Rib fracture
The ribs are the structures most commonly injured in the chest in blunt chest trauma.
🗑
|
||||
| Which of the following is an expected outcome in a patient with a suspected pericardial tamponade undergoing a pericardiocentesis? | show 🗑
|
||||
| show | Clopidogrel (Plavix)
Aspirin prevents platelet aggregation but when a patient has an allergy to aspirin clopidogrel (Plavix) is the preferred subsitute for aspirin.
🗑
|
||||
| Which of the following interventions is most appropriate for a patient who has a HR of 36 beats/minute, BP of 70/30mmHg, and a decreased capillary refill time? | show 🗑
|
||||
| Which of the following intravenous medications is indicated for a patient who will be sent to the cardiac catheterization lab with a non-ST-segment elevation myocardial infarction (non-STEMI)? | show 🗑
|
||||
| show | The (Broselow tape) is a reference that allows caregivers to estimate body weight based on a child's crown-to-heel length. It is used to determine drug doses, fluid resuscitation, and sizes of supplies used on pediatric patients.
🗑
|
||||
| Current national standards for "door to balloon" time for percutaneous coronary interventions (PTCI) are: | show 🗑
|
||||
| The electrocardiogram of a patient found unresponsive shows prolonged PR, QRS, and QT intervals. The QT-interval prolongation and characteristic J (Osborne) waves are suggestive of which of the following? | show 🗑
|
||||
| Which of the following hollow organs is most prone to injury by blunt trauma to the abdomen? | show 🗑
|
||||
| show | Hypoxia, cyanosis, or respiratory arrest as a result of inadvertent intubation of the trachea would be the most serious complication.
🗑
|
||||
| Which of the following medication classes would be most beneficial in the treatment of cholecystitis? | show 🗑
|
||||
| show | It is NOT indicated to restrict fluid administration. Although it is common to deliver increased intravenous fluids, this has not been shown to decrease duration or intensity of ureteral obstruction of renal calculi.
🗑
|
||||
| A driver approaches the emergency department blowing the horn and waving for help. A pregnant female is in the passenger seat with an umbilical cord protruding from the vagina. After placing the patient on a gurney, which action is most appropriate? | show 🗑
|
||||
| show | DtaP (Daptacel) is the pediatric formulation that contains tetanus, diphtheria, and pertussis vaccine. Hint: Upper case "D" is for pediatric formulation and lower case "d" is for adult formulations.
🗑
|
||||
| show | There is an association between age and increasing zoster incidence. The herpes zoster vaccine (Zostavax) is recommended for persons 60 years of age and older. Approximately 50% of persons who live to age 85 years will have experienced a zoster event.
🗑
|
||||
| show | Progressive symmetric muscle weakness beginning at the trunk and descending to the extremities are classic signs of botulism. Numbers of unrelated patients with similar complaints should signal the possibility of a bio-terrorist attack.
🗑
|
||||
| Which of the following is TRUE regarding the management of cervical spine fractures with skeletal traction? | show 🗑
|
||||
| show | An epidural hematoma is a collection of blood between the skull and the dura mater. It is usually the result of a temporal skull fracture that crosses and lacerates the middle meningeal artery.
🗑
|
||||
| The range for normal intracranial pressure (ICP) is: | show 🗑
|
||||
| A patient with a complete spinal cord lesion at the level of C4 would exhibit which of the following? | show 🗑
|
||||
| An axial loading type injury to the vertebral column is most likely caused by a: | show 🗑
|
||||
| show | If a patient is not adequately immunized, they must initially receive tetanus immune globulin and tetanus diphtheria injections followed by a second tetanus and diphtheria injection at 4 weeks and a third at 6 to 12 months.
🗑
|
||||
| All of the following are indications to utilize intravenous regional anesthesia or bier block EXCEPT: | show 🗑
|
||||
| show | The highest priority assessment would be distal circulation. Circulatory compromise can lead to avascular necrosis and loss of the limb without rapid intervention.
🗑
|
||||
| A pt presents with pain and a foul odor coming from their cast. The fingers are edematous and cold. Initial VS are: T 100°F (37.8°C); HR 135 beats/minute; RR 24 breaths/minute; and BP 100/62 mmHg. Cast removal shows tissue death and a foul-smelling wound. | show 🗑
|
||||
| show | Patients with high pressure injection injuries generally require debridement and extensive irrigation under anesthesia since serious problems result from the injected material spreading along the fascial planes
🗑
|
||||
| show | A Colles' fracture is a specific type of radial fracture resulting in a backward, outward position of the hand in relation to the forearm with a dinner fork appearance.
🗑
|
||||
| Clenched fist injuries during an altercation are at an increased risk for: | show 🗑
|
||||
| The triage process begins with which of the following? | show 🗑
|
||||
| show | Amylase is specific for pancreatic injury.
🗑
|
||||
| Which of the following laboratory values would require immediate attention and intervention? | show 🗑
|
||||
| A patient arrives in the emergency department complaining of left anterior chest pain for the last 2 hours, associated with nausea and diaphoresis. After evaluation admission is advised. The patient refuses: | show 🗑
|
||||
| show | The ANA Nursing: Scopes and Standards of Practice defines the four ethical principles of nursing care as autonomy, beneficence, nonmaleficence and justice.
🗑
|
||||
| show | Anxiety or apprehension may be caused by a medical condition
🗑
|
||||
| Which of the following statements is true about advance directives? | show 🗑
|
||||
| show | Clarifying hazards for the patient and facilitating the expression of negative feelings are basic interventions.
🗑
|
||||
| show | Under normal physiologic circumstances, the respiratory drive is triggered by a high partial pressure of arterial carbon dioxide (PaCO2).
🗑
|
||||
| show | If the patient's peak flow is 50-79% of their personal best they can use their rescue inhaler. If they drop below 50% of their personal best they should seek help immediately which may include calling 911.
🗑
|
||||
| show | An emergency resuscitative thoracotomy is NOT beneficial for patients with no documented vital signs or signs of life (e.g., no pupillary reflexes, spontaneous movement, or organized electrocardiogram activity).
🗑
|
||||
| show | Compromised circulation is a complication from lack of collateral circulation to the extremity after the radial artery has been damaged or hematoma has formed, which can subsequently block circulation. An Allen's test should be performed prior to radial a
🗑
|
||||
| show | Chest tube placement would be the appropriate treatment for a pneumothorax or hemothorax, however at this time there is no evidence that either one of these are present. Arterial blood gases and a chest radiograph would lend to further evaluation of the p
🗑
|
||||
| show | AMS
🗑
|
||||
| Which form of shock occurs due to the loss of vasomotor tone and sympathetic nervous system disruption? | show 🗑
|
||||
| All of the following are causes of distributive shock EXCEPT: | show 🗑
|
||||
| A non-English speaking female presents to the emergency department complaining of vaginal discharge. Her 12-year old child is acting as an interpreter for her. What is the primary reason the emergency department nurse should utilize a medical interpreter | show 🗑
|
||||
| An acute coronary syndrome (ACS) patient reports taking ginkgo biloba for memory, garlic for cholesterol and ginger for arthritis. Which of the following medications should be administered with caution and careful monitoring? | show 🗑
|
||||
| show | Obtaining a history from an elderly patient may be difficult secondary to many factors. One common factor is impaired hearing of the patient. A quiet surrounding is optimal.
🗑
|
||||
| show | Swelling and cellulitis extend into the submandibular, submental, and sublingual spaces resulting in elevation and protrusion of the tongue toward the palate.
🗑
|
||||
| Which of the following dental fractures would most likely be associated with pain when exposed to heat or cold? | show 🗑
|
||||
| An elderly female presents for treatment. Her daughter states her awareness has been diminished and that her mother seems a little confused. Her vital signs are: BP 90/60 mmHg, HR 100 beats/minute, RR 28 breaths/minute, T 98.9°F (37°C). The only presentin | show 🗑
|
||||
| show | In thyroid storm there are excess catecholamines. Propanol (Inderal), a beta blocker, will lessen adrenergic effects. It also blocks conversion of T4 to T3. The goal is to keep the heart rate less than 100 beats/minute.
🗑
|
||||
| Parents accompany a young child to the emergency department. Initial assessment reveals that the child has a headache, stiff neck, photophobia, and purpura on arms and legs. Immediate interventions would include: | show 🗑
|
||||
| show | Measurements are part of the initial assessment in a patient with an acute case of compartment syndrome.
🗑
|
||||
| Underreporting of workplace violence may result from all of the following EXCEPT: | show 🗑
|
||||
| show | When a large quantity of fluid is removed with thoracentesis re-expansion pulmonary edema occurs. Removing no more than 1000-1500 mL at one time will decrease this risk.
🗑
|
||||
| A patient presents to the emergency department following smoke inhalation and exposure to combustion of synthetic materials during a house fire. The nurse would suspect cyanide inhalation poisoning if the: | show 🗑
|
||||
| show | Ventricular contraction is represented by the QRS complex.
🗑
|
||||
| show | Current guidelines from the AHA and the American College of Cardiology recommend administration of beta-blockers on arrival (or within 24 hours) to reduce morbidity and mortality in patients with STEMI if there are no contraindications.
🗑
|
||||
| show | In the patient with GERD, Urecholine increases sphincter pressure and facilitates gastric emptying. Adverse effects of cholinergic drugs may include urinary urgency, diarrhea, abdominal cramping, hypotension, and increased salivation.
🗑
|
||||
| A patient is being discharged from the emergency department with a diagnosis of acute prostatitis. The discharge instructions should include: | show 🗑
|
||||
| show | Borrelia burgdorferi is transmitted by the deer tick causing Lyme disease. If left untreated, common symptoms are an expanding bull's-eye circle on the skin, flu-like symptoms, atrioventricular blocks, meningitis, hepatitis, and arthralgia.
🗑
|
||||
| show | Leukocytes are less than 1000 cells/mL in viral meningitis and greater than 1000 cells/mL in bacterial meningitis; normal range is 0 to 5 white blood cells.
🗑
|
||||
| show | Side effects of phenytoin (Dilantin) administration include hypotension and bradycardia, especially with rapid IV use.
🗑
|
||||
| Which of the following is considered the most reliable indicator of neurological function? | show 🗑
|
||||
| show | Central cord syndrome is caused by hyperextension and is seen most often in elderly patients following a fall. This syndrome results in loss of function of upper extremities while the lower extremities remain functional. Bowel and bladder function is main
🗑
|
||||
| A splint has been placed on a fractured upper extremity. The patient continues to have 10/10 pain despite administration of intravenous narcotics. Which of the following conditions is the most likely cause of this patient's unrelieved pain? | show 🗑
|
||||
| show | The main priority for this patient is maintaining safety. The patient is at high risk for injury due to the increased motor activity, increased energy, extreme hyperactivity, agitation, disorganized activity, and poor impulse control.
🗑
|
||||
| Increasing respiratory difficulties in the elderly patient are usually due to: | show 🗑
|
||||
| show | Crackles are small popping sounds produced by the passage of air through fluid or secretions in the small airways or alveoli, most commonly during inspiration.
🗑
|
||||
| An early sign of hypovolemic shock in adults is: | show 🗑
|
||||
| show | Recombinant human activated protein C (Xigris) is contraindicated in the presence of a bleeding risk.
🗑
|
||||
| Which of the following assessment findings is expected in a patient with altered mental status and suspected opioid ingestion? | show 🗑
|
||||
| Which of the following treatments is indicated following hydrofluoric acid (HF) exposure to the skin? | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kiiirsten
Popular Nursing sets