Cen Practice Questions

Topics: Intravenous therapy, Arterial blood gas, Acute respiratory distress syndrome Pages: 9 (1639 words) Published: March 11, 2013
CEN Practice Questions

Category: Professional-Legal
(1) A 49-year-old woman with a subarachnoid hemorrhage is identified as a potential organ donor. The patient’s family consists of her husband, from whom she is separated, elderly parents, her 18-year-old son, and 44-year-old sister. Who is the legal next of kin that can give permission?

A) Her son
B) Her sister
C) Her parents
D) Her husband

Category: Neuro
(2) The normal range for intracranial pressure (ICP) in an adult is:

A) 0 to 15 mm hg
B) 5 to 30 mm Hg
C) 30 to 45 mm Hg
D) 45 to 60 mm Hg 

Category: Pediatrics
(3) A 3-year-old presents with N/V/D for 36 hours. The assesment shows: pale skin, sunken eyes, and is tachycardic. The child is unresponsive to pain. The priority intervention for this patient is to administer:

A) Intravenous fluids (IVF) immediately
B) Oral replacement fluids in small sips
C) Prochlorperazine (Chlorpazine®) 12.5 mg IM
D) Ciprofloxacin (Cipro®) 500 mg PO

Category: Respiratory
(4) An obese 33-year-old female presents with sudden onset of left-sided chest pain and shortness of breath. She is diaphoretic, pale, and in acute respiratory distress. There is no history of trauma, fever, nausea or vomiting. Medical Hx is unremarkable. Current Meds: Birth Control Pills. VS: BP = 100/60, HR = 118, RR = 36. 

ABG's are done which show: 
pH 7.27, 
PaCO2 53, 
PaO2 61 and 
HC03 26. 

These results suggest which of the following?

A) Uncompensated respiratory acidosis
B) Compensated metabolic acidosis
C) Uncompensated metabolic acidosis
D) Compensated respiratory acidosis

Category: Wounds
(5) An 78-year-old is being discharged after having a laceration of his left leg sutured. Which of the following methods of patient education is most appropriate for this patient?

A) Use preprinted instruction sheets.
B) Prepare handwritten instruction sheets.
C) Instruct the patient to call his physician if he has any questions. D) Conduct a one-on-one discussion with the patient
Category: Professional-Legal
(1) Local EMS brings you, into your trauma bay, a 17-year-old female, who was involved in a pedestrian versus motor vehicle crash. A CT of the head shows that she has an epidural bleed and the neurosurgeon is summoned for emergent, life saving surgery. However, the neurosurgeon refuses to come in for this pt. Which of the following best explains the possible liability for the neurosurgeon in this case?

A) Federal laws that require all patients who present to an emergency department receive stabilizing treatment and state laws concerning professional negligence. B) Case law requiring a specialist on call to respond and federal law requiring all patients who present to an emergency department receive stabilizing treatment. C) State laws relevant to professional negligence and case law requiring a specialist on call to respond. D) There are state laws covering professional negligence and case law requiring a specialist on call to respond.

Category: Special Populations
(2) An elderly trauma patient "might" be considered for early, invasive hemodynamic monitoring because the geriatric population has:

A) Decreased peripheral vascular resistance and cardiac workload. B) Increased pulmonary compensatory mechanisms.
C) Increased physiological reserves
D) Decreased cardiac output

Category: OB/GYN
(3)A patient with an ovarian cyst may present with signs/symptoms similar to which of the following?:

A) Pyelonephritis
B) Pelvic inflammatory disease (PID)
C) Intrauterine pregnancy
D) Ectopic Pregnancy

Category: General Medical
(4) What is the treatment for acute sinusitis?

A) Over-the-counter nasal decongestant sprays for 1 week
B) Hypertonic saline nose drops
C) Use of a humidifier
D) Application of ice or cool compresses to the sinus area

Category: Cardiovascular
(5) The MD has ordered a heparin drip to be started at 1000 units/hour. Your pt weighs 220 lbs. You have on hand a heparin...
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