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CEN PRACTICE EXAM 1QUESTIONS AND ANSWERS
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CEN PRACTICE EXAM 1QUESTIONS AND ANSWERS
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CEN PRACTICE EXAM 1QUESTIONS AND ANSWERSThe ENA Code of Ethics expects the emergency nurse to do all of the following
EXCEPT:
a. Maintain accountability for individual practice
b. Act to protect the patient from incompetent or illegal practice
c. Work to improve access to health care for all
d. Complete all required tasks for every patient - answer- D. An integral part of being an
effective ED nurse is knowing what tasks can or should be delegated to other roles. The
ED nurse should not expect to perform all tasks for every patient but should know what
tasks can be delegated.
Emergency nurses are encouraged to use evidence based practices (EBP) in the
practice of emergency nursing. Which of the following practices is not recommended by
the Emergency Nurse's Association?
a. Use of two or more patient identifiers when providing care.
b. Not taking verbal or telephone orders.
c. Comply with hand hygiene guidelines
d. Assure central lines are inserted under sterile conditions. - answer- B. Although
verbal and telephone orders are not ideal, the practice of emergency nursing often
requires taking verbal orders. In those cases, the nurse must employ the practice of
reading back the order to ensure that it was received and recorded accurately.
An emergency nurse provides education to a community group about bike and helmet
safety. At this educational offering, the nurse provides helmets for children who do not
have them. This is an example of a nurse providing:
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. None of the above - answer- A. Primary prevention averts disease or injury by
reducing risk factors for a particular individual or group. Secondary prevention aims to
detect injury or disease early to limit the effects. Tertiary preventions focus on treating a
disease or injury to limit disability and preserve function.
The term used to describe pain that is due to a stimulus that does not normally provoke
pain is:
a. Allodynia
b. Analgesia
c. Hyperalgesia
d. Neuralgia - answer- A. Allodynia is the perception of pain with a stimulus that does
not normally cause pain. Analgesia is the absence of pain in response to a stimulus that
would normally be considered painful. Hyperalgesia is an increased, or greater than
expected, response to a stimulus that is painful. Neuralgia is pain in a nerve or nerves.
Since care in the emergency department is episodic, interpreters are not required during
patient care.
, a. True
b. False - answer- B. If the ED nurse is not able to adequately communicate with a
patient, an interpreter must be provided. Specifically, an interpreter is critical when the
patient's history is being elicited, when the physician or nurse is explaining the patient's
condition or treatment or when spiritual or religious counseling is requested. In addition
to each of these circumstances, an interpreter must be provided to obtain informed
consent or permission for treatment. The ED nurse must also provide an interpreter
when living wills or powers of attorney are discussed. Any discussion of medications or
allergies requires an interpreter. Discussions of billing, insurance or education should be
explained through an interpreter. When in doubt, the prudent nurse will call for an
interpreter. It is strongly recommended not to use family to interpret.
A patient can directly sue an emergency department nurse for violation of the HIPAA
law.
a. True
b. False - answer- B. HIPAA does not create a private right of action; therefore, a
patient cannot directly sue any provider for HIPAA violations. However, a patient may
make formal complaints to the OCR who may refer those complaints to the Department
of Justice for criminal investigation.
A child may be considered an emancipated minor and capable of making medical
decisions without parental consent in certain circumstances. Although laws in states
may differ, general considerations may include all of the following EXCEPT:
a. Marital status
b. Membership in the armed forces
c. Self-declaration of emancipation by the minor
d. Court certification - answer- C. If a child desires to be an emancipated minor without
fulfilling the criteria in any other way, a court must declare the emancipation. A child
cannot declare himself or herself to be emancipated. The prudent ED nurse will
understand the laws in his or her state that govern the rules around emancipation of a
minor.
Informed consent implies that the patient with intact mental capacity understands the
risks and benefits of the proposed treatment and any alternatives to treatment. The ED
nurse must delay treatment for an informed consent when:
a. A known diabetic collapses in the waiting room.
b. Emergent treatment is required to protect the patient's health.
c. An unaccompanied 14-year-old child walks into the Emergency department with a
snake bite.
d. The surgeon who will be doing the appendectomy on a stable patient is delayed in
the OR. - answer- D. Although medical personnel must attempt to get informed consent
from the patient or someone authorized to consent for him, emergency department
nurses must not wait to provide treatment when such a delay would result in a life or
limb-threatening outcome for the patient. Since the stable patient with appendicitis must
wait for the surgeon to complete his work in the OR, the ED nurse should not get the
consent signed until the patient has an opportunity to speak with the surgeon.
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