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PDB CEN Exam Questions and answers | With complete solution Newest
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PDB CEN Exam Questions and answers| With complete solution Newest
79. A patient presents with vaginal bleeding and cramping. She tells the emergency nurse,
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"I passed clots at home. I think I lost my baby." Pelvic examination reveals that the cervical
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os is open. Which type of spontaneous abortion most likely occurred?
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Missed abortion
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Septic abortion
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Inevitable abortion
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Threatened abortion - Correct Answers Inevitable abortion
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A 12-year-old male is brought to the emergency department by his mother with complaints
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of difficulty breathing, swollen eyes and lips, and hives. The mother states that the child
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had just finished eating a peanut butter cookie. Epinephrine was administered. What is the
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next class of medications to be administered to the patient?
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Inhaled beta 2 agonist
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Corticosteroid
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Antihistamine
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Anticholinergic - Correct Answers Inhaled beta 2 agonist
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A 13-year-old presents to the emergency department. His parents state that he passed out
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at home and had been vomiting and had diarrhea for the last few days. He answers
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questions appropriately, although he complains of dizziness. His vital signs on arrival: BP
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70/40 mm Hg, HR 132 beats/min, RR 24 breaths/min, T 36.9 C (98.4 F), and SpO2 97%
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without supplemental oxygen. A new graduate nurse inserted an intravenous line and is
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about to begin a fluid bolus of D5W. What does the preceptor explain to the new graduate
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nurse regarding fluid resuscitation?
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Because of the electrolyte disturbances from vomiting and diarrhea, use D5.45% sodium
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chloride.
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Because the patient is likely in septic shock, the fluid resuscitation is done slowly.
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The appropriate fluid for hypotension is isotonic crystalloid, not D5W
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As a pediatric patient, D5W fluid is given at a bolus rate of 20 mL/kg. - Correct Answers
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The appropriate fluid for hypotension is isotonic crystalloid, not D5W
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A 15-year-old female presents to the emergency department with crampy left lower
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quadrant abdominal pain that lasted for 4 hours prior to arrival. She also is having frequent,
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severe, bloody diarrhea. What gastrointestinal disorder is she most likely experiencing?
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Ulcerative colitis
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Diverticulitis
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Crohn's disease
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Appendicitis - Correct Answers Ulcerative colitis
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, A 16-year-old male is brought to the ED by his coach. The patient was playing football in
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moderately cold weather one hour prior to arrival and felt severe pain in the left groin area.
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This is suggestive of which genitourinary emergency?
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Paraphimosis
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Testicular torsion
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Priapism
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Acute epididymitis - Correct Answers Testicular torsion
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A 16-year-old presents with severe left upper quadrant abdominal pain after an over-the-
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handlebars bicycle collision. Vital signs are BP 100/60 mm Hg, HR 100 beats/min, RR 30
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breaths/min, T 37.0 C (98.6 F), SpO2 89% without supplemental oxygen. There is bruising
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over the left upper quadrant of the abdomen. Auscultation reveals diminished breath
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sounds on the left accompanied by gurgling. Based on this history and assessment, the
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nurse suspects which injury?
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Small bowel rupture
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Ruptured diaphragm
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Flail chest
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Hepatic injury - Correct Answers Ruptured diaphragm
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A 20-year-old male presents with a sudden onset of pleuritic chest pain, mild dyspnea, and
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a cough. Assessment reveals a tall, thin patient with tachycardia and diminished breath
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sounds on the right side. What thoracic condition is the most likely cause?
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Spontaneous pneumothorax
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Open pneumothorax
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Tension pneumothorax
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Hemothorax - Correct Answers Spontaneous pneumothorax
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A 21-year-old female presents to the ED with complaints of pelvic pain. What possible
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cause of the pain is assessed for first?
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Urinary tract infection
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Ectopic pregnancy
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Ruptured ovarian cyst
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Kidney stones - Correct Answers Ectopic pregnancy
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A 22-year-old patient presents with upper respiratory symptoms, nausea and vomiting and
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a low-grade fever. She has a history of leukemia and underwent chemotherapy 2 weeks
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ago. What is the nurse's priority?
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Protective isolation
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Ondansetron oral dissolving tablet
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Intravenous fluid bolus
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Morphine intravenous - Correct Answers Protective isolation
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A 23-year-old patient with a stable ectopic pregnancy is being cared for by an emergency
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nurse. The emergency physician ordered methotrexate to be administered
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intramuscularly. Which statement by the nurse indicates an understanding of the
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medication?
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, I'll instruct the patient to follow up in two weeks.
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I can give this medication because there is only scant vaginal bleeding.
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I'll give this medication because there is fetal cardiac activity.
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I can't administer this medication. I'm pregnant. - Correct Answers I can't administer this
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medication. I'm pregnant.
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A 28-year-old female presents to the ED with complaints of dizziness, fear of dying, and
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hot flashes that began 10 minutes prior to arrival. The patient is trembling and tachypneic.
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Which anxiety disorder is the patient exhibiting?
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Post-traumatic stress disorder
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Panic attack
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Acute stress disorder
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Generalized anxiety disorder - Correct Answers Panic attack
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A 28-year-old female presents with shortness of breath, dizziness, and diaphoresis. Her
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vital signs are BP 118/74 mm Hg, HR 122 beats/min, RR 26 breaths/min, T 37.7 C (99.9 F),
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SpO2 92% without supplemental oxygen. Her health history includes fractures of the left
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tibia and fibula following an MVC 3 weeks ago. Surgical fixation was required. Her only
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current medications are an oral contraceptive and intermittent ibuprofen for pain.
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Assessment of the casted left leg reveals that the toes are swollen. With this information,
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which diagnostic testing will the nurse expect as the highest priority?
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Sputum cultures
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Chest radiograph
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Computed tomographic pulmonary angiography
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Radiograph of the left leg - Correct Answers Computed tomographic pulmonary
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angiography
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A 3-year-old boy is brought to the ED by his mother, who noticed bruises on the boy's left
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thigh, back, and feet developing over the last week. Past medical history includes a mild
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respiratory virus a month ago. The assessment reveals, he is awake and alert, with some
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bleeding noted around the gums. Initial laboratory values include a low platelet count with
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a normal white blood cell count. Hemoglobin and hematocrit are slightly low. Which
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disorder does the nurse suspect is the cause of his signs and symptoms?
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Leukemia
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Thrombocytosis
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Disseminated intravascular coagulopathy
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Idiopathic thrombocytopenia purpura - Correct Answers Idiopathic thrombocytopenia
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purpura
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A 30-year-old male presents to the emergency department with excruciating pain on the
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right side of his head. It has been coming and going all day. His right eye is reddened and
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skin is flushed. What type of headache is this patient experiencing?
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Tension
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Traumatic
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Cluster
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Migraine - Correct Answers Cluster
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