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CEN Pretest PDB Nurse Education, LLC Exam
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CEN Pretest PDB Nurse Education, LLC ExamPulse pressure refers to the difference between systolic blood pressure and diastolic
blood pressure and is widened in which of the following disorders?
A. early hypovolemic shock
B. increased intracranial pressure
C. cardiac tamponade
D. neurogenic shock - Answer B- increased intracranial pressure
pulse pressure (SBP-DBP) is widened in increased ICP. pulse pressure is narrow in
early shock, cardiac tamponade and aortic valve stenosis
Parents bring in their 4 week old infant with non-bilious projectile vomiting and
persistent hunger. Which of the following conditions is suspected?
A. pyloric stenosis
B. intussusception
C. appendicitis
D. volvulus - Answer A- pyloric stenosis
pyloric stenosis is characterized by non-bilious projectile vomiting and persistent
hunger. volvulus has bilious vomiting
Systemic vascular resistance (SVR) is decreased in which type of shock?
A. hypovolemic
,B. cardiogenic
C. obstructive
D. distributive - Answer D- distributive
afterload [pressure] is low in distributive shock Neurogenic, septic, anaphylactic due to
vasodilation, and high in all other forms of shock due to vasoconstriction
A 64-year-old female fell and transported to the ED via EMS for severe hip pain and
inability to move. What class of medications may mask the early signs of hypovolemic
shock?
A. beta-blockers
B. ACE inhibitors
C. angiotensin receptor blockers
D. calcium channel blockers - Answer A- beta blockers
beta blockers mask the early signs of shock and hypoglycemia
A patient is transported to the ED via EMS for headache, vomiting, and progressive
confusion after a fall three days ago. Which of the following head injuries is the most
likely cause of these symptoms?
A. concussion
B. epidural hematoma
C. subdural hematoma
D. basilar skull fracture - Answer C- subdural hematoma
subdural hematomas are slower bleeds since venous. seen commonly in alcoholics,
elderly, and from shaken impact syndrome.
, Which of the following is the hallmark symptom of Prinzmetal's angina?
A. chest pain with physical exertion
B. chest pain at rest due to coronary vasospasm
C. chest pain relieved by nitroglycerin and rest
D. atypical symptoms such as epigastric pain - Answer B- chest pain at rest d/t coronary
vasospasm
The hallmark sign of Prinzmetal's angina is pain at rest. It is due to coronary vasospasm,
so may be seen with stimulant use
A patient with a stab wound to the left flank is unable to move his left side and unable to
feel the right side of his body. These symptoms are associated with which of the
following incomplete spinal cord injuries?
A. anterior cord syndrome
B. posterior cord syndrome
C. central cord syndrome
D. Brown-Sequard syndrome - Answer D- Brown-Sequard syndrome
Brown-Sequard syndrome is the incomplete cord syndrome with ipsilateral motor loss
and contralateral loss of sensation. It has a good rehab prognosis.
ST segment elevation in ECG leads II, III, and aVF indicates injury to which region of the
myocardium?
A. inferior wall
B. anterior wall
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