CEN Practice Exam 1 All Answers Correct
What is the initial management for a patient presenting with a suspected stroke?
The initial management includes ensuring airway patency, providing supplemental oxygen, obtaining a
CT scan or MRI to confirm the type of stroke, and initiating thrombolyti...
What is the initial management for a patient presenting with a suspected stroke?
The initial management includes ensuring airway patency, providing supplemental oxygen, obtaining a
CT scan or MRI to confirm the type of stroke, and initiating thrombolytic therapy if within the
appropriate time window for ischemic stroke. ✔️✔️
What are the key signs of a myocardial infarction?
Key signs include chest pain (often described as crushing or pressure-like), radiating pain to the arm,
neck, or jaw, shortness of breath, diaphoresis (sweating), and nausea. ✔️✔️
How should you manage a patient with a large open wound on the leg?
The first step is to control bleeding with direct pressure, followed by covering the wound with a sterile
dressing, and immobilizing the leg to prevent further injury. Administer IV fluids if necessary to manage
shock. ✔️✔️
What is the primary concern for a patient with an overdose of narcotics?
The primary concern is respiratory depression. Immediate interventions include securing the airway,
administering naloxone (Narcan) as an opioid antagonist, and supporting ventilation if necessary.
✔️✔️
How do you recognize and manage a tension pneumothorax?
Signs include severe shortness of breath, tracheal deviation, hypotension, and absent breath sounds on
the affected side. Immediate management involves needle decompression to release trapped air,
followed by chest tube insertion. ✔️✔️
, What is the first priority when managing a patient with burns covering more than 20% of body surface
area?
The first priority is to secure the airway and initiate fluid resuscitation to prevent shock, using lactated
Ringer’s solution according to the Parkland formula for fluid replacement. ✔️✔️
How should a nurse assess a patient for internal bleeding after trauma?
Assess for signs of shock (hypotension, tachycardia, decreased urine output), abdominal tenderness,
distension, or bruising. Immediate imaging and possible surgical intervention may be necessary. ✔️✔️
What is the most important nursing action for a patient with a possible pelvic fracture?
The most important action is to stabilize the pelvis using a pelvic binder or other immobilization devices
to prevent further injury to vital structures and reduce bleeding. ✔️✔️
What should you do if a patient presents with a suspected spinal cord injury?
The first step is to stabilize the spine using a cervical collar and immobilization device, followed by a full
assessment of the patient's neurological status and preparation for transport to a facility capable of
advanced spinal care. ✔️✔️
How should a nurse manage a patient with acute respiratory failure?
Management includes providing supplemental oxygen to maintain oxygen saturation levels, monitoring
respiratory status, and preparing for potential mechanical ventilation if necessary. ✔️✔️
What are the signs of hypovolemic shock in a trauma patient?
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