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CEN Exam 1 Practice Questions and Answers

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CEN Exam 1 Practice Questions and Answers Which dysrhythmia would be identified on an ECG/EKG six-second strip by a heart rate of 76 and a PR interval of 0.24? tachycardia -degree atrioventricular block bradycardia ional escape rhythm - Answer-B: First-degree atrioventricular block is diag...

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  • October 15, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • 2024/2025
  • 2024/2025
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CEN Exam 1 Practice Questions and
Answers

Which dysrhythmia would be identified on an ECG/EKG six-second strip by a heart rate of 76

and a PR interval of 0.24?


a.sinus tachycardia


b.first-degree atrioventricular block


c.sinus bradycardia


d.junctional escape rhythm - Answer✔✔-B: First-degree atrioventricular block is diagnosed

partially by an EKG showing a PR interval of greater than 0.20 seconds.


Which blood test may indicate infection or inflammation and would need to be used as part of

the clinical picture with diagnosing and treating abdominal pain?


a.white blood cell (WBC) count of 5.0


b.hematocrit (HCT) of 45


c.WBC count of 28.0


d.blood sugar (BS) of 74 - Answer✔✔-C: An elevated WBC count would be indicative of infection

or inflammation. The WBC count of 5.0 is normal. The HCT and BS levels listed would also be

considered within normal limits.

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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



A 30-year-old man comes to the emergency department with the acute onset of left flank pain

radiating to the groin. Microscopic hematuria is present on urinalysis. What is the most likely

diagnosis?




a.ureteral calcium oxalate calculus


b.ureteral cystine calculus


c.testicular torsion


d.cystitis - Answer✔✔-A: Ureteral calculi are a quite common cause of acute emergency

evaluation, usually causing flank pain with radiation to the back and/or groin. About 75% of

these are calcium oxalate or phosphate; less common are struvite, uric acid, or cystine calculi.

While KUB or ultrasound may show the stone, helical CT is now the preferred diagnostic

method. Additional workup includes CBC, chemistry panel, urinalysis, and straining of urine to

catch a passed stone for chemical analysis. Nursing attention should be directed to intravenous

hydration with input and output recording and narcotic or narcotic plus NSAID (e.g., ketorolac)

administration for pain. Some patients may be discharged with analgesics and instructions for

hydration and calculus capture. Testicular torsion is most common in adolescents and usually

presents with testicular and groin pain with abdominal radiation; increasing pain by lifting the

scrotum to the level of the pubic symphysis causes exacerbation of the pain (Prehn sign). Cystitis

may be infectious or drug-induced, but cystitis usually causes dysuria and pyuria and shows

positive urine cultures.



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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



Which of the following is NOT appropriate for screening for domestic violence by the emergency

department nurse?


a.asking if the person has been hit, kicked, or otherwise hurt by someone in the past year; if so,

by whom


b.asking, "Do you feel safe in your present relationship?"


c.avoid asking about intimate person violence if the patient is in the emergency department for

a medical ailment, not trauma


d.asking if there is a partner from a previous relationship that makes the individual feel unsafe -

Answer✔✔-C: Domestic violence, nearly always perpetrated against women, is a major problem

confronted by the emergency nurse. Screening for possible cases should include answers A, B

and D. Interestingly, victims of intimate partner violence often present with a medical ailment,

not trauma. These include back, abdominal, or pelvic pain, headaches, urinary infections,

sexually transmitted disease, or symptoms consistent with posttraumatic stress disorder (PTSD).

Sometimes evidence of old trauma such as healing fractures or cosmetically concealed bruises

may point toward the presence of domestic violence. Many victims will deny it but sometimes

compassionate questioning in a private setting will elicit a positive response. The nurse may

then offer advice, refer to a social agency or shelter, or ask for a consultation by the hospital

social worker.


A patient is intubated and on mechanical ventilation. The ventilator alarm rings and the airway

pressure is found to be elevated. Possible causes include the following EXCEPT:



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