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Medical Examination CEN They are free demos.
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CEN PDF DEMO:
QUESTION NO: 1
The most appropriate action by the nurse who is preparing to communicate with an older patient who has
hearing loss is:
A. Stand in front of the patient.
B. Exaggerate lip movements.
C. Obtain a sign language interpreter.
D. Pantomime and write the patient notes.
Answer: A
Explanation: The nurse should stand in front of the patient with hearing loss while trying to communicate
with them. By standing in front of the patient and providing adequate lighting, the nurse insures that the
patient can see the nurse clearly. If there is still difficulty communicating, then notes and pantomime can
be used.
QUESTION NO: 2
You are preparing the assignment for the day. You have one licensed practical nurse (LPN) and one
unlicensed assistive staff member. Which of the following assignments would you not want to make?
A. LPN to reinforce discharge instruction with a patient
B. Unlicensed personnel to take vital signs and to document and report any changes
C. Unlicensed personnel to assess effectiveness of pain medication
D. LPN to remove dressing from an abdominal wound on a postoperative patient
Answer: C
Explanation: The unlicensed personnel should not be assigned to assess the effectiveness of pain medication; it is the responsibility of the RN to assess. LPNs can perform dressing changes and reinforce
discharge instructions. Unlicensed personnel can take vital signs and document and report any changes.
QUESTION NO: 3
You are working with a child and suspect physical abuse. What is your primary legal responsibility?
A. Document your assessment thoroughly and accurately.
B. Report the abuse to local authorities.
C. Refer the family to support groups.
D. Assist the family in identifying resources and support systems.
Answer: B
Explanation: The nurse should report her suspicions to the local authorities so they can investigate.
The
law makes it mandatory to report any suspected child abuse. All other options are important in dealing
with patient and the family, but they would not be the priority of the nurse.
QUESTION NO: 4
You are caring for a patient in a crisis state. What would you want to consider when planning care for this patient?
A. All individuals experiencing a crisis will have the same symptoms.
B. The patient is suffering from a mental illness if they are in a crisis state.
C. The patient is suffering from an emotional illness if they are in a crisis state.
D. Each person reacts differently to a crisis.
Answer: D
Explanation: Each individual response to a crisis is different. Different patients will not necessarily present
with similar symptoms when they are in crisis. What constitutes a crisis for one person may not be the
same for another person.
QUESTION NO: 5
Which IV fluids would you need to hang with a transfusion?
A. Lactated ringers
B. Dextrose 5% and normal saline 0.9%
C. Dextrose 5% and normal saline 0.45%
D. Normal saline 0.9%
Answer: D
Explanation: The nurse should hang normal saline 0.9% with a transfusion. All other options are contraindicated due to clotting and hemolysis. Normal saline is the only option that can be hung with a
transfusion.
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Updated: May 26, 2022