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Medical Examination CEN The free demo has three versions.
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CEN PDF DEMO:
QUESTION NO: 1
You are caring for a patient who has been receiving a blood transfusion for the last 30 minutes.
On
assessment, you find the patient to be dyspneic and show bilateral crackles and a heart rate of 110.
Which of the following complications do you suspect the patient is experiencing?
A. Immune response
B. Hypovolemia
C. Fluid overload
D. Polycythemia vera
Answer: C
Explanation: The patient exhibiting these signs and symptoms is most likely going into fluid overload.
Crackles in the lungs would not be associated with the other options. The physician should be notified to
get a diuretic for the patient.
QUESTION NO: 2
You are caring for a child with respiratory syncytial virus (RSV). You are preparing to give the child
ribavirin (Virazole). Which route is most appropriate for administering this medication?
A. Subcutaneous
B. Intramuscular
C. Oxygen tent
D. Oral
Answer: C
Explanation: An oxygen tent is the most appropriate route of administration for ribavirin (Virazole).
This is
an antiviral medication used mainly in children with severe RSV. It can also be administered through a
hood or face mask.
QUESTION NO: 3
You are caring for a patient who is becoming more aggressive. He is pacing and agitated. His speech is
becoming rapid and his affect belligerent. What should the nurse's first priority be?
A. Provide safety for the patient and other patients on the unit.
B. Offer the patient a less stimulated area to calm down and gain control.
C. Provide the patients on the unit with a sense of comfort and safety.
D. Assist the staff in caring for the patient in controlled environment.
Answer: A
Explanation: Safety to the patient and other patients on the unit should be the nurse's first priority.
The
patient is showing behavior that is escalating and most likely will hurt himself or some one else if the staff
does not step in immediately. Use Maslow's hierarchy of needs to prioritize which is the most immediate
priority.
QUESTION NO: 4
You are working in a community that has just experienced a hurricane. You are trying to find housing and
counseling for those who need it. Which type of level of preventions are you representing?
A. Primary level
B. Secondary level
C. Tertiary level
D. Forth level
Answer: C
Explanation: The tertiary level of prevention is what the nurse is displaying. This is a reduction in the amount and degree of disability, injury and damage following a crisis. The other options are incorrect
.
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