CEN-Emergency Nursing Content Review/Self Assessment

TraciRN · May 28, 2009, 02:26 AM

Re: CEN-Emergency Nursing Content Review/Self Assessment

Here is my guess
1D
2B
3A
4D
5C

getoverit · May 28, 2009, 03:28 AM

Re: CEN-Emergency Nursing Content Review/Self Assessment

1. d
2. a
3. b
4. a
5. c

*MauraRN* · May 28, 2009, 01:44 PM

Re: CEN-Emergency Nursing Content Review/Self Assessment

1. D
2. A
3. C
4. D
5. A

crb613 · May 28, 2009, 02:10 PM

Re: CEN-Emergency Nursing Content Review/Self Assessment

OK....can't wait any longer what are the answers??

**LunahRN** · May 28, 2009, 05:36 PM

Re: CEN-Emergency Nursing Content Review/Self Assessment

LOL! I was coming into this thread to post the same thing.

bjaeram · May 28, 2009, 08:32 PM

Re: CEN-Emergency Nursing Content Review/Self Assessment

1. D
2. B
3. C
4. D
5. B

*mwboswell* · May 29, 2009, 03:36 AM

Re: CEN-Emergency Nursing Content Review/Self Assessment

Answers with Rationales

The "average" score was 63%
Two people got 100%
Here's the question breakdown:

1) 100% got it right
2) 31% got it right
3) 54% got it right
4) 77% got it right
5) 46% got it right

Category: Special Populations
(1) You are discharging your 79 year old female pt who sustained a large skin tear. Which of the following is the best answer regarding patient education for this client?

A) Use pre-printed instruction sheets.
B) Prepare handwritten instruction sheets.
C) Instruct the patient to call their private physician if they
have any questions.
D) Conduct a one-on-one discussion with the patient.<--CORRECT ANSWER

RATIONALE: Preprinted instructions may not be useful in an elderly patient due to reduced visual acuity. Handwritten instructions "may" be useful due to the patient’s visual acuity. Instructing the patient to call his physician with questions is not appropriate. The nurse is responsible for teaching the patient wound care. Having a one-on-one discussion with the patient enables the nurse to discuss pertinent information on wound care as well as demonstrate appropriate dressing application - this is the "best/better" answer!

Category: Gastro-intestinal Emergencies
(2) A 36-year-old male is in severe distress due to upper gastrointestinal bleeding. He has been vomiting bright red blood at home for 4 hours. Which of the following interventions is the highest priority?

A) Apply 100% non-rebreather oxygen mask.<--CORRECT ANSWER
B) Initiates IV access and starts a Normal Saline bolus.
C) Inserts nasogastric (NG) tube.
D) Draws blood for a type and cross.

RATIONALE: In the patient with any critical process; airway, breathing, and circulation (ABC’s) are priority care. Therefore, ensuring that the patient has oxygen in place for airway and breathing is the nurse’s first priority. Initiation of intravenous therapy should be immediately established after the ABC’s have been established. Insertion of a nasogastric tube may be necessary but is not the priority nursing intervention. The patient will need blood replacement, and type and cross match is necessary, but not until the ABC’s have been initiated.

Category: Respiratory Emergencies
(3) The SPO2 of an ED patient suddently drops to 88%. Of the following, what should the RN do first?

A) Put the pulse ox sensor on another finger.
B) Check to see if the auto-blood pressure cuff is inflated.
C) Assess for changes in the patient's mental status.<--CORRECT ANSWER
D) Obtain an arterial blood gas.

RATIONALE: Moving the pulse oximeter would be an action taken after assessing the patient’s condition. Loosening tight clothing and placing a blood pressure cuff on the opposing arm would ensure adequate circulation distally to receive an effective reading. Assess your patient’s condition. Altered mental status is indicative that your patient’s condition has deteriorated. Obtaining a blood gas is appropriate after assessing a change in the patient’s status.

Category: Environmental Emergencies
(4) Your patient sustained a near-drowning incident. Which of the following plays the most significant role in their condition?

A) Hypothermia
B) Pneumonia
C) Dysrhythmia
D) Hypoxemia<--CORRECT ANSWER

RATIONALE: Hypothermia secondary to cold water submersion decreases metabolic demand which actually reduces potential hypoxia in prolonged asphyxia. Aspiration may cause pulmonary infections in the recovery phase of the near-drowning victim. Cardiac decompensation and dysrhythmias may be caused by hypoxemia and complicated acidosis which results from hypoxemia. The central clinical event in all near-drowning victims is hypoxia caused by laryngospasm and asphyxia.

Category: Professional-Legal Topics
(5) Which of the following legal principles applies to the RN working in the Emergency Department?

A) Duty of care<--CORRECT ANSWER
B) Breach of duty
C) Proximate causation
D) Injury

RATIONALE: Duty of care is defined as presence of a relationship between the patient and the defendant which requires the nurse to provide reasonable care to the patient. With breach of duty the patient complains that the care rendered was below accepted standards of care. Proximate cause is defined as proof that the breach of duty was the probable cause of the injury. Patient must be able to prove that an injury occurred because of the negligence of the defendant.

crb613 · May 29, 2009, 12:35 PM

Re: CEN-Emergency Nursing Content Review/Self Assessment

Thanks.....got any more?

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CEN-Emergency Nursing Content Review/Self Assessment

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