CEN-Emergency Nursing Content Review/Self Assessment

Specialties Emergency

Published

  • Specializes in ER, Trauma, ICU/CCU/NICU, EMS, Transport.

These are "CEN-Like" core curriculum questions...

I'll post the answers in 3-4 days

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.

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.

B) Initiates IV access and starts a Normal Saline bolus.

C) Inserts nasogastric (NG) tube.

D) Draws blood for a type and cross.

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.

D) Obtain an arterial blood gas.

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

Category: Professional-Legal Topics

(5) Which of the following legal principles applies to the RN working in the Emergency Department?

A) Duty of care

B) Breach of duty

C) Proximate causation

D) Injury

danfif

90 Posts

Specializes in Ultrasound guided peripheral IV's..

I'll bite; 1. d, 2. b, 3. b, 4. a, 5. a

Dan

Specializes in ED, Flight.

Okay, I'm next.

1. D

2. B

3. C

4. D

5. C

crb613, BSN, RN

1,632 Posts

Specializes in Med Surg/Tele/ER.

I'll give it a shot...

1) D

2) B

3) C

4) D

5) B

gambutrol

210 Posts

Specializes in SICU, Burn Unit, PACU, CCU.

I'll join the bandwagon.. hehe.. :cool: hope it's correct!

1. D

2. A

3. A

4. D

5. C

Editorial Team / Moderator

Lunah, MSN, RN

14 Articles; 13,766 Posts

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

1. D

2. A

3. C

4. D

5. A

pererau

44 Posts

Specializes in Emergency Nursing.

Why not?

1 D

2 D - I really hate this type of question, because in the real world we would be doing D and B at the same time, and I could see a pretty reasonable argument for either, but in the end, absent standing orders, the RN does not have the authority to start a normal saline bolus, and typed and crossed blood is always safer for the patient than o neg.

3 B

4 D

5 A - wild guess here.

2BSure

267 Posts

1) D

2) D

3) B or A -- I am thinking along the lines of looking for a mechanical cause first

4) D

5) A

Miss Mab

414 Posts

Specializes in mostly in the basement.

D

D

C

C

A.....

I saw this first about 14 hours ago and for some reason I couldn't post. I do know even then my answers didn;t match most others.

So, this reminded me of the hell of," No,no, you have to pick the Right-EST answer among all the other right ones. Anyway, the best part if I end up being soooooowrong this time is that at least now I have actual 'real world' rationale behind my otherwise obviously incorrect answers. Seems more pursuasive a reasoning than JUST CAUSE(i hate this class rumble, grumble...)

Anyway, I'll just take again at midnight. ......

Specializes in Emergency.
I'll give it a shot...

1) D

2) B

3) C

4) D

5) B

:yeahthat:

TraciRN

159 Posts

Specializes in ER.

Here is my guess

1D

2B

3A

4D

5C

Specializes in ER/ICU/Flight.

1. d

2. a

3. b

4. a

5. c

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