Medical Tests CEN Online Practice Questions and Exam Preparation

Medical Tests CEN Online Questions & Answers

• Question 181:

  You are caring for a patient who has been involuntarily admitted to the hospital because of violent behavior. The patient is demanding to leave the hospital. The nurse understands that keeping the patient will lead to:

  A. Charges of imprisonment
  B. Charges of assault
  C. Charges of slander
  D. No charges because the nurse's actions are reasonable.
  D. No charges because the nurse's actions are reasonable.

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  No charges will be filed against the nurse, because the actions of the nurse are reasonable. False imprisonment is an act with intent to confine a person to a specific area. This could be charged against the nurse if the patient had been voluntarily admitted to the hospital.

• Question 182:

  What signs and symptoms would a a patient with stage I Lyme disease have?

  A. Signs of neurological disorders
  B. Enlarged and inflamed joints
  C. Arthralgias
  D. Flu-like symptoms
  D. Flu-like symptoms

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  Stage I Lyme disease begins with a rash at the bite within 2 to 30 days. Then the patient develops Flu-like symptoms that last 7 to 10 days and may reoccur at a later date. Neurological symptoms occur in stage II, and arthralgias and inflamed joints occur in stage III.

• Question 183:

  You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15 drops per 1 mL. You prepare to set the flow rate at how many drops per minute?

  A. 15 drops a minute
  B. 17 drops a minute
  C. 21 drops a minute
  D. 23 drops a minute
  C. 21 drops a minute

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  The drop rate is 21 drops a minute.

• Question 184:

  You are caring for a patient in the emergency department. The patient has been drinking alcohol and is asking for medication. When you instruct the patient that they have to wait to be seen by the doctor, the patient becomes verbally abusive. You then obtain a set of restraints and instruct the patient if they do not calm down you will restrain them. What can you be charged with?

  A. Assault
  B. Battery
  C. Negligence
  D. Invasion of privacy
  A. Assault

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  You as the nurse can be charged with assault for threatening to restrain the patient. You as the nurse have put the patient in fear of harmful or offensive contact. In order for this to be a chargeable offense, the patient must be aware of the threat.

• Question 185:

  There is a patient on the unit with herpes zoster. Which staff member would you avoid assigning to this patient?

  A. A nurse who has never had mumps
  B. A nurse who has never had chicken pox
  C. A nurse who has never had roseola
  D. A nurse who has never had German measles
  B. A nurse who has never had chicken pox

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  The nurse who has never had chicken pox should not be assigned to this patient. Herpes zoster is caused by the same virus that causes chicken pox; therefore, assigning this nurse to this patient would increase her chances of contracting chicken pox from the patient.

• Question 186:

  Which diagnostic test would confirm a diagnosis of tuberculosis?

  A. Bronchoscopy
  B. Chest x-ray
  C. Sputum culture
  D. Tuberculin skin test
  C. Sputum culture

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  A sputum culture would confirm the diagnosis of tuberculosis. The culture would isolate the bacterium, Mycobacterium tuberculosis. A tuberculin skin test leads to a presumptive diagnosis. A chest x-ray would show evidence of graunulomatous disease.

• Question 187:

  You are caring for a patient in iron overload. Which medication do you suspect the physician will order?

  A. Granisetron (Kytril)
  B. Deferoxamine (Desferal)
  C. Ketoconazole (Nizoral)
  D. Terbinafine (Lamisil)
  B. Deferoxamine (Desferal)

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  Deferoxamine (Desferal) is what the physician will order for a patient who is in iron overload. Granisetron (Kytril) is an antiemetic. Ketoconazole (Nizoral) and terbinafine (Lamisil) are antifungal medications.

• Question 188:

  You are caring for a patient who has come into the emergency department with a foreign body in his right ear. After further investigation you determine that the foreign object is an insect. What intervention would the physician order first for this client?

  A. Sterile normal saline irrigation
  B. Diluted alcohol irrigation
  C. Antibiotic ear drops
  D. Corticosteroids ointment
  B. Diluted alcohol irrigation

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  The nurse would know that the physician will order diluted alcohol irrigation of the affected ear. This will suffocate the insect so it can be removed from the ear with forceps. If the foreign object were vegetable matter, irrigation would not be performed due to the enlargement of the object when it is hydrated, which would make the impaction worse.

• Question 189:

  You are caring for a patient who was brought into the emergency department unresponsive, hypotensive and tachypneic. Upon further assessment, you realize that the patient's temperature is 106 degrees Fahrenheit. You suspect heat stroke. What would your priority nursing intervention be?

  A. Obtain a history from the patient.
  B. Take oral temperature to monitor effectiveness of treatment.
  C. Call the family for consent to treat.
  D. Take off the patient's clothing, wrap him or her in wet towels and place a fan on the patient.
  D. Take off the patient's clothing, wrap him or her in wet towels and place a fan on the patient.

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  The nurse's priority would be to undress and wrap the patient in wet towels and place a fan on him or her. Interventions must be taken quickly to lower the body temperature because heat stroke is life threatening. Core body temperatures should be monitored for effective treatment.

• Question 190:

  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.
  A. Provide safety for the patient and other patients on the unit.

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  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.