Medical Tests CEN Online Practice Questions and Exam Preparation

Medical Tests CEN Online Questions & Answers

• Question 191:

  You are caring for a heart failure patient who suddenly developed symptoms that include shortness of breath, increased respiratory rate, bilateral crackles and frothy sputum. You have notified the physician and received orders for the patient. Which activity would be appropriate to delegate to a licensed practical nurse?

  A. Start an IV.
  B. Check vital signs every 15 minutes.
  C. Morphine sulfate 2mg IV push
  D. Insert a foley catheter.
  D. Insert a foley catheter.

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  The RN should delegate the task to the LPN that does not require assessment. Inserting the foley catheter is the least likely to require immediate assessment. The RN should insert the IV and immediately give IV medications. Vital signs that are taken on a deteriorating patient should be taken by the RN so that immediate assessment can be made.

• Question 192:

  A patient who has been assaulted is exhibiting signs of hyperventilation, pacing, rapid speech and headache. What level of anxiety is this patient in?

  A. Panic
  B. Severe
  C. Moderate
  D. Psychotic
  B. Severe

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  This patient is displaying the signs of severe anxiety. This patient would display signs of hyperventilation, purposeless activity, loud, rapid speech and headache. The other three options are incorrect.

• Question 193:

  What is the accurate procedure for performing a confrontational peripheral vision test?

  A. Both examiner and patient cover the same eye and stare at each other while an object is brought into the line of sight.
  B. Examiner and patient cover opposite eyes and stare at each other while an object is brought into the line of sight.
  C. The patient is asked to discriminate numbers from a chart composed of colored dots.
  D. The room is darkened and the patient is asked to identify colored blocks and shapes when they appear in the visual field.
  B. Examiner and patient cover opposite eyes and stare at each other while an object is brought into the line of sight.

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  The examiner and the patient cover the opposite eyes and stare at each other while an object is brought into the line of sight. This test assumes that the examiner has normal vision. The patient indicates when they can see the object. This tests nasal, superior, temporal and inferior visual fields.

• Question 194:

  What clinical manifestations would you see if your patient had cataracts?

  A. Eye pain
  B. Floating spots
  C. Blurred vision
  D. Diplopia
  C. Blurred vision

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  Blurred vision is a clinical manifestation of cataracts. The patient may also exhibit decreased color perception. All other signs are not signs of cataracts.

• Question 195:

  You are caring for patient who has a burn to the knee. The patient has just completed an autograft and grafting to the burn site. Which of the following orders prescribed is appropriate for this patient?

  A. Immobilization of the affected extremity
  B. Out of bed
  C. Placing the affected extremity in a dependent position
  D. Bathroom privileges
  A. Immobilization of the affected extremity

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  The physician would order for the affected extremity to be immobilized. The autograft being placed over the joint will require the patient to keep it immobilized for three to seven days while the graft adheres.