CEN Online Practice Questions and Answers

The most appropriate action by the nurse who is preparing to communicate with an older patient who has hearing loss is:

A. Stand in front of the patient.

B. Exaggerate lip movements.

C. Obtain a sign language interpreter.

D. Pantomime and write the patient notes.

You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant assess skin integrity for this patient?

A. Every 30 minutes

B. Every 2 hours

C. Every 3 hours

D. Every 4 hours

You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over 10 hours. The medication label reads 40 mEq per 20 mL. How many milliliters of potassium chloride do you need to administer the correct dose?

A. 10 mL

B. 15 mL

C. 20 mL

D. 50 mL

You are planning the assignment for the day. Which of the following would be the most appropriate assignment for the nursing assistant?

A. A patient receiving a continuous tube feeding

B. A patient who needs a urine culture sent to laboratory

C. A patient who needs a colostomy changed

D. A patient who is having problems swallowing

Your patient has been admitted to the hospital with acute blindness. After many tests are run the physician can find no organic reason for the patient's blindness. You learn that the patient became blind after witnessing a serious car accident where several people were killed. What do you suspect is the cause of the patient's blindness?

A. Psychosis

B. Conversion disorder

C. Dissociative disorder

D. epression

You are caring for a patient with chronic obstructive pulmonary disease who has come in with respiratory distress. The patient takes theophylline (Theo-Dur). A therapeutic level is drawn on the patient. You would know the patient needs to be educated on complying with medication if the therapeutic is what?

A. 10 mcg/mL

B. 12 mcg/mL

C. 15 mcg/mL

D. 18 mcg/mL

You are caring for a patient who had a radical neck dissection. The endotracheal tube has just been removed. Which of the following signs would you want to report to the physician immediately?

A. Stridor

B. Occasional pink-tinged sputum

C. Respiratory rate of 24 breaths a minute

D. Basilar crackles on the right side

You are caring for an unconscious patient who has had an arterial blood gas drawn. The results reveal a pH of 7.30, low bicarbonate, a normal carbon dioxide level, normal oxygen level and an elevated potassium level. What would the diagnosis be for this patient based on the laboratory results?

A. Metabolic acidosis

B. Respiratory acidosis

C. Combined respiratory and metabolic acidosis

D. Overcompensated respiratory acidosis

Which diagnostic test would confirm a diagnosis of tuberculosis?

A. Bronchoscopy

B. Chest x-ray

C. Sputum culture

D. Tuberculin skin test

Which finding would make you suspect that your patient might be in cardiogenic shock?

A. Decreased or muffled heart sounds

B. A cardiac index greater than 2.2 L/min

C. Bounding pulses

D. Increased cardiac output