Medical Tests Medical Tests Certifications CEN Questions & Answers

• Question 141:

  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

  Correct Answer: B

  The most appropriate assignment for the nursing assistant would be a urine culture collection for the laboratory. The nurse must choose the most appropriate assignment for each staff member on the unit. In this case the nursing assistant should have the appropriate skills to collect urine and send it to the laboratory.

• Question 142:

  You have been assigned to triage patients today. Which patient would get the highest priority?

  A. A patient who ate spicy pizza who is now complaining of chest pain

  B. A patient who injured their finger while cutting vegetables

  C. A patient with a headache, fever and nasal congestion

  D. A patient who complains of ankle pain when ambulating

  Correct Answer: A

  A patient who is complaining of chest pain should get the highest priority. Patients with trauma, chest pain, respiratory distress and cardiac arrest would get the highest priority on the list. Patients with minor injuries, cold symptoms or sprains would fall next.

• Question 143:

  You are on break in the nursing lounge when a nursing assistant enters to tell you that what she just heard about the secretary. She then proceeds to tell you that the secretary's husband is a drug addict and she needs to be watched very carefully on the unit. You ask her what makes her think the secretary might take drugs, and she states that she heard it from someone else. What legal tort has the nursing assistant violated?

  A. Slander

  B. Libel

  C. Assault

  D. Negligence

  Correct Answer: A

  Slander is when something untrue is said about a person that results in injury to that person's good name. Libel would be when something untrue is written about a person that results in injury to the person's good name. The nursing assistant was spreading gossip, not fact, about the secretary, leading to injury to her good name.

• Question 144:

  You as the nurse are working on the unit. You enter the medication room and find another nurse taking intravenous medication and administering it to him- or herself. What should your next action be?

  A. Call the police.

  B. Call security.

  C. Lock the nurse in the medication room.

  D. Call the nursing supervisor.

  Correct Answer: D

  You should call the nursing supervisor and report the nurse for taking medications from the unit. The nurse practice act requires that all impaired nurses be reported. The nursing supervisor should then report to the board of nursing who will develop a plan for treatment and supervision for the nurse.

• Question 145:

  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

  Correct Answer: A

  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 146:

  You are helping out at a local health fair when a patient admits to you that he does not eat a well-balanced diet. Which of the following would be a correct statement about the Food Guide Pyramid?

  A. 6 to 11 servings of bread, cereal, pasta, or rice a day

  B. 2 to 3 servings of vegetables a day

  C. 4 to 5 servings of milk, yogurt or cheese a day

  D. 4 to 6 servings of meat, poultry, fish, dry beans or nuts a day

  Correct Answer: A

  The correct diet to recommend based on the Food Guide Pyramid would include 6 to 11 servings of bread, cereal, pasta or rice a day. Vegetables is 3 to 5 servings, diary products is 2 to 3, and meat and beans is 2 to 3 per day.

• Question 147:

  You are working in a community that has just experienced a hurricane. You are trying to find housing and counseling for those who need it. Which type of level of preventions are you representing?

  A. Primary level

  B. Secondary level

  C. Tertiary level

  D. Forth level

  Correct Answer: C

  The tertiary level of prevention is what the nurse is displaying. This is a reduction in the amount and degree of disability, injury and damage following a crisis. The other options are incorrect.

• Question 148:

  You are preparing to administer a rubella vaccination to a 2 day postpartum patient. Which of the following potential risks would you identify for this patient?

  A. Sunlight

  B. Scratching of the site

  C. Pregnancy within 2 to 3 months of vaccination

  D. Sexual intercourse with 2 to 3 months of vaccination

  Correct Answer: C

  The nurse would want to instruct the patient to avoid getting pregnant for the next 2 to 3 months. The rubella vaccination is a live virus that creates antibodies for immunity for 15 years. Sunlight is not issue for this vaccination. The patient may have some localized reaction to the vaccine, but it is mild and short lived.

• Question 149:

  Which of the following would not encourage effective communication between a dying patient and his family?

  A. Discussing feelings openly

  B. Making decisions for the family and patient

  C. Assisting family and patient in performing spiritual practices

  D. Acceptance when family and patient express anger

  Correct Answer: B

  Making decisions for the family and patient would not encourage them to have effective communication. It is important to encourage the patient and the family to express their feeling and anger if they need to. Spiritual practices are also a very important part of a patient and family's dying process.

• Question 150:

  The older patient that you have been assigned to is having difficulty distinguishing between hot and cold temperatures. Alteration of what gland activity would lead to this problem?

  A. Parotid

  B. Thymus

  C. Pineal

  D. Sweat

  Correct Answer: D

  Alterations in the sweat gland would lead to the patient having trouble distinguishing between hot and cold temperatures. The skin is important in protection, sensory reception homeostasis and temperature regulation. The parotid glands are important in the drainage of saliva. Melatonin biosynthesis occurs in the pineal gland, and immunological roles throughout the body are affected by the thymus gland.