CEN-Practice Questions And Answers
Graded A
The major physiologic insult which occurs in a near drowning victim is which of the
following?
a. hypothermia
b. pneumonia
c. dysrhythmia
d. hypoxemia - Hypoxemia
rationale: The central clinical event in all near drowning victims is hypoxia caused by
laryngospasm and asphyxia.
A 40 yr old male involved in a house fire presents to the emergency department with
dyspnea, sooty sputum, and a brassy cough. He is conscious, and 100% oxygen via
non-rebreather reservoir mask is being administered. The priority nursing diagnosis for
this patient is?
a. fluid volume deficit
b. impaired gas exchange
c. airway clearance ineffective
d. pain - Airway clearance ineffective
Rationale: Potential for edema and obstruction of the airway. If the airway is not patent,
you will be unable to ventilate and oxygenate the patient.
Management of an orbital blowout fracture includes:
a. pressure eye patch
b. anterior nasal packing for orbital support
c. topical anesthetic
d. Delayed surgical intervention - delayed surgical intervention
rationale: delayed until swelling subsides
A 24 yr old male sustains a high pressure injection injury to his hand from an industrail
pain gun sprayer. THe index finger is discolored and swollen with decreased mobility
and numbness distally. The patient complains of pain throughout the hand and
numbness to the first fingertip with decreased mobility. Priority treatment of the affected
hand includes:
a. icing and elevating the extremity
b. soaking the hand in warm saline
c. asking physician to perform a digital block on injured finger
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