BCEN Emergency Nursing practice questions

Question 1

A cardiac rhythm strip shows regularly occurring pacemaker spikes, each immediately followed by a wide ventricular complex. Which interpretation of pacemaker function is correct?

Accepted Answer

It is functioning effectively

Answer

It is not sensing

Answer

It is not capturing

Answer

It is failing to fire at a fixed rate

Question 2

A patient experiences a rapid onset of drooping on the left side of the mouth, loss of taste, and inability to close the left eye. A nurse should expect a history that includes:

Accepted Answer

A recent viral illness

Answer

Temporal arteritis

Answer

High blood pressure

Answer

Migraine headaches

Question 3

Prior to inserting a nasopharyngeal airway device, the nurse must assess for a:

Accepted Answer

Basilar skull fracture

Answer

Zygomatic fracture

Answer

Temporomandibular fracture

Answer

Trismus

Question 4

Which intervention has priority for a patient with a newly diagnosed intestinal perforation?

Accepted Answer

Administer an intravenous antibiotic as ordered

Answer

Repeat dosing of an intravenous opioid as ordered

Answer

Provide education on increased nutritional needs

Answer

Insert a nasogastric tube and connect it to low intermittent suction

Question 5

Which illness is associated with the greatest risk for gastritis?

Accepted Answer

Renal insufficiency

Answer

Chronic anxiety

Answer

Irritable bowel syndrome

Answer

Congestive heart failure

Question 6

Which statement about a nurse’s duty to report suspected child abuse is true?

Accepted Answer

The nurse is immune from liability when the report is made in good faith

Answer

The nurse should defer to the physician in charge to make the decision

Answer

The nurse should provide definitive proof of maltreatment before making a report

Answer

The nurse is immune from liability under Good Samaritan legislation

Question 7

What is the primary purpose of a pulmonary artery catheter?

Accepted Answer

Evaluate left-sided filling pressure

Answer

Measure only right atrial pressure

Answer

Measure only central venous pressure

Answer

Provide peripheral intravenous access

Question 8

A patient with Huntington disease progresses from dance-like movements to stiffness and markedly limited voluntary movement. Which finding is being described?

Accepted Answer

Akinesia

Answer

Diplopia

Answer

Fasciculations

Answer

Chorea

Question 9

An ICU patient has blood pressure 90/60 mm Hg, heart rate 125/min, respirations 28/min, oxygen saturation 93% on a 50% mask, and central venous pressure 1 mm Hg. Which order should the nurse implement first?

Accepted Answer

Administer a lactated Ringer solution bolus

Answer

Administer albumin

Answer

Start a vasopressor

Answer

Administer intravenous furosemide

Question 10

A patient with a recent upper-respiratory infection develops chest pain, dyspnea, and suspected myocarditis. Which further test is generally preferred to noninvasively confirm myocardial inflammation?

Accepted Answer

Cardiac magnetic resonance imaging

Answer

Genetic testing

Answer

Endomyocardial biopsy for every patient

Answer

B-type natriuretic peptide alone

BCEN Emergency Nursing practice questions

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