CEN Test Quiz Bank 005 Sample Test Questions and Answers 2023/2024 APPROVED
Pulse pressure is the difference between systolic blood pressure and
... [Show More] diastolic blood pressure, and is widened in which of the following disorders? (A) Early hypovolemic shock (B) Increased ICP (C) Cardiac tamponade (D) Neurogenic shock correct answers (B) Increased ICP [pulse pressure is narrow in early shock, cardiac tamponade, and aortic valve stenosis]
Parents bring in their 4-week-old infant with non-bilious projectile vomiting and persistent hunger. Which of the following conditions is suspected? correct answers (A) Pyloric stenosis [PS is characterized by non-bilious projectile vomiting and persistent hunger; volvulus has bilious vomiting]
Systemic vascular resistance (SVR) is decreased in which type of shock? correct answers (D) Distributive [Afterload (pressure) is low in distributive shock (neurogenic, septic, anaphylactic) due to vasodilation, and high in all other forms of shock due to vasoconstriction]
Which is the following is the hallmark symptom of Prinzmetal's angina? correct answers Pain at rest due to coronary vasospasm; may be seen with stimulant use
ST segment elevation in ECG leads II, III and aVF indicates injury to which area of the heart? correct answers Inferior wall [V1-V4 look at the anterior wall; I, aVL, V5, V6 look at the lateral wall of the left ventricle]
A 40F who is 36-weeks pregnant presents to the ED with painless bright red vaginal bleeding. The nurse knows a pelvic exam is contraindicated since the most likely cause of the bleeding is correct answers Placenta previa [think P's - painless privates, placenta previa; abrupt placenta - always painful]
A 14-year-old c/o lightheadedness & palpitations. Which cardiac disorder is characterized by a short PR
interval and a Delta wave? correct answers Wolff-Parkinson-White (WPW) syndrome [WPW is characterized by a short PR interval, and a slurred QRS on the upstroke, yielding a widened QRS complex; this morphology is referred to as a "Delta wave"]
A 22F c/o thick, white, "cottage-cheese" like vaginal discharge, pruritus, vulvar burning and dyspareunia. The nurse suspects a diagnosis of: correct answers Candidiasis [characterized by pruritus & thick, white, "cottage-cheese" like vaginal discharge]
Which atrioventricular block is characterized by a consistent but prolonged PR interval, and a consistent R to R interval? correct answers First degree AV block [Second degree type I has progressive elongation of PR interval; second degree type 2 has a consistent PR interval, but inconsistent R to R interval; third degree heart block has a consistent R to R interval, but the P waves get lost]
Fever, bloating, and pain at the right costal margin upon palpation is associated with which disorder? correct answers Cholecystitis [pain at the right costal margins = "Murphy's sign"]
JVD, increased CVP, hepatomegaly, and peripheral edema is seen in which disorder? correct answers Right heart failure [S&S = JVD, increased right atrial pressure (CVP), peripheral edema, ascites, hepatomegaly, and splenomegaly; left heart failure S&S = pulmonary edema] [Show Less]