CEN Practice Exam (Certified Emergency Nurse) - Question List

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6. You are caring for a patient who has come into the emergency department with a foreign body in his right ear. After further investigation you determine that the foreign object is an insect. What intervention would the physician order first for this client?
  1. Sterile normal saline irrigation
  2. Diluted alcohol irrigation
  3. Antibiotic ear drops
  4. Corticosteroids ointment
7. When caring for a patient what sign would indicate that he might have a basal skull fracture?
  1. The auditory canal has purulent drainage.
  2. The auditory canal has bloody or clear drainage.
  3. Epistaxis
  4. Periorbital edema
8. You are caring for a patient who complains of tinnitus. What part of the ear do you suspect is the most likely cause of the patient’s complaint?
  1. External ear
  2. Middle ear
  3. Inner ear
  4. Auricle
9. You are caring for a patient who has had a right eye cataract removal. What discharge instruction would you want to include in the plan of care?
  1. Do not sleep on right side.
  2. Do not sleep on left side.
  3. Do not sleep with head elevated.
  4. Do wear glasses until physician says it is okay.
10. You have delegated the care of an older patient with hearing loss to a nursing assistant. You tell the nursing assistant that patients with this diagnosis:
  1. Are often distracted.
  2. Respond better to low pitched sounds.
  3. Have middle ear changes.
  4. Develop moist cerumen production.

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