BCEN Emergency Assessment 3

Question 1

A 70-year-old patient presents confused with cool, clammy skin, BP 88/60, HR 120. Which shock classification does this presentation most likely represent?

Accepted Answer

Hypovolemic shock

Answer

Cool, clammy skin with tachycardia and hypotension indicates hypovolemic shock with compensatory peripheral vasoconstriction.

Question 2

When using the SAMPLE history during emergency assessment, what does the 'E' stand for?

Accepted Answer

Events preceding the illness or injury

Answer

In the SAMPLE mnemonic, 'E' stands for Events preceding the illness or injury, helping identify precipitating factors.

Question 3

During auscultation of breath sounds, you hear a high-pitched inspiratory sound over the trachea. This finding is called:

Accepted Answer

Stridor

Answer

Stridor is a high-pitched inspiratory sound caused by upper airway obstruction, indicating a potentially life-threatening emergency.

Question 4

A patient presents after a fall from height. Which area of the spine is most commonly injured in this mechanism?

Accepted Answer

Cervical spine

Answer

The cervical spine is most commonly injured in falls and motor vehicle accidents due to its mobility and lack of bony protection.

Question 5

Which assessment finding is MOST consistent with cardiac tamponade?

Accepted Answer

Hypotension, muffled heart sounds, distended neck veins

Answer

Beck's triad of cardiac tamponade includes hypotension, muffled heart sounds, and jugular venous distension (JVD).

(BCEN) Board of Certification of Emergency Nursing Practice Test

(BCEN) Board of Certification of Emergency Nursing Practice Test

BCEN Emergency Assessment 3