BCEN Patient Assessment and Diagnosis

Question 1

Which of the following is the most appropriate initial action when assessing a patient who is unresponsive and not breathing?

Accepted Answer

Open the airway and check for breathing

Answer

Check the patient's pulse

Answer

Administer oxygen immediately

Answer

Perform chest compressions

Question 2

A 45-year-old male presents with chest pain, diaphoresis, and nausea. His vital signs are BP 160/100, HR 110, RR 22, and O2 saturation of 94%. Which of the following should be prioritized in his assessment?

Accepted Answer

ECG monitoring and assessment for acute coronary syndrome (ACS)

Answer

Blood glucose levels

Answer

Pain management

Answer

Neuro exam for possible stroke

Question 3

When assessing a pediatric patient with respiratory distress, which of the following signs would be most concerning for impending respiratory failure?

Accepted Answer

Grunting and decreased level of consciousness

Answer

Mild nasal flaring

Answer

Tachypnea with a normal oxygen saturation

Answer

Occasional use of accessory muscles

Question 4

A patient arrives with a gunshot wound to the abdomen and is showing signs of shock. Which of the following assessments is most important for prioritizing immediate interventions?

Accepted Answer

Establish two large-bore IV access for fluid resuscitation

Answer

Check for signs of spinal injury

Answer

Assess the Glasgow Coma Scale (GCS)

Answer

Perform a full head-to-toe trauma assessment

Question 5

A 28-year-old female presents with a sudden onset of severe headache, nausea, and photophobia. Her blood pressure is 180/110. What is the most important next step in your assessment?

Accepted Answer

Perform a CT scan to rule out subarachnoid hemorrhage

Answer

Administer an antiemetic for nausea

Answer

Measure blood glucose levels

Answer

Assess for signs of a migraine headache