Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 45-year-old female presents to the emergency department with a 24-hour history of sharp, right upper quadrant abdominal pain radiating to her right shoulder, nausea, and fever. Her vitals are: BP 135/85 mmHg, HR 102 bpm, RR 19/min, Temp 101.3°F (38.5°C), and SpO2 97% on room air. On examination, you note a positive Murphy's sign. Laboratory results show a mild leukocytosis. Suspecting cholecystitis, what is the most appropriate initial diagnostic test to order?

  • Abdominal CT scan

  • Magnetic resonance cholangiopancreatography (MRCP)

  • Hepatobiliary (HIDA) scan

  • Right upper quadrant ultrasound

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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