CEN Exam Complete Questions and Guide Answers,
100% Verified Graded A+
1. Which of the following statements made by a patient would lead the nurse to
conclude that the patient understands risk factors for pulmonary embolism? While on
a long flight, I should get up and walk to stretch my legs every hour. Resuming my birth
control pills will lower my risk of cancer and my risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't happen again.
Switching from my regular cigarettes to the electronic ones can reduce my risk.
Answer: While on a long flight, I should get up and walk to stretch my legs every hour.
2. An emergency nurse is providing discharge instructions for a patient with pelvic
inflammatory disease. Which statement made by the patient indicates an
understanding of these instructions?
Getting pregnant shouldn't be a problem once the infection goes away. I'll take
the medicine for nausea when I feel sick to my stomach.
,I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow.
Answer: I will be at increased risk for ectopic pregnancy.
3. A 16-year-old presents with severe left upper quadrant abdominal pain after an
over-the-handlebars bicycle collision. Vital signs are BP 100/60 mm Hg,
HR 100 beats/min, RR 30 breaths/min, T 37.0 C (98.6 F), SpO2 89% without supplemental
oxygen. There is bruising over the left upper quadrant of the abdomen. Auscultation
reveals diminished breath sounds on the left accom- panied by gurgling. Based on this
history and assessment, the nurse suspects which injury?
Small bowel rupture
Ruptured diaphragm
Flail chest
Hepatic injury
Answer: Ruptured diaphragm
4. A patient presents with chest pain. The nurse performs a 12-lead electrocar-
diogram that reveals an abnormal Q wave. What does the nurse suspect?
A current injury An
old infarction
,An acute infarction
Ischemia
Answer: An old infarction
5. A patient is brought to the ED by emergency medical services with increased
aggression and making clear homicidal threats. What immediate action will the nurse
expect to promote staff and patient safety?
Administration of antipsychotics
One-to-one observation
Place in a seclusion room
Application of restraints
Answer: Place in a seclusion room
6. A 28-year-old female presents with shortness of breath, dizziness, and di- aphoresis.
Her vital signs are BP 118/74 mm Hg, HR 122 beats/min, RR 26 breaths/min, T 37.7 C
(99.9 F), SpO2 92% without supplemental oxygen. Her health history includes
fractures of the left tibia and fibula following an MVC 3 weeks ago. Surgical fixation
was required. Her only current medications are an oral contraceptive and intermittent
ibuprofen for pain. Assessment of the casted left leg reveals that the toes are swollen.
With this information, which diagnostic testing will the nurse expect as the highest
, priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography Radiograph of the
left leg
Answer: Computed tomographic pulmonary angiography
7. A family of 10 presents to the ED with complaints of fever, muscle pain,
and unexplained bruising ongoing for 7 days. After completing the screening, the nurse
notes that the family recently traveled to Sierra Leone. What is the highest priority
intervention the triage nurse needs to perform?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room
Inform those waiting that Ebola has been detected
Answer: Notify infection prevention
8. A patient presents to the ED with complaints of fatigue and insomnia. As- sessment
findings reveal the patient is awake, alert, and oriented, has a round moon face,
buffalo hump back, hirsutism and prominent striae on the trunk.
100% Verified Graded A+
1. Which of the following statements made by a patient would lead the nurse to
conclude that the patient understands risk factors for pulmonary embolism? While on
a long flight, I should get up and walk to stretch my legs every hour. Resuming my birth
control pills will lower my risk of cancer and my risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't happen again.
Switching from my regular cigarettes to the electronic ones can reduce my risk.
Answer: While on a long flight, I should get up and walk to stretch my legs every hour.
2. An emergency nurse is providing discharge instructions for a patient with pelvic
inflammatory disease. Which statement made by the patient indicates an
understanding of these instructions?
Getting pregnant shouldn't be a problem once the infection goes away. I'll take
the medicine for nausea when I feel sick to my stomach.
,I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow.
Answer: I will be at increased risk for ectopic pregnancy.
3. A 16-year-old presents with severe left upper quadrant abdominal pain after an
over-the-handlebars bicycle collision. Vital signs are BP 100/60 mm Hg,
HR 100 beats/min, RR 30 breaths/min, T 37.0 C (98.6 F), SpO2 89% without supplemental
oxygen. There is bruising over the left upper quadrant of the abdomen. Auscultation
reveals diminished breath sounds on the left accom- panied by gurgling. Based on this
history and assessment, the nurse suspects which injury?
Small bowel rupture
Ruptured diaphragm
Flail chest
Hepatic injury
Answer: Ruptured diaphragm
4. A patient presents with chest pain. The nurse performs a 12-lead electrocar-
diogram that reveals an abnormal Q wave. What does the nurse suspect?
A current injury An
old infarction
,An acute infarction
Ischemia
Answer: An old infarction
5. A patient is brought to the ED by emergency medical services with increased
aggression and making clear homicidal threats. What immediate action will the nurse
expect to promote staff and patient safety?
Administration of antipsychotics
One-to-one observation
Place in a seclusion room
Application of restraints
Answer: Place in a seclusion room
6. A 28-year-old female presents with shortness of breath, dizziness, and di- aphoresis.
Her vital signs are BP 118/74 mm Hg, HR 122 beats/min, RR 26 breaths/min, T 37.7 C
(99.9 F), SpO2 92% without supplemental oxygen. Her health history includes
fractures of the left tibia and fibula following an MVC 3 weeks ago. Surgical fixation
was required. Her only current medications are an oral contraceptive and intermittent
ibuprofen for pain. Assessment of the casted left leg reveals that the toes are swollen.
With this information, which diagnostic testing will the nurse expect as the highest
, priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography Radiograph of the
left leg
Answer: Computed tomographic pulmonary angiography
7. A family of 10 presents to the ED with complaints of fever, muscle pain,
and unexplained bruising ongoing for 7 days. After completing the screening, the nurse
notes that the family recently traveled to Sierra Leone. What is the highest priority
intervention the triage nurse needs to perform?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room
Inform those waiting that Ebola has been detected
Answer: Notify infection prevention
8. A patient presents to the ED with complaints of fatigue and insomnia. As- sessment
findings reveal the patient is awake, alert, and oriented, has a round moon face,
buffalo hump back, hirsutism and prominent striae on the trunk.
