CEN CERTIFIED EMERGENCY NURSE
PRACTICE PACK 2026 SOLVED QUESTION
SET PREMIUM RESOURCE
◉A 22-year-old patient presents with upper respiratory symptoms,
nausea and vomiting and a low-grade fever. She has a history of
leukemia and underwent chemotherapy 2 weeks ago. What is the
nurse's priority?
Protective isolation
Ondansetron oral dissolving tablet
Intravenous fluid bolus
Morphine intravenous Answer: Protective isolation
◉A patient presents to the ED with a chief complaint of "It feels like
I have something in my eye, but I can't see it." What eye injury is this
most likely to represent?
Corneal ulcer
Keratitis
Hyphema
Corneal abrasion Answer: Corneal abrasion
,◉In compensated shock, what physiological response increases
serum sodium?
Sympathetic nervous system (SNS) response
Intracellular fluid shift
Renin-angiotensin-aldosterone system (RAAS)
Altered capillary permeability Answer: Renin-angiotensin-
aldosterone system (RAAS)
◉A patient describes symptoms of recent onset of eye pain and
denies any traumatic injury. He is seeing haloes around lights and is
experiencing nausea, vomiting, and headaches. The nurse's
assessment reveals loss of peripheral vision and redness of the
affected eye. Which condition does this set of clinical manifestations
describe?
Acute angle glaucoma
Keratitis
Corneal ulcer
Retinal detachment Answer: Acute angle glaucoma
◉Which of the following clinical presentations is most consistent
with a patient who has pancreatitis?
Pain with palpation of the right subcostal area during inspiration
Diffuse cramping abdominal pain
Epigastric pain that radiates to the back
, Dull, constant umbilical pain Answer: Epigastric pain that radiates
to the back
◉Administration of activated charcoal is indicated for which of the
following overdoses?
Hydrofluoric acid
Carbamazepine
Ferrous sulfate
Lithium Answer: Carbamazepine
◉Which one of the following is an appropriate intervention for acute
lithium toxicity?
IV fluids with hypertonic solution
Urine alkalinization
Hemodialysis
Give activated charcoal Answer: Hemodialysis
◉The level of alertness and attention displayed by a patient with a
diffuse axonal injury is determined by which segment of the
neurological system?
Reticular activating system
Brainstem
Frontal lobe
, Limbic system Answer: Reticular activating system
◉What is the first intervention that is appropriate for the nurse to
perform once a neonate has been delivered?
Thoroughly dry the neonate
Suction the mouth and nose
Measure APGAR score
Clamp the umbilical cord Answer: Thoroughly dry the neonate
◉The nurse is giving discharge instructions to a patient with chronic
obstructive pulmonary disease - emphysema. Which response
indicates the patient understands the instructions?
I need to limit my fluids to prevent fluid overload.
I need to sleep with my feet elevated to prevent swelling.
I need to get the pneumococcal vaccine.
I need to avoid snacking between meals. Answer: I need to get the
pneumococcal vaccine.
◉A patient, who has suffered deep, full-thickness (third degree)
thermal burns to the circumferential chest and abdomen, as well as
burns of varying depth to the upper extremities, has been
transferred to your emergency department from a small, rural
community hospital. Ventilating the intubated patient via bag-mask
device is becoming increasingly difficult and chest rise with
PRACTICE PACK 2026 SOLVED QUESTION
SET PREMIUM RESOURCE
◉A 22-year-old patient presents with upper respiratory symptoms,
nausea and vomiting and a low-grade fever. She has a history of
leukemia and underwent chemotherapy 2 weeks ago. What is the
nurse's priority?
Protective isolation
Ondansetron oral dissolving tablet
Intravenous fluid bolus
Morphine intravenous Answer: Protective isolation
◉A patient presents to the ED with a chief complaint of "It feels like
I have something in my eye, but I can't see it." What eye injury is this
most likely to represent?
Corneal ulcer
Keratitis
Hyphema
Corneal abrasion Answer: Corneal abrasion
,◉In compensated shock, what physiological response increases
serum sodium?
Sympathetic nervous system (SNS) response
Intracellular fluid shift
Renin-angiotensin-aldosterone system (RAAS)
Altered capillary permeability Answer: Renin-angiotensin-
aldosterone system (RAAS)
◉A patient describes symptoms of recent onset of eye pain and
denies any traumatic injury. He is seeing haloes around lights and is
experiencing nausea, vomiting, and headaches. The nurse's
assessment reveals loss of peripheral vision and redness of the
affected eye. Which condition does this set of clinical manifestations
describe?
Acute angle glaucoma
Keratitis
Corneal ulcer
Retinal detachment Answer: Acute angle glaucoma
◉Which of the following clinical presentations is most consistent
with a patient who has pancreatitis?
Pain with palpation of the right subcostal area during inspiration
Diffuse cramping abdominal pain
Epigastric pain that radiates to the back
, Dull, constant umbilical pain Answer: Epigastric pain that radiates
to the back
◉Administration of activated charcoal is indicated for which of the
following overdoses?
Hydrofluoric acid
Carbamazepine
Ferrous sulfate
Lithium Answer: Carbamazepine
◉Which one of the following is an appropriate intervention for acute
lithium toxicity?
IV fluids with hypertonic solution
Urine alkalinization
Hemodialysis
Give activated charcoal Answer: Hemodialysis
◉The level of alertness and attention displayed by a patient with a
diffuse axonal injury is determined by which segment of the
neurological system?
Reticular activating system
Brainstem
Frontal lobe
, Limbic system Answer: Reticular activating system
◉What is the first intervention that is appropriate for the nurse to
perform once a neonate has been delivered?
Thoroughly dry the neonate
Suction the mouth and nose
Measure APGAR score
Clamp the umbilical cord Answer: Thoroughly dry the neonate
◉The nurse is giving discharge instructions to a patient with chronic
obstructive pulmonary disease - emphysema. Which response
indicates the patient understands the instructions?
I need to limit my fluids to prevent fluid overload.
I need to sleep with my feet elevated to prevent swelling.
I need to get the pneumococcal vaccine.
I need to avoid snacking between meals. Answer: I need to get the
pneumococcal vaccine.
◉A patient, who has suffered deep, full-thickness (third degree)
thermal burns to the circumferential chest and abdomen, as well as
burns of varying depth to the upper extremities, has been
transferred to your emergency department from a small, rural
community hospital. Ventilating the intubated patient via bag-mask
device is becoming increasingly difficult and chest rise with
