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CEN Certification Exam | 1,000+ Practice Questions & Verified Answers | Trauma, Cardiac, Neurological, Pediatric & Emergency Nursing

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Master the Certified Emergency Nurse (CEN®) certification examination with this comprehensive collection of 1,000+ exam-style practice questions and verified answers covering the full scope of emergency nursing. This extensive question bank includes high-yield topics such as trauma nursing, cardiovascular emergencies, neurological disorders, respiratory emergencies, shock, burns, toxicology, environmental emergencies, orthopedic injuries, pediatric emergencies, obstetric and gynecologic emergencies, infectious diseases, psychiatric and behavioral health emergencies, disaster preparedness, legal and ethical issues, and evidence-based emergency department interventions. The question-and-answer format reinforces clinical judgment, prioritization, and decision-making skills essential for success on the CEN certification exam. Designed as a comprehensive revision resource, this study guide mirrors the style and complexity of certification examination questions while strengthening rapid clinical reasoning and emergency nursing knowledge. It is ideal for self-assessment, focused review, classroom preparation, and final examination practice. The content supports mastery of patient assessment, emergency stabilization, pharmacologic interventions, triage, critical care principles, and multidisciplinary emergency management, making it valuable for both first-time certification candidates and experienced emergency nurses preparing for recertification. The clinical concepts covered align with the current evidence and recommendations presented in authoritative emergency nursing references, including Emergency Nurses Association (ENA). Sheehy's Emergency Nursing: Principles and Practice (8th ed.). Elsevier, Marx, J. A., et al. Rosen's Emergency Medicine: Concepts and Clinical Practice (10th ed.). Elsevier, and the Board of Certification for Emergency Nursing (BCEN) Certified Emergency Nurse (CEN®) Examination Content Outline. These internationally recognized references provide the evidence-based foundation for emergency nursing practice and certification preparation. The questions and answers contained within this uploaded document are derived from the study material itself and are not reproduced from these references. Relevant Students/Professionals: Certified Emergency Nurse (CEN) candidates Emergency Department (ED) Nurses Registered Nurses (RNs) Trauma Nurses Critical Care Nurses Emergency Nurse Practitioner (ENP) students BSN Nursing Students ADN Nursing Students Graduate Nursing Students NCLEX-RN graduates transitioning to emergency nursing Flight Nurses Transport Nurses Trauma Program Nurses Intensive Care Unit (ICU) Nurses Progressive Care (PCU) Nurses Paramedics seeking emergency nursing knowledge Emergency Medicine residents and healthcare professionals preparing for emergency certification Keywords CEN, CEN exam, CEN certification, Certified Emergency Nurse, BCEN, Emergency nursing, Emergency nurse certification, Emergency department, Trauma nursing, Emergency medicine, Critical care nursing, Triage, Shock management, Cardiac emergencies, Acute coronary syndrome, Dysrhythmias, Stroke, Neurological emergencies, Respiratory emergencies, Airway management, Burn management, Toxicology, Poisoning, Pediatric emergencies, Obstetric emergencies, Gynecologic emergencies, Orthopedic emergencies, Infectious diseases, Sepsis, Psychiatric emergencies, Behavioral emergencies, Disaster nursing, Emergency pharmacology, ACLS, PALS, Trauma assessment, Emergency nursing practice questions, CEN practice questions, CEN exam questions, CEN study guide, Emergency nursing review, Emergency nursing exam prep, Emergency nursing questions and answers, Emergency certification preparation

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CEN Question bank 2026 Exam
Questions and Correct
Answers | New Update

A patient who returns to the emergency department 3 days after a motor

vehicle crash has pain in the left upper quadrant of the abdomen.

Assessment reveals pain on palpation, and the patient is

hemodynamically stable. The nurse should be MOST concerned about

the possibility of:

bleeding from a liver laceration.

a splenic hematoma.

a pneumothorax.


a costochondritis. - ANSWER ✔✔a splenic hematoma.

,A trauma patient has received multiple transfusions in the emergency

department and starts to ooze blood from the IV sites. This suggests the

development of:

sepsis.

disseminated intravascular coagulation.

multisystem organ failure.


hemophilia. - ANSWER ✔✔disseminated intravascular coagulation.


Which of the following indicates significant dehydration in a 6-month-old

infant with a history of vomiting and diarrhea?

does not urinate for more than 8 hours

cries loudly during the physical examination

has three loose stools in 3 hours


has two bouts of projectile vomiting - ANSWER ✔✔does not urinate

for more than 8 hours

A patient who has an infection returns to the emergency department.

After determining that the patient has not been taking the prescribed

antibiotics, the nurse reviews the instructions with the patient. Which of

the following responses by the nurse is MOST appropriate?

If you don't take the antibiotics, you will need to return for injections.

,Here is a list of times you will take the antibiotics.

Do you have any questions about how to take the antibiotics?


Tell me how you will take the antibiotics. - ANSWER ✔✔Tell me how

you will take the antibiotics.

The FIRST intervention for an infant with complete airway obstruction

after inhalation of a foreign body is

a finger sweep.

intubation.

back blows.


abdominal thrusts. - ANSWER ✔✔back blows.


The American Heart Association recommends back blows followed by

chest compressions to dislodge an obstruction. Abdominal thrusts

should never be performed on an infant nor should a blind finger sweep

be used. Intubation takes time and should not be the first intervention.

A patient presents with his family members, who state that he has struck

his brother and has been violent and paranoid. The nurse should FIRST:

assess the brother for possible injuries.

place the patient into a treatment room with the door open.



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, notify police of the assault.

escort the patient to the quiet room to await the social worker. -

ANSWER ✔✔place the patient into a treatment room with the door

open.

A patient with acute cocaine intoxication should be expected to have

first-degree AV block.

flaccid extremities.

rising core body temperature.


drowsiness. - ANSWER ✔✔rising core body temperature.


A patient suspected of having anorexia nervosa is being triaged. The

emergency nurse expects which blood abnormality commonly related to

this disease?

decreased blood urea nitrogen

hyperkalemia

metabolic acidosis


increased glomerular filtration rate - ANSWER ✔✔metabolic acidosis


Which clotting disorder is caused by the absence or deficiency of factor

IX?

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