CEN FINAL PAPER 2026 COMPREHENSIVE
QUESTIONS AND ACCURATE SOLUTIONS
◉ Which of the following interventions would be appropriate for a
patient who has been diagnosed with renal calculi?
Apply ice to the flank area
Immediate surgical intervention
Administer antiemetics
NPO status
Answer: Administer antiemetics
◉ A 67-year-old male presents with sudden-onset, sharp, stabbing
pain in his chest, flank, and back. He states he's taken ibuprofen and
sublingual nitroglycerin prescribed for his angina. There has been no
relief. Assessment reveals he is slurring his words, there is a facial
droop, and his grip strength is weaker on the right. Vital signs are BP
108/86 mm Hg, HR 96 beats/min, RR 18 breaths/min, T 37.0 C (98.6
F), SpO2 91% without supplemental oxygen. What assessment can
the nurse do to further determine the cause of these signs and
symptoms?
Take a blood pressure on the other arm
Send blood to the laboratory for toxicology
Perform an assessment for stroke
,Send blood to the laboratory for cardiac enzymes
Answer: Take a blood pressure on the other arm
◉ A patient has just been diagnosed with diabetes insipidus. Which
medication will the nurse expect to give?
Hypertonic saline
Methylprednisolone
Vasopressin
Furosemide
Answer: Vasopressin
◉ A 56-year-old female presents with vague complaints of fatigue
and bloating. Assessment reveals pitting edema of hands and feet,
abdominal distention, and prominent neck veins. What condition is
described by these clinical manifestations?
Myocardial infarction
Aortic dissection
Right-sided heart failure
Left-sided heart failure
Answer: Right-sided heart failure
◉ An emergency nurse is interviewing fellow staff nurses in order to
understand how the emotional states of fatigued nurses impact
,outcomes of patients with behavioral health disorders. What type of
research study is the nurse conducting?
Quantitative study
Cohort study
Randomized controlled trials
Qualitative study
Answer: Qualitative study
◉ Which complication is associated with orbital wall fractures?
Trismus
Development of mastoiditis
Ocular entrapment
Inability to protect one's own airway
Answer: Ocular entrapment
◉ What intervention is used to manage seasonal affective disorder?
Increasing caffeine intake
Vitamin D supplements
Moving to a warmer climate
Use tanning beds
Answer: Vitamin D supplements
, ◉ Which of the following would be indicative of Alzheimer's
disease?
Gradual onset of memory loss and aphasia
Sudden onset of disorganized speech and disorientation
Acute onset of dysarthria and ataxia
Chronic symptoms of sadness, slow speech, and flat affect
Answer: Gradual onset of memory loss and aphasia
◉ What is the best way to promote a successful family presence
practice?
Ensure that social services leads the practice
Allow immediate family to be present
Have administrative support
Make it a facility requirement
Answer: Have administrative support
◉ A patient arrives unresponsive. Cardiopulmonary monitoring
indicates a ventricular tachycardia. He has no pulse. What will the
nurse anticipate as the next intervention?
Synchronized cardioversion
Administer epinephrine intravenously
Administer atropine intravenously
Defibrillation
QUESTIONS AND ACCURATE SOLUTIONS
◉ Which of the following interventions would be appropriate for a
patient who has been diagnosed with renal calculi?
Apply ice to the flank area
Immediate surgical intervention
Administer antiemetics
NPO status
Answer: Administer antiemetics
◉ A 67-year-old male presents with sudden-onset, sharp, stabbing
pain in his chest, flank, and back. He states he's taken ibuprofen and
sublingual nitroglycerin prescribed for his angina. There has been no
relief. Assessment reveals he is slurring his words, there is a facial
droop, and his grip strength is weaker on the right. Vital signs are BP
108/86 mm Hg, HR 96 beats/min, RR 18 breaths/min, T 37.0 C (98.6
F), SpO2 91% without supplemental oxygen. What assessment can
the nurse do to further determine the cause of these signs and
symptoms?
Take a blood pressure on the other arm
Send blood to the laboratory for toxicology
Perform an assessment for stroke
,Send blood to the laboratory for cardiac enzymes
Answer: Take a blood pressure on the other arm
◉ A patient has just been diagnosed with diabetes insipidus. Which
medication will the nurse expect to give?
Hypertonic saline
Methylprednisolone
Vasopressin
Furosemide
Answer: Vasopressin
◉ A 56-year-old female presents with vague complaints of fatigue
and bloating. Assessment reveals pitting edema of hands and feet,
abdominal distention, and prominent neck veins. What condition is
described by these clinical manifestations?
Myocardial infarction
Aortic dissection
Right-sided heart failure
Left-sided heart failure
Answer: Right-sided heart failure
◉ An emergency nurse is interviewing fellow staff nurses in order to
understand how the emotional states of fatigued nurses impact
,outcomes of patients with behavioral health disorders. What type of
research study is the nurse conducting?
Quantitative study
Cohort study
Randomized controlled trials
Qualitative study
Answer: Qualitative study
◉ Which complication is associated with orbital wall fractures?
Trismus
Development of mastoiditis
Ocular entrapment
Inability to protect one's own airway
Answer: Ocular entrapment
◉ What intervention is used to manage seasonal affective disorder?
Increasing caffeine intake
Vitamin D supplements
Moving to a warmer climate
Use tanning beds
Answer: Vitamin D supplements
, ◉ Which of the following would be indicative of Alzheimer's
disease?
Gradual onset of memory loss and aphasia
Sudden onset of disorganized speech and disorientation
Acute onset of dysarthria and ataxia
Chronic symptoms of sadness, slow speech, and flat affect
Answer: Gradual onset of memory loss and aphasia
◉ What is the best way to promote a successful family presence
practice?
Ensure that social services leads the practice
Allow immediate family to be present
Have administrative support
Make it a facility requirement
Answer: Have administrative support
◉ A patient arrives unresponsive. Cardiopulmonary monitoring
indicates a ventricular tachycardia. He has no pulse. What will the
nurse anticipate as the next intervention?
Synchronized cardioversion
Administer epinephrine intravenously
Administer atropine intravenously
Defibrillation
