CEN EXAM AND CEN - PRACTICE EXAM NEWEST
2026 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALL
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A 32-year-old female patient is brought to the emergency
department via emergency medical services with a complaint of
coughing for the past two weeks. The patient is now complaining
of severe epigastric pain and is violently retching and vomiting
blood. She has a history of alcohol abuse and bulimia. Which type
of gastrointestinal disorder is the most likely cause of these
symptoms?
Diverticulitis
Mallory-Weiss syndrome
Pancreatitis
Gastric ulcer - ✔✔✔ Correct Answer > Mallory-Weiss syndrome
The emergency nurse is caring for an 11-month-old child found
unresponsive and apneic, face down in a bucket of water. The
child received rescue breaths and had rapid return of
respirations and is now awake, with normal vital signs. The
nurse should anticipate which of the following?
Early endotracheal intubation for preservation of airway
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Prophylactic anticonvulsant medication
Close observation for a minimum of 24 hours
Radiographic imaging of the patient's spine - ✔✔✔ Correct Answer >
Close observation for a minimum of 24 hours
A mass casualty incident occurred near a level one trauma
center. There were several deaths ranging from ages 3 months to
42 years old. The nurses working that night were emotionally
drained and physically stressed. A critical incident process was
arranged within 24 hours. Which component of the critical
incident stress management process took place?
Debriefing
Defusing
Crisis intervention
Follow-up - ✔✔✔ Correct Answer > Debriefing
Which stage pressure ulcer includes partial thickness skin loss?
Stage 2
Stage 1
Stage 3
Stage 4 - ✔✔✔ Correct Answer > Stage 2
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The Frank-Starling law applies to which component of cardiac
output?
Stroke volume
Preload
Heart rate
Afterload - ✔✔✔ Correct Answer > Preload
Which of the following is an early sign of increasing intracranial
pressure in a patient with a head injury?
Bradycardia
Widening pulse pressure
Extension of upper extremities with stimuli
Nausea and vomiting - ✔✔✔ Correct Answer > Nausea and vomiting
A patient arrives via emergency medical services and is
unresponsive, pale, and with involuntary movement of the head
and right side of the body. Symptoms continue despite
midazolam having been administered in the field. Which
medication should be administered next?
Thiamine
Fosphenytoin
Phenobarbital
Lorazepam - ✔✔✔ Correct Answer > Lorazepam
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A 23-year-old patient with a stable ectopic pregnancy is being
cared for by an emergency nurse. The emergency physician
ordered methotrexate to be administered intramuscularly. Which
statement by the nurse indicates an understanding of the
medication?
I'll instruct the patient to follow up in two weeks.
I can give this medication because there is only scant vaginal
bleeding.
I'll give this medication because there is fetal cardiac activity.
I can't administer this medication. I'm pregnant. - ✔✔✔ Correct
Answer > I can't administer this medication. I'm pregnant.
The nurse is giving discharge instructions to a patient with Bell's
palsy. Which of the following will be included?
Avoid sleeping on the affected side
Instill artificial tears during the day
Take antibiotics as prescribed
Use a mouth guard at night - ✔✔✔ Correct Answer > Instill artificial
tears during the day
Meningeal irritation in a 26-year-old patient is considered after
which one of the following assessment findings?
Positive Babinski