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CEN - EXAM 2026/2027 | 100 VERIFIED Q&A |
DETAILED RATIONALES | NGN-ALIGNED | PASS
GUARANTEED – A+ GRADED
SECTION I: EMERGENCY NURSING FUNDAMENTALS AND TRIAGE - Questions 1-20
Q1: Emergency Nursing Definition
The student is reviewing emergency nursing. What is the primary role of an emergency nurse?
A. To provide rapid assessment and intervention for patients with urgent and life-threatening
conditions
B. To provide long-term care for chronic illnesses
C. To perform elective surgeries
D. To manage hospital administration
Correct Answer: A
Rationale: Emergency nurses provide rapid assessment, triage, and intervention for patients with
urgent and life-threatening conditions across the lifespan. [100% CORRECT]
Q2: Triage
The student is reviewing triage. What is the purpose of triage?
A. To prioritize patients based on the severity of their condition
B. To provide treatment to all patients equally
C. To determine insurance coverage
D. To assign patients to rooms
Correct Answer: A
Rationale: Triage prioritizes patients based on the severity of their condition to ensure the most
critically ill or injured receive care first. [100% CORRECT]
Q3: ESI Triage System
The student is reviewing triage systems. What is the Emergency Severity Index (ESI)?
A. A five-level triage system based on acuity and resource needs
B. A three-level triage system
C. A four-level triage system
D. A two-level triage system
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Correct Answer: A
Rationale: The ESI is a five-level triage system that categorizes patients by acuity and predicted
resource needs (ESI 1 = most urgent, ESI 5 = least urgent). [100% CORRECT]
Q4: ESI Level 1
The student is reviewing ESI. What does ESI level 1 indicate?
A. Immediate life-saving intervention required
B. High acuity, multiple resources needed
C. Moderate acuity, multiple resources needed
D. Low acuity, one resource needed
Correct Answer: A
Rationale: ESI level 1 requires immediate life-saving intervention (e.g., cardiac arrest, severe
respiratory distress, unresponsive). [100% CORRECT]
Q5: ESI Level 2
The student is reviewing ESI. What does ESI level 2 indicate?
A. High acuity, should be seen within 10 minutes
B. Immediate life-saving intervention
C. Low acuity
D. Non-urgent
Correct Answer: A
Rationale: ESI level 2 indicates high acuity, with the patient requiring evaluation within 10 minutes
(e.g., chest pain, severe abdominal pain, altered mental status). [100% CORRECT]
Q6: Primary Survey
The student is reviewing primary survey. What is the purpose of the primary survey?
A. To identify and treat life-threatening conditions immediately
B. To obtain a complete medical history
C. To perform a detailed physical examination
D. To order diagnostic tests
Correct Answer: A
Rationale: The primary survey (ABCDE) identifies and treats life-threatening conditions immediately:
Airway, Breathing, Circulation, Disability, Exposure. [100% CORRECT]
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Q7: ABCDE Approach
The student is reviewing ABCDE. What does the "A" in ABCDE stand for?
A. Airway
B. Assessment
C. Abdomen
D. Allergy
Correct Answer: A
Rationale: The "A" in ABCDE stands for Airway, the first priority in the primary survey. [100%
CORRECT]
Q8: Airway Assessment
The student is reviewing airway. What is the first step in airway assessment?
A. Assess for patency by listening for air movement and looking for obstruction
B. Obtain a chest X-ray
C. Administer oxygen
D. Intubate the patient
Correct Answer: A
Rationale: Airway assessment begins with assessing patency by listening for air movement, looking
for obstruction, and assessing for stridor or secretions. [100% CORRECT]
Q9: Breathing Assessment
The student is reviewing breathing. What is assessed during the breathing component of the primary
survey?
A. Respiratory rate, effort, oxygen saturation, and breath sounds
B. Only respiratory rate
C. Only oxygen saturation
D. Only breath sounds
Correct Answer: A
Rationale: Breathing assessment includes respiratory rate, effort, oxygen saturation, breath sounds,
and signs of respiratory distress. [100% CORRECT]
Q10: Circulation Assessment
The student is reviewing circulation. What is assessed during the circulation component of the
primary survey?
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A. Pulse, blood pressure, capillary refill, and signs of shock
B. Only pulse
C. Only blood pressure
D. Only capillary refill
Correct Answer: A
Rationale: Circulation assessment includes pulse, blood pressure, capillary refill, skin
color/temperature, and signs of shock. [100% CORRECT]
Q11: Disability Assessment
The student is reviewing disability. What is assessed during the disability component of the primary
survey?
A. Level of consciousness, pupils, and neurological status
B. Only level of consciousness
C. Only pupils
D. Only motor function
Correct Answer: A
Rationale: Disability assessment includes level of consciousness (GCS), pupillary response, and
neurological status. [100% CORRECT]
Q12: Exposure
The student is reviewing exposure. What is the purpose of the exposure component of the primary
survey?
A. To fully undress the patient to assess for injuries or other conditions
B. To keep the patient warm
C. To provide privacy
D. To obtain consent
Correct Answer: A
Rationale: Exposure involves fully undressing the patient to assess for hidden injuries or conditions,
while maintaining privacy and preventing hypothermia. [100% CORRECT]
Q13: Secondary Survey
The student is reviewing secondary survey. What is the purpose of the secondary survey?
A. To obtain a complete history and perform a head-to-toe examination
B. To identify life-threatening conditions
C. To perform immediate interventions
D. To order diagnostic tests
CEN - EXAM 2026/2027 | 100 VERIFIED Q&A |
DETAILED RATIONALES | NGN-ALIGNED | PASS
GUARANTEED – A+ GRADED
SECTION I: EMERGENCY NURSING FUNDAMENTALS AND TRIAGE - Questions 1-20
Q1: Emergency Nursing Definition
The student is reviewing emergency nursing. What is the primary role of an emergency nurse?
A. To provide rapid assessment and intervention for patients with urgent and life-threatening
conditions
B. To provide long-term care for chronic illnesses
C. To perform elective surgeries
D. To manage hospital administration
Correct Answer: A
Rationale: Emergency nurses provide rapid assessment, triage, and intervention for patients with
urgent and life-threatening conditions across the lifespan. [100% CORRECT]
Q2: Triage
The student is reviewing triage. What is the purpose of triage?
A. To prioritize patients based on the severity of their condition
B. To provide treatment to all patients equally
C. To determine insurance coverage
D. To assign patients to rooms
Correct Answer: A
Rationale: Triage prioritizes patients based on the severity of their condition to ensure the most
critically ill or injured receive care first. [100% CORRECT]
Q3: ESI Triage System
The student is reviewing triage systems. What is the Emergency Severity Index (ESI)?
A. A five-level triage system based on acuity and resource needs
B. A three-level triage system
C. A four-level triage system
D. A two-level triage system
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Correct Answer: A
Rationale: The ESI is a five-level triage system that categorizes patients by acuity and predicted
resource needs (ESI 1 = most urgent, ESI 5 = least urgent). [100% CORRECT]
Q4: ESI Level 1
The student is reviewing ESI. What does ESI level 1 indicate?
A. Immediate life-saving intervention required
B. High acuity, multiple resources needed
C. Moderate acuity, multiple resources needed
D. Low acuity, one resource needed
Correct Answer: A
Rationale: ESI level 1 requires immediate life-saving intervention (e.g., cardiac arrest, severe
respiratory distress, unresponsive). [100% CORRECT]
Q5: ESI Level 2
The student is reviewing ESI. What does ESI level 2 indicate?
A. High acuity, should be seen within 10 minutes
B. Immediate life-saving intervention
C. Low acuity
D. Non-urgent
Correct Answer: A
Rationale: ESI level 2 indicates high acuity, with the patient requiring evaluation within 10 minutes
(e.g., chest pain, severe abdominal pain, altered mental status). [100% CORRECT]
Q6: Primary Survey
The student is reviewing primary survey. What is the purpose of the primary survey?
A. To identify and treat life-threatening conditions immediately
B. To obtain a complete medical history
C. To perform a detailed physical examination
D. To order diagnostic tests
Correct Answer: A
Rationale: The primary survey (ABCDE) identifies and treats life-threatening conditions immediately:
Airway, Breathing, Circulation, Disability, Exposure. [100% CORRECT]
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Q7: ABCDE Approach
The student is reviewing ABCDE. What does the "A" in ABCDE stand for?
A. Airway
B. Assessment
C. Abdomen
D. Allergy
Correct Answer: A
Rationale: The "A" in ABCDE stands for Airway, the first priority in the primary survey. [100%
CORRECT]
Q8: Airway Assessment
The student is reviewing airway. What is the first step in airway assessment?
A. Assess for patency by listening for air movement and looking for obstruction
B. Obtain a chest X-ray
C. Administer oxygen
D. Intubate the patient
Correct Answer: A
Rationale: Airway assessment begins with assessing patency by listening for air movement, looking
for obstruction, and assessing for stridor or secretions. [100% CORRECT]
Q9: Breathing Assessment
The student is reviewing breathing. What is assessed during the breathing component of the primary
survey?
A. Respiratory rate, effort, oxygen saturation, and breath sounds
B. Only respiratory rate
C. Only oxygen saturation
D. Only breath sounds
Correct Answer: A
Rationale: Breathing assessment includes respiratory rate, effort, oxygen saturation, breath sounds,
and signs of respiratory distress. [100% CORRECT]
Q10: Circulation Assessment
The student is reviewing circulation. What is assessed during the circulation component of the
primary survey?
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A. Pulse, blood pressure, capillary refill, and signs of shock
B. Only pulse
C. Only blood pressure
D. Only capillary refill
Correct Answer: A
Rationale: Circulation assessment includes pulse, blood pressure, capillary refill, skin
color/temperature, and signs of shock. [100% CORRECT]
Q11: Disability Assessment
The student is reviewing disability. What is assessed during the disability component of the primary
survey?
A. Level of consciousness, pupils, and neurological status
B. Only level of consciousness
C. Only pupils
D. Only motor function
Correct Answer: A
Rationale: Disability assessment includes level of consciousness (GCS), pupillary response, and
neurological status. [100% CORRECT]
Q12: Exposure
The student is reviewing exposure. What is the purpose of the exposure component of the primary
survey?
A. To fully undress the patient to assess for injuries or other conditions
B. To keep the patient warm
C. To provide privacy
D. To obtain consent
Correct Answer: A
Rationale: Exposure involves fully undressing the patient to assess for hidden injuries or conditions,
while maintaining privacy and preventing hypothermia. [100% CORRECT]
Q13: Secondary Survey
The student is reviewing secondary survey. What is the purpose of the secondary survey?
A. To obtain a complete history and perform a head-to-toe examination
B. To identify life-threatening conditions
C. To perform immediate interventions
D. To order diagnostic tests
