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Exam (elaborations)

CEN Practice Exam 2025/2026 – 100+ Solved Questions on Cardiovascular Emergencies, Shock, Trauma, Pediatrics, Pharmacology & ECG Interpretation

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This professionally developed guide features 100+ expert-verified questions and answers to help candidates prepare for the Certified Emergency Nurse (CEN) Exam for the 2025/2026 testing cycle. Designed to simulate the rigor and format of the actual CEN exam, this document provides clear rationales, clinical reasoning, and updated emergency care practices aligned with the current BCEN blueprint. Topics span a wide range of emergency nursing domains including cardiac emergencies (acute coronary syndrome, tricyclic antidepressant toxicity, dysrhythmias), shock physiology, trauma care (aortic dissection, head injury, burns), pediatric resuscitation (joule dosing, CPR guidelines), toxicology, ECG interpretation, and airway management. It also covers end-tidal CO₂ assessment, pacemaker types, oxygen therapy protocols, and endocrine emergencies. Each scenario reinforces the critical thinking skills and rapid clinical decision-making required in emergency settings. This resource is ideal for: – Nurses preparing for the BCEN Certified Emergency Nurse (CEN) certification exam – Registered Nurses in emergency departments, trauma centers, or prehospital care – Nursing students in advanced practice, emergency, or critical care training programs – Professionals seeking structured, high-yield review of evidence-based emergency interventions Keywords: CEN exam practice, emergency nurse certification, ECG interpretation, pediatric shock joule dose, coronary syndrome triage, aortic dissection signs, tricyclic antidepressant overdose, ETCO2 resuscitation marker, demand pacemaker, sinus tachycardia ECG, trauma assessment, oxygen therapy emergency, ACLS prep, emergency pharmacology, BCEN exam questions, critical care nursing

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Uploaded on
August 2, 2025
Number of pages
6
Written in
2025/2026
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CEN Practice Exam 1 2025/2026 Exam
Questions and Correct Answers | New
Update



A. The use of supplemental oxygen in normoxic patients has not been established.

In patients with potential coronary artery syndrome, withholding of additional

supplemental oxygen should be considered for those in the prehospital or in-patient

hospital setting and the emergency department. - 🧠ANSWER ✔✔A patient

presents to the emergency department with chest pain and diaphoresis, and denies

dyspnea. Vital signs are BP 148/70 mm Hg, HR 72 beats/minute, RR 18

breaths/minute, Sp02 98% on room air. Breath sounds are clear and equal. rlhe

electrocardiogram shows an inferior wall ST segment elevation. You anticipate the

following oxygen order.

A. No supplemental oxygen at this time

B. Nasal cannula at 6 L per minute

C. Partial rebreather mask at 10 L per minute

, D. Nonrebreather mask at 15 L per minute

C. Chest pain that radiates to both shoulders has a likelihood ratio of 7.1, and pain

that radiates to the right shoulder has a stronger likelihood ratio of 2.9 of predicting

acute COronary syndro compared with pain that radiates only to the left shoulder. -

🧠ANSWER ✔✔A patient complains of chest pain, dyspnea, and diaphoresis.

Which of the following assessment factors would indicate a possible diagnosis of

acute coronary syndrome?

A. Pleuritic chest pain

B. Positional chest pain

C. Chest pain that radiates to the shoulders, with pain in the right shoulder worse

than pain in the left shoulder

D. Pain reproducible with chest wall palpation

D. Adrenal gland stimulation causes the adrenals to release two catecholamines:

epinephrine and norepinephrine. Epinephrine increases heart rate and peripheral

vasoconstriction and triggers glycogenolysis. - 🧠ANSWER

✔✔Whichofthefollowinghuman compensatorymechanisms to the presence

ofshocktriggersglycogenolysis?

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