CEN ACTUAL EXAM 150 QUESTIONS AND CORRECT ANSWERS
COVERING THE RECENT MOST TESTED QUESTIONS PERFECT FOR A+
GRADE RESULTS
Which of the following statements made by a patient would lead the nurse to conclude that the patient
understands risk factors for pulmonary embolism?
While on a long flight, I should get up and walk to stretch my legs every hour.
Resuming my birth control pills will lower my risk of cancer and my risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't happen again.
Switching from my regular cigarettes to the electronic ones can reduce my risk. - correct answer -
While on a long flight, I should get up and walk to stretch my legs every hour.
A patient arrives in the ED with a complaint of having nausea and vomiting for 6 days. After the patient
is registered for the visit, he is placed in a treatment room. The nurse explains the plan of care and the
patient holds his arm out in preparation for blood specimen collection and intravenous line insertion.
Which type of consent for treatment is this?
Implied
Involuntary
Informed
Express - correct answer -Express
A patient is brought to the ED after a car he was working on fell and trapped his leg. The skin of the
extremity is tight and pale. He reports the pain is 10 on 0-to-10 scale. The peripheral pulses are normal
and he has full range of motion, but it hurts. Which intervention will the nurse perform first?
Send the patient for limb radiographs
Position the extremity at the level of the heart
Splint the extremity in a neutral position
Prepare the patient for a fasciotomy - correct answer -Position the extremity at the level of the heart
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
,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 homeless patient is transported to the emergency department by emergency medical services (EMS)
in the middle of winter, complaining of numbness and tingling to his distal fingers and toes, which are
now whitish with a waxy appearance. What is an appropriate method for rewarming?
Immerse the affected areas in circulating warm water
Passively rewarm the affected area by warming the environment
Actively rewarm the affected area by infusion of warm IV solutions
Massage the affected areas until warm - correct answer -Immerse the affected areas in circulating
warm water
Caregivers bring their 2-year-old son to the ED with suspected foreign body ingestion. He was found
playing with a box of buttons. Vital signs are BP 92/54 mm Hg, HR 134 beats/min, RR 24 breaths/min, T
37.0 C (98.6 F), SpO2 99% without supplemental oxygen. There are no retractions or increased work of
breathing, but he does cough with inspiration. He is able to talk. His breath sounds are diminished, with
expiratory wheezing on the right. The left breath sounds are clear. Which intervention will the nurse
prepare for?
Endoscopic removal
The Heimlich maneuver
Manual removal
Direct laryngoscopy with forceps - correct answer -Endoscopic removal
A child presents complaining of difficulty urinating. In triage, the mother begins speaking in Spanish.
There is an adolescent sibling who begins to translate for his mother. Which of the following is the most
effective nursing intervention to complete the patient assessment?
Ask a Spanish-speaking bilingual nurse to translate
Allow the sibling to continue translating
Access an Internet translation service to type in questions
Use the hospital phone translation services - correct answer -Use the hospital phone translation
services
,For a dark-skinned patient, which technique effectively assesses for early jaundice?
Assess the stool for clay discoloration
Observe for yellow discoloration of the palate
Blanch the skin over the sternum and assess for yellow discoloration
Depress the nailbed and observe for yellow discoloration - correct answer -Observe for yellow
discoloration of the palate
A patient is transported to the emergency department via emergency medical services (EMS) with an
SpO2 of 87%, hypotension, and seizures after being removed from a confined space in a burning
industrial plant that manufactures plastic toys. What poisoning does the emergency nurse suspect?
Carbon monoxide
Organophosphate
Insecticide
Cyanide - correct answer -Cyanide
An 8-year-old boy with a history of sickle cell disease presents with right knee pain that he rates at 8 out
of 10 on the numeric scale. He denies history of recent injury. There is no redness or swelling at the site.
The knee is tender to light palpation, but it radiates no heat to touch. The nurse anticipates the use of
which of the following pharmacological agents?
Morphine
Meperidine
Fentanyl
Ibuprofen - correct answer -Morphine
A 68-year-old male presents to the emergency department with a complaint of increasing confusion
over the past week after he tripped and fell, hitting his head. What type of brain injury is suspected?
Mild traumatic brain injury
Epidural hematoma
Subdural hematoma
Basilar skull fracture - correct answer -Subdural hematoma
, Bilevel positive airway pressure (BiPAP) can be an ideal therapy to use on a respiratory failure patient
with which associated assessment finding?
Absent gag reflex
Nasal deformity
Distended neck veins
Excessive oral secretions - correct answer -Distended neck veins
Which assessment finding indicates magnesium toxicity in a patient with preeclampsia who is receiving a
magnesium sulfate infusion?
Shortness of breath
Hyperactive patellar reflexes
Elevated liver function tests
Decreased urinary output - correct answer -Shortness of breath
An emergency nurse knows that quality cardiopulmonary resuscitation in a neonate is achieved by?
Hyperventilating the neonate to improve oxygenation
Rotating persons that perform chest compressions every four minutes
Beginning resuscitation with 100% oxygen
Performing chest compressions with minimal interruptions - correct answer -Performing chest
compressions with minimal interruptions
An emergency nurse is providing discharge instructions for a patient with pelvic inflammatory disease.
Which statement made by the patient indicates an understanding of these instructions?
Getting pregnant shouldn't be a problem once the infection goes away.
I'll take the medicine for nausea when I feel sick to my stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow. - correct answer -I will be at increased risk for ectopic
pregnancy.
COVERING THE RECENT MOST TESTED QUESTIONS PERFECT FOR A+
GRADE RESULTS
Which of the following statements made by a patient would lead the nurse to conclude that the patient
understands risk factors for pulmonary embolism?
While on a long flight, I should get up and walk to stretch my legs every hour.
Resuming my birth control pills will lower my risk of cancer and my risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't happen again.
Switching from my regular cigarettes to the electronic ones can reduce my risk. - correct answer -
While on a long flight, I should get up and walk to stretch my legs every hour.
A patient arrives in the ED with a complaint of having nausea and vomiting for 6 days. After the patient
is registered for the visit, he is placed in a treatment room. The nurse explains the plan of care and the
patient holds his arm out in preparation for blood specimen collection and intravenous line insertion.
Which type of consent for treatment is this?
Implied
Involuntary
Informed
Express - correct answer -Express
A patient is brought to the ED after a car he was working on fell and trapped his leg. The skin of the
extremity is tight and pale. He reports the pain is 10 on 0-to-10 scale. The peripheral pulses are normal
and he has full range of motion, but it hurts. Which intervention will the nurse perform first?
Send the patient for limb radiographs
Position the extremity at the level of the heart
Splint the extremity in a neutral position
Prepare the patient for a fasciotomy - correct answer -Position the extremity at the level of the heart
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
,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 homeless patient is transported to the emergency department by emergency medical services (EMS)
in the middle of winter, complaining of numbness and tingling to his distal fingers and toes, which are
now whitish with a waxy appearance. What is an appropriate method for rewarming?
Immerse the affected areas in circulating warm water
Passively rewarm the affected area by warming the environment
Actively rewarm the affected area by infusion of warm IV solutions
Massage the affected areas until warm - correct answer -Immerse the affected areas in circulating
warm water
Caregivers bring their 2-year-old son to the ED with suspected foreign body ingestion. He was found
playing with a box of buttons. Vital signs are BP 92/54 mm Hg, HR 134 beats/min, RR 24 breaths/min, T
37.0 C (98.6 F), SpO2 99% without supplemental oxygen. There are no retractions or increased work of
breathing, but he does cough with inspiration. He is able to talk. His breath sounds are diminished, with
expiratory wheezing on the right. The left breath sounds are clear. Which intervention will the nurse
prepare for?
Endoscopic removal
The Heimlich maneuver
Manual removal
Direct laryngoscopy with forceps - correct answer -Endoscopic removal
A child presents complaining of difficulty urinating. In triage, the mother begins speaking in Spanish.
There is an adolescent sibling who begins to translate for his mother. Which of the following is the most
effective nursing intervention to complete the patient assessment?
Ask a Spanish-speaking bilingual nurse to translate
Allow the sibling to continue translating
Access an Internet translation service to type in questions
Use the hospital phone translation services - correct answer -Use the hospital phone translation
services
,For a dark-skinned patient, which technique effectively assesses for early jaundice?
Assess the stool for clay discoloration
Observe for yellow discoloration of the palate
Blanch the skin over the sternum and assess for yellow discoloration
Depress the nailbed and observe for yellow discoloration - correct answer -Observe for yellow
discoloration of the palate
A patient is transported to the emergency department via emergency medical services (EMS) with an
SpO2 of 87%, hypotension, and seizures after being removed from a confined space in a burning
industrial plant that manufactures plastic toys. What poisoning does the emergency nurse suspect?
Carbon monoxide
Organophosphate
Insecticide
Cyanide - correct answer -Cyanide
An 8-year-old boy with a history of sickle cell disease presents with right knee pain that he rates at 8 out
of 10 on the numeric scale. He denies history of recent injury. There is no redness or swelling at the site.
The knee is tender to light palpation, but it radiates no heat to touch. The nurse anticipates the use of
which of the following pharmacological agents?
Morphine
Meperidine
Fentanyl
Ibuprofen - correct answer -Morphine
A 68-year-old male presents to the emergency department with a complaint of increasing confusion
over the past week after he tripped and fell, hitting his head. What type of brain injury is suspected?
Mild traumatic brain injury
Epidural hematoma
Subdural hematoma
Basilar skull fracture - correct answer -Subdural hematoma
, Bilevel positive airway pressure (BiPAP) can be an ideal therapy to use on a respiratory failure patient
with which associated assessment finding?
Absent gag reflex
Nasal deformity
Distended neck veins
Excessive oral secretions - correct answer -Distended neck veins
Which assessment finding indicates magnesium toxicity in a patient with preeclampsia who is receiving a
magnesium sulfate infusion?
Shortness of breath
Hyperactive patellar reflexes
Elevated liver function tests
Decreased urinary output - correct answer -Shortness of breath
An emergency nurse knows that quality cardiopulmonary resuscitation in a neonate is achieved by?
Hyperventilating the neonate to improve oxygenation
Rotating persons that perform chest compressions every four minutes
Beginning resuscitation with 100% oxygen
Performing chest compressions with minimal interruptions - correct answer -Performing chest
compressions with minimal interruptions
An emergency nurse is providing discharge instructions for a patient with pelvic inflammatory disease.
Which statement made by the patient indicates an understanding of these instructions?
Getting pregnant shouldn't be a problem once the infection goes away.
I'll take the medicine for nausea when I feel sick to my stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow. - correct answer -I will be at increased risk for ectopic
pregnancy.
