CEN Certified Emergency Nurse Exam TESTBAK ALL 600 QUESTIONS AND CORRECT ANSWERS LATEST UPDATE THIS YEAR

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CEN Certified Emergency Nurse Exam TESTBAK ALL
600 QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
QUESTION: A patient with a stab wound to the left flank area is unable to move his left side and

unable to fill the right side of his body. The symptoms are associated with which of the

following in complete spinal cord injuries?


a. anterior cord syndrome


b. posterior cord syndrome


c. central cord syndrome


d. brown-sequard syndrome - ANSWER-d. Brown-Sequard syndrome -- is the incomplete cord

syndrome with ipsilateral motor loss and contralateral loss of sensation


Q; A patient is transported to the ED via EMS for headache vomiting and progressive confusion

after a fall three days ago. Which of the following head injuries is the most likely cause of the

symptoms?


a. concussion


b. Epidural hematoma


c. Subdural hematoma




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d. Basilar skull fracture - ANSWER-C -- subdural hematomas or slower bleeds since Venus. Seen

commonly in alcoholics, elderly and from shaken impact syndrome




QUESTION: Sutures placed in the eyebrows should be removed within... - ANSWER-Eyebrow

suture should be removed in 4 tp 5 days, lips 3 to 5 days, scalp 7 to 10 days, extremities 10 to

14 days, over 14 days for joints.




QUESTION: A 40-year-old female who is 36 weeks pregnant presents to the ED with painless

bright red vaginal bleeding. The nurse knows a pelvic exam is contraindicated since the most

likely cause of the bleeding is - ANSWER-Placenta previa; characterized by painless bright red

vaginal bleeding




QUESTION: A 14-year-old complains of lightheadedness and palpitations. Which cardiac

disorder is characterized by a short PR interval and a delta wave? - ANSWER-Wolf Parkinson

white syndrome (WPW) is characterized by a short PR interval (<0.12 sec) and a delta wave

(slurred and broad upstroke of the QRS complex), representing early ventricular activation via

the abnormal accessory pathway




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QUESTION: A 22-year-old female complains of thick white cottage cheese like vaginal discharge,

pruritis, vulvar burning, and dyspareunia. The nurse suspects a diagnosis of - ANSWER-

Candidiasis is characterized by thick white cottage cheese-like vaginal discharge




QUESTION: Fever, bloating, and pain at the right costal margin upon palpation is associated

with which disorder? - ANSWER-Cholelititlitis or gallbladder disease is characterized by pain at

the right costal margin, referred to as "murphy's sign" (costal margin is near the lower rib)




QUESTION: Which of the following signs and symptoms is not characteristic of Wernicke's

encephalopathy?


a. confabulation


b. chronic memory loss


c. ataxia


d. nystagmus - ANSWER-b. chronic memory loss. -- Wernicke encephalopathy is characterized

by confusion and confabulation, gait ataxia, and nystagmus.




Chronic/permanent memory loss is a symptom of Korsakoff's syndrome




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QUESTION: A patient complains of excruciating unilateral headache with nasal congestion and

excessive lacrimation on the affected side. The nurse suspects: - ANSWER-Cluster HA --

excessive tearing/lacrimation, along with unilateral nasal congestion are signs of a cluster

headache.




Temporal (giant cell) arteritis has a palpable cord-like termporal artery.




QUESTION: A patient complains of sudden onset of painless unilateral vision loss and denies

any trauma. Which ocular emergency does the nurse suspect? - ANSWER-Central retinal artery

occlusion. Painless unilateral vision loss, curtain coming down, and amaurosis fugax are seen in

central retinal artery occlusion (CRAO).




Acute angle glaucoma has "tunnel vision", and halos around lights. Hyphema is blood in the

anterior chamber of the eye.




QUESTION: Which of the following signs/symptoms should raise an index of suspicion that a

patient is experiencing retinal detachment?


a. Tunnel vision and seeing halos around lights




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