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CEN Practice Exam Questions & Answers PDF | 150 Nursing Assessment Scenarios

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Review 150+ CEN practice exam questions with detailed answers. Covers emergency nursing, trauma, triage, pharmacology, and critical interventions for exam prep.

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CEN - PRACTICE EXAM QUESTIONS AND
ANSWERS GRADED A+ 100% GUARANTEED
SUCCESS 2026




1. The nurse is caring for a patient who has a high fever, central nervous system
dysfunction and tachycardia. The nurse should recognize that the patient may be
experiencing


A. myxedema crisis.


B. Beck's triad.


C. thyroid storm.


D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS).: C. Thyroid storm





,2. Which of the following assessment findings associated with a skull fracture
indicate the need for further intervention?


A. otorrhea, nausea, and vomiting


B. decreasing level of consciousness and restlessness


C. early evidence of periorbital ecchymosis and photophobia


D. rhinorrhea and headache or dizziness: B. decreasing level of consciousness and
restlessness


3. Upon initial assessment of a male patient involved in a motor vehicle crash, the
nurse observes bruises in various stages of healing to his torso. He denies any
medical history. When asked about the bruising, the patient avoids eye contact,
states that he fell yesterday, and asks if his male partner has arrived to the ED. The
nurse suspects:


A. the patient may have undiagnosed coagulopathy.


B. the bruising was sustained during the motor vehicle crash.


C. the patient may be a victim of domestic violence.


D. the bruising is a result of the stated fall.: C. the patient may be a victim of domestic
violence.




,4. The nurse is caring for a patient who became unresponsive after diving head-first
into a shallow pool. The patient is experiencing refractory hypoten- sion. The nurse
should prepare for the administration of


a. lactated Ringers.


b. norepinephrine.




c. normal saline.


d. epinephrine.: b. norepinephrine






, 5. A 3-year-old child who has acute respiratory distress is admitted to the emer-
gency department. The child is sitting forward and drooling, and the neck is
extended. These findings support the diagnosis of


A. epiglottitis.


B. bronchiolitis.


C. croup.


D. aspiration of a foreign body.: A. epiglottitis


6. The nurse understands that adenosine is administered A.


IV push over 1-2 seconds.


B. as a bolus over 10-15 minutes.


C. as a bolus over 1 hour.


D. IV push over 1-2 minutes.: A. IV push over 1-2 seconds.

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