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CEN Exam 2026 | 300+ High-Yield Q&A | BCEN Aligned | Graded A+

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CEN Exam 2026, Certified Emergency Nurse, BCEN, Emergency Nursing, Cardiovascular Emergencies, Respiratory Emergencies, Trauma Nursing, Triage protocols, NGN Nursing, NCLEX Style, July 2026 Update, Clinical Judgment, Sepsis Protocols, STEMI, NIHSS, GCS, Toxicology, Professional Issues.

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CEN EXAM FLASHCARDS 2026 | 300+ HIGH-YIELD
Q&A | BCEN ALIGNED | GRADED A+

Fill in the blank: The classic triad of acute aortic dissection includes chest pain, pulse
deficit, and ________.

Widened mediastinum

Definition: Inflammation of the inner lining of the heart, usually involving the valves.

Endocarditis

Terminology: ST-segment elevation on ECG indicates ________.

Myocardial infarction (STEMI)

Scenario: A patient presents with jugular vein distention, muffled heart sounds, and
hypotension. What is the likely diagnosis?

Pericardial tamponade (Beck's triad)

Fill in the blank: The term "afterload" refers to the resistance the ________ must overcome
to eject blood.

Left ventricle

Definition: Sudden cessation of cardiac mechanical activity confirmed by absence of pulse,
unresponsiveness, and apnea.

Cardiopulmonary arrest

Scenario: A patient with chest pain radiating to the jaw and diaphoresis likely has
________.

Acute coronary syndrome (ACS)

Terminology: A life-threatening ventricular rhythm with no effective cardiac output.

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Ventricular fibrillation

Fill in the blank: Aneurysm refers to a localized ________ of an artery.

Dilation or ballooning

Definition: Inflammation of the sac surrounding the heart.

Pericarditis

Scenario: A trauma patient presents with distended neck veins, absent breath sounds on
one side, and hypotension — this indicates ________.

Tension pneumothorax causing obstructive shock

Terminology: Condition in which the heart cannot pump sufficient blood to meet the body's
needs.

Heart failure

Fill in the blank: The most common site for a deep vein thrombosis is the ________ vein.

Popliteal or femoral

Definition: Sudden blockage of a pulmonary artery by a thrombus.

Pulmonary embolism

Scenario: A patient with tearing chest pain radiating to the back and a different BP in each
arm may have ________.

Aortic dissection

Terminology: Refers to elevated arterial pressure persistently above normal range.

Hypertension

Fill in the blank: The medication used to dissolve clots in acute STEMI is called a
________.

Thrombolytic (fibrinolytic)

Definition: Shock resulting from failure of the heart to pump effectively.

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Cardiogenic shock

Scenario: A patient presents with cold, pale extremity, pain, paresthesia, and pulselessness
— think ________.

Acute arterial occlusion (Peripheral vascular disease)

Terminology: Abnormally slow heart rhythm (<60 bpm).

Bradycardia

Fill in the blank: "Preload" refers to the volume of blood returning to the ________.

Heart (ventricles)

Definition: Irregular, chaotic atrial rhythm without distinct P waves.

Atrial fibrillation

Scenario: Patient with endocarditis develops sudden flank pain — suspect ________.

Renal emboli (systemic embolization)

Terminology: A life-threatening elevation in blood pressure with end-organ damage.

Hypertensive emergency

Fill in the blank: The definitive treatment for cardiac tamponade is ________.

Pericardiocentesis

Definition: Failure of blood flow due to mechanical obstruction to cardiac filling.

Obstructive shock

Scenario: Patient develops chest pain post-MI, friction rub heard — indicates ________.

Pericarditis

Terminology: Temporary loss of consciousness due to decreased cerebral perfusion.

Syncope

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Fill in the blank: The mnemonic "MONA" (Morphine, Oxygen, Nitroglycerin, Aspirin)
applies to initial treatment of ________.

Acute coronary syndrome (ACS)

Definition: Inflammation and infection of a vein with thrombus formation.

Thrombophlebitis

Definition: Entry of foreign material into the tracheobronchial tree.

Aspiration

Fill in the blank: A chronic inflammatory airway disease characterized by reversible
airway obstruction is called ________.

Asthma

Terminology: A progressive, irreversible airflow limitation commonly caused by chronic
bronchitis or emphysema.

Chronic obstructive pulmonary disease (COPD)

Scenario: A patient presents with fever, productive cough, and crackles in the right lower
lobe. Diagnosis?

Pneumonia (respiratory infection)

Definition: Lung injury caused by inhalation of toxic gases, smoke, or chemicals.

Inhalation injury

Fill in the blank: The accumulation of fluid in the pleural space is known as ________.

Pleural effusion

Scenario: Sudden dyspnea and pleuritic chest pain with absent breath sounds on one side
indicates ________.

Pneumothorax

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