CEN Exam 1 Prep 2026 | Certified Emergency
Nurse Practice Questions & Verified Answers
1. Describe how intimate partner violence can lead to non-traumatic
medical conditions in victims.
Victims may experience chronic pain, gastrointestinal problems,
and mental health issues due to stress and psychological
trauma.
Victims develop acute infections from physical abuse.
Victims are unaffected by psychological trauma.
Victims only show signs of physical injuries.
2. In a scenario where an elderly patient with chest pain is found to be
hypotensive, which intervention should be prioritized after establishing a
cardiac monitor?
Foley catheter insertion
Sublingual nitroglycerin
IV access for fluid resuscitation
Immediate discharge
3. What is the definition of a comminuted fracture?
A fracture where the bone is broken into several pieces.
A fracture that occurs due to excessive pressure on the bone.
A fracture that breaks through the skin.
A fracture caused by a pulling force on the bone.
,4. In a scenario where a patient on mechanical ventilation shows elevated
airway pressure due to bronchospasm, what immediate actions should
the healthcare provider take?
Disconnect the ventilator and manually ventilate the patient.
Administer bronchodilators and reassess the patient's airway.
Change the endotracheal tube immediately without assessing the
cause.
Increase the ventilator settings without further assessment.
5. Which of the following is NOT a potential cause of elevated airway
pressure in a mechanically ventilated patient?
Cuff leak
Bronchospasm
Pneumothorax
Endotracheal tube obstruction with sputum
6. Which device is commonly used for routine hemodynamic monitoring in
patients experiencing shock?
superior vena cava oxygen saturation (ScvO2)
central venous pressure
pulse oximetry
pulmonary artery catheter
, 7. A 32-year-old woman presents for evaluation of acute-onset left-sided
flank pain. She is unable to sit still due to the pain. She also has noted
blood in her urine. Physical examination reveals the patient to be
restless. She is afebrile and has mild costovertebral angle tenderness.
Urinalysis reveals gross hematuria. Which of the following is the most
likely diagnosis?
Nephrolithiasis
Pyelonephritis
Dysmenorrhea
Diverticulitis
8. Which option describes an inappropriate action for screening domestic
violence in an emergency department setting?
c. avoid asking about intimate person violence if the patient is
in the emergency department for a medical ailment, not
trauma
b. asking, 'Do you feel safe in your present relationship?'
a. asking if the person has been hit, kicked, or otherwise hurt by
someone in the past year; if so, by whom
d. asking if there is a partner from a previous relationship that
makes the individual feel unsafe
9. Which dysrhythmia would be identified on an ECG/EKG six-second strip
by a heart rate of 76 and a PR interval of 0.24?
sinus bradycardia
sinus tachycardia
junctional escape rhythm
first-degree atrioventricular block
Nurse Practice Questions & Verified Answers
1. Describe how intimate partner violence can lead to non-traumatic
medical conditions in victims.
Victims may experience chronic pain, gastrointestinal problems,
and mental health issues due to stress and psychological
trauma.
Victims develop acute infections from physical abuse.
Victims are unaffected by psychological trauma.
Victims only show signs of physical injuries.
2. In a scenario where an elderly patient with chest pain is found to be
hypotensive, which intervention should be prioritized after establishing a
cardiac monitor?
Foley catheter insertion
Sublingual nitroglycerin
IV access for fluid resuscitation
Immediate discharge
3. What is the definition of a comminuted fracture?
A fracture where the bone is broken into several pieces.
A fracture that occurs due to excessive pressure on the bone.
A fracture that breaks through the skin.
A fracture caused by a pulling force on the bone.
,4. In a scenario where a patient on mechanical ventilation shows elevated
airway pressure due to bronchospasm, what immediate actions should
the healthcare provider take?
Disconnect the ventilator and manually ventilate the patient.
Administer bronchodilators and reassess the patient's airway.
Change the endotracheal tube immediately without assessing the
cause.
Increase the ventilator settings without further assessment.
5. Which of the following is NOT a potential cause of elevated airway
pressure in a mechanically ventilated patient?
Cuff leak
Bronchospasm
Pneumothorax
Endotracheal tube obstruction with sputum
6. Which device is commonly used for routine hemodynamic monitoring in
patients experiencing shock?
superior vena cava oxygen saturation (ScvO2)
central venous pressure
pulse oximetry
pulmonary artery catheter
, 7. A 32-year-old woman presents for evaluation of acute-onset left-sided
flank pain. She is unable to sit still due to the pain. She also has noted
blood in her urine. Physical examination reveals the patient to be
restless. She is afebrile and has mild costovertebral angle tenderness.
Urinalysis reveals gross hematuria. Which of the following is the most
likely diagnosis?
Nephrolithiasis
Pyelonephritis
Dysmenorrhea
Diverticulitis
8. Which option describes an inappropriate action for screening domestic
violence in an emergency department setting?
c. avoid asking about intimate person violence if the patient is
in the emergency department for a medical ailment, not
trauma
b. asking, 'Do you feel safe in your present relationship?'
a. asking if the person has been hit, kicked, or otherwise hurt by
someone in the past year; if so, by whom
d. asking if there is a partner from a previous relationship that
makes the individual feel unsafe
9. Which dysrhythmia would be identified on an ECG/EKG six-second strip
by a heart rate of 76 and a PR interval of 0.24?
sinus bradycardia
sinus tachycardia
junctional escape rhythm
first-degree atrioventricular block
