CEN EXAM VERSION 3
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A patient presents to the ED with disorientation to time,
place and person, memory impairment, and personality changes
for the past 6 days. This patient is most likely exhibiting which
psychosocial emergency?
Dementia
Schizophrenia
Depression
Delirium
Answer:
Delirium
Question 2: A patient arrives with complaints of shortness of
breath and a history of asthma. The assessment reveals mild
tachypnea, biphasic (expiratory and inspiratory) wheezing, and use
of accessory muscles. Peak expiratory flow is 48% of personal
best. What is the severity of this asthma exacerbation?
Severe
Moderate
Slight
Mild
Answer:
Moderate
,Question 3: A hazard vulnerability analysis (HVA) was completed
for a rural area ED. One finding was that the electrical system was
antiquated and could not handle power outages with generator
back-up. The director of emergency preparedness acknowledged
this issue and initiated a plan to ensure that the electrical system
received the necessary upgrades. What phase of disaster
preparedness is this related to?
Mitigation
Preparedness
Response
Recovery
Answer:
Mitigation
Question 4: A patient presents to the ED with complaints of right
arm weakness, and difficulty speaking. The symptoms started
about 40 minutes ago and are now improving. She said this
happened yesterday too, but went away. What is she experiencing?
Hemorrhagic stroke
Ischemic stroke
Bell's palsy
Transient ischemic attacks
Answer:
Transient ischemic attacks
Question 5: A 37-year-old female walks into the ED holding her
abdomen. She is writhing in pain. Her history includes vaginal
bleeding for the past 6 days. She soaked 5 sanitary pads in 2 hours.
What is the most likely cause of the heavy bleeding?
, Uterine fibroids
Mittelschmerz
Pelvic inflammatory disease
Bartholin cyst
Answer:
Uterine fibroids
Question 6: Wernicke-Korsakoff syndrome is characterized by
which clinical manifestations?
Ataxia, mental confusion, and ophthalmoplegia
Delirium tremens, hyperthermia, and disorientation
Tachycardia, tremors, and tachypnea
Hypothermia, muscle rigidity, and bradycardia
Answer:
Ataxia, mental confusion, and ophthalmoplegia
Question 7: A 35-year-old man presents with complaints of
stomach pain that comes and goes for the past two weeks. The
nurse asks additional questions about the nature of this pain and
finds that it is relieved with antacids and he feels better after eating.
The patient mentions that he had some similar pain about two
years ago, but it stopped after about a month and he never sought
care for it. This is most likely which type of gastrointestinal
disorder?
Cholecystitis
Pancreatitis
Duodenal ulcer
Stress ulcer
Answer:
, Duodenal ulcer
Question 8: Which immunoglobulin is responsible for Type 1
allergic responses?
IgA
IgE
IgG
IgM
Answer:
IgE
Question 9: A middle-aged male patient presents to the ED with
complaint of fever. He is awake, alert, and in no acute distress. On
arrival, vital signs are BP 118/58 mm Hg, HR 112 beats/min, RR 20
breaths/min, SpO2 95%, T 38.8 C (101.9 F). His medical history
includes human immunodeficiency virus (HIV) and he is taking
antiviral medications. Using a 5-level triage system, this patient
would be triaged as which acuity level?
Acuity Level 4 (non-urgent)
Acuity Level 2 (emergent)
Acuity Level 1 (life-threatening situation)
Acuity Level 3 (urgent)
Answer:
Acuity Level 2 (emergent)
Question 10: An 84-year-old male with a decreased level of
consciousness presents to the emergency department from a
nursing home. The patient has a history of hypertension, gout, and
chronic obstructive pulmonary disease. He is allergic to penicillin.
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A patient presents to the ED with disorientation to time,
place and person, memory impairment, and personality changes
for the past 6 days. This patient is most likely exhibiting which
psychosocial emergency?
Dementia
Schizophrenia
Depression
Delirium
Answer:
Delirium
Question 2: A patient arrives with complaints of shortness of
breath and a history of asthma. The assessment reveals mild
tachypnea, biphasic (expiratory and inspiratory) wheezing, and use
of accessory muscles. Peak expiratory flow is 48% of personal
best. What is the severity of this asthma exacerbation?
Severe
Moderate
Slight
Mild
Answer:
Moderate
,Question 3: A hazard vulnerability analysis (HVA) was completed
for a rural area ED. One finding was that the electrical system was
antiquated and could not handle power outages with generator
back-up. The director of emergency preparedness acknowledged
this issue and initiated a plan to ensure that the electrical system
received the necessary upgrades. What phase of disaster
preparedness is this related to?
Mitigation
Preparedness
Response
Recovery
Answer:
Mitigation
Question 4: A patient presents to the ED with complaints of right
arm weakness, and difficulty speaking. The symptoms started
about 40 minutes ago and are now improving. She said this
happened yesterday too, but went away. What is she experiencing?
Hemorrhagic stroke
Ischemic stroke
Bell's palsy
Transient ischemic attacks
Answer:
Transient ischemic attacks
Question 5: A 37-year-old female walks into the ED holding her
abdomen. She is writhing in pain. Her history includes vaginal
bleeding for the past 6 days. She soaked 5 sanitary pads in 2 hours.
What is the most likely cause of the heavy bleeding?
, Uterine fibroids
Mittelschmerz
Pelvic inflammatory disease
Bartholin cyst
Answer:
Uterine fibroids
Question 6: Wernicke-Korsakoff syndrome is characterized by
which clinical manifestations?
Ataxia, mental confusion, and ophthalmoplegia
Delirium tremens, hyperthermia, and disorientation
Tachycardia, tremors, and tachypnea
Hypothermia, muscle rigidity, and bradycardia
Answer:
Ataxia, mental confusion, and ophthalmoplegia
Question 7: A 35-year-old man presents with complaints of
stomach pain that comes and goes for the past two weeks. The
nurse asks additional questions about the nature of this pain and
finds that it is relieved with antacids and he feels better after eating.
The patient mentions that he had some similar pain about two
years ago, but it stopped after about a month and he never sought
care for it. This is most likely which type of gastrointestinal
disorder?
Cholecystitis
Pancreatitis
Duodenal ulcer
Stress ulcer
Answer:
, Duodenal ulcer
Question 8: Which immunoglobulin is responsible for Type 1
allergic responses?
IgA
IgE
IgG
IgM
Answer:
IgE
Question 9: A middle-aged male patient presents to the ED with
complaint of fever. He is awake, alert, and in no acute distress. On
arrival, vital signs are BP 118/58 mm Hg, HR 112 beats/min, RR 20
breaths/min, SpO2 95%, T 38.8 C (101.9 F). His medical history
includes human immunodeficiency virus (HIV) and he is taking
antiviral medications. Using a 5-level triage system, this patient
would be triaged as which acuity level?
Acuity Level 4 (non-urgent)
Acuity Level 2 (emergent)
Acuity Level 1 (life-threatening situation)
Acuity Level 3 (urgent)
Answer:
Acuity Level 2 (emergent)
Question 10: An 84-year-old male with a decreased level of
consciousness presents to the emergency department from a
nursing home. The patient has a history of hypertension, gout, and
chronic obstructive pulmonary disease. He is allergic to penicillin.
