CEN Practice Test | Actual Questions and Answers Latest
Updated 2026/2027 (Graded A+)
• Question
Ehler Danlos Syndrome puts patients at high risk for what?
Correct Answer: Aortic aneurysm and dissection
• Question
Jervell and Lange-Nielsen syndrome puts patients at high risk for what?
Correct Answer: Long QT
• Question
Initial defibrillation dose for pediatric patient
Correct Answer: 2 joules per kg then 4 joules, increasing up to 10 joules
• Question
Signs of endocarditis
Correct Answer: I. Janeway lesions- petechial lesions on palms/soles of feet
II. Osler's nodes- painful fingertip lesions
III. Roth's spots- retinal hemorrhages
• Question
How to decrease pulmonary congestion in acute heart failure
Correct Answer: Decrease preload- bipap
• Question
How much MAP do you want to reduce in hypertensive crisis
Correct Answer: 20-25% in the first hour
• Question
Signs and treatment of pericardial tamponade
Correct Answer: Muffled heart sounds and distended neck veins Incision to left of xiphoid
for pericardial decompression
• Question
How to hear a cardiac friction rub
Correct Answer: Have patient lean forward and listen at left sternal border
, • Question
Cardiac friction rub is a sign of what
Correct Answer: Pericarditis
• Question
IO placement will have what kind of aspirations
Correct Answer: Bone marrow- reddish frothy
• Question
Chest tube upper limits
Correct Answer: 1000mL of blood initially or blood drainage greater than 200mL for 3-4
hours may need OR
• Question
Guillain-Barre
Correct Answer: Rapid onset of numbness, weakness and paralysis of legs, arms,
breathing muscles and face ASCENDING- travels upwards from toes (Ground to Brain)
• Question
Cushing's Triad
Correct Answer: Bradycardia, widening pulse pressure and apnea Late signs of
intracranial pressure
• Question
Central cord syndrome
Correct Answer: I. Hypertension of the neck
II. Upper and lower extremity weakness- worse in upper extremities
III. Impaired sensory loss below level of injury
• Question
Anterior cord syndrome
Correct Answer: Motor paralysis and loss of pain/temperature below level of injury but
can still feel
• Question
Posterior cord syndrome
Correct Answer: preserved motor function below injury but loss of sensory function
Updated 2026/2027 (Graded A+)
• Question
Ehler Danlos Syndrome puts patients at high risk for what?
Correct Answer: Aortic aneurysm and dissection
• Question
Jervell and Lange-Nielsen syndrome puts patients at high risk for what?
Correct Answer: Long QT
• Question
Initial defibrillation dose for pediatric patient
Correct Answer: 2 joules per kg then 4 joules, increasing up to 10 joules
• Question
Signs of endocarditis
Correct Answer: I. Janeway lesions- petechial lesions on palms/soles of feet
II. Osler's nodes- painful fingertip lesions
III. Roth's spots- retinal hemorrhages
• Question
How to decrease pulmonary congestion in acute heart failure
Correct Answer: Decrease preload- bipap
• Question
How much MAP do you want to reduce in hypertensive crisis
Correct Answer: 20-25% in the first hour
• Question
Signs and treatment of pericardial tamponade
Correct Answer: Muffled heart sounds and distended neck veins Incision to left of xiphoid
for pericardial decompression
• Question
How to hear a cardiac friction rub
Correct Answer: Have patient lean forward and listen at left sternal border
, • Question
Cardiac friction rub is a sign of what
Correct Answer: Pericarditis
• Question
IO placement will have what kind of aspirations
Correct Answer: Bone marrow- reddish frothy
• Question
Chest tube upper limits
Correct Answer: 1000mL of blood initially or blood drainage greater than 200mL for 3-4
hours may need OR
• Question
Guillain-Barre
Correct Answer: Rapid onset of numbness, weakness and paralysis of legs, arms,
breathing muscles and face ASCENDING- travels upwards from toes (Ground to Brain)
• Question
Cushing's Triad
Correct Answer: Bradycardia, widening pulse pressure and apnea Late signs of
intracranial pressure
• Question
Central cord syndrome
Correct Answer: I. Hypertension of the neck
II. Upper and lower extremity weakness- worse in upper extremities
III. Impaired sensory loss below level of injury
• Question
Anterior cord syndrome
Correct Answer: Motor paralysis and loss of pain/temperature below level of injury but
can still feel
• Question
Posterior cord syndrome
Correct Answer: preserved motor function below injury but loss of sensory function
