CEN Exam (2024) Test Questions and Detailed Correct
Answer 100% Verified
After exposure in a house fire, the patient presents to the emergency department with
dyspnea and hoarse vocalization. Which condition does the nurse suspect?
Angioedema
Pneumonia
Asthma exacerbation
Respiratory distress syndrome - Angioedema
An 11-month-old patient presents to the ED with grunting, nasal flaring, copious nasal
secretions, mild intercostal retractions, and expiratory wheezing. Vital signs include BP
78/54 mm Hg, HR 148 beats/min, RR 74 breaths/min, T 37.8 C (100.0 F), SpO2 93%
without supplemental oxygen. Which intervention will be the nurses highest priority?
Give a bolus of normal saline
Prepare for intubation
Administer antibiotics
Suction the nares - Suction the nares
An 8-year-old boy with a history of sickle cell disease presents with right knee pain that
he rates at 8 out of 10 on the numeric scale. He denies history of recent injury. There is
no redness or swelling at the site. The knee is tender to light palpation, but it radiates no
heat to touch. The nurse anticipates the use of which of the following pharmacological
agents?
Morphine
Meperidine
Fentanyl
Ibuprofen - Morphine
An 83-year-old female patient with a two-day history of vomiting and diarrhea is brought
to the emergency department via ambulance from a nursing home. The patient does not
respond to verbal stimuli. Pitting edema is noted to both lower extremities. Her vital
signs are as follows: BP 85/45 mm Hg, HR 38 beats/min, RR 28 breaths/min, and SpO2
96% with oxygen at 15 LPM on nonrebreather mask. Which type of shock is displayed
in this patient's presentation?
Obstructive shock
Uncompensated shock
Compensated shock
Distributive shock - Uncompensated shock
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. Current
medications include docusate, albuterol inhaler, colchicine, and metoprolol. Vital signs
on arrival are BP 78/48 mm Hg, HR 60 beats/min, RR 28 breaths/min, T 35.3 C (95.6
, F), and SpO2 92% without supplemental oxygen. Which type of shock do these clinical
manifestations represent?
Obstructive
Septic
Anaphylactic
Hypovolemic - Septic
An adolescent patient who siphoned gasoline presents with coughing, vomiting, and
decreased oxygen saturation. Which delayed sequela is most likely?
Dysrhythmias
Seizure
Hepatotoxicity
Chemical pneumonitis - Chemical pneumonitis
An adolescent playing basketball felt a pop in her heel after a jump shot, and a sharp
pain in her heel as she landed. She is unable to stand on the ball of her foot. Which
injury do these clinical manifestations most likely represent?
Calcaneous fracture
Achilles tendon rupture
Ankle strain
Metatarsal fracture - Achilles tendon rupture
An adult male presents to the ED complaining of pain to the fingers of his right hand
after using rust remover containing hydrofluoric acid earlier in the day. He states the
pain began about 30 minutes ago. The distal digits are discolored and painful, but the
fingernails are intact. After decontaminating the patient with copious amounts of water,
the emergency nurse anticipates application of which treatment to the affected areas?
Calcium gluconate gel to the affected areas
A topical fat emollient to the affected areas
Calcium chloride gel to the affected areas
Ice directly to the affected areas - Calcium gluconate gel to the affected areas
An adult patient complains of a papular, scaly, itchy rash that is most prominent in the
webbing of the fingers, groin, and axilla. Permethrin cream has been prescribed. How
will the nurse instruct the patient to apply the cream?
To affected areas once per day for three days
From head-to-toe if the rash persists beyond a week
From head-to-toe, with a second application one week later
To affected areas as needed for itching - From head-to-toe, with a second application
one week later
An adult presents to the emergency department complaining of a low-grade fever,
malaise, pain in the joints, and headache for the past week. The patient reports hiking in
wooded areas during a recent vacation in the Northeast United States. Upon physical
assessment, a circular, flat, red rash with central clearing is noted to the left scapular
area, and local tenderness upon palpation to the left axillary lymph node. After
Answer 100% Verified
After exposure in a house fire, the patient presents to the emergency department with
dyspnea and hoarse vocalization. Which condition does the nurse suspect?
Angioedema
Pneumonia
Asthma exacerbation
Respiratory distress syndrome - Angioedema
An 11-month-old patient presents to the ED with grunting, nasal flaring, copious nasal
secretions, mild intercostal retractions, and expiratory wheezing. Vital signs include BP
78/54 mm Hg, HR 148 beats/min, RR 74 breaths/min, T 37.8 C (100.0 F), SpO2 93%
without supplemental oxygen. Which intervention will be the nurses highest priority?
Give a bolus of normal saline
Prepare for intubation
Administer antibiotics
Suction the nares - Suction the nares
An 8-year-old boy with a history of sickle cell disease presents with right knee pain that
he rates at 8 out of 10 on the numeric scale. He denies history of recent injury. There is
no redness or swelling at the site. The knee is tender to light palpation, but it radiates no
heat to touch. The nurse anticipates the use of which of the following pharmacological
agents?
Morphine
Meperidine
Fentanyl
Ibuprofen - Morphine
An 83-year-old female patient with a two-day history of vomiting and diarrhea is brought
to the emergency department via ambulance from a nursing home. The patient does not
respond to verbal stimuli. Pitting edema is noted to both lower extremities. Her vital
signs are as follows: BP 85/45 mm Hg, HR 38 beats/min, RR 28 breaths/min, and SpO2
96% with oxygen at 15 LPM on nonrebreather mask. Which type of shock is displayed
in this patient's presentation?
Obstructive shock
Uncompensated shock
Compensated shock
Distributive shock - Uncompensated shock
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. Current
medications include docusate, albuterol inhaler, colchicine, and metoprolol. Vital signs
on arrival are BP 78/48 mm Hg, HR 60 beats/min, RR 28 breaths/min, T 35.3 C (95.6
, F), and SpO2 92% without supplemental oxygen. Which type of shock do these clinical
manifestations represent?
Obstructive
Septic
Anaphylactic
Hypovolemic - Septic
An adolescent patient who siphoned gasoline presents with coughing, vomiting, and
decreased oxygen saturation. Which delayed sequela is most likely?
Dysrhythmias
Seizure
Hepatotoxicity
Chemical pneumonitis - Chemical pneumonitis
An adolescent playing basketball felt a pop in her heel after a jump shot, and a sharp
pain in her heel as she landed. She is unable to stand on the ball of her foot. Which
injury do these clinical manifestations most likely represent?
Calcaneous fracture
Achilles tendon rupture
Ankle strain
Metatarsal fracture - Achilles tendon rupture
An adult male presents to the ED complaining of pain to the fingers of his right hand
after using rust remover containing hydrofluoric acid earlier in the day. He states the
pain began about 30 minutes ago. The distal digits are discolored and painful, but the
fingernails are intact. After decontaminating the patient with copious amounts of water,
the emergency nurse anticipates application of which treatment to the affected areas?
Calcium gluconate gel to the affected areas
A topical fat emollient to the affected areas
Calcium chloride gel to the affected areas
Ice directly to the affected areas - Calcium gluconate gel to the affected areas
An adult patient complains of a papular, scaly, itchy rash that is most prominent in the
webbing of the fingers, groin, and axilla. Permethrin cream has been prescribed. How
will the nurse instruct the patient to apply the cream?
To affected areas once per day for three days
From head-to-toe if the rash persists beyond a week
From head-to-toe, with a second application one week later
To affected areas as needed for itching - From head-to-toe, with a second application
one week later
An adult presents to the emergency department complaining of a low-grade fever,
malaise, pain in the joints, and headache for the past week. The patient reports hiking in
wooded areas during a recent vacation in the Northeast United States. Upon physical
assessment, a circular, flat, red rash with central clearing is noted to the left scapular
area, and local tenderness upon palpation to the left axillary lymph node. After
