CEN Exam (Latest 2025/2026 Update) i,- i,- i,- i,- i,-
|150 Questions with Verified Answers | i,- i,- i,- i,- i,- i,-
100% Correct| Graded A. i,- i,- i,-
A 16-year-old presents with severe left upper quadrant
i,- i,- i,- i,- i,- i,- i,- i,-
abdominal pain after an over-the-handlebars bicycle collision.
i,- i,- i,- i,- i,- i,- i,-
Vital signs are BP 100/60 mm Hg, HR 100 beats/min, RR 30
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
breaths/min, T 37.0 C (98.6 F), SpO2 89% without supplemental i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
oxygen. There is bruising over the left upper quadrant of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
abdomen. Auscultation reveals diminished breath sounds on the
i,- i,- i,- i,- i,- i,- i,- i,-
left accompanied by gurgling. Based on this history and
i,- i,- i,- i,- i,- i,- i,- i,- i,-
assessment, the nurse suspects which injury? i,- i,- i,- i,- i,-
i,- Small bowel rupture i,- i,-
i,- Ruptured diaphragm i,-
i,- Flail chest i,-
i,- Hepatic injury i,- i,-i,- i,- Ruptured diaphragm i,-
A patient presents with chest pain. The nurse performs a 12-lead
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
electrocardiogram that reveals an abnormal Q wave. What does i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nurse suspect?i,- i,-
i,- A current injury
i,- i,-
i,- An old infarction
i,- i,-
,i,- An acute infarction
i,- i,-
i,- Ischemia i,-i,- i,- An old infarction i,- i,-
A patient is brought to the ED by emergency medical services
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with increased aggression and making clear homicidal threats.
i,- i,- i,- i,- i,- i,- i,- i,-
What immediate action will the nurse expect to promote staff and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient safety? i,-
i,- Administration of antipsychotics i,- i,-
i,- One-to-one observation i,-
i,- Place in a seclusion room
i,- i,- i,- i,-
i,- Application of restraints i,- i,- i,-i,- i,- Place in a seclusion room i,- i,- i,- i,-
A 28-year-old female presents with shortness of breath, dizziness,
i,- i,- i,- i,- i,- i,- i,- i,- i,-
and diaphoresis. Her vital signs are BP 118/74 mm Hg, HR 122
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
beats/min, RR 26 breaths/min, T 37.7 C (99.9 F), SpO2 92% i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
without supplemental oxygen. Her health history includes
i,- i,- i,- i,- i,- i,- i,-
fractures of the left tibia and fibula following an MVC 3 weeks
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ago. Surgical fixation was required. Her only current medications
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are an oral contraceptive and intermittent ibuprofen for pain.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Assessment of the casted left leg reveals that the toes are i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
swollen. With this information, which diagnostic testing will the
i,- i,- i,- i,- i,- i,- i,- i,- i,-
nurse expect as the highest priority?
i,- i,- i,- i,- i,-
i,- Sputum cultures i,-
i,- Chest radiograph i,-
,i,- Computed tomographic pulmonary angiography i,- i,- i,-
Radiograph of the left leg
i,- i,- i,- i,- i,- i,-i,- i,- Computed tomographic i,- i,-
pulmonary angiography i,-
A family of 10 presents to the ED with complaints of fever, muscle
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pain, and unexplained bruising ongoing for 7 days. After
i,- i,- i,- i,- i,- i,- i,- i,- i,-
completing the screening, the nurse notes that the family recently i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
traveled to Sierra Leone. What is the highest priority intervention
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the triage nurse needs to perform?
i,- i,- i,- i,- i,-
i,- Notify infection preventioni,- i,-
i,- Leave the family in the waiting room
i,- i,- i,- i,- i,- i,-
i,- Evacuate the waiting room i,- i,- i,-
Inform those waiting that Ebola has been detected
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- Notify i,-
infection prevention i,-
Which of the following statements made by a patient would lead
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nurse to conclude that the patient understands risk factors for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pulmonary embolism? i,-
While on a long flight, I should get up and walk to stretch my
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
legs every hour. i,- i,-
Resuming my birth control pills will lower my risk of cancer and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
my risk of another clot.
i,- i,- i,- i,-
If I drink plenty of water while driving on a long trip, this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
shouldn't happen again. i,- i,-
, Switching from my regular cigarettes to the electronic ones can
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
reduce my risk. While on a long flight, I should get up and
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
walk to stretch my legs every hour.
i,- i,- i,- i,- i,- i,-
An emergency nurse is providing discharge instructions for a
i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient with pelvic inflammatory disease. Which statement made
i,- i,- i,- i,- i,- i,- i,- i,-
by the patient indicates an understanding of these instructions?
i,- i,- i,- i,- i,- i,- i,- i,-
Getting pregnant shouldn't be a problem once the infection
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
goes away. i,-
i,- I'll take the medicine for nausea when I feel sick to my stomach.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
I will be at increased risk for ectopic pregnancy.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
I will follow up with my doctor tomorrow.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- I will be at
i,- i,- i,- i,- i,-
increased risk for ectopic pregnancy. i,- i,- i,- i,-
A patient presents to the ED with complaints of fatigue and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
insomnia. Assessment findings reveal the patient is awake, alert,i,- i,- i,- i,- i,- i,- i,- i,- i,-
and oriented, has a round moon face, buffalo hump back,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hirsutism and prominent striae on the trunk. Vital signs are i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
normal. Which of the following scenarios is most consistent with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
this patient's presentation?
i,- i,-
A high school wrestler who admits to taking his grandfather's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
furosemide before a meet i,- i,- i,-
|150 Questions with Verified Answers | i,- i,- i,- i,- i,- i,-
100% Correct| Graded A. i,- i,- i,-
A 16-year-old presents with severe left upper quadrant
i,- i,- i,- i,- i,- i,- i,- i,-
abdominal pain after an over-the-handlebars bicycle collision.
i,- i,- i,- i,- i,- i,- i,-
Vital signs are BP 100/60 mm Hg, HR 100 beats/min, RR 30
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
breaths/min, T 37.0 C (98.6 F), SpO2 89% without supplemental i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
oxygen. There is bruising over the left upper quadrant of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
abdomen. Auscultation reveals diminished breath sounds on the
i,- i,- i,- i,- i,- i,- i,- i,-
left accompanied by gurgling. Based on this history and
i,- i,- i,- i,- i,- i,- i,- i,- i,-
assessment, the nurse suspects which injury? i,- i,- i,- i,- i,-
i,- Small bowel rupture i,- i,-
i,- Ruptured diaphragm i,-
i,- Flail chest i,-
i,- Hepatic injury i,- i,-i,- i,- Ruptured diaphragm i,-
A patient presents with chest pain. The nurse performs a 12-lead
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
electrocardiogram that reveals an abnormal Q wave. What does i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nurse suspect?i,- i,-
i,- A current injury
i,- i,-
i,- An old infarction
i,- i,-
,i,- An acute infarction
i,- i,-
i,- Ischemia i,-i,- i,- An old infarction i,- i,-
A patient is brought to the ED by emergency medical services
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with increased aggression and making clear homicidal threats.
i,- i,- i,- i,- i,- i,- i,- i,-
What immediate action will the nurse expect to promote staff and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient safety? i,-
i,- Administration of antipsychotics i,- i,-
i,- One-to-one observation i,-
i,- Place in a seclusion room
i,- i,- i,- i,-
i,- Application of restraints i,- i,- i,-i,- i,- Place in a seclusion room i,- i,- i,- i,-
A 28-year-old female presents with shortness of breath, dizziness,
i,- i,- i,- i,- i,- i,- i,- i,- i,-
and diaphoresis. Her vital signs are BP 118/74 mm Hg, HR 122
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
beats/min, RR 26 breaths/min, T 37.7 C (99.9 F), SpO2 92% i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
without supplemental oxygen. Her health history includes
i,- i,- i,- i,- i,- i,- i,-
fractures of the left tibia and fibula following an MVC 3 weeks
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ago. Surgical fixation was required. Her only current medications
i,- i,- i,- i,- i,- i,- i,- i,- i,-
are an oral contraceptive and intermittent ibuprofen for pain.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Assessment of the casted left leg reveals that the toes are i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
swollen. With this information, which diagnostic testing will the
i,- i,- i,- i,- i,- i,- i,- i,- i,-
nurse expect as the highest priority?
i,- i,- i,- i,- i,-
i,- Sputum cultures i,-
i,- Chest radiograph i,-
,i,- Computed tomographic pulmonary angiography i,- i,- i,-
Radiograph of the left leg
i,- i,- i,- i,- i,- i,-i,- i,- Computed tomographic i,- i,-
pulmonary angiography i,-
A family of 10 presents to the ED with complaints of fever, muscle
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pain, and unexplained bruising ongoing for 7 days. After
i,- i,- i,- i,- i,- i,- i,- i,- i,-
completing the screening, the nurse notes that the family recently i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
traveled to Sierra Leone. What is the highest priority intervention
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the triage nurse needs to perform?
i,- i,- i,- i,- i,-
i,- Notify infection preventioni,- i,-
i,- Leave the family in the waiting room
i,- i,- i,- i,- i,- i,-
i,- Evacuate the waiting room i,- i,- i,-
Inform those waiting that Ebola has been detected
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- Notify i,-
infection prevention i,-
Which of the following statements made by a patient would lead
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nurse to conclude that the patient understands risk factors for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pulmonary embolism? i,-
While on a long flight, I should get up and walk to stretch my
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
legs every hour. i,- i,-
Resuming my birth control pills will lower my risk of cancer and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
my risk of another clot.
i,- i,- i,- i,-
If I drink plenty of water while driving on a long trip, this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
shouldn't happen again. i,- i,-
, Switching from my regular cigarettes to the electronic ones can
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
reduce my risk. While on a long flight, I should get up and
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
walk to stretch my legs every hour.
i,- i,- i,- i,- i,- i,-
An emergency nurse is providing discharge instructions for a
i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient with pelvic inflammatory disease. Which statement made
i,- i,- i,- i,- i,- i,- i,- i,-
by the patient indicates an understanding of these instructions?
i,- i,- i,- i,- i,- i,- i,- i,-
Getting pregnant shouldn't be a problem once the infection
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
goes away. i,-
i,- I'll take the medicine for nausea when I feel sick to my stomach.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
I will be at increased risk for ectopic pregnancy.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
I will follow up with my doctor tomorrow.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- I will be at
i,- i,- i,- i,- i,-
increased risk for ectopic pregnancy. i,- i,- i,- i,-
A patient presents to the ED with complaints of fatigue and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
insomnia. Assessment findings reveal the patient is awake, alert,i,- i,- i,- i,- i,- i,- i,- i,- i,-
and oriented, has a round moon face, buffalo hump back,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hirsutism and prominent striae on the trunk. Vital signs are i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
normal. Which of the following scenarios is most consistent with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
this patient's presentation?
i,- i,-
A high school wrestler who admits to taking his grandfather's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
furosemide before a meet i,- i,- i,-
