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CEN Exam Master Review 2025/2026 – 100+ High-Yield Questions with Clinical Rationales | Trauma, Cardiac, Respiratory, OB, Pediatrics, Sepsis, ECG, Neuro, Endocrine & Emergency Pharmacology

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This full-scope emergency nursing resource presents 100+ rigorously reviewed questions with accurate answers and rationales, crafted to mirror the Certified Emergency Nurse (CEN) exam 2025/2026 standards. Designed for clinical accuracy and timed practice, this guide prepares nurses to manage complex emergency cases across body systems and patient populations. Key domains and concepts include: Trauma & Critical Injuries: Femoral fractures, airway burns, cervical spine protection, compartment syndrome, blunt abdominal trauma Cardiovascular & ECG Interpretation: AV blocks, MI symptoms, defibrillation timing, synchronized cardioversion, chest pain triage Respiratory Conditions: Asthma crisis, BiPAP/CPAP settings, ABG interpretation, pulmonary embolism, oxygen delivery choices Neurologic & Endocrine Issues: Stroke protocols, TIA, SIADH, myxedema coma, diabetes emergencies, ICP management Obstetric & Gynecologic Emergencies: Placental abruption, ectopic pregnancy, postpartum hemorrhage, fetal heart tone interpretation Pediatric & Neonatal: Seizure prioritization, RSV, airway support, hypoglycemia, pediatric fluid management Sepsis & Infectious Disease: SIRS criteria, culture timing, broad-spectrum antibiotic administration Emergency Medications & Legal Concepts: ACLS drugs, dosage timing, EMTALA, consent for minors, triage prioritization This resource reflects real-world complexity and is ideal for timed mock testing, last-minute prep, or instructional support for nurse educators preparing students for CEN certification. Recommended for: Courses: Emergency Nursing, Advanced Pathophysiology, ACLS & Pediatric Emergency Modules Programs: BCEN CEN Prep, ED Residency, Trauma Core Curriculum, Critical Care Training Users: CEN exam candidates, emergency RNs, ER educators, accelerated BSN students, and critical care nurse interns Keywords: CEN 2025, emergency nursing review, trauma care, AV blocks, synchronized cardioversion, ABG interpretation, airway burns, pediatric seizures, myxedema coma, postpartum hemorrhage, SIADH, EMTALA law, oxygen devices, ECG review, stroke triage, compartment syndrome, RSV, sepsis bundle, ACLS medications, nursing certification practice

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CEN Exam 2025/2026 Exam Questions
and Detailed Answers | Get it 100%
Correct Answers



Which of the following statements made by a patient would lead the nurse to

conclude that the patient understands risk factors for pulmonary embolism?

While on a long flight, I should get up and walk to stretch my legs every hour.

Resuming my birth control pills will lower my risk of cancer and my risk of

another clot.

If I drink plenty of water while driving on a long trip, this shouldn't happen again.

Switching from my regular cigarettes to the electronic ones can reduce my risk. -

🧠ANSWER ✔✔While on a long flight, I should get up and walk to stretch my legs

every hour.

,An emergency nurse is providing discharge instructions for a patient with pelvic

inflammatory disease. Which statement made by the patient indicates an

understanding of these instructions?

Getting pregnant shouldn't be a problem once the infection goes away.

I'll take the medicine for nausea when I feel sick to my stomach.

I will be at increased risk for ectopic pregnancy.


I will follow up with my doctor tomorrow. - 🧠ANSWER ✔✔I will be at increased

risk for ectopic pregnancy.

A 16-year-old presents with severe left upper quadrant abdominal pain after an

over-the-handlebars bicycle collision. Vital signs are BP 100/60 mm Hg, HR 100

beats/min, RR 30 breaths/min, T 37.0 C (98.6 F), SpO2 89% without supplemental

oxygen. There is bruising over the left upper quadrant of the abdomen.

Auscultation reveals diminished breath sounds on the left accompanied by

gurgling. Based on this history and assessment, the nurse suspects which injury?

Small bowel rupture

Ruptured diaphragm

Flail chest

,Hepatic injury - 🧠ANSWER ✔✔Ruptured diaphragm


A patient presents with chest pain. The nurse performs a 12-lead electrocardiogram

that reveals an abnormal Q wave. What does the nurse suspect?

A current injury

An old infarction

An acute infarction


Ischemia - 🧠ANSWER ✔✔An old infarction


A patient is brought to the ED by emergency medical services with increased

aggression and making clear homicidal threats. What immediate action will the

nurse expect to promote staff and patient safety?

Administration of antipsychotics

One-to-one observation

Place in a seclusion room


Application of restraints - 🧠ANSWER ✔✔Place in a seclusion room


A 28-year-old female presents with shortness of breath, dizziness, and diaphoresis.

Her vital signs are BP 118/74 mm Hg, HR 122 beats/min, RR 26 breaths/min, T

37.7 C (99.9 F), SpO2 92% without supplemental oxygen. Her health history


COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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, includes fractures of the left tibia and fibula following an MVC 3 weeks ago.

Surgical fixation was required. Her only current medications are an oral

contraceptive and intermittent ibuprofen for pain. Assessment of the casted left leg

reveals that the toes are swollen. With this information, which diagnostic testing

will the nurse expect as the highest priority?

Sputum cultures

Chest radiograph

Computed tomographic pulmonary angiography


Radiograph of the left leg - 🧠ANSWER ✔✔Computed tomographic pulmonary

angiography

A family of 10 presents to the ED with complaints of fever, muscle pain, and

unexplained bruising ongoing for 7 days. After completing the screening, the nurse

notes that the family recently traveled to Sierra Leone. What is the highest priority

intervention the triage nurse needs to perform?

Notify infection prevention

Leave the family in the waiting room

Evacuate the waiting room

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Number of pages
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