Certified Emergency Nurse (CEN) Pretest – PDB Nurse Education, LLC – Comprehensive Practice Exam Material

CEN Pretest by PDB Nurse Education, LLC

1. Pulseypressureyisytheydifferenceybetweenysystolicybloodypressureyandydiastolicybloodypressure,yandyisywidenedyi
nywhichyofytheyfollowingydisorders?
a. Earlyyhypovolemicyshock.
b. Increasedyintracranialypressure.
c. Cardiacytamponade.
d. Neurogenicyshock.
2. Parentsybringyinytheiry4-week-oldyinfantywithynon-
biliousyprojectileyvomitingyandypersistentyhunger.yWhichyofytheyfollowingyconditionsyisysuspected?
a. PyloricyStenosis
b. Intussusception
c. Appendicitis
d. Volvulus
3. Systemicyvascularyresistancey(SVR)yisydecreasedyinywhichytypeyofyshock?
a. Hypovolemic
b. Cardiogenic
c. Obstructive
d. Distributive
4. Ay64-year-
oldyfemaleyfellyandytransportedytoytheyEDyviayEMSyforysevereyhipypainyandyinabilityytoymove.yWhatyclassific
ationyofymedicationsymayymaskytheyearlyysignsyofyhypovolemicyshock?
a. Beta-blockers
b. ACEyinhibitors
c. Angiotensinyreceptoryblockers
d. Calciumychannelyblockers
5. AypatientyisytransportedytoytheyEDyviayEMSyforyheadache,yvomiting,yandyprogressiveyconfusionyafteryayfallythre
eydaysyago.yWhichyofytheyfollowingyheadyinjuriesyisytheymostylikelyycauseyofytheseysymptoms?
a. Concussion
b. Epiduralyhematoma
c. Subduralyhematoma
d. Basilaryskullyfracture
6. WhichyofytheyfollowingyisytheyhallmarkysymptomyofyPrinzmetal’syangina?
a. Chestypainywithyphysicalyexertion.
b. Chestypainyatyrestydueytoycoronaryyvasospasm.
c. Chestypainyrelievedybyynitroglycerinyandyrest.
d. Atypicalysymptomsysuchyasyepigastricypain.
7. Aypatientywithyaystabywoundytoytheyleftyflankyareayisyunableytoymoveyhisyleftysideyandyunableytoyfeelytheyrightysi
deyofyhisybody.yTheseysymptomsyareyassociatedywithywhichyofytheyfollowingyincompleteyspinalycordyinjuries?
a. Anteriorycordysyndrome
b. Posteriorycordysyndrome
c. Centralycordysyndrome
d. Brown-Sequardysyndrome
8. STysegmentyelevationyinyECGyleadsyII,yIII,yandyaVFyindicatesyinjuryytoywhichyareayofytheyheart?
a. Inferiorywall
b. Anteriorywall
c. Posteriorywall
d. Lateralywall
9. Suturesyplacedyinytheyeyebrowsyshouldybeyremovedywithin:
a. 4ytoy5ydays
b. 5ytoy7ydays
c. 7ytoy10ydays
d. 10ytoy14ydays



©yPDByNURSEyEDUCATION,yLLC.yTHEyPURCHASERyHASyBEENyLICENSEDyONEyCOPYyOFyTHISyDOCUMENTyFORyPERSONALyUSEyONLY.yANYyREPRODUCTI
ON
ORyREDISTRIBUTIONyELECTRONICALLYyORyMECHANICALyISySTRICTLYyPROHIBITED.
1

, 10. Aypatientycomplainsyofyrippingychestypainyradiatingytoytheyback,yhasyunequalybilateralybloodypressures,yan
dynumbnessyinytheyloweryextremities.yTheynurseysuspectsywhichyemergentycondition?
a. Cardiacytamponade
b. Tensionypneumothorax
c. Aorticydissection
d. PosterioryMI
11. Ay40-year-oldyfemaleywhoyisy36-
weeksypregnantypatientypresentsytoytheyEDywithypainlessybrightyredyvaginalybleeding.yTheynurseyknowsyayp
elvicyexamyisycontraindicatedysinceytheymostylikelyycauseyofytheybleedingyis:
a. Abruptioyplacenta
b. Placentayprevia
c. Uterineyrupture
d. Eclampsia
12. Ay14-year-
oldycomplainsyofylightheadednessyandypalpitations.yWhichycardiacydisorderyisycharacterizedybyyayshortyPRyinter
valyandyayDeltaywave?
a. TorsadesydeyPointes
b. RyoryTyphenomenon
c. AVyNodalyReentryyTachycardiay(AVNRT)
d. Wolff-Parkinson-WhiteySyndromey(WPW)
13. Ay22-year-oldyfemaleycomplainsyofyaythick,ywhite,y“cottage-
cheese”ylikeyvaginalydischarge,ypruritis,yvulvaryburning,yandydyspareunia.yTheynurseysuspectsyaydiagnosisy
of:
a. Gonorrhea
b. Chlamydia
c. Candidiasis
d. Trichomoniasis
14. WhichyatrioventricularyblockyisycharacterizedybyyayconsistentybutyprolongedyPRyinterval,yandyayconsistentyRytoy
Ryinterval?
a. FirstydegreeyAVyblock
b. SecondydegreeyAVyblock,ytypey1
c. SecondydegreeyAVyblock,ytypey2
d. ThirdydegreeyAVyblock
15. Fever,ybloating,yandypainyatytheyrightycostalymarginyuponypalpationyisyassociatedywithywhichydisorder?
a. Pancreatitis
b. Cholecystitis
c. Appendicitis
d. Diverticulitis
16. Jugularyveinydistentiony(JVD),yandyincreasedycentralyvenousypressurey(CVP),yhepatomegaly,yandyperipher
alyedemayisyseenyinywhichydisorder?
a. Endocarditis
b. Pericarditis
c. Rightyheartyfailure
d. Leftyheartyfailure
17. Whichyofytheyfollowingysigns/symptomsyisytypicallyyseenyinypatientsywithyGuillain-Barreysyndrome?
a. Pricklyysensationyinyextremitiesyandyascendingysymmetricalyparalysis.
b. Right-sidedyparalysisywithyleftyhomonymousyhemianopsia.
c. Ptosisyandydescendingysymmetricalyparalysis.
d. Right-sidedyhemiplegiaywithyleftypupilydilation.
18. Theyfollowingyareysignsyofypericardialytamponade,yEXCEPT?
a. Kussmaulysign
b. Pulsusyparadoxus
c. Electricalyalternans
d. Trachealydeviation


©yPDByNURSEyEDUCATION,yLLC.yTHEyPURCHASERyHASyBEENyLICENSEDyONEyCOPYyOFyTHISyDOCUMENTyFORyPERSONALyUSEyONLY.yANYyREPRODUCTI
ON
ORyREDISTRIBUTIONyELECTRONICALLYyORyMECHANICALyISySTRICTLYyPROHIBITED.
2

, 19. Whichyofytheyfollowingyisyanyearlyysign/symptomyofyleftyventricularyheartyfailure?
a. Jugularyveinydistentiony(JVD)
b. Paroxysmalynocturnalydyspnea
c. Abdominalyascites
d. Peripheralyedema
20. Morphineyisycontraindicatedyinyayrightyventricularymyocardialyinfarctiony(RVyMI)ybecauseyofywhatydrugyaction?
a. Morphineyincreasesyoxygenydemand.
b. Narcoticsymayyleadytoyopioidydependence.
c. Morphineydecreasesypreload.
d. Morphineyincreasesyafterload.
21. Aymulti-
traumaypatientyrapidlyydecompensatesyonyarrivalytoytheyemergencyydepartment.yABGyresultsyareyasyfollow
s:ypHy7.25,yCO2y 50,yHCO3y 18.yTheypatientyisyinywhichyacid-baseyimbalance?
a. Uncompensatedyrespiratoryyacidosis
b. Uncompensatedymetabolicyacidosis
c. Uncompensatedyrespiratoryyandymetabolicyacidosis
d. Partiallyycompensatedymetabolicyacidosis
22. Ay20-year-
oldymaleywasydischargedyhomeyyesterdayyafteryayfemuryfractureyfromyayfall.yHeyreturnsytoytheyEDytodayywithyd
yspnea,ytachypnea,yandytachycardia.yYouynoticeyaypetechialyrashyonytheychest,ysoyyouysuspectywhichydisorder?
a. Systemicyinflammatoryyresponseysyndrome.
b. Disseminatedyintravascularycoagulation.
c. Rhabdomyolysis
d. Fatyemboliysyndrome
23. Whichyofytheyfollowingysigns/symptomsyisyNOTycharacteristicyofyWernicke’syencephalopathy?
a. Confabulation
b. Chronicymemoryyloss
c. Ataxia
d. Nystagmus
24. Aypatientycomplainsyofyanyexcruciatingyunilateralyheadacheywithynasalycongestionyandyexcessiveylacrimationyo
nytheyaffectedyside.yTheynurseysuspects:
a. Migraine
b. Temporalyarteritis
c. Sinusyheadache
d. Clusteryheadache
25. Aypatientycomplainsyoffycrampyyleftyloweryquadrantyabdominalypainywithyalternatingyepisodesyofyexplosiveydia
rrheayandysevereyconstipation.yTheynurseyknowsyrehydrationyisycriticalysinceyshe/heysuspectsywhichydisorder?
a. Diverticulitis
b. Bowelyobstruction
c. Crohn’sydisease
d. Volvulus
26. Whichyhighlyycommunicableyinfectionyisycharacterizedybyyswollenysalivaryyandyparotidyglands?
a. Mumps
b. Measles
c. Pertussis
d. Diphtheria
27. Ay68-year-
oldyfemaleywithyayhistoryyofyatrialyfibrillationycomplainsyofyaysuddenyonsetyofypainlessyunilateralyvisionylossyandy
deniesyanyytrauma.yWhichyocularyemergencyydoesytheynurseysuspect?
a. Acuteyangleyclosureyglaucoma
b. Centralyretinalyarteryyocclusion
c. Retinalydetachment
d. Hyphema



©yPDByNURSEyEDUCATION,yLLC.yTHEyPURCHASERyHASyBEENyLICENSEDyONEyCOPYyOFyTHISyDOCUMENTyFORyPERSONALyUSEyONLY.yANYyREPRODUCTI
ON
ORyREDISTRIBUTIONyELECTRONICALLYyORyMECHANICALyISySTRICTLYyPROHIBITED.
3

, 28. Whichyofytheyfollowingysigns/
symptomsyshouldyraiseyanyindexyofysuspicionythatyaypatientyisyexperiencingyretinalydetachment?
a. “Tunnelyvision”yandyseeingyhalosyaroundylights.
b. Reddishyhueytoyvisionyafterygettingypunchedyinytheyface.
c. Crustyyeyelidsywithyyellowydischargeyfromytheyeye.
d. Photopsiayandy“floaters”yinytheyvisualyfield.
29. Ayhazardousyvulnerabilityyassessmentyisycompletedyinywhichyphaseyofydisasterymanagement?
a. Mitigation
b. Preparedness
c. Response
d. Recovery
30. Aypatientycomplainsyofysharpychestypainythatyworsensywithyinspirationyandylyingydown.yWhichysoundyi
sycommonlyyheardyinypericarditis?
a. Systolicymurmur
b. Wheezingyonyexhalation
c. Stridoryonyinspiration
d. Frictionyrub
31. Pertussisyisyayhighlyycommunicableyinfectionycharacterizedybyygagging,yvomiting,yandywhatyhallmarkysign?
a. Inspiratoryystridor
b. Expiratoryywheeze
c. Paroxysmalycough
d. Drooling
32. Aypatientycomplainingyofychestypainyexhibitsyrestlessness,ytachycardia,yhypertension,ydilatedypupils,yandyparanoi
aysoytheynurseysuspectsywhichyillicitydrugyuse?
a. Cocaine
b. Heroin
c. Phencyclidine
d. Marijuana
33. Aypatientywithyayhistoryyofyalcoholismyhasysteadyydullyepigastricypainyradiatingytoytheybackyandyelevatedyamylas
eyandylipaseylevels.yAycommonycomplicationyofypancreatitisyis:
a. Pneumonia
b. Pleuralyeffusion
c. Pneumothorax
d. Pulmonaryyembolus
34. Theyfollowingyareycommonysigns/symptomsyofyDigoxinytoxicity,yEXCEPT:
a. Ventricularydysrhythmias
b. Yellowyorygreenyhalosyinyvision
c. Miosis
d. Nauseayandyvomiting
35. Whichyofytheyfollowingyisynotyaycauseyofypriapism?
a. Sickleycellycrisis
b. Testicularytorsion
c. Spinalycordyinjury
d. AntidepressantsysuchyasyTrazadone
36. Whichylaboratoryyvalueywillybeydecreasedyinythyrotoxicycrisisy(thyroidystorm)?
a. Calcium
b. T3yandyT4
c. Alkalineyphosphatase
d. Thyroidystimulatingyhormoney(TSH)
37. Whichyforeignybodyywillymoreylikelyycauseyanyinfection?
a. Bullet
b. Glass
c. Thorn
d. Metal


©yPDByNURSEyEDUCATION,yLLC.yTHEyPURCHASERyHASyBEENyLICENSEDyONEyCOPYyOFyTHISyDOCUMENTyFORyPERSONALyUSEyONLY.yANYyREPRODUCTI
ON
ORyREDISTRIBUTIONyELECTRONICALLYyORyMECHANICALyISySTRICTLYyPROHIBITED.
4