Study Guide, Practice Questions & Complete
Emergency Nursing Certification Prep”
“Prepare for the CEN (Certified Emergency Nurse) Exam with this complete 2025 study guide.
Includes high-yield emergency nursing content, trauma and medical emergency review, updated
CEN practice questions, test-taking tips, and essential concepts aligned with the latest ENA
standards.”
• CEN exam
• Certified Emergency Nurse exam
• CEN certification
• CEN practice test
• Emergency nurse exam
While on a long flight, I should get up and walk to stretch my legs every hour.
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.
I will be at increased risk for ectopic pregnancy.
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
, Ruptured diaphragm
A 16-year-old presents with severe left upper
quadrant abdominal pain after an over-
thehandlebars 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
An old infarction
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
, Place in a seclusion room
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
Computed tomographic pulmonary angiography
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 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
Notify infection prevention
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
Inform those waiting that Ebola has been
detected