CEN Exam Test Questions And Answers
Verified 100% Correct
A 22-year-old patient presents with upper respiratory symptoms, nausea and
vomiting and a low-grade fever. She has a history of leukemia and underwent
chemotherapy 2 weeks ago. What is the nurse's priority?
Protective isolation
Ondansetron oral dissolving tablet
Intravenous fluid bolus
Morphine intravenous - ANSWER -Protective isolation
A patient presents to the ED with a chief complaint of "It feels like I have
something in my eye, but I can't see it." What eye injury is this most likely to
represent?
Corneal ulcer
Keratitis
Hyphema
Corneal abrasion - ANSWER -Corneal abrasion
In compensated shock, what physiological response increases serum sodium?
Sympathetic nervous system (SNS) response
Intracellular fluid shift
Renin-angiotensin-aldosterone system (RAAS)
Altered capillary permeability - ANSWER -Renin-angiotensin-aldosterone system
(RAAS)
A patient describes symptoms of recent onset of eye pain and denies any traumatic
injury. He is seeing haloes around lights and is experiencing nausea, vomiting, and
headaches. The nurse's assessment reveals loss of peripheral vision and redness of
the affected eye. Which condition does this set of clinical manifestations describe?
Acute angle glaucoma
Keratitis
Corneal ulcer
Retinal detachment - ANSWER -Acute angle glaucoma
,Which of the following clinical presentations is most consistent with a patient who
has pancreatitis?
Pain with palpation of the right subcostal area during inspiration
Diffuse cramping abdominal pain
Epigastric pain that radiates to the back
Dull, constant umbilical pain - ANSWER -Epigastric pain that radiates to the back
Administration of activated charcoal is indicated for which of the following
overdoses?
Hydrofluoric acid
Carbamazepine
Ferrous sulfate
Lithium - ANSWER -Carbamazepine
Which one of the following is an appropriate intervention for acute lithium
toxicity?
IV fluids with hypertonic solution
Urine alkalinization
Hemodialysis
Give activated charcoal - ANSWER -Hemodialysis
The level of alertness and attention displayed by a patient with a diffuse axonal
injury is determined by which segment of the neurological system?
Reticular activating system
Brainstem
Frontal lobe
Limbic system - ANSWER -Reticular activating system
What is the first intervention that is appropriate for the nurse to perform once a
neonate has been delivered?
Thoroughly dry the neonate
Suction the mouth and nose
Measure APGAR score
Clamp the umbilical cord - ANSWER -Thoroughly dry the neonate
, The nurse is giving discharge instructions to a patient with chronic obstructive
pulmonary disease - emphysema. Which response indicates the patient understands
the instructions?
I need to limit my fluids to prevent fluid overload.
I need to sleep with my feet elevated to prevent swelling.
I need to get the pneumococcal vaccine.
I need to avoid snacking between meals. - ANSWER -I need to get the
pneumococcal vaccine.
A patient, who has suffered deep, full-thickness (third degree) thermal burns to the
circumferential chest and abdomen, as well as burns of varying depth to the upper
extremities, has been transferred to your emergency department from a small, rural
community hospital. Ventilating the intubated patient via bag-mask device is
becoming increasingly difficult and chest rise with ventilation is poor. The
emergency nurse anticipates which procedure?
Tracheostomy
Cricothyroidotomy
Escharotomy
Fasciotomy - ANSWER -Escharotomy
A patient presents to the ED with disorientation to time, place and person,
memory impairment, and personality changes for the past 6 days. This patient is
most likely exhibiting which psychosocial emergency?
Dementia
Schizophrenia
Depression
Delirium - ANSWER -Delirium
A patient arrives with complaints of shortness of breath and a history of asthma.
The assessment reveals mild tachypnea, biphasic (expiratory and inspiratory)
wheezing, and use of accessory muscles. Peak expiratory flow is 48% of personal
best. What is the severity of this asthma exacerbation?
Severe
Moderate
, Slight
Mild - ANSWER -Moderate
A hazard vulnerability analysis (HVA) was completed for a rural area ED. One
finding was that the electrical system was antiquated and could not handle power
outages with generator back-up. The director of emergency preparedness
acknowledged this issue and initiated a plan to ensure that the electrical system
received the necessary upgrades. What phase of disaster preparedness is this
related to?
Mitigation
Preparedness
Response
Recovery - ANSWER -Mitigation
A patient presents to the ED with complaints of right arm weakness, and difficulty
speaking. The symptoms started about 40 minutes ago and are now improving. She
said this happened yesterday too, but went away. What is she experiencing?
Hemorrhagic stroke
Ischemic stroke
Bell's palsy
Transient ischemic attacks - ANSWER -Transient ischemic attacks
A 37-year-old female walks into the ED holding her abdomen. She is writhing in
pain. Her history includes vaginal bleeding for the past 6 days. She soaked 5
sanitary pads in 2 hours. What is the most likely cause of the heavy bleeding?
Uterine fibroids
Mittelschmerz
Pelvic inflammatory disease
Bartholin cyst - ANSWER -Uterine fibroids
Wernicke-Korsakoff syndrome is characterized by which clinical manifestations?
Ataxia, mental confusion, and ophthalmoplegia
Delirium tremens, hyperthermia, and disorientation
Tachycardia, tremors, and tachypnea
Verified 100% Correct
A 22-year-old patient presents with upper respiratory symptoms, nausea and
vomiting and a low-grade fever. She has a history of leukemia and underwent
chemotherapy 2 weeks ago. What is the nurse's priority?
Protective isolation
Ondansetron oral dissolving tablet
Intravenous fluid bolus
Morphine intravenous - ANSWER -Protective isolation
A patient presents to the ED with a chief complaint of "It feels like I have
something in my eye, but I can't see it." What eye injury is this most likely to
represent?
Corneal ulcer
Keratitis
Hyphema
Corneal abrasion - ANSWER -Corneal abrasion
In compensated shock, what physiological response increases serum sodium?
Sympathetic nervous system (SNS) response
Intracellular fluid shift
Renin-angiotensin-aldosterone system (RAAS)
Altered capillary permeability - ANSWER -Renin-angiotensin-aldosterone system
(RAAS)
A patient describes symptoms of recent onset of eye pain and denies any traumatic
injury. He is seeing haloes around lights and is experiencing nausea, vomiting, and
headaches. The nurse's assessment reveals loss of peripheral vision and redness of
the affected eye. Which condition does this set of clinical manifestations describe?
Acute angle glaucoma
Keratitis
Corneal ulcer
Retinal detachment - ANSWER -Acute angle glaucoma
,Which of the following clinical presentations is most consistent with a patient who
has pancreatitis?
Pain with palpation of the right subcostal area during inspiration
Diffuse cramping abdominal pain
Epigastric pain that radiates to the back
Dull, constant umbilical pain - ANSWER -Epigastric pain that radiates to the back
Administration of activated charcoal is indicated for which of the following
overdoses?
Hydrofluoric acid
Carbamazepine
Ferrous sulfate
Lithium - ANSWER -Carbamazepine
Which one of the following is an appropriate intervention for acute lithium
toxicity?
IV fluids with hypertonic solution
Urine alkalinization
Hemodialysis
Give activated charcoal - ANSWER -Hemodialysis
The level of alertness and attention displayed by a patient with a diffuse axonal
injury is determined by which segment of the neurological system?
Reticular activating system
Brainstem
Frontal lobe
Limbic system - ANSWER -Reticular activating system
What is the first intervention that is appropriate for the nurse to perform once a
neonate has been delivered?
Thoroughly dry the neonate
Suction the mouth and nose
Measure APGAR score
Clamp the umbilical cord - ANSWER -Thoroughly dry the neonate
, The nurse is giving discharge instructions to a patient with chronic obstructive
pulmonary disease - emphysema. Which response indicates the patient understands
the instructions?
I need to limit my fluids to prevent fluid overload.
I need to sleep with my feet elevated to prevent swelling.
I need to get the pneumococcal vaccine.
I need to avoid snacking between meals. - ANSWER -I need to get the
pneumococcal vaccine.
A patient, who has suffered deep, full-thickness (third degree) thermal burns to the
circumferential chest and abdomen, as well as burns of varying depth to the upper
extremities, has been transferred to your emergency department from a small, rural
community hospital. Ventilating the intubated patient via bag-mask device is
becoming increasingly difficult and chest rise with ventilation is poor. The
emergency nurse anticipates which procedure?
Tracheostomy
Cricothyroidotomy
Escharotomy
Fasciotomy - ANSWER -Escharotomy
A patient presents to the ED with disorientation to time, place and person,
memory impairment, and personality changes for the past 6 days. This patient is
most likely exhibiting which psychosocial emergency?
Dementia
Schizophrenia
Depression
Delirium - ANSWER -Delirium
A patient arrives with complaints of shortness of breath and a history of asthma.
The assessment reveals mild tachypnea, biphasic (expiratory and inspiratory)
wheezing, and use of accessory muscles. Peak expiratory flow is 48% of personal
best. What is the severity of this asthma exacerbation?
Severe
Moderate
, Slight
Mild - ANSWER -Moderate
A hazard vulnerability analysis (HVA) was completed for a rural area ED. One
finding was that the electrical system was antiquated and could not handle power
outages with generator back-up. The director of emergency preparedness
acknowledged this issue and initiated a plan to ensure that the electrical system
received the necessary upgrades. What phase of disaster preparedness is this
related to?
Mitigation
Preparedness
Response
Recovery - ANSWER -Mitigation
A patient presents to the ED with complaints of right arm weakness, and difficulty
speaking. The symptoms started about 40 minutes ago and are now improving. She
said this happened yesterday too, but went away. What is she experiencing?
Hemorrhagic stroke
Ischemic stroke
Bell's palsy
Transient ischemic attacks - ANSWER -Transient ischemic attacks
A 37-year-old female walks into the ED holding her abdomen. She is writhing in
pain. Her history includes vaginal bleeding for the past 6 days. She soaked 5
sanitary pads in 2 hours. What is the most likely cause of the heavy bleeding?
Uterine fibroids
Mittelschmerz
Pelvic inflammatory disease
Bartholin cyst - ANSWER -Uterine fibroids
Wernicke-Korsakoff syndrome is characterized by which clinical manifestations?
Ataxia, mental confusion, and ophthalmoplegia
Delirium tremens, hyperthermia, and disorientation
Tachycardia, tremors, and tachypnea
