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“CERTIFIED EMERGENCY NURSE CEN TEST A
PRACTICE QUESTIONS “ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS
& ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
Certified Emergency Nurse CEN Test A
1. Which of the following is used in assessing the facial nerve in a 56-year-old
male who presents to the ER with Bell's palsy?
A. Blowing of the cheeks.
B. Raising of the shoulders.
C. Jaw jerk.
D. Grinding of the teeth.
A. Blowing of the cheeks.
1. A patient who presents to the ER with a cerebrovascular accident has a
positive Romberg test. Which of the following is not assessed by a Romberg
test?
A. Proprioception.
B. Coordination.
C. Vestibular function.
D. Attention.
D. Attention.
1. A 52-year-old patient presents to the emergency department with a sudden
onset of flaccid paralysis of the lower limbs. Which of the following is a
potential cause of flaccid paralysis?
A. Multiple sclerosis.
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B. Guillain-Barre syndrome.
C. Myasthenia gravis.
D. Parkinson's disease
B. Guillain-Barre syndrome.
1. A five-year-old male presents to the ER with a history of salicylate
poisoning. Which of the following actions will alkalinize the urine?
A. Give 1 L of sodium chloride in 30 minutes.
B. Give IV NaHCO3 1-2 mEq/kg as a bolus injection.
C. Give dextrose potassium insulin infusion.
D. Give IV furosemide.
B. Give IV NaHCO3 1-2 mEq/kg as a bolus injection.
1. Which of the following is NOT a common cause of non-cardiogenic
pulmonary edema?
A. High altitude.
B. Opioid overdose.
C. Near-drowning.
D. Aortic stenosis.
D. Aortic stenosis.
1. Which of the following describes an inability to identify objects despite
having normal sensory function?
A. Agnosia.
B. Apraxia.
C. Aphasia.
D. Akinesia.
A. Agnosia.
26. A nurse is educating the parent of a child diagnosed with chickenpox.
Which of the following statements made by the parent indicates a need for
further education?
A. "I will give my child aspirin to reduce the fever."
B. "I will keep my child away from their newborn cousin."
C. "We should avoid scratching to prevent skin infections."
D. "I can use calamine lotion to help soothe the itching."
A. "I will give my child aspirin to reduce the fever."
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A 55-year-old female with Alzheimer's disease is being managed in the ER with
acute pyelonephritis. Part of her treatment plan includes donepezil. Which of
the following best describes the mechanism of action of this drug?
A. NMDA antagonist.
B. Selective serotonin reuptake inhibitor.
C. Acetylcholine receptor blocker.
D. Cholinesterase inhibitor.
D. Cholinesterase inhibitor.
A 65-year-old female who presents to the ER with Parkinson's disease is
managed with amantadine. Which of the following best describes this drug's
mechanism of action?
A. Dopamine receptor agonist.
B. Acetylcholinesterase inhibitor.
C. NMDA receptor antagonist.
D. MAO-B inhibitor.
C. NMDA receptor antagonist.
Which of the following is not seen in acute appendicitis?
A. Rebound tenderness.
B. Rovsing's sign.
C. Cullen's sign.
D. Obturator sign.
C. Cullen's sign.
26. Which of the following is most necessary in diagnosing acute
appendicitis?
A. Abdominal ultrasound scan.
B. Clinical evaluation.
C. CT scan of the abdomen.
D. Abdominal X-ray.
B. Clinical evaluation.
31. A 48-year-old male presents to the ER following a marathon run. He
complains of severe muscle pain and dark urine. Which of the following
laboratory findings would best support a diagnosis of rhabdomyolysis?
A. Elevated serum creatinine.
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B. Reduced serum myoglobin.
C. Elevated serum myoglobin.
D. Reduced serum creatine kinase.
C. Elevated serum myoglobin.
Which of the following is not a stigmata of chronic liver disease?
A. Testicular atrophy.
B. Finger clubbing.
C. Lanugo hair.
D. Acanthosis nigricans.
D. Acanthosis nigricans.
A 25-year-old female who presents to the ER with abdominal pain, fever, chills,
and vomiting demonstrates a positive Murphy's sign. Which of the following
maneuvers best elicit this sign?
A. Palpation of the epigastric region on deep inspiration.
B. Palpation of the right hypochondrium on deep inspiration.
C. Auscultation of the right hypochondrium.
D. Percussion of the right hypochondrium.
B. Palpation of the right hypochondrium on deep inspiration.
31. A patient with suspected rhabdomyolysis has been admitted to the
emergency department. Which of the following interventions is the highest
priority to initiate?
A. Administering intravenous corticosteroids.
B. Implementing fluid resuscitation with isotonic saline.
C. Starting a dopamine infusion.
D. Monitoring for signs of hypocalcemia.
B. Implementing fluid resuscitation with isotonic saline.
A 16-year-old female being managed for severe acute asthma has worsened
symptoms despite management with supplemental oxygen, IV epinephrine,
corticosteroids, and nebulized albuterol. Arterial blood gases show PaC02 62
mmHg. Which of the following interventions is most appropriate?
A. IV theophylline.
B. NIPPV.
“CERTIFIED EMERGENCY NURSE CEN TEST A
PRACTICE QUESTIONS “ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS
& ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
Certified Emergency Nurse CEN Test A
1. Which of the following is used in assessing the facial nerve in a 56-year-old
male who presents to the ER with Bell's palsy?
A. Blowing of the cheeks.
B. Raising of the shoulders.
C. Jaw jerk.
D. Grinding of the teeth.
A. Blowing of the cheeks.
1. A patient who presents to the ER with a cerebrovascular accident has a
positive Romberg test. Which of the following is not assessed by a Romberg
test?
A. Proprioception.
B. Coordination.
C. Vestibular function.
D. Attention.
D. Attention.
1. A 52-year-old patient presents to the emergency department with a sudden
onset of flaccid paralysis of the lower limbs. Which of the following is a
potential cause of flaccid paralysis?
A. Multiple sclerosis.
, Page 2 of 35
B. Guillain-Barre syndrome.
C. Myasthenia gravis.
D. Parkinson's disease
B. Guillain-Barre syndrome.
1. A five-year-old male presents to the ER with a history of salicylate
poisoning. Which of the following actions will alkalinize the urine?
A. Give 1 L of sodium chloride in 30 minutes.
B. Give IV NaHCO3 1-2 mEq/kg as a bolus injection.
C. Give dextrose potassium insulin infusion.
D. Give IV furosemide.
B. Give IV NaHCO3 1-2 mEq/kg as a bolus injection.
1. Which of the following is NOT a common cause of non-cardiogenic
pulmonary edema?
A. High altitude.
B. Opioid overdose.
C. Near-drowning.
D. Aortic stenosis.
D. Aortic stenosis.
1. Which of the following describes an inability to identify objects despite
having normal sensory function?
A. Agnosia.
B. Apraxia.
C. Aphasia.
D. Akinesia.
A. Agnosia.
26. A nurse is educating the parent of a child diagnosed with chickenpox.
Which of the following statements made by the parent indicates a need for
further education?
A. "I will give my child aspirin to reduce the fever."
B. "I will keep my child away from their newborn cousin."
C. "We should avoid scratching to prevent skin infections."
D. "I can use calamine lotion to help soothe the itching."
A. "I will give my child aspirin to reduce the fever."
, Page 3 of 35
A 55-year-old female with Alzheimer's disease is being managed in the ER with
acute pyelonephritis. Part of her treatment plan includes donepezil. Which of
the following best describes the mechanism of action of this drug?
A. NMDA antagonist.
B. Selective serotonin reuptake inhibitor.
C. Acetylcholine receptor blocker.
D. Cholinesterase inhibitor.
D. Cholinesterase inhibitor.
A 65-year-old female who presents to the ER with Parkinson's disease is
managed with amantadine. Which of the following best describes this drug's
mechanism of action?
A. Dopamine receptor agonist.
B. Acetylcholinesterase inhibitor.
C. NMDA receptor antagonist.
D. MAO-B inhibitor.
C. NMDA receptor antagonist.
Which of the following is not seen in acute appendicitis?
A. Rebound tenderness.
B. Rovsing's sign.
C. Cullen's sign.
D. Obturator sign.
C. Cullen's sign.
26. Which of the following is most necessary in diagnosing acute
appendicitis?
A. Abdominal ultrasound scan.
B. Clinical evaluation.
C. CT scan of the abdomen.
D. Abdominal X-ray.
B. Clinical evaluation.
31. A 48-year-old male presents to the ER following a marathon run. He
complains of severe muscle pain and dark urine. Which of the following
laboratory findings would best support a diagnosis of rhabdomyolysis?
A. Elevated serum creatinine.
, Page 4 of 35
B. Reduced serum myoglobin.
C. Elevated serum myoglobin.
D. Reduced serum creatine kinase.
C. Elevated serum myoglobin.
Which of the following is not a stigmata of chronic liver disease?
A. Testicular atrophy.
B. Finger clubbing.
C. Lanugo hair.
D. Acanthosis nigricans.
D. Acanthosis nigricans.
A 25-year-old female who presents to the ER with abdominal pain, fever, chills,
and vomiting demonstrates a positive Murphy's sign. Which of the following
maneuvers best elicit this sign?
A. Palpation of the epigastric region on deep inspiration.
B. Palpation of the right hypochondrium on deep inspiration.
C. Auscultation of the right hypochondrium.
D. Percussion of the right hypochondrium.
B. Palpation of the right hypochondrium on deep inspiration.
31. A patient with suspected rhabdomyolysis has been admitted to the
emergency department. Which of the following interventions is the highest
priority to initiate?
A. Administering intravenous corticosteroids.
B. Implementing fluid resuscitation with isotonic saline.
C. Starting a dopamine infusion.
D. Monitoring for signs of hypocalcemia.
B. Implementing fluid resuscitation with isotonic saline.
A 16-year-old female being managed for severe acute asthma has worsened
symptoms despite management with supplemental oxygen, IV epinephrine,
corticosteroids, and nebulized albuterol. Arterial blood gases show PaC02 62
mmHg. Which of the following interventions is most appropriate?
A. IV theophylline.
B. NIPPV.
