NURS EXAM zm
Exam Solution zm
CEN question bank2 2026 A+ GRADE ASSURED COMPL
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ETE SOLUTIONS AND VERIFIED ANSWERS (F2EC8)
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QUESTION 1 zm
A patient who returns to the emergency department 3 days after a motor vehicle cras
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h has pain in the left upper quadrant of the abdomen. Assessment reveals pain on pal
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pation, and the patient is hemodynamically stable. The nurse should be MOST concern
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ed about the possibility of: bleeding from a liver laceration. a splenic hematoma. a pn
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eumothorax. a costochondritis. zm zm
ANSWER
a splenic hematoma.
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QUESTION 2 zm
A trauma patient has received multiple transfusions in the emergency department and
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starts to ooze blood from the IV sites. This suggests the development of: sepsis. disse
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minated intravascular coagulation. multisystem organ failure. hemophilia.
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ANSWER
disseminated intravascular coagulation. zm zm
QUESTION 3 zm
A patient presents with audible wheezing and has an oxygen saturation of 88% on ro
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om air. The patient reports eating shrimp for lunch. It would be a PRIORITY for the n
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urse to administer diphenhydramine. epinephrine. oxygen. albuterol.
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ANSWER
epinephrine.
QUESTION 4 zm
,A patient reports right elbow pain and swelling following sustained periods of repetiti
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ve motion. The MOST appropriate nursing intervention includes administration of ord
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ered steroids. preparation for incision and drainage. administration of ordered antibio
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tics. application of a compression dressing.
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ANSWER
application of a compression dressing. Repetitive use of an extremity should lead the nurse to suspe
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ct tendonitis. Tendonitis is the inflammation of tendons and tendon muscle attachment. The appropr
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iate intervention for tendonitis is to immobilize and support the affected area. Unlike the patient wit
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h bursitis, the patient with tendonitis has no fluid collection to drain.
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QUESTION 5 zm
What is the MOST common cause of a hyphema? diabetic ketoacidosis glaucoma diabe
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tic ketoacidosis traumatic injury
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ANSWER
traumatic injury zm
QUESTION 6 zm
A patient who has periorbital bruising and cheek flattening after being kicked by a ho
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rse has an unsteady gait on arrival at the emergency department. The nurse should FI
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RST evaluate visual acuity and pupillary response. order radiographs of the face. palp
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ate the infraorbital rim. place the patient in spinal precautions.
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ANSWER
place the patient in spinal precautions.
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QUESTION 7 zm
Which of the following findings suggests that a patient may have a ruptured ovarian c
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yst? thick yellow vaginal discharge sharp abdominal pain bloody vaginal discharge int
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ermittent abdominal pain zm zm
ANSWER
sharp abdominal pain zm zm
QUESTION 8 zm
After a tibial plateau fracture has been splinted, the nurse should be MOST concerned
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if the patient has pain in the affected leg. swelling at the fracture site. increasing ecch
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ymosis distal to the fracture. delayed capillary refill to the toes.
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,ANSWER
delayed capillary refill to the toes.
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QUESTION 9 zm
Assessment of a patient who has acute cholecystitis is MOST likely to reveal: epigastri
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c pain that radiates to the back and watery stools. pain in the right upper quadrant of
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the abdomen and slight scleral icterus. pain in the left upper quadrant of the abdome
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n and positive results on a guaiac test of vomitus. pain that radiates to the left should
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er and positive results on a stool guaiac test.
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ANSWER
pain in the right upper quadrant of the abdomen and slight scleral icterus.
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QUESTION 10 zm
A worker, pulled from inside a burning warehouse, is brought to the emergency depar
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tment by bystanders. The first PRIORITY action for the emergency nurse is to: establis
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h IV access collect an ABG apply oxygen via nonrebreathing mask attach the patient t
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o the cardiac monitor
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ANSWER
apply oxygen via nonrebreathing mask
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QUESTION 11 zm
The nurse is caring for a patient who is exhibiting acutely violent behavior. The nurse
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mshould: lock the patient in the room until backup arrives. attempt to de-
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escalate the situation while awaiting backup. offer the patient oral fluids or food to es
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tablish rapport. ensure the room is safe and request assistance.
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ANSWER
ensure the room is safe and request assistance.
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QUESTION 12 zm
A pediatric patient is treated for otitis media complicated by a ruptured tympanic me
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mbrane. Discharge education is proven effective when the patient's father states, I will
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feed him soft foods until the ear drum heals itself. I will keep my son from getting hi
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s ear wet. I will position my son upright in bed when he goes to sleep. I will use antib
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iotic ear drops four times a day for one week.
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ANSWER
, I will keep my son from getting his ear wet.
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QUESTION 13 zm
Cerebrospinal fluid found in the ears indicates injury to the cervical spine. a basilar s
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kull fracture. a subarachnoid hemorrhage. pharyngeal trauma.
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ANSWER
a basilar skull fracture.
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QUESTION 14 zm
The nurse is caring for a 220 lb (100kg) patient with 60% total body surface area (T
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BSA) burns following a house fire. The nurse notes a urine output of 10 mL over the l
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ast hour. The FIRST action the nurse should take is to: administer blood products. inc
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rease the rate of IV fluids. continue to monitor the patient. provide oral fluids.
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ANSWER
increase the rate of IV fluids. zm zm zm zm zm
QUESTION 15 zm
A patient presents to the emergency department yelling and threatening someone that
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is not there. The patient appears to be agitated. After placing the patient in a private
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mroom the nurse's first action should be to: place the patient into a hospital gown. app
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ly restraints. assess for suicidal ideation. assess for injuries.
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ANSWER
place the patient into a hospital gown.
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QUESTION 16 zm
An essential requirement that needs to be proved in a medical negligence case is the
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presence of failure to act. intent to damage. incorrect action. damages.
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ANSWER
damages.
QUESTION 17 zm
A patient who sustained major trauma has a blood pressure of 84/56 mm Hg, a heart
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rate of 124 beats/min, and respirations of 42 breaths/min. Breath sounds are absent
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on the left side, the trachea is deviated to the right, and the left thigh is deformed. Th
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Exam Solution zm
CEN question bank2 2026 A+ GRADE ASSURED COMPL
zm zm zm zm zm zm zm
ETE SOLUTIONS AND VERIFIED ANSWERS (F2EC8)
zm zm zm zm zm
QUESTION 1 zm
A patient who returns to the emergency department 3 days after a motor vehicle cras
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
h has pain in the left upper quadrant of the abdomen. Assessment reveals pain on pal
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
pation, and the patient is hemodynamically stable. The nurse should be MOST concern
zm zm zm zm zm zm zm zm zm zm zm zm
ed about the possibility of: bleeding from a liver laceration. a splenic hematoma. a pn
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eumothorax. a costochondritis. zm zm
ANSWER
a splenic hematoma.
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QUESTION 2 zm
A trauma patient has received multiple transfusions in the emergency department and
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starts to ooze blood from the IV sites. This suggests the development of: sepsis. disse
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
minated intravascular coagulation. multisystem organ failure. hemophilia.
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ANSWER
disseminated intravascular coagulation. zm zm
QUESTION 3 zm
A patient presents with audible wheezing and has an oxygen saturation of 88% on ro
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om air. The patient reports eating shrimp for lunch. It would be a PRIORITY for the n
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
urse to administer diphenhydramine. epinephrine. oxygen. albuterol.
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ANSWER
epinephrine.
QUESTION 4 zm
,A patient reports right elbow pain and swelling following sustained periods of repetiti
zm zm zm zm zm zm zm zm zm zm zm zm
ve motion. The MOST appropriate nursing intervention includes administration of ord
zm zm zm zm zm zm zm zm zm zm
ered steroids. preparation for incision and drainage. administration of ordered antibio
zm zm zm zm zm zm zm zm zm zm
tics. application of a compression dressing.
zm zm zm zm zm
ANSWER
application of a compression dressing. Repetitive use of an extremity should lead the nurse to suspe
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ct tendonitis. Tendonitis is the inflammation of tendons and tendon muscle attachment. The appropr
zm zm zm zm zm zm zm zm zm zm zm zm zm
iate intervention for tendonitis is to immobilize and support the affected area. Unlike the patient wit
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
h bursitis, the patient with tendonitis has no fluid collection to drain.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 5 zm
What is the MOST common cause of a hyphema? diabetic ketoacidosis glaucoma diabe
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tic ketoacidosis traumatic injury
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ANSWER
traumatic injury zm
QUESTION 6 zm
A patient who has periorbital bruising and cheek flattening after being kicked by a ho
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rse has an unsteady gait on arrival at the emergency department. The nurse should FI
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
RST evaluate visual acuity and pupillary response. order radiographs of the face. palp
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ate the infraorbital rim. place the patient in spinal precautions.
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ANSWER
place the patient in spinal precautions.
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QUESTION 7 zm
Which of the following findings suggests that a patient may have a ruptured ovarian c
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yst? thick yellow vaginal discharge sharp abdominal pain bloody vaginal discharge int
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ermittent abdominal pain zm zm
ANSWER
sharp abdominal pain zm zm
QUESTION 8 zm
After a tibial plateau fracture has been splinted, the nurse should be MOST concerned
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if the patient has pain in the affected leg. swelling at the fracture site. increasing ecch
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ymosis distal to the fracture. delayed capillary refill to the toes.
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,ANSWER
delayed capillary refill to the toes.
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QUESTION 9 zm
Assessment of a patient who has acute cholecystitis is MOST likely to reveal: epigastri
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c pain that radiates to the back and watery stools. pain in the right upper quadrant of
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the abdomen and slight scleral icterus. pain in the left upper quadrant of the abdome
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
n and positive results on a guaiac test of vomitus. pain that radiates to the left should
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er and positive results on a stool guaiac test.
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ANSWER
pain in the right upper quadrant of the abdomen and slight scleral icterus.
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QUESTION 10 zm
A worker, pulled from inside a burning warehouse, is brought to the emergency depar
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tment by bystanders. The first PRIORITY action for the emergency nurse is to: establis
zm zm zm zm zm zm zm zm zm zm zm zm zm
h IV access collect an ABG apply oxygen via nonrebreathing mask attach the patient t
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o the cardiac monitor
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ANSWER
apply oxygen via nonrebreathing mask
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QUESTION 11 zm
The nurse is caring for a patient who is exhibiting acutely violent behavior. The nurse
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mshould: lock the patient in the room until backup arrives. attempt to de-
zm zm zm zm zm zm zm zm zm zm zm zm
escalate the situation while awaiting backup. offer the patient oral fluids or food to es
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tablish rapport. ensure the room is safe and request assistance.
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ANSWER
ensure the room is safe and request assistance.
zm zm zm zm zm zm zm
QUESTION 12 zm
A pediatric patient is treated for otitis media complicated by a ruptured tympanic me
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mbrane. Discharge education is proven effective when the patient's father states, I will
zm zm zm zm zm zm zm zm zm zm zm zm
feed him soft foods until the ear drum heals itself. I will keep my son from getting hi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s ear wet. I will position my son upright in bed when he goes to sleep. I will use antib
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
iotic ear drops four times a day for one week.
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ANSWER
, I will keep my son from getting his ear wet.
zm zm zm zm zm zm zm zm zm
QUESTION 13 zm
Cerebrospinal fluid found in the ears indicates injury to the cervical spine. a basilar s
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
kull fracture. a subarachnoid hemorrhage. pharyngeal trauma.
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ANSWER
a basilar skull fracture.
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QUESTION 14 zm
The nurse is caring for a 220 lb (100kg) patient with 60% total body surface area (T
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
BSA) burns following a house fire. The nurse notes a urine output of 10 mL over the l
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ast hour. The FIRST action the nurse should take is to: administer blood products. inc
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rease the rate of IV fluids. continue to monitor the patient. provide oral fluids.
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ANSWER
increase the rate of IV fluids. zm zm zm zm zm
QUESTION 15 zm
A patient presents to the emergency department yelling and threatening someone that
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is not there. The patient appears to be agitated. After placing the patient in a private
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mroom the nurse's first action should be to: place the patient into a hospital gown. app
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ly restraints. assess for suicidal ideation. assess for injuries.
zm zm zm zm zm zm zm zm
ANSWER
place the patient into a hospital gown.
zm zm zm zm zm zm
QUESTION 16 zm
An essential requirement that needs to be proved in a medical negligence case is the
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presence of failure to act. intent to damage. incorrect action. damages.
zm zm zm zm zm zm zm zm zm zm
ANSWER
damages.
QUESTION 17 zm
A patient who sustained major trauma has a blood pressure of 84/56 mm Hg, a heart
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rate of 124 beats/min, and respirations of 42 breaths/min. Breath sounds are absent
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on the left side, the trachea is deviated to the right, and the left thigh is deformed. Th
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