Certified Emergency Nurse CEN Test A
1. A patient with a peritonsillar abscess
will likely have which of these?
A. Stridor.
D. Hot potato voice.
B. Wheezing.
C. Whooping cough.
D. Hot potato voice.
1. A patient who presents to the ER with
anterior epistaxis secondary to drying of
the mucosa from extreme weather is be-
ing managed with silver nitrate. Which of
the following options best describes the
D. Cauterization.
action of silver nitrate?
A. Anesthesia.
B. Vasoconstriction.
C. Lubrication.
D. Cauterization.
1. A patient who presents to the ER
with acute kidney injury is placed on a
low-potassium diet. Which of these foods
is most appropriate?
D. Pasta.
A. Bone broth.
B. Bananas.
C. Baked potatoes.
D. Pasta.
1. An adult cognitive-impaired patient is
brought to the ER due to suspected post-
operative complications. He has difficulty
speaking. The nurse suspects the patient
might be experiencing pain. What would
be the most suitable approach for the
B. Employ the graphic pain scale for the
nurse to assess the patient's pain level?
patient to indicate their pain level.
A. Have the patient fill out a detailed
questionnaire.
B. Employ the graphic pain scale for the
patient to indicate their pain level.
C. Solely depend on observation of the
patient's behavior and movements.
, Certified Emergency Nurse CEN Test A
D. Ask the family to describe any
changes in the patient's usual behavior.
1. Which of the following is a discrete
variable?
A. Number of neonates in the NICU.
A. Number of neonates in the NICU
B. Occipitofrontal circumference.
C. Height.
D. Weight.
1. Which of the following is not a risk
factor for epistaxis?
A. Hypertension.
D. Autoimmune response.
B. Drug abuse.
C. Foreign bodies.
D. Autoimmune response.
1. A 55-year-old hypertensive male is
being managed in the ER for NSTEMI.
Which of the following treatment modali-
ties is inappropriate for this patient?
B. Fibrinolytic therapy.
A. Angiography.
B. Fibrinolytic therapy.
C. ACE inhibitors.
D. Morphine.
1. 56-year-old hypertensive male is be-
ing managed for STEMI secondary to
atherosclerosis. Which of the following
eliminates the need for thrombolytic ther-
apy?
A. Previous history of myocardial infarc- B. Available PCI.
tion.
B. Available PCI.
C. Recent aspirin use.
D. The onset of symptoms 12 hours be-
fore arrival.
1. A 57-year-old female presents to
the ER with diaphoresis, shortness of
breath, and crushing chest pain. A di-
agnosis of acute coronary syndrome is
, Certified Emergency Nurse CEN Test A
made. Which of the following is not a
component of care given before diagno-
sis is confirmed?
A. Oxygen therapy. D. Angiography.
B. Nitrates.
C. Beta-blockers.
D. Angiography.
1. Which of the following is most appro-
priate for a 46-year-old male being man-
aged for uncomplicated NSTEMI?
A. Emergency angiography. C. Beta-blockers.
B. Fibrinolytic therapy.
C. Beta-blockers.
D. CABG.
1. A 57-year-old male is being managed
in the ER for unstable angina. Which of
the following is not a presentation of this
condition?
D. ST elevation.
A. Angina at rest.
B. New-onset angina.
C. Progressive angina.
D. ST elevation.
1. Which of the following patients is least
at risk of aspiration?
A. A 56-year-old male with status epilep-
ticus.
B. A 36-year-old female with myasthenia D. A 45-year-old male with chronic bron-
gravis. chitis.
C. A 23-year-old male with upper GI
bleeding.
D. A 45-year-old male with chronic bron-
chitis.
1. A patient presents to the ER complain-
ing of sudden chest pain and shortness
of breath. A chest X-ray is essential for
which of the following reasons?
A. It can definitively diagnose a myocar-
dial infarction.
, Certified Emergency Nurse CEN Test A
B. It can depict lung inflation and any po-
tential lung collapses or pneumothorax.
C. It provides a detailed view of the coro- B. It can depict lung inflation and any po-
nary arteries and potential blockages. tential lung collapses or pneumothorax.
D. It can depict the brain and help med-
ical professionals rule out a stroke.
1. Which of the following antibiotics is
most suitable for treating a 45-year-old
male being managed in the ER for aspi-
ration pneumonitis secondary to opioid
overdose? A. Clindamycin.
A. Clindamycin.
B. Doxycycline.
C. Erythromycin.
D. Streptomycin.
1. Which of the following treatment
modalities is not indicated in managing
a four-year old male who ingested paint
thinner an hour before presentation?
A. Gastric lavage.
A. Gastric lavage.
B. Oxygen supplementation.
C. IV fluids.
D. Vital sign monitoring.
1. Which of the following investigations
is not required in diagnosing myasthenia
gravis in a 35-year-old female who pre-
sents to the ER with diplopia, ptosis, and
weakness of the distal muscles? B. CT of the thorax.
A. Electromyography.
B. CT of the thorax.
C. Serum AChR antibodies.
D. Ice pack test.
1. A patient who presents to the ER
with ptosis, dysphagia, and diplopia is
being managed with pyridostigmine for
A. Diarrhea.
myasthenia gravis. The patient should be
informed of which of the following side
effects?
1. A patient with a peritonsillar abscess
will likely have which of these?
A. Stridor.
D. Hot potato voice.
B. Wheezing.
C. Whooping cough.
D. Hot potato voice.
1. A patient who presents to the ER with
anterior epistaxis secondary to drying of
the mucosa from extreme weather is be-
ing managed with silver nitrate. Which of
the following options best describes the
D. Cauterization.
action of silver nitrate?
A. Anesthesia.
B. Vasoconstriction.
C. Lubrication.
D. Cauterization.
1. A patient who presents to the ER
with acute kidney injury is placed on a
low-potassium diet. Which of these foods
is most appropriate?
D. Pasta.
A. Bone broth.
B. Bananas.
C. Baked potatoes.
D. Pasta.
1. An adult cognitive-impaired patient is
brought to the ER due to suspected post-
operative complications. He has difficulty
speaking. The nurse suspects the patient
might be experiencing pain. What would
be the most suitable approach for the
B. Employ the graphic pain scale for the
nurse to assess the patient's pain level?
patient to indicate their pain level.
A. Have the patient fill out a detailed
questionnaire.
B. Employ the graphic pain scale for the
patient to indicate their pain level.
C. Solely depend on observation of the
patient's behavior and movements.
, Certified Emergency Nurse CEN Test A
D. Ask the family to describe any
changes in the patient's usual behavior.
1. Which of the following is a discrete
variable?
A. Number of neonates in the NICU.
A. Number of neonates in the NICU
B. Occipitofrontal circumference.
C. Height.
D. Weight.
1. Which of the following is not a risk
factor for epistaxis?
A. Hypertension.
D. Autoimmune response.
B. Drug abuse.
C. Foreign bodies.
D. Autoimmune response.
1. A 55-year-old hypertensive male is
being managed in the ER for NSTEMI.
Which of the following treatment modali-
ties is inappropriate for this patient?
B. Fibrinolytic therapy.
A. Angiography.
B. Fibrinolytic therapy.
C. ACE inhibitors.
D. Morphine.
1. 56-year-old hypertensive male is be-
ing managed for STEMI secondary to
atherosclerosis. Which of the following
eliminates the need for thrombolytic ther-
apy?
A. Previous history of myocardial infarc- B. Available PCI.
tion.
B. Available PCI.
C. Recent aspirin use.
D. The onset of symptoms 12 hours be-
fore arrival.
1. A 57-year-old female presents to
the ER with diaphoresis, shortness of
breath, and crushing chest pain. A di-
agnosis of acute coronary syndrome is
, Certified Emergency Nurse CEN Test A
made. Which of the following is not a
component of care given before diagno-
sis is confirmed?
A. Oxygen therapy. D. Angiography.
B. Nitrates.
C. Beta-blockers.
D. Angiography.
1. Which of the following is most appro-
priate for a 46-year-old male being man-
aged for uncomplicated NSTEMI?
A. Emergency angiography. C. Beta-blockers.
B. Fibrinolytic therapy.
C. Beta-blockers.
D. CABG.
1. A 57-year-old male is being managed
in the ER for unstable angina. Which of
the following is not a presentation of this
condition?
D. ST elevation.
A. Angina at rest.
B. New-onset angina.
C. Progressive angina.
D. ST elevation.
1. Which of the following patients is least
at risk of aspiration?
A. A 56-year-old male with status epilep-
ticus.
B. A 36-year-old female with myasthenia D. A 45-year-old male with chronic bron-
gravis. chitis.
C. A 23-year-old male with upper GI
bleeding.
D. A 45-year-old male with chronic bron-
chitis.
1. A patient presents to the ER complain-
ing of sudden chest pain and shortness
of breath. A chest X-ray is essential for
which of the following reasons?
A. It can definitively diagnose a myocar-
dial infarction.
, Certified Emergency Nurse CEN Test A
B. It can depict lung inflation and any po-
tential lung collapses or pneumothorax.
C. It provides a detailed view of the coro- B. It can depict lung inflation and any po-
nary arteries and potential blockages. tential lung collapses or pneumothorax.
D. It can depict the brain and help med-
ical professionals rule out a stroke.
1. Which of the following antibiotics is
most suitable for treating a 45-year-old
male being managed in the ER for aspi-
ration pneumonitis secondary to opioid
overdose? A. Clindamycin.
A. Clindamycin.
B. Doxycycline.
C. Erythromycin.
D. Streptomycin.
1. Which of the following treatment
modalities is not indicated in managing
a four-year old male who ingested paint
thinner an hour before presentation?
A. Gastric lavage.
A. Gastric lavage.
B. Oxygen supplementation.
C. IV fluids.
D. Vital sign monitoring.
1. Which of the following investigations
is not required in diagnosing myasthenia
gravis in a 35-year-old female who pre-
sents to the ER with diplopia, ptosis, and
weakness of the distal muscles? B. CT of the thorax.
A. Electromyography.
B. CT of the thorax.
C. Serum AChR antibodies.
D. Ice pack test.
1. A patient who presents to the ER
with ptosis, dysphagia, and diplopia is
being managed with pyridostigmine for
A. Diarrhea.
myasthenia gravis. The patient should be
informed of which of the following side
effects?
