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CEN Practice Exam 2025: Certified Emergency
Nurse Practice Questions, Answer Explanations &
Full Emergency Nursing Review”
✅
“Access the most updated 2025 CEN Practice Exam with high-
yield emergency nursing questions and detailed answer
explanations. Strengthen your mastery of trauma,
cardiovascular, respiratory, neurological, and medical
emergencies to boost your Certified Emergency Nurse exam
score.”
✅
CEN practice exam
Certified Emergency Nurse practice test
CEN sample questions
emergency nursing practice exam
CEN exam questions
The nurse is caring for a patient who became unresponsive
after diving head-first into a shallow pool. The patient is
experiencing refractory hypotension. The nurse should prepare
for the administration of
lactated Ringers.
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norepinephrine.
normal saline.
epinephrine. - correct answer- b. norepinephrine
A 3-year-old child who has acute respiratory distress is
admitted to the emergency department. The child is sitting
forward and drooling, and the neck is extended. These findings
support the diagnosis of A. epiglottitis.
bronchiolitis.
croup.
aspiration of a foreign body. - correct answer- A. epiglottitis
The nurse understands that adenosine is administered A. IV
push over 1-2 seconds.
as a bolus over 10-15 minutes.
as a bolus over 1 hour.
IV push over 1-2 minutes. - correct answer- A. IV push over 1-2
seconds.
A man who briefly lost consciousness after a motor vehicle
crash is alert and oriented upon arrival at the emergency
department. The patient states that he is fine except for an
abrasion where his head hit the door frame of the vehicle. The
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patient complains of blurred vision 1 hour later. The nurse
should FIRST
repeat the neurologic assessment.
obtain orthostatic vital signs.
assess visual acuity.
obtain blood glucose measurement. - correct answer- A. repeat
the neurologic assessment.
The nurse is caring for a patient who has a high fever, central
nervous system dysfunction and tachycardia. The nurse should
recognize that the patient may be experiencing
myxedema crisis.
Beck's triad.
thyroid storm.
hyperosmolar hyperglycemic nonketotic syndrome (HHNS). -
correct answer- C. Thyroid storm
Which of the following assessment findings associated with a
skull fracture indicate the need for further intervention?
otorrhea, nausea, and vomiting
decreasing level of consciousness and restlessness
early evidence of periorbital ecchymosis and photophobia
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rhinorrhea and headache or dizziness - correct answer- B.
decreasing level of consciousness and restlessness
Upon initial assessment of a male patient involved in a motor
vehicle crash, the nurse observes bruises in various stages of
healing to his torso. He denies any medical history. When
asked about the bruising, the patient avoids eye contact, states
that he fell yesterday, and asks if his male partner has arrived
to the ED. The nurse suspects:
the patient may have undiagnosed coagulopathy.
the bruising was sustained during the motor vehicle crash.
the patient may be a victim of domestic violence.
the bruising is a result of the stated fall. - correct answer- C. the
patient may be a victim of domestic violence.
After a non-traumatic resuscitation, the patient has a perfusing
ECG rhythm and a stable blood pressure, but the patient
remains comatose. The nurse should NEXT prepare for A.
initiation of targeted temperature management.
initiation of stroke protocol.
transport to the cardiac catheterization lab.
transport to the neurovascular suite. - correct answer- A.
initiation of targeted temperature management.
CEN Practice Exam 2025: Certified Emergency
Nurse Practice Questions, Answer Explanations &
Full Emergency Nursing Review”
✅
“Access the most updated 2025 CEN Practice Exam with high-
yield emergency nursing questions and detailed answer
explanations. Strengthen your mastery of trauma,
cardiovascular, respiratory, neurological, and medical
emergencies to boost your Certified Emergency Nurse exam
score.”
✅
CEN practice exam
Certified Emergency Nurse practice test
CEN sample questions
emergency nursing practice exam
CEN exam questions
The nurse is caring for a patient who became unresponsive
after diving head-first into a shallow pool. The patient is
experiencing refractory hypotension. The nurse should prepare
for the administration of
lactated Ringers.
,2 | Page
norepinephrine.
normal saline.
epinephrine. - correct answer- b. norepinephrine
A 3-year-old child who has acute respiratory distress is
admitted to the emergency department. The child is sitting
forward and drooling, and the neck is extended. These findings
support the diagnosis of A. epiglottitis.
bronchiolitis.
croup.
aspiration of a foreign body. - correct answer- A. epiglottitis
The nurse understands that adenosine is administered A. IV
push over 1-2 seconds.
as a bolus over 10-15 minutes.
as a bolus over 1 hour.
IV push over 1-2 minutes. - correct answer- A. IV push over 1-2
seconds.
A man who briefly lost consciousness after a motor vehicle
crash is alert and oriented upon arrival at the emergency
department. The patient states that he is fine except for an
abrasion where his head hit the door frame of the vehicle. The
,3 | Page
patient complains of blurred vision 1 hour later. The nurse
should FIRST
repeat the neurologic assessment.
obtain orthostatic vital signs.
assess visual acuity.
obtain blood glucose measurement. - correct answer- A. repeat
the neurologic assessment.
The nurse is caring for a patient who has a high fever, central
nervous system dysfunction and tachycardia. The nurse should
recognize that the patient may be experiencing
myxedema crisis.
Beck's triad.
thyroid storm.
hyperosmolar hyperglycemic nonketotic syndrome (HHNS). -
correct answer- C. Thyroid storm
Which of the following assessment findings associated with a
skull fracture indicate the need for further intervention?
otorrhea, nausea, and vomiting
decreasing level of consciousness and restlessness
early evidence of periorbital ecchymosis and photophobia
, 4 | Page
rhinorrhea and headache or dizziness - correct answer- B.
decreasing level of consciousness and restlessness
Upon initial assessment of a male patient involved in a motor
vehicle crash, the nurse observes bruises in various stages of
healing to his torso. He denies any medical history. When
asked about the bruising, the patient avoids eye contact, states
that he fell yesterday, and asks if his male partner has arrived
to the ED. The nurse suspects:
the patient may have undiagnosed coagulopathy.
the bruising was sustained during the motor vehicle crash.
the patient may be a victim of domestic violence.
the bruising is a result of the stated fall. - correct answer- C. the
patient may be a victim of domestic violence.
After a non-traumatic resuscitation, the patient has a perfusing
ECG rhythm and a stable blood pressure, but the patient
remains comatose. The nurse should NEXT prepare for A.
initiation of targeted temperature management.
initiation of stroke protocol.
transport to the cardiac catheterization lab.
transport to the neurovascular suite. - correct answer- A.
initiation of targeted temperature management.
