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CEN EXAM VERSION 2 NEWEST
2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED
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A 30-year-old male presents to the emergency department with excruciating pain on the right side of his head. It has been coming and going all day. His right eye is reddened and skin is flushed. What type of headache is this patient experiencing? A. Tension B. Traumatic C. Cluster D. Migraine .....answer.....C. Cluster To make certain that chain of custody has been followed appropriately, what is the most responsible task performed by the emergency nurse? A. Keep the evidence at their work station until released to law enforcement B. Sign and date the tamper resistant tape in front of law enforcement
C. Limit the number of people with access to the evidence D. Carry the evidence with them until released to law enforcement .....answer.....C. Limit the number of people with access to the evidence Which orthopedic condition is the result of elevated uric acid levels? A. Joint effusion B. Osteomyelitis C. Gouty arthritis D. Bursitis .....answer.....C. Gouty arthritis A patient presents to the ED with sensory hallucinations and delusions. He also has disorganized speech and grossly disordered behavior. What would the nurse expect to take place in order for the patient to be properly cared for? A. A suicide risk assessment B. Administration of antipsychotics C. Application of restraints D. Medical clearance .....answer.....D. Medical clearance
Which of the following statements made by a patient would lead the nurse to conclude that the patient understands risk factors for pulmonary embolism? A. While on a long flight, I should get up and walk to stretch my legs every hour. B. Resuming my birth control pills will lower my risk of cancer and my risk of another clot. C. If I drink plenty of water while driving on a long trip, this shouldn't happen again. D. Switching from my regular cigarettes to the electronic ones can reduce my risk. .....answer.....A. While on a long flight, I should get up and walk to stretch my legs every hour. An emergency nurse is providing discharge instructions for a patient with pelvic inflammatory disease. Which statement made by the patient indicates an understanding of these instructions? A. Getting pregnant shouldn't be a problem once the infection goes away. B. I'll take the medicine for nausea when I feel sick to my stomach. C. I will be at increased risk for ectopic pregnancy.
D. I will follow up with my doctor tomorrow. .....answer.....C. I will be at increased risk for ectopic pregnancy. A 16-year-old presents with severe left upper quadrant abdominal pain after an over-the-handlebars bicycle collision. Vital signs are BP 100/60 mm Hg, HR 100 beats/min, RR 30 breaths/min, T 37.0 C (98.6 F), SpO2 89% without supplemental oxygen. There is bruising over the left upper quadrant of the abdomen. Auscultation reveals diminished breath sounds on the left accompanied by gurgling. Based on this history and assessment, the nurse suspects which injury? A. Small bowel rupture B. Ruptured diaphragm C. Flail chest D. Hepatic injury .....answer.....B. Ruptured diaphragm A patient presents with chest pain. The nurse performs a 12-lead electrocardiogram that reveals an abnormal Q wave. What does the nurse suspect?
casted left leg reveals that the toes are swollen. With this information, which diagnostic testing will the nurse expect as the highest priority? A. Sputum cultures B. Chest radiograph C. Computed tomographic pulmonary angiography D. Radiograph of the left leg .....answer.....C. Computed tomographic pulmonary angiography. A family of 10 presents to the ED with complaints of fever, muscle pain, and unexplained bruising ongoing for 7 days. After completing the screening, the nurse notes that the family recently traveled to Sierra Leone. What is the highest priority intervention the triage nurse needs to perform? A. Notify infection prevention B. Leave the family in the waiting room C. Evacuate the waiting room D. Inform those waiting that Ebola has been detected .....answer.....A. Notify infection prevention
A patient presents to the ED with complaints of fatigue and insomnia. Assessment findings reveal the patient is awake, alert, and oriented, has a round moon face, buffalo hump back, hirsutism and prominent striae on the trunk. Vital signs are normal. Which of the following scenarios is most consistent with this patient's presentation? A. A high school wrestler who admits to taking his grandfather's furosemide before a meet B. A patient with insulin-dependent diabetes who took insulin, without eating breakfast. C. A patient with severe chronic asthma who has been on prednisone for several years D. A patient who underwent a thyroidectomy several years ago who recently ran out of medication .....answer.....C. A patient with severe chronic asthma who has been on prednisone for several years A patient who was brought to the ED by ambulance following a motor vehicle collision, in which the driver hit a tree, has BP 92/48 mm Hg, HR 128 beats/min, RR 34 breaths/min, SpO2 91% with supplemental oxygen via a nonrebreather. He has labored breathing, cyanosis, absent breath sounds on
A. Steroids B. Antiretroviral therapy C. Macrolide antibiotics .....answer.....C. Macrolide antibiotics
11 | A 28-year-old female presents to the ED with complaints of dizziness, fear of dying, and hot flashes that began 10 minutes prior to arrival. The patient is trembling and tachypneic. Which anxiety disorder is the patient exhibiting? A. Post-traumatic stress disorder B. Panic attack C. Acute stress disorder D. Generalized anxiety disorder .....answer.....B. Panic attack The emergency nurse knows that a patient who has experienced a severe electrical injury is at risk for which of the following? A. Arrhythmias B. Carboxyhemoglobinemia C. Tissue liquefaction D. Hypocalcemia .....answer.....A. Arrhythmias
13 | nitroglycerin prescribed for his angina. There has been no relief. Assessment reveals he is slurring his words, there is a facial droop, and his grip strength is weaker on the right. Vital signs are BP 108/86 mm Hg, HR 96 beats/min, RR 18 breaths/min, T 37.0 C (98.6 F), SpO2 91% without supplemental oxygen. What assessment can the nurse do to further determine the cause of these signs and symptoms? A. Take a blood pressure on the other arm B. Send blood to the laboratory for toxicology C. Perform an assessment for stroke D. Send blood to the laboratory for cardiac enzymes .....answer.....A. Take a blood pressure on the other arm A patient has just been diagnosed with diabetes insipidus. Which medication will the nurse expect to give? A. Hypertonic saline B. Methylprednisolone C. Vasopressin
D. Furosemide .....answer.....C. Vasopressin A 56-year-old female presents with vague complaints of fatigue and bloating. Assessment reveals pitting edema of hands and feet, abdominal distention, and prominent neck veins. What condition is described by these clinical manifestations?
B. Development of mastoiditis C. Ocular entrapment D. Inability to protect one's own airway .....answer.....C. Ocular entrapment What intervention is used to manage seasonal affective disorder? A. Increasing caffeine intake B. Vitamin D supplements C. Moving to a warmer climate D. Use tanning beds .....answer.....B. Vitamin D supplements Which of the following would be indicative of Alzheimer's disease? A. Gradual onset of memory loss and aphasia B. Sudden onset of disorganized speech and disorientation C. Acute onset of dysarthria and ataxia D. Chronic symptoms of sadness, slow speech, and flat affect .....answer.....A. Gradual onset of memory loss and aphasia
What is the best way to promote a successful family presence practice? A. Ensure that social services leads the practice B. Allow immediate family to be present C. Have administrative support D. Make it a facility requirement .....answer.....C. Have administrative support A patient arrives unresponsive. Cardiopulmonary monitoring indicates a ventricular tachycardia. He has no pulse. What will the nurse anticipate as the next intervention? A. Synchronized cardioversion B. Administer epinephrine intravenously C. Administer atropine intravenously D. Defibrillation .....answer.....D. Defibrillation What is a late sign of intussusception? A. Colicky pain
B. BP 190/110 mm Hg C. NIH stroke scale of 6 D. Headache .....answer.....B. BP 190/110 mm Hg A 16-year-old male is brought to the ED by his coach. The patient was playing football in moderately cold weather one hour prior to arrival and felt severe pain in the left groin area. This is suggestive of which genitourinary emergency? A. Paraphimosis B. Testicular torsion C. Priapism D. Acute epididymitis .....answer.....B. Testicular torsion A 3-year-old boy is brought to the ED by his mother, who noticed bruises on the boy's left thigh, back, and feet developing over the last week. Past medical history includes a mild respiratory virus a month ago. The assessment reveals, he is awake and alert, with some bleeding noted around the gums. Initial laboratory values include a low platelet count with a normal white blood cell
count. Hemoglobin and hematocrit are slightly low. Which disorder does the nurse suspect is the cause of his signs and symptoms? A. Leukemia B. Thrombocytosis C. Disseminated intravascular coagulopathy D. Idiopathic thrombocytopenia purpura .....answer.....D. Idiopathic thrombocytopenia purpura A 50-year-old male arrives at the emergency department via ambulance after sustaining a knife wound to the right side of his back. He has loss of movement on the right side and loss of sensation on the left side of his body. The nurse suspects that this is which type of spinal cord injury? A. Brown-Séquard syndrome B. Anterior cord syndrome C. Posterior cord syndrome D. Central cord syndrome .....answer.....A. Brown-Séquard syndrome
