CERTIFIED EMERGENCY NURSE EXAM (CEN)
– BCEN | COMPLETE EXAM WITH CORRECT
100% VERIFIED ANSWERS
A trauma patient presents with hypotension, tachycardia,
and cool clammy skin. Priority action:
A. Start IV fluids
B. Obtain ECG
C. Administer antibiotics
D. Provide oral fluids
Answer: A
Rationale: Signs indicate hypovolemic shock. Immediate
fluid resuscitation is priority.
2. A patient with chest pain and ST elevation on ECG should
receive:
A. Oxygen only
B. Immediate reperfusion therapy
C. Antibiotics
D. Diuretics
Answer: B
,Rationale: STEMI requires urgent reperfusion to restore
myocardial blood flow.
3. Which finding indicates increased intracranial pressure?
A. Bradycardia and hypertension
B. Tachycardia and hypotension
C. Fever only
D. Diarrhea
Answer: A
Rationale: Cushing’s response = bradycardia +
hypertension + irregular respirations.
4. First priority for airway compromise:
A. Secure airway
B. Start IV fluids
C. Obtain labs
D. Provide analgesics
Answer: A
Rationale: Airway always takes priority in emergency care.
5. A burn patient with hoarseness and soot in sputum
requires:
,A. Immediate intubation
B. Oral hydration
C. Antibiotics
D. Wound dressing
Answer: A
Rationale: Signs of inhalation injury → airway edema risk.
6. A patient with anaphylaxis should receive first:
A. Epinephrine IM
B. Antihistamines
C. Steroids
D. Oxygen only
Answer: A
Rationale: Epinephrine is life-saving first-line treatment.
7. Which condition causes unequal pupils after head injury?
A. Brain herniation
B. Migraine
C. Anxiety
D. Dehydration
, Answer: A
Rationale: Unequal pupils indicate cranial nerve
compression.
8. A patient with tension pneumothorax requires:
A. Needle decompression
B. Antibiotics
C. Oxygen only
D. Bronchodilators
Answer: A
Rationale: Immediate decompression relieves pressure on
lungs and heart.
9. Priority in suspected stroke:
A. Rapid neurological assessment
B. Provide food
C. Administer antibiotics
D. Sedation
Answer: A
Rationale: Time-sensitive evaluation for thrombolytic
eligibility.
– BCEN | COMPLETE EXAM WITH CORRECT
100% VERIFIED ANSWERS
A trauma patient presents with hypotension, tachycardia,
and cool clammy skin. Priority action:
A. Start IV fluids
B. Obtain ECG
C. Administer antibiotics
D. Provide oral fluids
Answer: A
Rationale: Signs indicate hypovolemic shock. Immediate
fluid resuscitation is priority.
2. A patient with chest pain and ST elevation on ECG should
receive:
A. Oxygen only
B. Immediate reperfusion therapy
C. Antibiotics
D. Diuretics
Answer: B
,Rationale: STEMI requires urgent reperfusion to restore
myocardial blood flow.
3. Which finding indicates increased intracranial pressure?
A. Bradycardia and hypertension
B. Tachycardia and hypotension
C. Fever only
D. Diarrhea
Answer: A
Rationale: Cushing’s response = bradycardia +
hypertension + irregular respirations.
4. First priority for airway compromise:
A. Secure airway
B. Start IV fluids
C. Obtain labs
D. Provide analgesics
Answer: A
Rationale: Airway always takes priority in emergency care.
5. A burn patient with hoarseness and soot in sputum
requires:
,A. Immediate intubation
B. Oral hydration
C. Antibiotics
D. Wound dressing
Answer: A
Rationale: Signs of inhalation injury → airway edema risk.
6. A patient with anaphylaxis should receive first:
A. Epinephrine IM
B. Antihistamines
C. Steroids
D. Oxygen only
Answer: A
Rationale: Epinephrine is life-saving first-line treatment.
7. Which condition causes unequal pupils after head injury?
A. Brain herniation
B. Migraine
C. Anxiety
D. Dehydration
, Answer: A
Rationale: Unequal pupils indicate cranial nerve
compression.
8. A patient with tension pneumothorax requires:
A. Needle decompression
B. Antibiotics
C. Oxygen only
D. Bronchodilators
Answer: A
Rationale: Immediate decompression relieves pressure on
lungs and heart.
9. Priority in suspected stroke:
A. Rapid neurological assessment
B. Provide food
C. Administer antibiotics
D. Sedation
Answer: A
Rationale: Time-sensitive evaluation for thrombolytic
eligibility.
