CEN EXAM WITH APPROVED QUESTIONS AND ANSWERS|
LATEST UPLOAD |GRADED A+
Which of the following statements made by a patient would lead the nurse to conclude that
the patient understands risk factors for pulmonary embolism?
While on a long flight, I should get up and walk to stretch my legs every hour.
Resuming my birth control pills will lower my risk of cancer and my risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't happen again.
Switching from my regular cigarettes to the electronic ones can reduce my risk. - correct
answer-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?
Getting pregnant shouldn't be a problem once the infection goes away.
I'll take the medicine for nausea when I feel sick to my stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow. - correct answer-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?
Small bowel rupture
Ruptured diaphragm
Flail chest
Hepatic injury - correct answer-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?
A current injury
An old infarction
An acute infarction
Ischemia - correct answer-An old infarction
A patient is brought to the ED by emergency medical services with increased aggression
and making clear homicidal threats. What immediate action will the nurse expect to
promote staff and patient safety?
Administration of antipsychotics
One-to-one observation
Place in a seclusion room
Application of restraints - correct answer-Place in a seclusion room
A 28-year-old female presents with shortness of breath, dizziness, and diaphoresis. Her
vital signs are BP 118/74 mm Hg, HR 122 beats/min, RR 26 breaths/min, T 37.7 C (99.9 F),
SpO2 92% without supplemental oxygen. Her health history includes fractures of the left
tibia and fibula following an MVC 3 weeks ago. Surgical fixation was required. Her only
current medications are an oral contraceptive and intermittent ibuprofen for pain.
Assessment of the casted left leg reveals that the toes are swollen. With this information,
which diagnostic testing will the nurse expect as the highest priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography
Radiograph of the left leg - correct answer-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?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room
Inform those waiting that Ebola has been detected - correct answer-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 high school wrestler who admits to taking his grandfather's furosemide before a meet
A patient with insulin-dependent diabetes who took insulin, without eating breakfast.
A patient with severe chronic asthma who has been on prednisone for several years
A patient who underwent a thyroidectomy several years ago who recently ran out of
medication - correct answer-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 the right, and jugular vein distension. Which of the
following conditions would be suspected?
Aspiration
Flail chest
Cardiac tamponade
Tension pneumothorax - correct answer-Tension pneumothorax
, What is the most common cause of cardiogenic shock?
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy - correct answer-Myocardial infarction
The disease most commonly associated with the catarrhal, paroxysmal and convalescent
stages is best treated with classification of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics - correct answer-Macrolide antibiotics
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?
Post-traumatic stress disorder
Panic attack
Acute stress disorder
Generalized anxiety disorder - correct answer-Panic attack
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?
Tension
Traumatic
LATEST UPLOAD |GRADED A+
Which of the following statements made by a patient would lead the nurse to conclude that
the patient understands risk factors for pulmonary embolism?
While on a long flight, I should get up and walk to stretch my legs every hour.
Resuming my birth control pills will lower my risk of cancer and my risk of another clot.
If I drink plenty of water while driving on a long trip, this shouldn't happen again.
Switching from my regular cigarettes to the electronic ones can reduce my risk. - correct
answer-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?
Getting pregnant shouldn't be a problem once the infection goes away.
I'll take the medicine for nausea when I feel sick to my stomach.
I will be at increased risk for ectopic pregnancy.
I will follow up with my doctor tomorrow. - correct answer-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?
Small bowel rupture
Ruptured diaphragm
Flail chest
Hepatic injury - correct answer-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?
A current injury
An old infarction
An acute infarction
Ischemia - correct answer-An old infarction
A patient is brought to the ED by emergency medical services with increased aggression
and making clear homicidal threats. What immediate action will the nurse expect to
promote staff and patient safety?
Administration of antipsychotics
One-to-one observation
Place in a seclusion room
Application of restraints - correct answer-Place in a seclusion room
A 28-year-old female presents with shortness of breath, dizziness, and diaphoresis. Her
vital signs are BP 118/74 mm Hg, HR 122 beats/min, RR 26 breaths/min, T 37.7 C (99.9 F),
SpO2 92% without supplemental oxygen. Her health history includes fractures of the left
tibia and fibula following an MVC 3 weeks ago. Surgical fixation was required. Her only
current medications are an oral contraceptive and intermittent ibuprofen for pain.
Assessment of the casted left leg reveals that the toes are swollen. With this information,
which diagnostic testing will the nurse expect as the highest priority?
Sputum cultures
Chest radiograph
Computed tomographic pulmonary angiography
Radiograph of the left leg - correct answer-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?
Notify infection prevention
Leave the family in the waiting room
Evacuate the waiting room
Inform those waiting that Ebola has been detected - correct answer-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 high school wrestler who admits to taking his grandfather's furosemide before a meet
A patient with insulin-dependent diabetes who took insulin, without eating breakfast.
A patient with severe chronic asthma who has been on prednisone for several years
A patient who underwent a thyroidectomy several years ago who recently ran out of
medication - correct answer-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 the right, and jugular vein distension. Which of the
following conditions would be suspected?
Aspiration
Flail chest
Cardiac tamponade
Tension pneumothorax - correct answer-Tension pneumothorax
, What is the most common cause of cardiogenic shock?
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy - correct answer-Myocardial infarction
The disease most commonly associated with the catarrhal, paroxysmal and convalescent
stages is best treated with classification of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics - correct answer-Macrolide antibiotics
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?
Post-traumatic stress disorder
Panic attack
Acute stress disorder
Generalized anxiety disorder - correct answer-Panic attack
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?
Tension
Traumatic
