TEST BANK CEN EXAM / NEWEST CEN EXAM
2026, PREP EXAM AND COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
DOWNLOAD PDF
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 - 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 - ANSWER: Place in a
seclusion room
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. - 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. - 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 - ANSWER: Ruptured diaphragm
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 - 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 -
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
2026, PREP EXAM AND COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
DOWNLOAD PDF
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 - 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 - ANSWER: Place in a
seclusion room
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. - 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. - 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 - ANSWER: Ruptured diaphragm
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 - 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 -
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
