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CEN 2026 Mock Exam PDF – Certified Emergency Nurse Practice Questions and Comprehensive Study Guide 2026–2027

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Prepare for the Certified Emergency Nurse (CEN®) certification with this CEN 2026 Mock Exam PDF, a comprehensive study resource designed to reinforce emergency nursing knowledge and improve exam readiness. This guide features realistic practice questions covering cardiovascular, respiratory, neurological, gastrointestinal, genitourinary, trauma, shock, toxicology, environmental emergencies, pediatric and obstetric emergencies, disaster preparedness, and professional practice. The content is designed to align with the current CEN exam content outline and help candidates strengthen clinical judgment, prioritization, and evidence-based decision-making for the 2026–2027 certification cycle.

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Institution
CEN
Course
CEN

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CEN_LATEST MOCK
EXAM



2026-2027
Master Exam Prep Bundle
(Verified Questions & Answers)
A+ Grade Guaranteed

,Which of the following statements made by a patient would While on a long flight, I should get up and walk to stretch my legs every hour.
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.


An emergency nurse is providing discharge instructions for I will be at increased risk for ectopic pregnancy.
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.


A 16-year-old presents with severe left upper quadrant Ruptured diaphragm
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


A patient presents with chest pain. The nurse performs a An old infarction
12-lead electrocardiogram that reveals an abnormal Q
wave. What does the nurse suspect?
A current injury
An old infarction
An acute infarction
Ischemia


A patient is brought to the ED by emergency medical Place in a seclusion room
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


A 28-year-old female presents with shortness of breath, Computed tomographic pulmonary angiography
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

, A family of 10 presents to the ED with complaints of fever, Notify infection prevention
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


A patient presents to the ED with complaints of fatigue and A patient with severe chronic asthma who has been on prednisone for several years
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


A patient who was brought to the ED by ambulance Tension pneumothorax
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


What is the most common cause of cardiogenic shock? Myocardial infarction
Sustained cardiac dysrhythmias
Acute valvular dysfunction
Myocardial infarction
End-stage cardiomyopathy


The disease most commonly associated with the catarrhal, Macrolide antibiotics
paroxysmal and convalescent stages is best treated with
classification of medications?
Immune globulin
Steroids
Antiretroviral therapy
Macrolide antibiotics


A 28-year-old female presents to the ED with complaints of Panic attack
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


A 30-year-old male presents to the emergency department Cluster
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
Cluster
Migraine

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