CEN CERTIFICATION EXAM 2025
LATEST EXAM COMPLETE 200
QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+ BRAND NEW
A 22-year-old patient presents with upper respiratory
symptoms, nausea and vomiting and a low-grade fever.
She has a history of leukemia and underwent
chemotherapy 2 weeks ago. What is the nurse's priority?
Protective isolation
Ondansetron oral dissolving tablet
Intravenous fluid bolus
Morphine intravenous Correct Answer Protective isolation
A patient presents to the ED with a chief complaint of "It
feels like I have something in my eye, but I can't see it."
What eye injury is this most likely to represent?
Corneal ulcer
Keratitis
Hyphema
Corneal abrasion Correct Answer Corneal abrasion
In compensated shock, what physiological response
increases serum sodium?
Sympathetic nervous system (SNS) response
Intracellular fluid shift
Renin-angiotensin-aldosterone system (RAAS)
, Altered capillary permeability Correct Answer Renin-
angiotensin-aldosterone system (RAAS)
A patient describes symptoms of recent onset of eye pain
and denies any traumatic injury. He is seeing haloes
around lights and is experiencing nausea, vomiting, and
headaches. The nurse's assessment reveals loss of
peripheral vision and redness of the affected eye. Which
condition does this set of clinical manifestations describe?
Acute angle glaucoma
Keratitis
Corneal ulcer
Retinal detachment Correct Answer Acute angle
glaucoma
Which of the following clinical presentations is most
consistent with a patient who has pancreatitis?
Pain with palpation of the right subcostal area during
inspiration
Diffuse cramping abdominal pain
Epigastric pain that radiates to the back
Dull, constant umbilical pain Correct Answer Epigastric
pain that radiates to the back
Administration of activated charcoal is indicated for which
of the following overdoses?
Hydrofluoric acid
Carbamazepine
Ferrous sulfate
Lithium Correct Answer Carbamazepine
,Which one of the following is an appropriate intervention
for acute lithium toxicity?
IV fluids with hypertonic solution
Urine alkalinization
Hemodialysis
Give activated charcoal Correct Answer Hemodialysis
The level of alertness and attention displayed by a patient
with a diffuse axonal injury is determined by which
segment of the neurological system?
Reticular activating system
Brainstem
Frontal lobe
Limbic system Correct Answer Reticular activating system
What is the first intervention that is appropriate for the
nurse to perform once a neonate has been delivered?
Thoroughly dry the neonate
Suction the mouth and nose
Measure APGAR score
Clamp the umbilical cord Correct Answer Thoroughly dry
the neonate
The nurse is giving discharge instructions to a patient with
chronic obstructive pulmonary disease - emphysema.
Which response indicates the patient understands the
instructions?
I need to limit my fluids to prevent fluid overload.
I need to sleep with my feet elevated to prevent swelling.
I need to get the pneumococcal vaccine.
, I need to avoid snacking between meals. Correct Answer
I need to get the pneumococcal vaccine.
A patient, who has suffered deep, full-thickness (third
degree) thermal burns to the circumferential chest and
abdomen, as well as burns of varying depth to the upper
extremities, has been transferred to your emergency
department from a small, rural community hospital.
Ventilating the intubated patient via bag-mask device is
becoming increasingly difficult and chest rise with
ventilation is poor. The emergency nurse anticipates which
procedure?
Tracheostomy
Cricothyroidotomy
Escharotomy
Fasciotomy Correct Answer Escharotomy
A patient presents to the ED with disorientation to time,
place and person, memory impairment, and personality
changes for the past 6 days. This patient is most likely
exhibiting which psychosocial emergency?
Dementia
Schizophrenia
Depression
Delirium Correct Answer Delirium
A patient arrives with complaints of shortness of breath
and a history of asthma. The assessment reveals mild
tachypnea, biphasic (expiratory and inspiratory) wheezing,
and use of accessory muscles. Peak expiratory flow is
LATEST EXAM COMPLETE 200
QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+ BRAND NEW
A 22-year-old patient presents with upper respiratory
symptoms, nausea and vomiting and a low-grade fever.
She has a history of leukemia and underwent
chemotherapy 2 weeks ago. What is the nurse's priority?
Protective isolation
Ondansetron oral dissolving tablet
Intravenous fluid bolus
Morphine intravenous Correct Answer Protective isolation
A patient presents to the ED with a chief complaint of "It
feels like I have something in my eye, but I can't see it."
What eye injury is this most likely to represent?
Corneal ulcer
Keratitis
Hyphema
Corneal abrasion Correct Answer Corneal abrasion
In compensated shock, what physiological response
increases serum sodium?
Sympathetic nervous system (SNS) response
Intracellular fluid shift
Renin-angiotensin-aldosterone system (RAAS)
, Altered capillary permeability Correct Answer Renin-
angiotensin-aldosterone system (RAAS)
A patient describes symptoms of recent onset of eye pain
and denies any traumatic injury. He is seeing haloes
around lights and is experiencing nausea, vomiting, and
headaches. The nurse's assessment reveals loss of
peripheral vision and redness of the affected eye. Which
condition does this set of clinical manifestations describe?
Acute angle glaucoma
Keratitis
Corneal ulcer
Retinal detachment Correct Answer Acute angle
glaucoma
Which of the following clinical presentations is most
consistent with a patient who has pancreatitis?
Pain with palpation of the right subcostal area during
inspiration
Diffuse cramping abdominal pain
Epigastric pain that radiates to the back
Dull, constant umbilical pain Correct Answer Epigastric
pain that radiates to the back
Administration of activated charcoal is indicated for which
of the following overdoses?
Hydrofluoric acid
Carbamazepine
Ferrous sulfate
Lithium Correct Answer Carbamazepine
,Which one of the following is an appropriate intervention
for acute lithium toxicity?
IV fluids with hypertonic solution
Urine alkalinization
Hemodialysis
Give activated charcoal Correct Answer Hemodialysis
The level of alertness and attention displayed by a patient
with a diffuse axonal injury is determined by which
segment of the neurological system?
Reticular activating system
Brainstem
Frontal lobe
Limbic system Correct Answer Reticular activating system
What is the first intervention that is appropriate for the
nurse to perform once a neonate has been delivered?
Thoroughly dry the neonate
Suction the mouth and nose
Measure APGAR score
Clamp the umbilical cord Correct Answer Thoroughly dry
the neonate
The nurse is giving discharge instructions to a patient with
chronic obstructive pulmonary disease - emphysema.
Which response indicates the patient understands the
instructions?
I need to limit my fluids to prevent fluid overload.
I need to sleep with my feet elevated to prevent swelling.
I need to get the pneumococcal vaccine.
, I need to avoid snacking between meals. Correct Answer
I need to get the pneumococcal vaccine.
A patient, who has suffered deep, full-thickness (third
degree) thermal burns to the circumferential chest and
abdomen, as well as burns of varying depth to the upper
extremities, has been transferred to your emergency
department from a small, rural community hospital.
Ventilating the intubated patient via bag-mask device is
becoming increasingly difficult and chest rise with
ventilation is poor. The emergency nurse anticipates which
procedure?
Tracheostomy
Cricothyroidotomy
Escharotomy
Fasciotomy Correct Answer Escharotomy
A patient presents to the ED with disorientation to time,
place and person, memory impairment, and personality
changes for the past 6 days. This patient is most likely
exhibiting which psychosocial emergency?
Dementia
Schizophrenia
Depression
Delirium Correct Answer Delirium
A patient arrives with complaints of shortness of breath
and a history of asthma. The assessment reveals mild
tachypnea, biphasic (expiratory and inspiratory) wheezing,
and use of accessory muscles. Peak expiratory flow is
