CEN EXAM VERSION 2 NEWEST 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
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A pediatric patient is diagnosed and treated for conjunctivitis. What statement
made by the caregivers indicates understanding of discharge instructions?
A. "My child cannot return to school until the infection has resolved."
B. "My child can return to school immediately because this is a viral infection."
C. "My child needs to practice good hand hygiene after using the bathroom."
D. "My child can sleep in the same bed as her sister during nap time." - ANSWER-
A. "My child cannot return to school until the infection has resolved."
A patient with tuberculosis is considered infectious as long as
A. the tuberculin skin test is positive.
B. a productive cough is present.
C. pulmonary tuberculosis is evident on the chest radiograph.
D. viable tubercle bacilli are discharged in the sputum - ANSWER-D. viable
tubercle bacilli are discharged in the sputum
What is the PRIORITY treatment for a patient with signs and symptoms of heat
exhaustion?
A. Establish IV access.
B. Administer oxygen.
C. Initiate cooling measures.
D. Obtain blood samples. - ANSWER-C. Initiate cooling measures.
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, CEN EXAM VERSION 2
The nurse is caring for a patient who is 2 days postpartum, is hypertensive and
complaining of a severe headache. The nurse should prepare to administer
A. magnesium sulfate.
B. acetaminophen.
C. methylergonovine maleate (Methergine).
D. oxytocin (Pitocin). - ANSWER-A. magnesium sulfate.
A patient presents with right-sided facial droop and slurred speech that started 2
hours ago. The patient's blood glucose level is 105 mg/dL and vital signs are as
follows:
BP 210/122 mmHgHR 72 beats/min RR 19 breaths/min O2 sat 98% on room air
The nurse should FIRST anticipate an order for:
A. rechecking blood glucose.
B. evaluation by a neurologist.
C. antihypertensive medication.
D. administering tPA immediately. - ANSWER-C. antihypertensive medication.
To assess pronator drift, the nurse should instruct the patient to
A. hold both arms straight out with your eyes closed.
B. touch your finger to your nose,
alternating your right and left hands.
C. smile and show me your teeth.
D. slide the left heel of your foot down your right shin. - ANSWER-A. hold both
arms straight out with your eyes closed.
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, CEN EXAM VERSION 2
Which of the following signs and symptoms are characteristic of pertussis?
A. pleuritic chest pain and chills
B. vocal changes and difficulty swallowing
C. inspiratory stridor and drooling
D. paroxysmal coughing and fever - ANSWER-D. paroxysmal coughing and fever
A patient who has been in a motorcycle crash is awake, alert, and oriented, but
complains of severe neck pain. Shortly after arrival, the patient experiences
respiratory arrest. Appropriate INITIAL management of the airway should consist
of
A. administration of oxygen by a nasal cannula.
B. head-tilt maneuver and placement of an oropharyngeal airway.
C. endotracheal intubation.
D. jaw-thrust maneuver and ventilation with a bag-mask device. - ANSWER-D. jaw-
thrust maneuver and ventilation with a bag-mask device.
The nurse is caring for a patient with a long history of alcohol abuse who now has
coffee-ground emesis and hypotension. The nurse should prepare for emergent
administration of
A. ondansetron (Zofran).
B. blood products.
C. hypertonic saline.
D. thiamine. - ANSWER-B. blood products.
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, CEN EXAM VERSION 2
An indwelling urinary catheter is ordered for a patient who has sustained a
straddle injury to his external genitalia. Before catheter insertion, the nurse
should assess the patient for
A. blood at the urinary meatus.
B. scrotal or penile swelling.
C. the ability to void spontaneously.
D. penile tenderness - ANSWER-A. blood at the urinary meatus.
Prior to discharge, the nurse should ensure a patient treated for priapism
A. is instructed to return for cystoscopy.
B. has complete resolution of pain.
C. can urinate without difficulty.
D. has received intravenous antibiotics. - ANSWER-C. can urinate without difficulty.
The nurse is caring for a patient with altered mental status, poor oral intake, and
diarrhea for several days. The patient's laboratory tests are as follows:
pH 7.29HCO3 14 mEq/Lserum glucose level 380 mg/dLserum potassium level 3.0
mEq/Lurinalysis positive for ketonesAn order for regular insulin 10 units IV is
received. The nurse should
A. hold the insulin and request an order for a potassium replacement first.
B. hold the insulin and request an order for D5 0.45 NS to be given first.
C. administer the insulin, but slow IV push over 5 minutes.
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