CEN EXAM VERSION 3
CEN EXAM VERSION 3 NEWEST 2025/2026 COMPLETE 150
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A decreased blood pressure, muffled heart tones, and narrow pulse pressure are
indicative of which type of chest injury? - ANSWER-Cardiac tamponade
Which part of the heart is most likely to be injured in a blunt force trauma
resulting in cardiac contusion? - ANSWER-Right ventricle
In a patient who sustained a cardiac contusion, which therapy should be used
sparingly due to potential cardiac dysfunction? - ANSWER-IVF
A patient who sustained blunt esophageal trauma resulting in a rupture will
typically have which assessment finding on palpation of the chest? - ANSWER-
subcutaneous emphysema
Which type of traumatic injury is the most common cause of blunt cardiac injury?
- ANSWER-acceleration/deceleration
Which type of shock is associated with a myocardial pump failure? - ANSWER-
Cardiogenic shock
Which type of shock is associated with an abnormal disruption of vascular volume
(not volume loss)? - ANSWER-Distributive shock
1|Page
, CEN EXAM VERSION 3
Which type of shock is associated with an insufficient amount of blood
circulation? - ANSWER-Hypovolemic shock
Which type of shock is associated with a blockage of venous return to the heart
and ultimately decreasing cardiac output? - ANSWER-Obstructive shock
What are the three different types of distributive shock? - ANSWER-1)
anaphylactic shock
2) neurogenic shock
3) septic shock
What are the three early signs of increased ICP? - ANSWER-1) Headache
2) Nausea/vomiting
3) Altered mental status/behavioral changes
What is Cushing's Triad? - ANSWER-1) Bradycardia
2) Widening pulse pressure
3) Abnormal or apneic respiration
What are the late signs of increased ICP? - ANSWER-Cushing's triad (bradycardia,
widening pulse pressure, apnea), unresponsiveness, posturing, dilated and
nonreactive pupils
2|Page
, CEN EXAM VERSION 3
Which spinal cord injury is characterized by paraplegia below the injury of the
associated injured side (ipsilateral) with hemianesthesia on the opposite side
(contralateral) of the injury? - ANSWER-Brown-Sequard Syndrome
Which spinal cord injury is characterized by the loss of sensations of pain and
temperature along with motor paralysis below the level of injury. Proprioception
(sense of movement, action, or location), touch, and vibratory senses remain
intact. - ANSWER-Anterior Cord Syndrome
Which spinal cord syndrome is characterized by upper and lower extremity
weakness that is more pronounced in the upper extremities? It is also associated
with a degree of sensory loss related to pain, temperature, light touch, and
position. - ANSWER-Central Cord Syndrome
Which spinal cord syndrome is characterized by preserved motor function below
the level of the injury with a loss of sensory function? - ANSWER-Posterior Cord
Syndrome
Which blood thinner has a reversal agent and name the reversal.
a) Plavix (Clopidogrel)
b) Coumadin (Warfarin) - ANSWER-b) Coumadin (Warfarin)
Reversal - Vitamin K
Which laboratory values can be used to diagnose DIC, and what will they look like?
- ANSWER-Increased D-Dimer and prolonged PT/aPTT
3|Page
, CEN EXAM VERSION 3
What laboratory finding will indicate DIC may be resolving? - ANSWER-Increased
platelet count
When applying a blood pressure cuff, you notice the patient's arm begins to flex
involuntarily. What causes this and what is this phenomena called? - ANSWER-
Trousseau's Sign. Indicative of hypocalcemia causing nervous system excitation.
Which headache is characterized by a pronounced frontal throbbing pain that may
be exacerbated by palpation over the temporal region?
a) tension headache
b) temporal arteritis
c) cluster headache
d) migraine headache - ANSWER-b) temporal arteritis
Which headache is characterized by an intense unilateral pain of the orbital or
temporal region?
a) tension headache
b) temporal arteritis
c) cluster headache
d) migraine headache - ANSWER-c) cluster headache
Which cardiac infection affects the leaflets of the heart valves? - ANSWER-
Endocarditis
4|Page
CEN EXAM VERSION 3 NEWEST 2025/2026 COMPLETE 150
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A decreased blood pressure, muffled heart tones, and narrow pulse pressure are
indicative of which type of chest injury? - ANSWER-Cardiac tamponade
Which part of the heart is most likely to be injured in a blunt force trauma
resulting in cardiac contusion? - ANSWER-Right ventricle
In a patient who sustained a cardiac contusion, which therapy should be used
sparingly due to potential cardiac dysfunction? - ANSWER-IVF
A patient who sustained blunt esophageal trauma resulting in a rupture will
typically have which assessment finding on palpation of the chest? - ANSWER-
subcutaneous emphysema
Which type of traumatic injury is the most common cause of blunt cardiac injury?
- ANSWER-acceleration/deceleration
Which type of shock is associated with a myocardial pump failure? - ANSWER-
Cardiogenic shock
Which type of shock is associated with an abnormal disruption of vascular volume
(not volume loss)? - ANSWER-Distributive shock
1|Page
, CEN EXAM VERSION 3
Which type of shock is associated with an insufficient amount of blood
circulation? - ANSWER-Hypovolemic shock
Which type of shock is associated with a blockage of venous return to the heart
and ultimately decreasing cardiac output? - ANSWER-Obstructive shock
What are the three different types of distributive shock? - ANSWER-1)
anaphylactic shock
2) neurogenic shock
3) septic shock
What are the three early signs of increased ICP? - ANSWER-1) Headache
2) Nausea/vomiting
3) Altered mental status/behavioral changes
What is Cushing's Triad? - ANSWER-1) Bradycardia
2) Widening pulse pressure
3) Abnormal or apneic respiration
What are the late signs of increased ICP? - ANSWER-Cushing's triad (bradycardia,
widening pulse pressure, apnea), unresponsiveness, posturing, dilated and
nonreactive pupils
2|Page
, CEN EXAM VERSION 3
Which spinal cord injury is characterized by paraplegia below the injury of the
associated injured side (ipsilateral) with hemianesthesia on the opposite side
(contralateral) of the injury? - ANSWER-Brown-Sequard Syndrome
Which spinal cord injury is characterized by the loss of sensations of pain and
temperature along with motor paralysis below the level of injury. Proprioception
(sense of movement, action, or location), touch, and vibratory senses remain
intact. - ANSWER-Anterior Cord Syndrome
Which spinal cord syndrome is characterized by upper and lower extremity
weakness that is more pronounced in the upper extremities? It is also associated
with a degree of sensory loss related to pain, temperature, light touch, and
position. - ANSWER-Central Cord Syndrome
Which spinal cord syndrome is characterized by preserved motor function below
the level of the injury with a loss of sensory function? - ANSWER-Posterior Cord
Syndrome
Which blood thinner has a reversal agent and name the reversal.
a) Plavix (Clopidogrel)
b) Coumadin (Warfarin) - ANSWER-b) Coumadin (Warfarin)
Reversal - Vitamin K
Which laboratory values can be used to diagnose DIC, and what will they look like?
- ANSWER-Increased D-Dimer and prolonged PT/aPTT
3|Page
, CEN EXAM VERSION 3
What laboratory finding will indicate DIC may be resolving? - ANSWER-Increased
platelet count
When applying a blood pressure cuff, you notice the patient's arm begins to flex
involuntarily. What causes this and what is this phenomena called? - ANSWER-
Trousseau's Sign. Indicative of hypocalcemia causing nervous system excitation.
Which headache is characterized by a pronounced frontal throbbing pain that may
be exacerbated by palpation over the temporal region?
a) tension headache
b) temporal arteritis
c) cluster headache
d) migraine headache - ANSWER-b) temporal arteritis
Which headache is characterized by an intense unilateral pain of the orbital or
temporal region?
a) tension headache
b) temporal arteritis
c) cluster headache
d) migraine headache - ANSWER-c) cluster headache
Which cardiac infection affects the leaflets of the heart valves? - ANSWER-
Endocarditis
4|Page
