CERTIFIED EMERGENCY NURSING (CEN) FINAL
EXAM 2026 BANK 2 VERSIONS CURRENTLY TESTING
EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS ||VERIFIED EXAM!!! (100% CORRECT
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The most common symptom of a patient who has a
pinworm infection is
A. diarrhea
B. anorexia
C. abdominal pain
D. perianal pruritus - Answer-D. Perianal pruritus
Pinworms are the most common cause of anal pruritus in
children
A patient is being discharged with a presumptive diagnosis
of primary herpes simplex viral infection. the patient
understands discharge instructions if she states,
A. "Acyclovir will cure my herpes"
B. "My boyfriend will not get this if he uses a condom"
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C. "If I get pregnant, I can pass the disease to my baby."
D. "I know that this first episode will last only 4 or 5 days."
- Answer-C. "If I get pregnant, I can pass the disease to
my baby."
The greatest risk to the fetus occurs when overt HSV
infection is present at the time of delivery. In this situation,
the principal mechanism of infection is direct contact with
the infected vesicles during the process of vaginal birth.
A patient comes to the emergency department 30 minutes
after an insect bite to the leg. The wound is erythematous,
swollen, and indurated. The emergency nurse should first
A. Perform an Allen's test.
B. Examine the inguinal lymph nodes.
C. Check the pulses proximal to the wound.
D. Evaluate inspiratory and expiratory breath sounds. -
Answer-D. Evaluate inspiratory and expiratory breath
sounds.
Patients with insect bites are at risk for anaphylactic
reactions. In assessing for systemic reactions, ABC's are a
priority. Assessment for breathing includes evaluating
breath sounds.
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Which of the following is the most common finding in
pulmonary embolism?
A. Dyspnea
B. Crackles (rales)
C. Fever
D. Hemoptysis - Answer-A. Dyspnea
With pulmonary embolus, common signs and symptoms
include shortness of breath, tachypnea, tachycardia, and
sudden-onset pleuritic chest pain that increases with
respirations. Dyspnea is the most common sign of
pulmonary embolism. Crackles and hemoptysis are likely
to be associated with pulmonary edema. Fever is a
possible finding in patients with a pulmonary, but it is not
common.
Assessment of a patient with severe acute pancreatitis
reveals ascites and diminished breath sounds in the right
lower lobe. Vital signs are: BP 109/70, HR 110, and RR
38. The emergency nurse should suspect that the patient
has developed
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A. Pneumonia
B. A pneumothorax
C. Pleural effusion.
D. A diaphragmatic hernia. - Answer-C. Pleural effusion.
Pleural effusion is an excess of fluid trapped in the
intrapleural space of the lugs. In pancreatitis, this occurs
because fluid associated with ascites moves from the
periotenal space into the pleural space through lymph
channels. Seventy percent of pleural effusions occur on
the right side.
A confused elderly woman has a blood glucose level of
1175 mg/dL (65mmol/L). Serum ketones are negative and
arterial blood gases show a pH of 7.25. The emergency
nurse should anticipate an order to administer which of the
following first?
A. Sodium bicarbonate
B. Potassium chloride
C. High-dose insulin
D. Large volumes of IV fluids - Answer-D. Large volumes
of IV fluids