CERTIFIED EMERGENCY NURSING (CEN) FINAL AND
PRACTICE EXAM QUESTIONS 2026 BANK
CURRENTLY TESTING EXAM QUESTIONS WITH
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A patient is brought to the ED by emergency medical
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 - Answer-Place in a seclusion
room
A 28-year-old female presents with shortness of breath,
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
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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 - Answer-Computed
tomographic pulmonary angiography
A family of 10 presents to the ED with complaints of fever,
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 -
Answer-Notify infection prevention
A patient presents to the ED with complaints of fatigue and
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.
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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 - Answer-A patient
with severe chronic asthma who has been on prednisone
for several years
A patient who was brought to the ED by ambulance
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 - Answer-Tension pneumothorax
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Which of the following statements made by a patient
would 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. - Answer-While on a long flight, I
should get up and walk to stretch my legs every hour.
An emergency nurse is providing discharge instructions for
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. - Answer-I will be
at increased risk for ectopic pregnancy.