CEN - practice exam 2025 UPDATE
Verified Questions And Answers Graded
A+
The nurse is caring for a patient who has a high fever, central nervous system
dysfunction and tachycardia. The nurse should recognize that the patient may be
experiencing
A. myxedema crisis.
B. Beck's triad.
C. thyroid storm.
D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS). - Correct answer-
C. Thyroid storm
Which of the following assessment findings associated with a skull fracture
indicate the need for further intervention?
A. otorrhea, nausea, and vomiting
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,B. decreasing level of consciousness and restlessness
C. early evidence of periorbital ecchymosis and photophobia
D. rhinorrhea and headache or dizziness - Correct answer-B. decreasing level of
consciousness and restlessness
Upon initial assessment of a male patient involved in a motor vehicle crash, the
nurse observes bruises in various stages of healing to his torso. He denies any
medical history. When asked about the bruising, the patient avoids eye contact,
states that he fell yesterday, and asks if his male partner has arrived to the ED. The
nurse suspects:
A. the patient may have undiagnosed coagulopathy.
B. the bruising was sustained during the motor vehicle crash.
C. the patient may be a victim of domestic violence.
D. the bruising is a result of the stated fall. - Correct answer-C. the patient may be
a victim of domestic violence.
The nurse is caring for a patient who became unresponsive after diving head-first
into a shallow pool. The patient is experiencing refractory hypotension. The nurse
should prepare for the administration of
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,a. lactated Ringers.
b. norepinephrine.
c. normal saline.
d. epinephrine. - Correct answer-b. norepinephrine
A 3-year-old child who has acute respiratory distress is admitted to the emergency
department. The child is sitting forward and drooling, and the neck is extended.
These findings support the diagnosis of
A. epiglottitis.
B. bronchiolitis.
C. croup.
D. aspiration of a foreign body. - Correct answer-A. epiglottitis
The nurse understands that adenosine is administered
A. IV push over 1-2 seconds.
B. as a bolus over 10-15 minutes.
C. as a bolus over 1 hour.
D. IV push over 1-2 minutes. - Correct answer-A. IV push over 1-2 seconds.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, A man who briefly lost consciousness after a motor vehicle crash is alert and
oriented upon arrival at the emergency department. The patient states that he is fine
except for an abrasion where his head hit the door frame of the vehicle. The patient
complains of blurred vision 1 hour later. The nurse should FIRST
A. repeat the neurologic assessment.
B. obtain orthostatic vital signs.
C. assess visual acuity.
D. obtain blood glucose measurement. - Correct answer-A. repeat the neurologic
assessment.
After a non-traumatic resuscitation, the patient has a perfusing ECG rhythm and a
stable blood pressure, but the patient remains comatose. The nurse should NEXT
prepare for
A. initiation of targeted temperature management.
B. initiation of stroke protocol.
C. transport to the cardiac catheterization lab.
D. transport to the neurovascular suite. - Correct answer-A. initiation of targeted
temperature management.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Verified Questions And Answers Graded
A+
The nurse is caring for a patient who has a high fever, central nervous system
dysfunction and tachycardia. The nurse should recognize that the patient may be
experiencing
A. myxedema crisis.
B. Beck's triad.
C. thyroid storm.
D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS). - Correct answer-
C. Thyroid storm
Which of the following assessment findings associated with a skull fracture
indicate the need for further intervention?
A. otorrhea, nausea, and vomiting
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,B. decreasing level of consciousness and restlessness
C. early evidence of periorbital ecchymosis and photophobia
D. rhinorrhea and headache or dizziness - Correct answer-B. decreasing level of
consciousness and restlessness
Upon initial assessment of a male patient involved in a motor vehicle crash, the
nurse observes bruises in various stages of healing to his torso. He denies any
medical history. When asked about the bruising, the patient avoids eye contact,
states that he fell yesterday, and asks if his male partner has arrived to the ED. The
nurse suspects:
A. the patient may have undiagnosed coagulopathy.
B. the bruising was sustained during the motor vehicle crash.
C. the patient may be a victim of domestic violence.
D. the bruising is a result of the stated fall. - Correct answer-C. the patient may be
a victim of domestic violence.
The nurse is caring for a patient who became unresponsive after diving head-first
into a shallow pool. The patient is experiencing refractory hypotension. The nurse
should prepare for the administration of
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,a. lactated Ringers.
b. norepinephrine.
c. normal saline.
d. epinephrine. - Correct answer-b. norepinephrine
A 3-year-old child who has acute respiratory distress is admitted to the emergency
department. The child is sitting forward and drooling, and the neck is extended.
These findings support the diagnosis of
A. epiglottitis.
B. bronchiolitis.
C. croup.
D. aspiration of a foreign body. - Correct answer-A. epiglottitis
The nurse understands that adenosine is administered
A. IV push over 1-2 seconds.
B. as a bolus over 10-15 minutes.
C. as a bolus over 1 hour.
D. IV push over 1-2 minutes. - Correct answer-A. IV push over 1-2 seconds.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, A man who briefly lost consciousness after a motor vehicle crash is alert and
oriented upon arrival at the emergency department. The patient states that he is fine
except for an abrasion where his head hit the door frame of the vehicle. The patient
complains of blurred vision 1 hour later. The nurse should FIRST
A. repeat the neurologic assessment.
B. obtain orthostatic vital signs.
C. assess visual acuity.
D. obtain blood glucose measurement. - Correct answer-A. repeat the neurologic
assessment.
After a non-traumatic resuscitation, the patient has a perfusing ECG rhythm and a
stable blood pressure, but the patient remains comatose. The nurse should NEXT
prepare for
A. initiation of targeted temperature management.
B. initiation of stroke protocol.
C. transport to the cardiac catheterization lab.
D. transport to the neurovascular suite. - Correct answer-A. initiation of targeted
temperature management.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
