Page 1 of 215
Certified Emergency Nurse (CEN) Exam QUESTION BANK
2026-2027 COMPLETE 550 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: A patient presents to the ED after a complete degloving injury to several fingers.
The severed tissue accompanies the patient. What is the best way to handle the affected
tissue?
Transport the tissue to the pathology lab in a sealed container for safe and appropriate
disposal.
Wrap the tissue in moist gauze and seal in a plastic bag which should be kept at room
temperature.
Replace the tissue as best possible over the original site and wrap the area in a most-to-dry
gauze dressing.
Cleanse the tissue with saline, then place in a waterproof bag and submerse in an ice water
bath. - ANSWER-Cleanse the tissue with saline, then place in a waterproof bag and submerse in
an ice water bath.
QUESTION: Tranexamic Acid (TXA) may be administered in which of the following manners?
Intravenous only
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Intravenous and oral
Intravenous and topical
Intravenous, oral and topical - ANSWER-Intravenous and topical
QUESTION: Aside from vomiting, a frequent symptom associated with hyperemesis gravidarum
is:
dysuria.
jaundice.
ketonuria.
abdominal pain - ANSWER-ketonuria.
(hyperemesis gravidarum is A severe type of nausea and vomiting during pregnancy. can lead to
hypotension, ketonuria)
QUESTION: A patient is transported to the ED in a myasthenia crisis. The emergency nurse
knows that treatment has been effective if the:
level of consciousness increases.
patient's oxygen saturations improve
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swelling in the patient's tongue decreases
patient states he or she has a reduction in pain - ANSWER-patient's oxygen saturations improve
QUESTION: The transmission of a viral hemorrhagic fever:
requires an animal host.
is via the airborne route.
is not possible, it is caused by consuming contaminated water.
may be controlled by strict contact and droplet precautions. - ANSWER-may be controlled by
strict contact and droplet precautions. (Ebola thus contact/droplet, not airborne)
QUESTION: A patient with prostatitis may relate:
urinary frequency.
burning in the rectum.
redness in the scrotum.
noting blood in the ejaculate. - ANSWER-noting blood in the ejaculate.
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QUESTION: A hazards vulnerability analysis occurs in which stage of disaster management?
Recovery
Response
Mitigation
Preparedness - ANSWER-Mitigation
QUESTION: An emergency nurse wants to test proprioception following a spinal cord injury.
Which of the following tests would accomplish this purpose? The emergency nurse:
asks the patient to follow the point of a pen through all nine visual fields.
lightly pricks the skin with the point of a needle at equal locations on both sides of the body.
assesses deep tendon reflexes starting at the feet and moving proximally towards the head.
asks the patient to close his or her eyes and moves the patient's index finger into different
directions. - ANSWER-asks the patient to close his or her eyes and moves the patient's index
finger into different directions.
QUESTION: When scoring motor response utilizing the Glasgow Coma Scale, which of the
following motor responses receives the lowest score?
Certified Emergency Nurse (CEN) Exam QUESTION BANK
2026-2027 COMPLETE 550 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: A patient presents to the ED after a complete degloving injury to several fingers.
The severed tissue accompanies the patient. What is the best way to handle the affected
tissue?
Transport the tissue to the pathology lab in a sealed container for safe and appropriate
disposal.
Wrap the tissue in moist gauze and seal in a plastic bag which should be kept at room
temperature.
Replace the tissue as best possible over the original site and wrap the area in a most-to-dry
gauze dressing.
Cleanse the tissue with saline, then place in a waterproof bag and submerse in an ice water
bath. - ANSWER-Cleanse the tissue with saline, then place in a waterproof bag and submerse in
an ice water bath.
QUESTION: Tranexamic Acid (TXA) may be administered in which of the following manners?
Intravenous only
,Page 2 of 215
Intravenous and oral
Intravenous and topical
Intravenous, oral and topical - ANSWER-Intravenous and topical
QUESTION: Aside from vomiting, a frequent symptom associated with hyperemesis gravidarum
is:
dysuria.
jaundice.
ketonuria.
abdominal pain - ANSWER-ketonuria.
(hyperemesis gravidarum is A severe type of nausea and vomiting during pregnancy. can lead to
hypotension, ketonuria)
QUESTION: A patient is transported to the ED in a myasthenia crisis. The emergency nurse
knows that treatment has been effective if the:
level of consciousness increases.
patient's oxygen saturations improve
,Page 3 of 215
swelling in the patient's tongue decreases
patient states he or she has a reduction in pain - ANSWER-patient's oxygen saturations improve
QUESTION: The transmission of a viral hemorrhagic fever:
requires an animal host.
is via the airborne route.
is not possible, it is caused by consuming contaminated water.
may be controlled by strict contact and droplet precautions. - ANSWER-may be controlled by
strict contact and droplet precautions. (Ebola thus contact/droplet, not airborne)
QUESTION: A patient with prostatitis may relate:
urinary frequency.
burning in the rectum.
redness in the scrotum.
noting blood in the ejaculate. - ANSWER-noting blood in the ejaculate.
, Page 4 of 215
QUESTION: A hazards vulnerability analysis occurs in which stage of disaster management?
Recovery
Response
Mitigation
Preparedness - ANSWER-Mitigation
QUESTION: An emergency nurse wants to test proprioception following a spinal cord injury.
Which of the following tests would accomplish this purpose? The emergency nurse:
asks the patient to follow the point of a pen through all nine visual fields.
lightly pricks the skin with the point of a needle at equal locations on both sides of the body.
assesses deep tendon reflexes starting at the feet and moving proximally towards the head.
asks the patient to close his or her eyes and moves the patient's index finger into different
directions. - ANSWER-asks the patient to close his or her eyes and moves the patient's index
finger into different directions.
QUESTION: When scoring motor response utilizing the Glasgow Coma Scale, which of the
following motor responses receives the lowest score?
