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CEN practice exam EXAM 2025 QUESTIONS AND CORRECT ANSWER
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CEN practice exam EXAM 2025 QUESTIONS AND CORRECT ANSWER
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CEN practice exam EXAM 2025 QUESTIONS AND CORRECT ANSWERThe cardinal signs of facial fractures are pain, swelling, and
A. salivation.
B. bleeding.
C. fractured teeth.
D. asymmetry. - answer>>>D. asymmetry.
An adult patient sustains blunt trauma to the abdomen in a motor vehicle crash. The patient
refuses to allow any invasive treatments. Initial assessment reveals an ecchymotic area in the
left upper quadrant. The nurse should
A. obtain consent from a relative for treatment.
B. assess the patient's neurological status
C. allow the patient to leave after signing a medical release form.
D. request an order to sedate the patient. - answer>>>B. assess the patient's neurological status
A patient who sustained major trauma has a blood pressure of 84/56 mm Hg, a heart rate of
124 beats/min, and respirations of 42 breaths/min. Breath sounds are absent on the left side,
the trachea is deviated to the right, and the left thigh is deformed. The nurse should FIRST
prepare to assist with
a. application of a traction splint.
b. pericardiocentesis.
c. chest tube insertion.
d. needle decompression. - answer>>>d. needle decompression.
A 10-month-old infant who has a sudden onset of wheezing, cough, and stridor should
immediately be assessed for
A. presence of abdominal breathing.
B. unequal breath sounds.
C. axillary subcutaneous emphysema on palpation.
,D. a history of bronchodilator use. - answer>>>B. unequal breath sounds.
What life-threatening orthopedic injury is caused by internal soft tissue swelling compromising
vascular and neurologic structures?
A. compartment syndrome
B. fat embolism
C. osteomyelitis
D. hematoma - answer>>>A. compartment syndrome
A patient who has chest pain and palpitations is given a dose of adenosine (Adenocard) by rapid
IV push. The optimal outcome is
A. the chest pain decreases.
B. a transient decrease in heart rate.
C. the systolic blood pressure increases.
D. the supraventricular tachycardia resolves. - answer>>>D. the supraventricular tachycardia
resolves.
Neurogenic shock is MOST likely indicated if a patient has a blood pressure of
A. 100/80 mm Hg and a heart rate of 146 beats/min.
B. 82/48 mm Hg and a heart rate of 125 beats/min.
C. 120/74 mm Hg and a heart rate of 50 beats/min.
D. 86/50 mm Hg and a heart rate of 52 beats/min. - answer>>>D. 86/50 mm Hg and a heart rate
of 52 beats/min.
Which of the following is the MOST effective method to reduce the transmission of tuberculosis
in the emergency department?
A. negative-pressure room
B. ultraviolet radiation
C. use of paper surgical masks
,D. handwashing - answer>>>A. negative-pressure room
Which of the following statements by a patient with shingles indicates that discharge teaching
has been effective?
A. I should launder all my bedding in hot water.
B. I can return to work when my lesions are crusted.
C. I should use cortisone cream on my lesions.
D. I should take all of my antibiotics. - answer>>>B. I can return to work when my lesions are
crusted.
The nurse is caring for a patient who is complaining of eye pain and burning after having a
chemical splashed in the face. The nurse's IMMEDIATE action should be to
A. insert an intravenous line.
B. assess visual acuity.
C. apply an eye patch.
D. irrigate the eyes. - answer>>>D. irrigate the eyes.
The nurse is about to administer nitroglycerin when the patient tells the nurse they took
sildenafil (Viagra) earlier today. The nurse's IMMEDIATE action should be to
A. administer half the dose.
B. notify the pharmacy.
C. administer the nitroglycerin.
D. notify the physician. - answer>>>D. notify the physician.
Immediate intervention for a patient who has a large dermal avulsion injury of the arm should
focus on
A. minimizing the loss of mobility.
B. controlling hemorrhage.
C. minimizing scarring.
, D. preventing infection. - answer>>>B. controlling hemorrhage.
A nurse is assessing a patient who is tachycardic and tachypneic. The patient has recently
traveled cross country on an airplane. The nurse should be MOST concerned that the patient
may have:
A. a pleural effusion
B. a pneumothorax
C. pneumonia
D. a pulmonary embolism - answer>>>D. a pulmonary embolism
What is the treatment of choice for testicular torsion?
A. surgical intervention
B. scrotal sling
C. antibiotics
D. bed rest - answer>>>A. surgical intervention
A patient reports weakness, fatigue, nausea and vomiting. On assessment, the nurse notes
hyperpigmentation of the knuckles and elbows. The nurse should suspect
A. hyperthyroidism.
B. Addisonian crisis.
C. diabetic ketoacidosis.
D. diabetes insipidus. - answer>>>B. Addisonian crisis.
What is the most appropriate electrical therapy for the patient whose electrocardiogram (ECG)
tracing is showing ventricular fibrilation
A. external pacemaker
B. defibrillation
C. transvenous pacemaker
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