CEN Exam Updated Questions and Answers

CEN Exam (Updated) Questions and Answers ( )

Question : 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.

Correct answer: While on a long flight, I should get up and

walk to stretch my legs every hour.

Question : 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.

Correct answer: I will be at increased risk for ectopic

pregnancy.

Question : A 16-year-old presents with severe left upper

quadrant abdominal pain after an over-the-handlebars bicycle collision. Vital signs are BP 100/60 mm Hg, HR 100 beats/min, RR 30 breaths/min, T 37.0 C (98.6 F), SpO2 89% without supplemental oxygen. There is bruising over the left upper quadrant of the abdomen. Auscultation reveals diminished breath sounds on the left accompanied by gurgling. Based on this history and assessment, the nurse suspects which injury?Small bowel rupture Ruptured diaphragm Flail chest

Hepatic injury

Correct answer: Ruptured diaphragm

Question : A patient presents with chest pain. The nurse

performs a 12-lead electrocardiogram that reveals an abnormal Q wave. What does the nurse suspect?A current injury An old infarction An acute infarction Ischemia

Correct answer: An old infarction

Question : 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

Correct answer: Place in a seclusion room

Question : 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 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

Correct answer: Computed tomographic pulmonary

angiography