CERTIFIED EMERGENCY NURSE CEN EXAM BY BCEN NEW LATEST VERSION WITH ALL 150 QUESTIONS FROM ACTUAL EXAM, 100% CORRECT ANSWERS AND RATIONALE

Question 1: Which of the following statements made by a 
patient would lead the nurse to conclude that the patient 
understands risk factors for pulmonary embolism? 
1. While on a long flight, I should get up and walk to 
stretch my legs every hour. 
2. Resuming my birth control pills will lower my risk of 
cancer and my risk of another clot. 
3. If I drink plenty of water while driving on a long trip, 
this shouldn't happen again. 
4. 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 2: 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? 
1. Getting pregnant shouldn't be a problem once the 
infection goes away. 
2. I'll take the medicine for nausea when I feel sick to my 
stomach. 
3. I will be at increased risk for ectopic pregnancy. 
4. I will follow up with my doctor tomorrow. 
CORRECT ANSWER: I will be at increased risk for 
ectopic pregnancy. 
 
Question 3: 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? 
  
 
1. Small bowel rupture 
2. Ruptured diaphragm 
3. Flail chest 
4. Hepatic injury 
CORRECT ANSWER: Ruptured diaphragm 
 
Question 4: A patient presents with chest pain. The nurse 
performs a 12-lead electrocardiogram that reveals an 
abnormal Q wave. What does the nurse suspect? 
1. A current injury 
2. An old infarction 
3. An acute infarction 
4. Ischemia 
CORRECT ANSWER: An old infarction 
 
Question 5: 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? 
1. Administration of antipsychotics 
  

 
2. One-to-one observation 
3. Place in a seclusion room 
4. Application of restraints 
CORRECT ANSWER: Place in a seclusion room 
 
Question 6: 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? 
1. Sputum cultures 
2. Chest radiograph 
3. Computed tomographic pulmonary angiography 
4. Radiograph of the left leg 
  

 
CORRECT ANSWER: Computed tomographic 
pulmonary angiography 
 
Question 7: 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? 
1. Notify infection prevention 
2. Leave the family in the waiting room 
3. Evacuate the waiting room 
4. Inform those waiting that Ebola has been detected 
CORRECT ANSWER: Notify infection prevention