CEN - practice exam Questions with

CEN - practice exam Questions with Complete Solutions (Latest 2025) 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

• myxedema crisis.
• Beck's triad.
• thyroid storm.
• hyperosmolar hyperglycemic nonketotic syndrome (HHNS).
• Correct Answers ✅C. Thyroid storm

Which of the following assessment findings associated with a skull fracture indicate the need for further intervention?

• otorrhea, nausea, and vomiting
• decreasing level of consciousness and restlessness
• early evidence of periorbital ecchymosis and photophobia
• rhinorrhea and headache or dizziness - Correct Answers

✅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: 1 / 4

CEN - practice exam Questions with Complete Solutions (Latest 2025)

• the patient may have undiagnosed coagulopathy.
• the bruising was sustained during the motor vehicle crash.
• the patient may be a victim of domestic violence.
• the bruising is a result of the stated fall. - Correct

Answers ✅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

• lactated Ringers.
• norepinephrine.
• normal saline.
• epinephrine. - Correct Answers ✅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

• epiglottitis.
• bronchiolitis.
• croup.
• aspiration of a foreign body. - Correct Answers ✅A.

epiglottitis 2 / 4

CEN - practice exam Questions with Complete Solutions (Latest 2025) The nurse understands that adenosine is administered

• IV push over 1-2 seconds.
• as a bolus over 10-15 minutes.
• as a bolus over 1 hour.
• IV push over 1-2 minutes. - Correct Answers ✅A. IV push

over 1-2 seconds.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

• repeat the neurologic assessment.
• obtain orthostatic vital signs.
• assess visual acuity.
• obtain blood glucose measurement. - Correct Answers

✅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

• initiation of targeted temperature management. 3 / 4

CEN - practice exam Questions with Complete Solutions (Latest 2025)

• initiation of stroke protocol.
• transport to the cardiac catheterization lab.
• transport to the neurovascular suite. - Correct Answers

✅A. initiation of targeted temperature management.After a patient has an episode of violent behavior in the waiting room, an important intervention is to

• tell the patient to get himself under control.
• instruct the patient to be quiet and speak only when

spoken to.

• allow the patient to go home as soon as possible.
• encourage the patient to verbalize his feelings about the

situation. - Correct Answers ✅D. encourage the patient to verbalize his feelings about the situation.The nurse is caring for a patient with complaints of progressive, ascending paralysis starting from the feet and progressing over the last week. It would be a PRIORITY for the nurse to monitor the patient's

• pupillary response.
• peripheral pulses.
• respiratory status.
• Blood glucose - Correct Answers ✅C. respiratory status.
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