CEN Exam Practice Questions &
Answers
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 s
...
CEN Exam Practice Questions &
Answers
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. - ✔✔While on a
long flight, I should get up and walk to stretch my legs every hour.
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. - ✔✔I will be at increased risk for ectopic
pregnancy.
A 16-year-old presents with severe left upper quadrant abdominal pain after an over-thehandlebars 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 - ✔✔Ruptured diaphragm
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 - ✔✔An old infarction
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 - ✔✔Place in a seclusion room
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 angiograp
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