Certified Emergency Nurse (CEN) Free Practice Test

Question 1

You are providing an education session for you unit on abuse of older patients. Which of the following
patients is most likely to be an abused patient?

A. A 68-year-old patient with early Lyme disease

B. A 75-year-old patient with moderate hypertension

C. A 70-year old-patient with newly diagnosed cataracts

D. A 90-year-old patient with advanced Parkinson's disease

Correct Answer: D

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Question 2

You are caring for a child with chlamydial conjunctivitis. What would you want to investigate if you had a
patient with this diagnosis?

A. Presence of a respiratory infection

B. Presence of an allergy

C. Possible trauma

D. Possible sexual abuse

Correct Answer: D

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Question 3

You are observing one of the RNs on the unit administer medication. What action by the nurse would lead
you to conclude there is a risk for a medication error?

A. Documenting in military time

B. Holding a medication that the patient questions

C. Answering a physician's page while giving medication

D. Asking for help with calculations

Correct Answer: C

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Question 4

When caring for a patient with glaucoma, which of the following symptoms would you not expect to see on
the patient's chart?

A. Severe eye pain

B. Blurred vision

C. Nausea and vomiting

D. Frequent pink-eye infections

Correct Answer: D

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Question 5

You are caring for a patient who has been involuntarily admitted to the hospital because of violent
behavior. The patient is demanding to leave the hospital. The nurse understands that keeping the patient
will lead to:

A. Charges of imprisonment

B. Charges of assault

C. No charges because the nurse's actions are reasonable.

D. Charges of slander

Correct Answer: C

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Question 6

You are caring for a patient who has come into the emergency department with a foreign body in his right
ear. After further investigation you determine that the foreign object is an insect. What intervention would
the physician order first for this client?

A. Diluted alcohol irrigation

B. Corticosteroids ointment

C. Antibiotic ear drops

D. Sterile normal saline irrigation

Correct Answer: A

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Question 7

Which of the following assessments by the nurse would indicate a possible manifestation of dementia?

A. Improvement in sleeping

B. Presence of personal hygienic care

C. Confabulation

D. Absence of sundown syndrome

Correct Answer: C

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Question 8

Your patient stopped drinking abruptly and now complains of feeling wired and being on pins and needles.
What should your next intervention be?

A. Monitor the patient for other symptoms.

B. Determine the time of last drink, and assess the patient for other signs and symptoms of withdrawal.

C. Assess the patient for all current substance use patterns, including time of last usage and withdrawal.

D. Notify the physician to get an order for stimulate medication.

Correct Answer: C

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Question 9

You are caring for a patient in hypovalemic shock who will require plasma expansion. What do you
suspect the physician will order?

A. Cryoprecipitate

B. Packed red blood cells

C. Platelets

D. Albumin

Correct Answer: D

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Medical Tests Certified Emergency Nurse (CEN) Free Practice Test