CEN : BCEN Certified Emergency Nurse 2025 Exam

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Nursing
CEN
Certified Emergency Nurse 2025
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QUESTION: 1
An elderly female client presents to the ED with complaints of chest pain and a history of angina. After the initial triage, what would be the next appropriate interventions?
1. cardiac monitor, oxygen, and sublingual nitroglycerin
2. cardiac monitor, sublingual nitroglycerin, and Foley catheter
3. cardiac monitor, IV, oxygen, and sublingual nitroglycerin
4. oxygen, sublingual nitroglycerin, and Foley catheter
Answer: C
QUESTION: 2
A 7-year-old child is brought to the emergency department after multiple bee stings about 30 minutes previously. He complains of itching, swollen lips, and difficulty breathing. Wheezing and stridor are heard. What is the most immediate treatment required?
1. epinephrine 0.1 mg intramuscularly
2. intravenous corticosteroid
3. intravenous antihistamine
4. broad-spectrum antibiotic
Answer: A
QUESTION: 3
After an auto accident, x-rays of the patient's leg show a transverse fracture of the midfemur with several bone fragments surrounding the fracture site. The skin of the leg is intact. This type fracture is called:
1. compression fracture
2. comminuted fracture
3. avulsion fracture
4. open fracture Answer: B QUESTION: 4
A cancer patient is seen in the emergency department with high fevers and malaise for 2 days. She received chemotherapy about 10 days ago. Her physical exam is not revealing but her temperature is 103°F A CBC shows a hemoglobin of 10 g/dL, WBC 4000 with 10% polys, 5% bands, 70% lymphs, 10% monos, and 5% other white or unidentified cells. Platelets are 60,000/mm3. Which of the following is NOT immediately appropriate?
1. blood cultures from different sites
2. electrolytes, liver and renal function tests
3. eask if she has been receiving granulocyte colony-stimulating factor (G-CSF)
4. white blood cell transfusion
Answer: D
QUESTION: 5
Which statement best describes acute respiratory distress syndrome (ARDS)?
1. ARDS is caused by trauma only.
2. ARDS is sudden, progressive, and severe.
3. ARDS is caused by an illness only.
4. ARDS never results in lung scarring.
Answer: B

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