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Medical Tests CEN Exam Syllabus Topics:

SectionObjectives
Neurological Emergencies- Neurologic Assessment
  • 1. Stroke
  • 2. Seizures
  • 3. Altered mental status
Professional Issues- Emergency Nursing Practice
  • 1. Ethics and legal considerations
  • 2. Patient safety
  • 3. Communication and disaster preparedness
Respiratory Emergencies- Respiratory Disorders
  • 1. Pulmonary conditions
  • 2. Respiratory failure
  • 3. Airway management
Medical Emergencies- Systemic Conditions
  • 1. Hematologic and oncologic disorders
  • 2. Infectious diseases
  • 3. Endocrine emergencies
Toxicological and Environmental Emergencies- Poisoning and Exposure
  • 1. Drug overdose
  • 2. Hazardous material exposure
  • 3. Environmental injuries
Gastrointestinal and Genitourinary Emergencies- Abdominal and Renal Disorders
  • 1. Acute abdominal conditions
  • 2. Renal and urinary emergencies
  • 3. Gastrointestinal bleeding
Obstetrical, Gynecological and Psychosocial Emergencies- Special Populations
  • 1. Gynecologic conditions
  • 2. Pregnancy-related emergencies
  • 3. Behavioral and psychiatric emergencies
Trauma Emergencies- Trauma Care
  • 1. Blunt and penetrating trauma
  • 2. Musculoskeletal injuries
  • 3. Burns
Cardiovascular Emergencies- Assessment and Management
  • 1. Heart failure and shock
  • 2. Cardiac dysrhythmias
  • 3. Acute coronary syndromes

Medical Tests Certified Emergency Nurse Sample Questions:

Question 1

What intervention would you need to take if your patient had a contusion of the eyeball following a
traumatic injury?

A. Accompany the patient to the emergency room.
B. Notify the physician.
C. Irrigate the eye with cool water.
D. Apply ice to the affected eye.


Question 2

What would you want to assess your patient for if they have a myocardial infarction that is developing into
cardiogenic shock?

A. Rising diastolic blood pressure
B. Falling central venous pressure
C. Bradycardia
D. Ventricular dysrhythmia


Question 3

You will be working with an unlicensed staff member this shift. Which of the following should be priority
before delegating care to the staff member?

A. Gathering supplies
B. Informing the patient that an unlicensed staff member will perform the care
C. Assessing whether the staff member is competent to perform the skill
D. Preparing written instructions on how to perform skill


Question 4

You are assisting the physician with removal of a chest tube. The nurse should instruct the patient to:

A. Remain very still.
B. Inhale and exhale quickly.
C. Perform the Valsalva's maneuver.
D. Exhale slowly.


Question 5

Your patient is receiving lithium carbonate (Lithobid). She reports to you that she is having loose, watery
stools and difficulty walking. What do you suspect the patient's lithium level will be?

A. 1.3 mEq/L
B. 1.8 mEq/L
C. 0.7 mEq/L
D. 1 mEq/L


Solutions:

Question 1
Answer: D
Question 2
Answer: D
Question 3
Answer: C
Question 4
Answer: C
Question 5
Answer: B

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