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Medical Tests CEN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Musculoskeletal & Wound Emergencies | 9% | - Compartment syndrome - Wound care & infection control - Fractures & dislocations - Soft tissue injuries |
| Cardiovascular Emergencies | 12% | - Dysrhythmias - Vascular emergencies - Heart failure - Shock states - Acute coronary syndrome |
| Mental Health Emergencies | 7% | - Suicide risk assessment - Anxiety & psychosis - Violence & aggression - Substance abuse & withdrawal |
| Neurological Emergencies | 11% | - Spinal cord injury - Stroke & TIA - Intracranial hypertension - Traumatic brain injury - Seizures & status epilepticus |
| Professional Issues | 10% | - Patient safety & quality improvement - Legal & ethical standards - Triage principles - Documentation & confidentiality |
| Environment, Toxicology & Communicable Diseases | 10% | - Bites & envenomation - Heat/cold-related illness - Poisoning & overdose - Infection control & isolation |
| Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies | 12% | - GI bleeding & obstruction - Gynecologic emergencies - Pregnancy-related emergencies - Renal failure & urologic issues - Hepatic & biliary disorders |
| Respiratory Emergencies | 11% | - Pulmonary embolism - Asthma & COPD - Respiratory failure - Airway management - Pneumothorax |
| Maxillofacial & Ocular Emergencies | 7% | - Dental & ENT emergencies - Facial trauma - Eye injuries & infections |
| Medical Emergencies | 9% | - Electrolyte imbalances - Hematologic & oncologic issues - Infectious diseases - Endocrine disorders |
Medical Tests Certified Emergency Nurse Sample Questions:
1. You are caring for a patient who needs to go to surgery. The patient is unable to sign consent due to
narcotic analgesic administration. Who should sign the consent for surgery?
A) The family members should provide consent, and two witnesses will be necessary.
B) A court order will be needed.
C) The hospital chaplain should sign consent.
D) The patient should go to surgery without consent.
2. You are preparing an in-service for the staff on delegation. What would you want to include on how
delegation impacts safety and quality of patient care?
A) It prevents staff from becoming ineffective and nonproductive.
B) It utilizes appropriate resources, getting the job done in the most effective way.
C) It gives nursing tasks to the staff members who can best understand the goals of treatment,
D) It creates team work on the unit,
3. Your patient is scheduled to go for cataract surgery. What nursing diagnosis should you include in the
patients plan of care?
A) Imbalanced nutrition
B) Anxiety
C) Disturbed sensory perception
D) Self care deficit
4. Your patient with schizophrenia is taking chlorpromazine (Thorazine). She complains that her urine has
turned dark. You know that this is caused by:
A) A urinary tract infection
B) Increased intake of acid-ash foods and liquids
C) A normal side effect of the medication
D) Medication toxicity
5. An elderly patient comes into the emergency department to rule out stroke. On admission, vital signs are
pulse 90, blood pressure 150/100 and respirations 20. Upon reassessment 30 minutes later, vital signs
are pulse 78, blood pressure 170/90 and respirations 24 and irregular. What should be the nurse's first
priority?
A) Encourage the patient to drink.
B) Have the patient describe how they are feeling.
C) Decrease fluids.
D) Check the patient's Dilantin level.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: C |

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