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Medical Tests CEN Exam Syllabus Topics:

SectionWeightObjectives
Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies12%- Pregnancy-related emergencies
- Gynecologic emergencies
- GI bleeding & obstruction
- Renal failure & urologic issues
- Hepatic & biliary disorders
Environment, Toxicology & Communicable Diseases10%- Infection control & isolation
- Bites & envenomation
- Poisoning & overdose
- Heat/cold-related illness
Maxillofacial & Ocular Emergencies7%- Dental & ENT emergencies
- Eye injuries & infections
- Facial trauma
Neurological Emergencies11%- Spinal cord injury
- Intracranial hypertension
- Seizures & status epilepticus
- Stroke & TIA
- Traumatic brain injury
Medical Emergencies9%- Electrolyte imbalances
- Infectious diseases
- Hematologic & oncologic issues
- Endocrine disorders
Respiratory Emergencies11%- Asthma & COPD
- Respiratory failure
- Pneumothorax
- Pulmonary embolism
- Airway management
Cardiovascular Emergencies12%- Vascular emergencies
- Heart failure
- Dysrhythmias
- Acute coronary syndrome
- Shock states
Mental Health Emergencies7%- Substance abuse & withdrawal
- Suicide risk assessment
- Anxiety & psychosis
- Violence & aggression
Professional Issues10%- Triage principles
- Patient safety & quality improvement
- Documentation & confidentiality
- Legal & ethical standards
Musculoskeletal & Wound Emergencies9%- Compartment syndrome
- Wound care & infection control
- Fractures & dislocations
- Soft tissue injuries

Medical Tests Certified Emergency Nurse Sample Questions:

1. Your patient complains that they have been feeling faint when they attempt to get out of bed in the
morning. They have been taking thioridazine hydrochloride (Mellaril). What side effect is this patient
experiencing?

A) Psychosomatic disorder
B) Postural hypotension
C) Respiratory insufficiency
D) Cardiac dysrhythmia


2. 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) Self care deficit
D) Disturbed sensory perception


3. You are caring for a patient who had a radical neck dissection. The endotracheal tube has just been
removed. Which of the following signs would you want to report to the physician immediately?

A) Occasional pink-tinged sputum
B) Basilar crackles on the right side
C) Respiratory rate of 24 breaths a minute
D) Stridor


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

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


5. You are reviewing an arterial blood gas for a patient. Which result would lead you to believe this patient
has respiratory acidosis?

A) PCO2 of 32 mm Hg
B) pH of 7.48
C) pH of 7.30
D) HCO3 of 20 mEq/L


Solutions:

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

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