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Medical Tests CEN Exam Syllabus Topics:

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

Medical Tests Certified Emergency Nurse Sample Questions:

1. You are caring for a patient who has been sexually assaulted. The patient has become quiet and calm.
What defense mechanism does this indicate to the nurse?

A) Rationalization
B) Denial
C) Projection
D) Intellectualization


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

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


3. Which IV fluids would you need to hang with a transfusion?

A) Normal saline 0.9%
B) Lactated ringers
C) Dextrose 5% and normal saline 0.45%
D) Dextrose 5% and normal saline 0.9%


4. You are caring for a patient with chronic obstructive pulmonary disease who has come in with respiratory
distress. The patient takes theophylline (Theo-Dur). A therapeutic level is drawn on the patient. You would
know the patient needs to be educated on complying with medication if the therapeutic is what?

A) 15 mcg/mL
B) 12 mcg/mL
C) 18 mcg/mL
D) 10 mcg/mL


5. In which position would a patient with emphysema be able to enhance the effectiveness of breathing?

A) Sitting up in bed
B) On the side, lying in bed
C) Sitting in a recliner
D) Sitting on the side of the bed and leaning on an overbed table


Solutions:

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

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