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Medical Tests CEN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies | 12% | - Hepatic & biliary disorders - GI bleeding & obstruction - Gynecologic emergencies - Pregnancy-related emergencies - Renal failure & urologic issues |
| Topic 2: Respiratory Emergencies | 11% | - Asthma & COPD - Pneumothorax - Airway management - Respiratory failure - Pulmonary embolism |
| Topic 3: Maxillofacial & Ocular Emergencies | 7% | - Eye injuries & infections - Dental & ENT emergencies - Facial trauma |
| Topic 4: Cardiovascular Emergencies | 12% | - Vascular emergencies - Dysrhythmias - Acute coronary syndrome - Heart failure - Shock states |
| Topic 5: Professional Issues | 10% | - Patient safety & quality improvement - Legal & ethical standards - Documentation & confidentiality - Triage principles |
| Topic 6: Environment, Toxicology & Communicable Diseases | 10% | - Poisoning & overdose - Heat/cold-related illness - Infection control & isolation - Bites & envenomation |
| Topic 7: Musculoskeletal & Wound Emergencies | 9% | - Compartment syndrome - Soft tissue injuries - Wound care & infection control - Fractures & dislocations |
| Topic 8: Mental Health Emergencies | 7% | - Anxiety & psychosis - Substance abuse & withdrawal - Violence & aggression - Suicide risk assessment |
| Topic 9: Medical Emergencies | 9% | - Electrolyte imbalances - Hematologic & oncologic issues - Endocrine disorders - Infectious diseases |
| Topic 10: Neurological Emergencies | 11% | - Traumatic brain injury - Spinal cord injury - Stroke & TIA - Seizures & status epilepticus - Intracranial hypertension |
Medical Tests Certified Emergency Nurse Sample Questions:
1. Which of the following assessments would make the nurse suspect that a child has strabismus?
A) Turns head to see
B) Tilts head to see
C) Has difficulty hearing
D) Does not respond when spoken to
2. You are caring for a patient in the emergency department. The patient has been drinking alcohol and is
asking for medication. When you instruct the patient that they have to wait to be seen by the doctor, the
patient becomes verbally abusive. You then obtain a set of restraints and instruct the patient if they do not
calm down you will restrain them. What can you be charged with?
A) Negligence
B) Invasion of privacy
C) Battery
D) Assault
3. What is the most appropriate nursing intervention if your patient's heart rate drops during suctioning?
A) Continue to suction.
B) Limit suctioning to 15 seconds.
C) Notify the physician.
D) Stop and reoxygenate the patient.
4. You are caring for a child who has HIV with a positive Mantoux test. The physician orders isoniazid (INH).
You instruct the child's mother that the patient will have to take the medication for how long?
A) 12 months
B) 6 months
C) 9 months
D) 4 months
5. You are caring for a heart failure patient who suddenly developed symptoms that include shortness of
breath, increased respiratory rate, bilateral crackles and frothy sputum. You have notified the physician
and received orders for the patient. Which activity would be appropriate to delegate to a licensed practical
nurse?
A) Morphine sulfate 2mg IV push
B) Insert a foley catheter.
C) Start an IV.
D) Check vital signs every 15 minutes.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: B |




