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Medical Tests CEN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Neurological Emergencies | 11% | - Intracranial hypertension - Stroke & TIA - Traumatic brain injury - Spinal cord injury - Seizures & status epilepticus |
| Topic 2: Cardiovascular Emergencies | 12% | - Acute coronary syndrome - Shock states - Dysrhythmias - Vascular emergencies - Heart failure |
| Topic 3: Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies | 12% | - Pregnancy-related emergencies - Hepatic & biliary disorders - GI bleeding & obstruction - Gynecologic emergencies - Renal failure & urologic issues |
| Topic 4: Respiratory Emergencies | 11% | - Respiratory failure - Pneumothorax - Pulmonary embolism - Asthma & COPD - Airway management |
| Topic 5: Mental Health Emergencies | 7% | - Substance abuse & withdrawal - Suicide risk assessment - Anxiety & psychosis - Violence & aggression |
| Topic 6: Musculoskeletal & Wound Emergencies | 9% | - Compartment syndrome - Soft tissue injuries - Wound care & infection control - Fractures & dislocations |
| Topic 7: Maxillofacial & Ocular Emergencies | 7% | - Facial trauma - Eye injuries & infections - Dental & ENT emergencies |
| Topic 8: Environment, Toxicology & Communicable Diseases | 10% | - Bites & envenomation - Infection control & isolation - Poisoning & overdose - Heat/cold-related illness |
| Topic 9: Medical Emergencies | 9% | - Infectious diseases - Electrolyte imbalances - Hematologic & oncologic issues - Endocrine disorders |
| Topic 10: Professional Issues | 10% | - Triage principles - Patient safety & quality improvement - Documentation & confidentiality - Legal & ethical standards |
Medical Tests Certified Emergency Nurse Sample Questions:
Question 1
A hurricane is coming, and nurses have been activated to open a shelter. What items should the public be
encouraged to bring to the shelter?
A. Food and clothing
B. Cats and dogs
C. Radios, televisions and other electronics
D. Medication and records
Question 2
You are caring for a patient who has been involuntarily admitted to the hospital because of violent
behavior. The patient is demanding to leave the hospital. The nurse understands that keeping the patient
will lead to:
A. Charges of imprisonment
B. No charges because the nurse's actions are reasonable.
C. Charges of slander
D. Charges of assault
Question 3
You are caring for a child who will have a tonsillectomy. Which of the following would increase the child's
risk of aspiration during surgery?
A. Bleeding
B. Exudate in the throat
C. Loose teeth
D. Difficulty swallowing
Question 4
Your patient is starting on disulfiram (Antabuse) for alcohol withdrawal. What is the highest priority for this
patient?
A. Remaining in rehab
B. Remaining abstinent
C. Learning about the disease
D. Social reintegration
Question 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. Have the patient describe how they are feeling.
B. Encourage the patient to drink.
C. Check the patient's Dilantin level.
D. Decrease fluids.
Solutions:
| Question 1 Answer: D | Question 2 Answer: B | Question 3 Answer: C | Question 4 Answer: B | Question 5 Answer: D |








