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Medical Tests CEN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies | 12% | - GI bleeding & obstruction - Pregnancy-related emergencies - Renal failure & urologic issues - Gynecologic emergencies - Hepatic & biliary disorders |
| Topic 2: Neurological Emergencies | 11% | - Spinal cord injury - Stroke & TIA - Seizures & status epilepticus - Intracranial hypertension - Traumatic brain injury |
| Topic 3: Maxillofacial & Ocular Emergencies | 7% | - Eye injuries & infections - Facial trauma - Dental & ENT emergencies |
| Topic 4: Mental Health Emergencies | 7% | - Violence & aggression - Substance abuse & withdrawal - Suicide risk assessment - Anxiety & psychosis |
| Topic 5: Professional Issues | 10% | - Documentation & confidentiality - Legal & ethical standards - Patient safety & quality improvement - Triage principles |
| Topic 6: Environment, Toxicology & Communicable Diseases | 10% | - Heat/cold-related illness - Poisoning & overdose - Infection control & isolation - Bites & envenomation |
| Topic 7: Medical Emergencies | 9% | - Electrolyte imbalances - Infectious diseases - Endocrine disorders - Hematologic & oncologic issues |
| Topic 8: Respiratory Emergencies | 11% | - Respiratory failure - Asthma & COPD - Airway management - Pulmonary embolism - Pneumothorax |
| Topic 9: Musculoskeletal & Wound Emergencies | 9% | - Wound care & infection control - Fractures & dislocations - Soft tissue injuries - Compartment syndrome |
| Topic 10: Cardiovascular Emergencies | 12% | - Shock states - Acute coronary syndrome - Heart failure - Vascular emergencies - Dysrhythmias |
Medical Tests Certified Emergency Nurse Sample Questions:
1. You have drawn an arterial blood gas on your patient. In reviewing the results you note the following: pH
7 .45, PCO2 of 30 mm Hg, and bicarbonate of 22mEq/L. What do you interpret these results to mean?
A) Metabolic acidosis, compensated
B) Respiratory alkalosis, compensated
C) Metabolic alkalosis, compensated
D) Respiratory acidosis, compensated
2. What nursing action would the nurse take when caring for a patient with enucleation with bright red
drainage?
A) Notify the physician.
B) Continue to monitor the drainage.
C) Document the finding.
D) Mark the drainage on the dressing.
3. You are delegating to a licensed practical nurse (LPN) to wound care on a patient. The LPN has never
performed this type of wound care before. What component of delegation have you neglected?
A) Communication
B) Authority
C) Competency
D) Responsibility
4. Which of the following would not encourage effective communication between a dying patient and his
family?
A) Assisting family and patient in performing spiritual practices
B) Discussing feelings openly
C) Acceptance when family and patient express anger
D) Making decisions for the family and patient
5. You are changing the tape on a tracheostomy tube when the patient coughs, and the tube becomes
dislodged. The initial action of the nurse should be:
A) Cover the site with a sterile dressing.
B) Notify the physician.
C) Notify the respiratory therapist.
D) Grasp the retention sutures and spread the opening.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: D |
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