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Medical Tests CEN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Musculoskeletal & Wound Emergencies | 9% | - Soft tissue injuries - Wound care & infection control - Fractures & dislocations - Compartment syndrome |
| Topic 2: Neurological Emergencies | 11% | - Traumatic brain injury - Intracranial hypertension - Seizures & status epilepticus - Spinal cord injury - Stroke & TIA |
| Topic 3: Professional Issues | 10% | - Documentation & confidentiality - Patient safety & quality improvement - Triage principles - Legal & ethical standards |
| Topic 4: Cardiovascular Emergencies | 12% | - Vascular emergencies - Dysrhythmias - Acute coronary syndrome - Shock states - Heart failure |
| Topic 5: Maxillofacial & Ocular Emergencies | 7% | - Facial trauma - Dental & ENT emergencies - Eye injuries & infections |
| Topic 6: Mental Health Emergencies | 7% | - Substance abuse & withdrawal - Anxiety & psychosis - Suicide risk assessment - Violence & aggression |
| Topic 7: Medical Emergencies | 9% | - Hematologic & oncologic issues - Electrolyte imbalances - Endocrine disorders - Infectious diseases |
| Topic 8: Respiratory Emergencies | 11% | - Pulmonary embolism - Asthma & COPD - Respiratory failure - Pneumothorax - Airway management |
| Topic 9: Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies | 12% | - Hepatic & biliary disorders - Pregnancy-related emergencies - GI bleeding & obstruction - Renal failure & urologic issues - Gynecologic emergencies |
| Topic 10: Environment, Toxicology & Communicable Diseases | 10% | - Poisoning & overdose - Heat/cold-related illness - Infection control & isolation - Bites & envenomation |
Medical Tests Certified Emergency Nurse Sample Questions:
1. Which of the following would be prescribed for a patient with frostbite on the toes?
A) Continuous, rapid rewarming of the toes in warm water until flushing returns
B) Continuous, rapid rewarming of the toes in cold water for 45 minutes
C) Continuous, rapid rewarming of the toes in warm water for 15 to 20 minutes
D) Continuous, rapid rewarming of the toes in warm water once flushing returns
2. You are encouraging your postoperative patient to cough and take deep breaths. The patient questions
why it is so important to do this. Your response would include the understanding that retaining pulmonary
secretions can lead to:
A) Carbon dioxide retention
B) Pneumonia
C) Pulmonary edema
D) Fluid imbalance
3. 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) Grasp the retention sutures and spread the opening.
D) Notify the respiratory therapist.
4. Your patient is starting on disulfiram (Antabuse) for alcohol withdrawal. What is the highest priority for this
patient?
A) Social reintegration
B) Remaining abstinent
C) Learning about the disease
D) Remaining in rehab
5. You are preparing to administer a rubella vaccination to a 2 day postpartum patient. Which of the
following potential risks would you identify for this patient?
A) Scratching of the site
B) Sexual intercourse with 2 to 3 months of vaccination
C) Sunlight
D) Pregnancy within 2 to 3 months of vaccination
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: D |


