Medical Tests Certified Emergency Nurse : CEN

  • Exam Code: CEN
  • Exam Name: Certified Emergency Nurse
  • Updated: Sep 01, 2026     Q & A: 195 Questions and Answers

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Medical Tests CEN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Cardiovascular Emergencies12%- Shock states
- Vascular emergencies
- Heart failure
- Dysrhythmias
- Acute coronary syndrome
Topic 2: Maxillofacial & Ocular Emergencies7%- Eye injuries & infections
- Dental & ENT emergencies
- Facial trauma
Topic 3: Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies12%- Gynecologic emergencies
- Renal failure & urologic issues
- Hepatic & biliary disorders
- GI bleeding & obstruction
- Pregnancy-related emergencies
Topic 4: Neurological Emergencies11%- Traumatic brain injury
- Intracranial hypertension
- Seizures & status epilepticus
- Stroke & TIA
- Spinal cord injury
Topic 5: Respiratory Emergencies11%- Respiratory failure
- Airway management
- Pulmonary embolism
- Asthma & COPD
- Pneumothorax
Topic 6: Medical Emergencies9%- Infectious diseases
- Endocrine disorders
- Electrolyte imbalances
- Hematologic & oncologic issues
Topic 7: Environment, Toxicology & Communicable Diseases10%- Bites & envenomation
- Poisoning & overdose
- Heat/cold-related illness
- Infection control & isolation
Topic 8: Musculoskeletal & Wound Emergencies9%- Compartment syndrome
- Fractures & dislocations
- Wound care & infection control
- Soft tissue injuries
Topic 9: Mental Health Emergencies7%- Violence & aggression
- Anxiety & psychosis
- Substance abuse & withdrawal
- Suicide risk assessment
Topic 10: Professional Issues10%- Legal & ethical standards
- Documentation & confidentiality
- Patient safety & quality improvement
- Triage principles

Medical Tests Certified Emergency Nurse Sample Questions:

Question 1

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. Notify the respiratory therapist.
B. Grasp the retention sutures and spread the opening.
C. Cover the site with a sterile dressing.
D. Notify the physician.


Question 2

You are caring for a patient who came into the emergency department in a severe state of anxiety
following a care accident. What would be appropriate nursing intervention for the patient?

A. Encourage the patient to talk about their feelings.
B. Teach the patient to deep breathe.
C. Put the patient in a quiet room.
D. Remain with the patient.


Question 3

You are caring for a patient who is being admitted to the psychiatric unit. Which of the following would
present the most concern to the nurse?

A. Presence of bruises on the patients body
B. Significant other's disapproval of treatment
C. Reports by the patient of suicidal thoughts
D. Reports by the patient that they can't eat or sleep


Question 4

You are caring for a patient who will be transitioning to outpatient care. What statement by the patient
would lead you to believe the patient is at risk for relapse?

A. The patient is unhappy.
B. The patient is hungry and tired
C. The patient has been keeping thoughts of using a secret
D. The patient has been dreaming about gambling and compulsive sex.


Question 5

You are caring for a patient who has been in a multiple trauma that has lead to severe blood loss. What
type of device will you need to acquire to transfuse several units of blood quickly?

A. Cardiac monitor
B. Pulse oximetry
C. Infusion controller
D. Blood warming device


Solutions:

Question 1
Answer: B
Question 2
Answer: D
Question 3
Answer: C
Question 4
Answer: C
Question 5
Answer: D

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