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Medical Tests CEN Exam Syllabus Topics:

Medical Tests Certified Emergency Nurse Sample Questions:

Question 1

Your patient is in cardiogenic shock and has had an intraaortic balloon pump placed through the left
femoral artery. On assessment you note that the left foot is cool and mottled and the pedal pulse weak.
What is the priority for this patient?

A. Reevaluate in an hour.
B. Notify the physician.
C. Document the data because it is expected.
D. Increase the rate on the nitroglycerin drip.

Question 2

If you were caring for a child who had croup that had to be in a cool mist tent, what action would you need
to take if the child became frightened and began crying consistently?

A. Notify the physician and get an order for sedation.
B. Have the mother make the child stay in the tent.
C. Place the child in mom's lap and direct cool mist over the child's face.
D. Give the child a toy to play with in the tent.

Question 3

You are preparing the assignment for the day. You have one licensed practical nurse (LPN) and one
unlicensed assistive staff member. Which of the following assignments would you not want to make?

A. LPN to remove dressing from an abdominal wound on a postoperative patient
B. LPN to reinforce discharge instruction with a patient
C. Unlicensed personnel to assess effectiveness of pain medication
D. Unlicensed personnel to take vital signs and to document and report any changes

Question 4

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. Pulmonary edema
B. Pneumonia
C. Carbon dioxide retention
D. Fluid imbalance

Question 5

You are monitoring a child who had a tonsillectomy. On assessment, which findings would indicate to you
that the child might be bleeding?

A. Complaints of discomfort
B. Elevation in blood pressure
C. Frequent swallowing
D. Decreased pulse

Solutions: