CEN CERTIFIED EMERGENCY NURSE
CERTIFICATION SCRIPT 2026 COMPLETE
QUESTIONS AND CORRECT ANSWERS
◉Pyloric stenosis. Answer: prevents stomach from emptying,
projectile vomiting after feedings, seems hungry after feeding,
palpable RUQ mass, usually 2-5 weeks old, tx with NPO, IVF's, NGT,
surgery
◉Sengstaken-Blakemore tub, Minnesota tube, Linton-Nachlas tube.
Answer: different tubes for esophageal varices
◉Murphy's sign. Answer: pain with palpation of the RUQ during
inspiration, indicative of cholecystitis
◉Pancreatitis complications. Answer: HYPOcalcemia, tetany, pleural
effusions, ARDS, retroperitoneal bleeding, hypovolemia
◉Pancreatitis. Answer: epigastric pain radiating to the back, pain
increases with eating, drinking, activity, elevated amylase and lipase,
release of digestive pancreatic enzymes into pancreas
,◉Pancreatitis interventions. Answer: Glucagon-> decreases amylase
and suppressess pancreatic secretions, h2 blockers, analgesia,
corticosteroids
◉Grey-Turner's sign. Answer: ecchymosis to flanks, hemorrhagic
pancreatitis
◉Cullen's sign. Answer: ecchymosis to umbilical area, indicative of
hemorrhagic pancreatitis
◉Hepatitis Discharge Instructions. Answer: avoid ETOH/ steroids,
eat small frequent meals low fat, high carbs
◉Appendicitis. Answer: flexing knees may decrease pain, RLQ,
rebound tenderness is a late sign
◉Crohn Disease. Answer: Chronic inflammation of the intestinal
tract, affects any part of the GI tract
◉Ulcerative colitis. Answer: Chronic inflammation of the colon with
presence of ulcers, ONLY LARGE INTESTINE
◉Intussusception. Answer: Telescoping of the intestines, "currant
jelly" (stool with bloody mucus) late sign, sudden, acute, cramps,
, episodic pain, pain free between episodes, tx with barium or air
enema, diagnostic and can reverse, palpable mass at RUQ
◉Malrotation with Volvulus. Answer: twisting or axial rotation of
bowel, presented with bilious vomiting, abdominal distention
◉Diverticulitis. Answer: generalized, abrupt onset of aching
cramping pain at LLQ
◉diverticulitis teaching. Answer: low fat/ low fiber diet during acute
phase to rest bowel, increase fiber after acute phase, avoid straining,
40 oz of water daily
◉Peritonitis. Answer: inflammation of the peritoneum, REBOUND
TENDERNESS, abdominal pain increases with movement, decreased
bowel sounds, rigid abdmoen
◉Burns. Answer: Lactated ringers crystalloid of choice, assess
urinary output and central pulses (BP cuff may be unreliable), keep
pt warm, cover with clean dry sheet, no ice or iced fluids directly on
burns, cut around clothes which are stuck to skin remove metal
objects to stop burning
◉Chemicals which react poorly with water. Answer: metallic lithium,
sodium, potassium, magnesium, may increase injury
CERTIFICATION SCRIPT 2026 COMPLETE
QUESTIONS AND CORRECT ANSWERS
◉Pyloric stenosis. Answer: prevents stomach from emptying,
projectile vomiting after feedings, seems hungry after feeding,
palpable RUQ mass, usually 2-5 weeks old, tx with NPO, IVF's, NGT,
surgery
◉Sengstaken-Blakemore tub, Minnesota tube, Linton-Nachlas tube.
Answer: different tubes for esophageal varices
◉Murphy's sign. Answer: pain with palpation of the RUQ during
inspiration, indicative of cholecystitis
◉Pancreatitis complications. Answer: HYPOcalcemia, tetany, pleural
effusions, ARDS, retroperitoneal bleeding, hypovolemia
◉Pancreatitis. Answer: epigastric pain radiating to the back, pain
increases with eating, drinking, activity, elevated amylase and lipase,
release of digestive pancreatic enzymes into pancreas
,◉Pancreatitis interventions. Answer: Glucagon-> decreases amylase
and suppressess pancreatic secretions, h2 blockers, analgesia,
corticosteroids
◉Grey-Turner's sign. Answer: ecchymosis to flanks, hemorrhagic
pancreatitis
◉Cullen's sign. Answer: ecchymosis to umbilical area, indicative of
hemorrhagic pancreatitis
◉Hepatitis Discharge Instructions. Answer: avoid ETOH/ steroids,
eat small frequent meals low fat, high carbs
◉Appendicitis. Answer: flexing knees may decrease pain, RLQ,
rebound tenderness is a late sign
◉Crohn Disease. Answer: Chronic inflammation of the intestinal
tract, affects any part of the GI tract
◉Ulcerative colitis. Answer: Chronic inflammation of the colon with
presence of ulcers, ONLY LARGE INTESTINE
◉Intussusception. Answer: Telescoping of the intestines, "currant
jelly" (stool with bloody mucus) late sign, sudden, acute, cramps,
, episodic pain, pain free between episodes, tx with barium or air
enema, diagnostic and can reverse, palpable mass at RUQ
◉Malrotation with Volvulus. Answer: twisting or axial rotation of
bowel, presented with bilious vomiting, abdominal distention
◉Diverticulitis. Answer: generalized, abrupt onset of aching
cramping pain at LLQ
◉diverticulitis teaching. Answer: low fat/ low fiber diet during acute
phase to rest bowel, increase fiber after acute phase, avoid straining,
40 oz of water daily
◉Peritonitis. Answer: inflammation of the peritoneum, REBOUND
TENDERNESS, abdominal pain increases with movement, decreased
bowel sounds, rigid abdmoen
◉Burns. Answer: Lactated ringers crystalloid of choice, assess
urinary output and central pulses (BP cuff may be unreliable), keep
pt warm, cover with clean dry sheet, no ice or iced fluids directly on
burns, cut around clothes which are stuck to skin remove metal
objects to stop burning
◉Chemicals which react poorly with water. Answer: metallic lithium,
sodium, potassium, magnesium, may increase injury
