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CEN 2026: Certified Emergency Nurse Exam Guide, Updated Blueprint, Study Topics & Certification Prep Overview

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CEN 2026: Certified Emergency Nurse Exam Guide, Updated Blueprint, Study Topics & Certification Prep Overview

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CEN 2026: Certified Emergency Nurse Exam Guide, Updated Blueprint, Study Topics &
Certification Prep Overview



TNCC Primary Survey

ABCDE - ANS ✔✔Airway

Breathing

Circulation

Disability

Exposure



TNCC Secondary Survey

FGHI - ANS ✔✔Full VS/Family

Get adjuncts (labs, monitor, pain, NG, etc.)

Head to toe/History

Inspect posterior



MAP Formula - ANS ✔✔systolic + (2 x diastolic) / 3



Pulse pressure - ANS ✔✔systolic - diastolic pressure



Early sign of septic shock - ANS ✔✔Widened pulse pressure



Early sign of hypovolemic shock - ANS ✔✔Narrowing pulse pressure



Weak peripheral pulses with strong central pulses - ANS ✔✔Shock states

, Acceptable systolic for children < 10 - ANS ✔✔70mm Hg + (age x 2)



Nursing process - ANS ✔✔Assessment

Diagnosis

Planning

Implementation

Evaluation



CABC - ANS ✔✔Take care of any significant uncontrolled external bleeding before airway!



Neutropenic patients - ANS ✔✔Fever = medical emergency

Do not put in waiting room

Oncology patients



Posterior EKG leads - ANS ✔✔V7, V8, V9



Right-sided EKG leads - ANS ✔✔



Right ventricular infarction triad - ANS ✔✔Hypotension, clear lungs, JVD



Beck's triad - ANS ✔✔Cardiac tamponade

Hypotension, muffled heart sounds, JVD



Hs & Ts of cardiac arrest - ANS ✔✔Hypovolemia, Hypoxia, Hypo/hyperkalemia, Hypothermia,
Hydrogen ions (acidosis), Hypoglycemia

Thrombosis, Tension pneumo, Tamponade, Tablets/Toxins, Trauma
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