CEN Pre-Test Questions: Emergency Nursing Practice Exam with Answers & Rationales for
Certification Prep
escharotomy - ANS ✔✔for burn pts will open chest wall to allow better ventilation
magnesium toxicity s/s - ANS ✔✔loss of patellar reflexes, SOB, hypoxia, nausea, CNS depression
second degree type 1 heart block - ANS ✔✔wink bock, longer longer drop Q
chest tube transport - ANS ✔✔chest tube is placed for pt who is transferring via helicopter due
to lack of cabin pressure.
hydroflouric acid burns - ANS ✔✔apply calcium gluconate
most common cause of cardiogenic shock - ANS ✔✔myocardial infarction
Beck's traid is known as: - ANS ✔✔a. hypertension, distended neck veins, muffled heart sounds
b. hypotension, distended neck veins, muffled heart sounds
c. hypertension, bradycardia, and respiratory disturbances
d. hypotension, tachycardia, and respiratory disturbances
pain meds for sickle cell pts - ANS ✔✔no NSADIS may affect renal function
Guillane Barre Syndrome (Characteristics) - ANS ✔✔1) Acute demyelination of both CN and
peripheral neurons 2) distal to proximal 3) sensory loss and paresthesia (stocking glove pattern)
4) motor paralysis or paresis 5) dysarthria, dysphagia, diploplia, facial weakness 6) respiratory
involvement 7) tachycardia, arrhythmias, BP fluctuations 8) pain-myalgia 9) DVT, contracture,
bed wounds
, eye pain w nausea, vomiting, headaches, haloes - ANS ✔✔acute angle glycoma
Low pulse pressure - ANS ✔✔indicated cardiac tamponade
<30= low organ perfusion
-causes: failing left ventricle
Low or no urinary output
Reticular Activating System (RAS) - ANS ✔✔brain area that plays a key role in arousal and sleep
wake cycle
Idopathic Thrombocytopenia Purpura (ITP) - ANS ✔✔Thrombocytopenia resulting from
autoimmune destruction of platelets
s/s are low platelets and bruising, low H&H
duodenal ulcer - ANS ✔✔an ulcer, or erosion, in the wall of the duodenum of the small intestine
pain after eating, comes and goes
Brown-Sequard Syndrome - ANS ✔✔incomplete spinal cord leison with ispilateral paralysis
Central Cord Syndrome - ANS ✔✔loss of function in upper extremities caused by injury to the
middle portion of the spinal cord
Exclusion criteria for tPA - ANS ✔✔after 4.5 hrs or:
age >80
severe stroke
DM with previous infarct
Certification Prep
escharotomy - ANS ✔✔for burn pts will open chest wall to allow better ventilation
magnesium toxicity s/s - ANS ✔✔loss of patellar reflexes, SOB, hypoxia, nausea, CNS depression
second degree type 1 heart block - ANS ✔✔wink bock, longer longer drop Q
chest tube transport - ANS ✔✔chest tube is placed for pt who is transferring via helicopter due
to lack of cabin pressure.
hydroflouric acid burns - ANS ✔✔apply calcium gluconate
most common cause of cardiogenic shock - ANS ✔✔myocardial infarction
Beck's traid is known as: - ANS ✔✔a. hypertension, distended neck veins, muffled heart sounds
b. hypotension, distended neck veins, muffled heart sounds
c. hypertension, bradycardia, and respiratory disturbances
d. hypotension, tachycardia, and respiratory disturbances
pain meds for sickle cell pts - ANS ✔✔no NSADIS may affect renal function
Guillane Barre Syndrome (Characteristics) - ANS ✔✔1) Acute demyelination of both CN and
peripheral neurons 2) distal to proximal 3) sensory loss and paresthesia (stocking glove pattern)
4) motor paralysis or paresis 5) dysarthria, dysphagia, diploplia, facial weakness 6) respiratory
involvement 7) tachycardia, arrhythmias, BP fluctuations 8) pain-myalgia 9) DVT, contracture,
bed wounds
, eye pain w nausea, vomiting, headaches, haloes - ANS ✔✔acute angle glycoma
Low pulse pressure - ANS ✔✔indicated cardiac tamponade
<30= low organ perfusion
-causes: failing left ventricle
Low or no urinary output
Reticular Activating System (RAS) - ANS ✔✔brain area that plays a key role in arousal and sleep
wake cycle
Idopathic Thrombocytopenia Purpura (ITP) - ANS ✔✔Thrombocytopenia resulting from
autoimmune destruction of platelets
s/s are low platelets and bruising, low H&H
duodenal ulcer - ANS ✔✔an ulcer, or erosion, in the wall of the duodenum of the small intestine
pain after eating, comes and goes
Brown-Sequard Syndrome - ANS ✔✔incomplete spinal cord leison with ispilateral paralysis
Central Cord Syndrome - ANS ✔✔loss of function in upper extremities caused by injury to the
middle portion of the spinal cord
Exclusion criteria for tPA - ANS ✔✔after 4.5 hrs or:
age >80
severe stroke
DM with previous infarct
