Certified Emergency Nurse (CEN) Exam Questions and Answers

CEN Exam Questions
and Answers


Kehr'sysign

Ans- Referredypainydownytheyleftyshoulder;yindicativeyofyayrupturedyspleen.




Homan'sysign

Ans- painyiny*calfyuponydorsiflexion*yofyfootyandymayyindicateyDVT




Cullen'sysign


Ans-



superficialyedemayandybruisingyinytheysubcutaneousyfattyytissueyaroundy

theyumbilicusycausedybyypancreatitis




Chvostek'sysign

Ans- Hypocalcemiay(facialymuscleyspasmyuponytapping)

,Trousseau'sysign


Ans- arm/carpalyspasmyassociatedywithyhypocalcemia




Murphy'sysign


Ans-



painywithypalpationyofytheyRUQyduringyinspiration,yindicativeyofyc

holecystitis




Beck'sytriad


Ans- Hypotension,yJVD,ymuffledyheartysounds;ycardiacytamponade




traumaytriadyofydeath


Ans- hypothermia,yacidosis,ycoagulopathy




Cushing'sytriad


Ans- Signsyofyincreasedyintracranialypressure:


1.hypertension

, bradycardia


2. irregularyrespirations




Battle'sysign


Ans- Bruisingybehindytheyears,yindicativeyofyaybasilaryskullyfracture




coarseycracklesy(rales)


Ans-



Lowypitched,ybubbling,ymoistysoundsythatymayypersistyfromyearlyyi

nspirationytoyearlyyexpiration.


MayyindicateyPNEUMONIA




fineycracklesy(fineyrales)


Ans-



highypitched,y(rubbingyhairybyyear,yfire);yalveoliy"poppingyopen"yasyairyhitsy

previouslyyclosedyalveoliyuponyinspiration;yUponyexpiration,yalveoliyclosing

;ythinkypulmonaryyedema,yfibrosis




Rhonchi

, Ans-



loudyrumblingysoundsyheardyonyauscultationyofybronchiyobstructedybyy

thickysputumy-yCOPD,yCF,ypneumonia




Stridor


Ans- strained,yhigh-

pitchedysoundyheardyonyinspirationycausedybyyobstructionyinytheypharynxyo

rylarynx,yalsoycausedybyycroup




Bronchiolitis


Ans-



Inflammationyofytheybronchiolesythatyusuallyyoccursyinychildrenyyoungeryt

hany2yyearsyandyisyoftenycausedybyytheyrespiratoryysyncytialyvirus.




Preload


Ans- volumeyofybloodyinyventriclesyatyendyofydiastole




Afterload


Ans- theyamountyofyresistanceytoyejectionyofybloodyfromytheyventricle




cardiacycontractility