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Test Number : CEN
Test Name : Certified Emergency Nurse
Vendor Name : Medical
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CEN test Format | CEN Course Contents | CEN Course Outline | CEN test Syllabus | CEN test Objectives


The CEN test is for nurses in the emergency department setting who want to demonstrate their expertise, knowledge and versatility in emergency nursing.

Killexams is the only source for emergency nursing professionals and their employers to obtain recognized certification with proven results for greater knowledge and performance. Enhance your knowledge, your career, and patient care with specialty certification in emergency nursing.

One of the more common questions they get from their customers is about the difference between a certification and a certificate. Here is the difference in a nutshell:

A certificate comes from an educational program where a certificate is awarded after the individual successfully completes the offering. Examples of certificates are Advanced Cardiac Life Support (ACLS) or Trauma Nursing Core Course (TNCC).

A certification, like the Certified Emergency Nurse (CEN) is an earned credential that demonstrates the individuals specialized knowledge and skills. Certification is awarded by a third-party organization, such as Board of Certification for Emergency Nursing. Individuals receive their certification after meeting strict eligibility requirements and successfully completing the required examination. In addition, certifications have ongoing requirements that must be meant to maintain the credential, ensuring the holder has maintained their level of expertise in the specialty area. Certifications are nationally recognized and are often utilized as part of the earners signature.

Earning professional certifications such as the CEN, CPEN, CFRN, CTRN and TCRN offered by BCEN, and completing certificate programs such as ACLS, PALS, ENCP and TNCC, are critical to the work emergency nurses do, but there are significant differences.
1. Cardiovascular Emergencies 20
A. Acute coronary syndrome
B. Aneurysm/dissection
C. Cardiopulmonary arrest
D. Dysrhythmias
E. Endocarditis
F. Heart failure
G. Hypertension
H. Pericardial tamponade
I. Pericarditis
J. Peripheral vascular disease (e.g., arterial, venous)
K. Thromboembolic disease (e.g., deep vein thrombosis [DVT])
L. Trauma
M. Shock (cardiogenic and obstructive)
2. Respiratory Emergencies 16
A. Aspiration
B. Asthma
C. Chronic obstructive pulmonary disease (COPD)
D. Infections
E. Inhalation injuries
F. Obstruction
G. Pleural effusion
H. Pneumothorax
I. Pulmonary edema, noncardiac
J. Pulmonary embolus
K. Respiratory distress syndrome
L. Trauma
3. Neurological Emergencies 16
A. Alzheimer's disease/dementia
B. Chronic neurological disorders (e.g., multiple sclerosis, myasthenia gravis)
C. Guillain-Barré syndrome
D. Headache (e.g., temporal arteritis,migraine)
E. Increased intracranial pressure (ICP)
F. Meningitis
G. Seizure disorders
H. Shunt dysfunctions
I. Spinal cord injuries, including neurogenic shock
J. Stroke (ischemic or hemorrhagic)
K. Transient ischemic attack (TIA)
L. Trauma
4. Gastrointestinal, Genitourinary, Gynecology, and Obstetrical Emergencies 21
A. Gastrointestinal
1. Acute abdomen (e.g., peritonitis, appendicitis)
2. Bleeding
3. Cholecystitis
4. Cirrhosis
5. Diverticulitis
6. Esophageal varices
7. Esophagitis
8. Foreign bodies
9. Gastritis
10. Gastroenteritis
11. Hepatitis
12. Hernia
13. Inflammatory bowel disease
14. Intussusception
15. Obstructions
16. Pancreatitis
17. Trauma
18. Ulcers
B. Genitourinary
1. Foreign bodies
2. Infection (e.g., urinary tract infection, pyelonephritis, epididymitis, orchiitis, STDs)
3. Priapism
4. Renal calculi
5. Testicular torsion
6. Trauma
7. Urinary retention
C. Gynecology
1. Bleeding/dysfunction (vaginal)
2. Foreign bodies
3. Hemorrhage
4. Infection (e.g., discharge, pelvic inflammatory disease, STDs)
5. Ovarian cyst
6. Sexual assault/battery
7. Trauma
D. Obstetrical
1. Abruptio placenta
2. Ectopic pregnancy
3. Emergent delivery
4. Hemorrhage (e.g., postpartum bleeding)
5. Hyperemesis gravidarum
6. Neonatal resuscitation
7. Placenta previa
8. Postpartum infection
9. Preeclampsia, eclampsia, HELLP syndrome
10. Preterm labor
11. Threatened/spontaneous abortion
12. Trauma
5. Psychosocial and Medical Emergencies 25
A. Psychosocial
1. Abuse and neglect
2. Aggressive/violent behavior
3. Anxiety/panic
4. Bipolar disorder
5. Depression
6. Homicidal ideation
7. Psychosis
8. Situational crisis (e.g., job loss, relationship issues, unexpected death)
9. Suicidal ideation
B. Medical
1. Allergic reactions and anaphylaxis
2. Blood dyscrasias
a. Hemophilia
b. Other coagulopathies (e.g., anticoagulant medications, thrombocytopenia)
c. Leukemia
d. Sickle cell crisis
3. Disseminated intravascular coagulation (DIC)
4. Electrolyte/fluid imbalance
5. Endocrine conditions:
a. Adrenal
b. Glucose related conditions
c. Thyroid
6. Fever
7. Immunocompromise (e.g., HIV/AIDS, patients receiving chemotherapy)
8. Renal failure
9. Sepsis and septic shock
6. Maxillofacial, Ocular, Orthopedic and Wound Emergencies 21
A. Maxillofacial
1. Abscess (i.e., peritonsillar)
2. Dental conditions
3. Epistaxis
4. Facial nerve disorders (e.g., Bells palsy, trigeminal neuralgia)
5. Foreign bodies
6. Infections (e.g., Ludwig'sangina, otitis, sinusitis, mastoiditis)
7. Acute vestibular dysfunction (e.g., labrinthitis, Méničre's disease)
8. Ruptured tympanic membrane
9. Temporomandibular joint (TMJ) dislocation
10. Trauma
B. Ocular
1. Abrasions
2. Burns
3. Foreign bodies
4. Glaucoma
5. Infections (e.g., conjunctivitis, iritis)
6. Retinal artery occlusion
7. Retinal detachment
8. Trauma (e.g., hyphema, laceration, globe rupture)
9. Ulcerations/keratitis
C. Orthopedic
1. Amputation
2. Compartment syndrome
3. Contusions
4. Costochondritis
5. Foreign bodies
6. Fractures/dislocations
7. Inflammatory conditions
8. Joint effusion
9. Low back pain
10. Osteomyelitis
11. Strains/sprains
12. Trauma (e.g., Achilles tendon rupture, blast injuries)
D. Wound
1. Abrasions
2. Avulsions
3. Foreign bodies
4. Infections
5. Injection injuries (e.g., grease gun, paintgun)
6. Lacerations
7. Missile injuries (e.g., guns, nail guns)

8. Pressure ulcers
9. Puncture wounds
10. Trauma (i.e., including degloving injuries)
7. Environment and Toxicology Emergencies, and Communicable Diseases 15
A. Environment
1. Burns
2. Chemical exposure (e.g., organophosphates, cleaning agents)
3. Electrical injuries
4. Envenomation emergencies (e.g., spiders, snakes, aquatic organisms)
5. Food poisoning
6. Parasite and fungal infestations (e.g., giardia, ringworm, scabies)
7. Radiation exposure
8. Submersion injury
9. Temperature-related emergencies (e.g., heat, cold, and systemic)
10. Vector borne illnesses:
a. Rabies
b. Tick-borne illness (e.g., Lyme disease, Rocky Mountain spotted fever)
B. Toxicology
1. Acids and alkalis
2. Carbon monoxide
3. Cyanide
4. Drug interactions (includingalternative therapies)
5. Overdose and ingestions
6. Substance abuse
7. Withdrawal syndrome
C. Communicable Diseases
1. C. Difficile
2. Childhood diseases (e.g., measles, mumps, pertussis, chicken pox,
diphtheria)
3. Herpes zoster
4. Mononucleosis
5. Multi-drug resistant organisms (e.g., MRSA, VRE)
6. Tuberculosis

8. Professional Issues 16
A. Nurse
1. Critical Incident Stress Management
2. Ethical dilemmas
3. Evidence-based practice
4. Lifelong learning
5. Research
B. Patient
1. Discharge planning
2. End of life issues:
a. Organ and tissue donation
b. Advance directives
c. Family presence
d. Withholding, withdrawing, and palliative care
3. Forensic evidence collection
4. Pain management and procedural sedation
5. Patient safety
6. Patient satisfaction
7. Transfer and stabilization
8. Transitions of care
a. external handoffs
b. internal handoffs
c. patient boarding
d. shift reporting
9. cultural considerations (e.g., interpretive services, privacy, decision making)
C. System
1. Delegation of tasks to assistive personnel
2. Disaster management (i.e., preparedness, mitigation, response, and recovery)
3. Federal regulations (e.g., HIPAA, EMTALA)
4. Patient consent for treatment Performance improvement
6. Risk management
7. Symptom surveillance
a. recognizing symptom clusters
b. mandatory reporting of diseases
D. Triage



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Medical information search

(part of) What They deserve to fight Covid-19: A national health counsel community To exchange The Fax machine | CEN Dumps and test dumps

This previous week noticed list numbers of Covid-19 situations. Hospitals in lots of areas are becoming overwhelmed, laboratories are racing to method lots of exams and document outcomes, and public health companies are drowning due to continued frequent use in fitness care of a communications technology most young american citizens haven't any idea of: the fax machine. 

Public fitness departments are now hiring information entry technicians to help them with the influx of faxes. 

suppliers, hospitals, and public fitness departments are drowning in faxes

©Photobank - stock.adobe.com

virtually a decade after the U.S. government invested more than $35 billion to subsidize digital health listing (EHR) adoption, the majority of physicians and hospitals these days are making use of an EHR. Yet the benefits of adoption of EHR have confirmed elusive as a result of these systems are mostly unable to exchange assistance. whereas there have been trade-led efforts to advertise interoperability and public and personal alignment round some information necessities, seamless electronic trade of health tips remains now not handy to return by means of. The present pandemic is without difficulty highlighting these shortcomings.

One bright spot for health information trade? digital prescribing. Now when most people go to the doctor (in grownup or nearly with telehealth visits), they received’t walk out with a prescription, however reasonably are requested which pharmacy they need the prescription despatched to. E-prescribing between doctors and pharmacies may well be events now (80 % of all prescriptions were e-prescribed in 2019). however it took essentially two many years to attain that aspect. 

If there's one element that the healthcare trade learned - or should have - from the adoption of each electronic prescribing (e-prescribing) and electronic health facts (EHRs), it’s that enabling seamless digital fitness information alternate on a vast scale takes time… and relied on, credible company that sits between all the distinctive conclusion-user utility that acts as a convening physique and knows a way to build a country wide network to connect all of them and control the nice of interactions amongst its community of clients.

Managing quality on healthcare assistance trade networks

Surescripts, which now facilitates transactions between pharmacies, physicians, hospitals and payers, is a great instance of a multi-sided platform enterprise answerable for enabling healthcare assistance change on a broader degree.

Given the fundamental role of platform-style organizations (feel AirBnB, or Uber and Lyft) is to facilitate transactions between distinctive companies of clients — within the illustration of e-prescribing in healthcare, between pharmacies and physicians — it’s elementary that networks determine how to optimize for the “core interaction”. in short, the core interaction is made up of the diverse users seeking to transact, the element itself being transacted (suggestions, goods or capabilities), and a filtering process to support clients from one side without problems find and suit with another. 

If structures’ company is facilitating transactions between diverse agencies of users, then managing the fine of the core interplay is paramount to the platforms’ success. In journey-hailing, a poor interaction is probably going to result in frustration; in health care, terrible interactions may end up in lack of care, affected person safety concerns, and worse.

In healthcare, one of the challenges that regional health information exchanges (HIEs) have faced is attempting to boil the ocean. With so many different constituents with so many ranging wants, it would be virtually impossible to nail a single core interplay between any two corporations. possibly unsurprisingly, the number of HIEs is declining and there are concerns about their viability. 

What can HIEs and healthcare structures do to increase the great of the core interplay?

Success studies: specializing in the core interaction to drive price to clients 

platforms in healthcare pondering the way to force price for his or her users and achieve community efforts should center of attention on the diverse facets of the core interaction: 

  • The users themselves, what they are attempting to achieve, and what points are necessities for trade
  • The “price unit” itself: what the specific tips being exchanged is and what add-ons are important for which clients
  • What filtering process may also be put into area to make the method greater efficient 
  • involving user considerations, key prerequisites for most healthcare clients include a excessive degree of have faith (is this coming from a established or credible supply?), safety, privateness, and technical concerns. Commonwell health Alliance, for example, depends on an intensive upfront certification system to make sure simplest programs that adhere to security and privacy measures and meet the technical requirements benefit access to the network; it also has posted governance, guidelines and methods that adopters should agree to. 

    regarding the value unit: whereas prescriptions can be a small slice of healthcare facts,  there are over 20,000 medication authorised by way of FDA, and the intricacies of data features and prescriber intent  imply that standardization remains a purpose. therefore, Surescripts makes use of normal transactions posted by means of an independent necessities-setting company (country wide Council for Prescription Drug Plan) and invests in a continuous improvement effort to enrich prescription accuracy. 

    On the third element (filtering procedure), CoverMyMeds takes a novel method to enhancing the painful system of prior authorization. The business uses a site to enhance the hard method for suppliers; unlike prescriptions, which have a generally standardized set of information points, most payers have diverse data assortment varieties and requirements for PA requests. This skill doctors must manually search for them each and every time they put up a PA request to a distinct payer.

    To simplify this procedure, CoverMyMeds reveal scraped 20K+ payer PA forms and put them into a common provider portal, which capacity docs can effortlessly determine what’s required through distinct payers all in one interface. in short, CoverMyMeds found out an outstanding filtering mechanism to enhance the high-quality of the core interaction for doctors.

    A countrywide community for lab orders and consequences would support in Covid-19 public health efforts

    think about if there have been a Surescripts or a CoverMyMeds that processed eighty% of Covid-19 lab exams and results. That platform could be a single element to feed standardized electronic abstract outcomes to public fitness departments, negating the want for heaps of disparate labs to fax consequences. electronic summaries may well be computer study, automatically ingested and populated into reporting and dashboards obligatory by way of public health experts. 

    The federal government is making an attempt to clear up this classification of issue, and is main by means of requiring EHRs to undertake commonplace necessities and “open up” their systems to enable digital fitness innovators to connect. Yet the govt is also forcing existing HIEs to connect with each other in an try and jumpstart fitness guidance alternate between them. on the end of the day, it’s inconceivable to regulate a market into existence. 

    what's greater likely to work? no longer the federal govt boiling the ocean, however entrepreneurs and buyers realizing the large market alternatives that exist with the aid of increasing counsel flows for particular clinical use situations, and then focusing relentlessly on improving the core interplay between their structures’ users.

    The creator worked at Surescripts from 2010 - 2018 but has no latest relationship with the company.

    Full coverage and are living updates on the Coronavirus


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