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Test Number : CEN
Test Name : Certified Emergency Nurse
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CEN exam Format | CEN Course Contents | CEN Course Outline | CEN exam Syllabus | CEN exam Objectives


The CEN exam 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-Barr 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, Mnire'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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Most North Carolina nursing domestic workers are refusing COVID-19 vaccine | CEN PDF get and PDF Dumps

a close up of a bottle: Image of COVID-19 vaccine © HTV image of COVID-19 vaccine

Most North Carolina nursing home people are refusing to take coronavirus vaccines being offered in a state that has now develop into probably the most slowest in the nation to get doses into peoples’ arms, in keeping with Dr. Mandy Cohen, North Carolina's correct public health official.

In an interview with The linked Press, Cohen attributed probably the most sluggishness behind the rollout to staffing shortages, lack of familiarity with the state’s technological methods and logistical hurdles of working with dozens of hospitals and one hundred diverse counties all over the state.

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Her comments got here presently after the governor introduced Tuesday the deployment of countrywide take care of individuals to accelerate the administration of doses.

“we now have a decentralized system in North Carolina,” Cohen spoke of. “we have eighty three local public health departments, they have a hundred counties. they have superb delight in that, but when you decentralize issues, it does create slowness. We’re making an attempt to locate that right steadiness of recognizing the strengths in their native areas but also recognizing where are the challenges.”

Roy Cooper, North Carolina’s newly reelected Democratic governor, wrote on Twitter that making certain vaccines are given to people “is their true priority presently.”

“we are able to use all resources and personnel necessary,” Cooper wrote. “I’ve mobilized the NC national guard to provide aid to local health suppliers as they proceed to raise the tempo of vaccinations.”

The North Carolina countrywide take care of noted in a information free up that it mobilized about 50 personnel in guide of the anticipated demand requests from state companions and county health departments. The protect may be operational this week, in accordance with the information release.

almost one hundred ten,000 individuals in North Carolina had acquired their first dose as of Tuesday morning, in line with records from the state fitness department. essentially 500 individuals had bought a second dose.

The administration of initial doses thus far account for less than 1% of the state’s inhabitants of 10.5 million people. information gathered and shared by way of the U.S. facilities for disorder handle and Prevention on Monday positioned North Carolina because the sixth worst state within the country in per capita first-dose vaccinations.

Kansas, Georgia, Mississippi, Alabama and Arizona ranked worse.

Cohen cited that vaccine hesitancy among long-time period care team of workers is “concerning,” given the anecdotal reports the state has gathered to date.

North Carolina is working with Walgreens and CVS, which can be liable for vaccinating residents and workers in long-time period care settings, to entry and document concrete data.

She believes North Carolina is experiencing anything similar to an estimate Ohio Gov. Mike DeWine made closing week noting that about 60% of personnel in long-time period care settings have refused vaccination.

“I warning it’s anecdotal, but we're truly listening to that more than half (are) declining (the vaccine), and that is concerning,” Cohen spoke of.

in line with the state’s COVID-19 dashboard, practically 166,000 vaccine doses were allocated to lengthy-term care facilities within the state, as of Monday. Of those, 13,338 doses had been administered.

nevertheless, demand throughout the state drastically outpaces the accessible weekly provide of 120,000 doses North Carolina expects to get this month from President Donald Trump’s administration.

Cohen mentioned one of the most country wide look after contributors will function vaccinators, whereas others will help local fitness departments with logistical tactics of checking individuals into websites and ensuring they continue to be masked and physically far away from one another.

medical institution people have been the first in line to get hold of doses and a few stay unvaccinated because of restricted supply. starting Wednesday, a small number of counties will start administering doses to elderly individuals 75 years or older.

The high stage of demand has posed concerns about fairness and fairness, certainly as some local fitness departments ask residents to make an appointment on-line. Appointments can refill directly and people with fewer digital knowledge or residing in rural communities without broadband access may well be left behind.

“We proceed to have structural inequalities in their device that are just constructed into how they function as a executive (and) how they operate as a medical device,” Cohen stated. “There are folks who've access and who don’t. I suppose they need to recognize it and then construct programs that can are trying and overcome it.”

though North Carolina health officials had been gradual to get doses of the Pfizer and Moderna vaccines into residents’ fingers, there are identical issues in different states.

Federal health officials fell smartly short of their intention of vaccinating 20 million americans via the end of December. The CDC mentioned Tuesday that more than 17 million doses had been disbursed, and four.eight million people had got a primary dose.

examine the whole STORY:Most nursing domestic worker's are refusing coronavirus vaccine in North Carolina

check out WXII:Get the latest Greensboro, high element and Winston-Salem information of the day. catch the precise reviews, sports and climate from the crew at WXII12.


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