Certified Emergency Nurse Content

Clinical items, distribution by nursing process: Assessment (26%), Analysis (23%), Intervention (30%), Evaluation (20%)

Non-Clinical items, distribution by cognitive level: Approximately equal for Recall, Application, Analysis

1. Cardiovascular Emergencies (13% of test)

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 (DVT, or deep vein thrombosis)
L. Trauma

2. Gastrointestinal Emergencies (7% of test)

A. Acute abdomen (e.g., peritonitis, appendicitis)
B. Bleeding
C. Cholecystitis
D. Cirrhosis
E. Diverticulitis
F. Esophageal varices
G. Esophagitis
H. Foreign bodies
I. Gastritis
J. Gastroenteritis
K. Hepatitis
L. Hernia
M. Inflammatory bowel disease
N. Intussusception
O. Obstructions
P. Pancreatitis
Q. Trauma
R. Ulcers

3. Genitourinary, Gynecology, and Obstetrical Emergencies (7% of test)

A. Genitourinary
1. Foreign bodies
2. Infection (e.g., urinary tract infection, pyelonephritis, epididymitis, orchiitis, STDs)
3. Phimosis
4. Priapism
5. Prostate conditions
6. Renal calculi
7. Testicular torsion
8. Trauma
9. Urinary retention (e.g., caused by trauma or neurological disorders)
B. Gynecology
1. Bartholin’s cyst
2. Bleeding/dysfunctional (vaginal)
3. Foreign bodies
4. Hemorrhage
5. Infection (e.g., discharge, pelvic inflammatory disease, STDs)
6. Ovarian cyst
7. Sexual assault/battery
8. Trauma
C. Obstetrical
1. Threatened/spontaneous abortion
2. Ectopic pregnancy
3. Emergent delivery
4. Antepartum bleeding
5. Hyperemesis gravidarum
6. Neonatal resuscitation
7. Preeclampsia, eclampsia, HELLP syndrome
8. Preterm labor
9. Trauma

4. Maxillofacial and Ocular Emergencies (6% of test)

A. Maxillofacial
1. Abscess (i.e., peritonsillar)
2. Dental conditions
3. Epistaxis
4. Facial nerve disorders
5. Foreign body
6. Infection (e.g., Ludwig’s angina, otitis, sinusitis)
7. Labyrinthitis
8. Meniere’s disease
9. Ruptured tympanic membrane
10. Temporomandibular joint (TMJ) dislocation
11. Trauma
B. Ocular
1. Abrasion
2. Burns
3. Foreign body
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

5. Neurological Emergencies (10% of test)

A. Alzheimer’s disease/dementia
B. Chronic neurological disorders (i.e., multiple sclerosis, myasthenia gravis, etc)
C. Guillain-Barré syndrome
D. Headache (i.e., including temporal arteritis, migraine)
E. Increased intracranial pressure (ICP)
F. Meningitis
G. Seizure disorders
H. Shunt dysfunctions
I. Spinal cord injuries
J. Stroke (e.g., ischemic or hemorrhagic)
K. Transient ischemic attack (TIA)
L. Trauma

6. Orthopedic and Wound Emergencies (9% of test)

A. 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. Other orthopedic trauma (e.g., Achilles tendon rupture, blast injuries)
12. Strains/sprains
B. Wound
1. Abrasions
2. Avulsions
3. Foreign bodies
4. Infections
5. Lacerations
6. Missile injuries (e.g., guns, paint gun, nail gun)
7. Pressure ulcers
8. Puncture wounds
9. Trauma (e.g., including degloving injuries)

 

7. Psycho/Social Emergencies (5% of test)

A. Abuse and neglect
B. Anxiety/panic
C. Bereavement
D. Bipolar disorder
E. Depression
F. Eating disorders
G. Homicidal/violent
H. Psychosis
I. Situational crisis (e.g., job loss, divorce, sudden unexpected infant death)
J. Suicide

8. Respiratory Emergencies (12% of test)

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. Tension pneumothorax
M. Trauma
  1. Environment and Toxicology Emergencies (7% of test)
A. Environment
1. Burns
2. Envenomation emergencies (e.g., spiders, snakes, aquatic organisms)
3. Food poisoning
4. Organophosphates and insecticides
5. Parasite and fungal infestations (e.g., giardia, ringworm, tineas, tape worms, pin worms, lice, maggots, scabies)
6. Plants (e.g., contact dermatitis, ingestion)
7. Radiation/hazardous material exposure
8. Submersion injury
9. Temperature-related emergencies (e.g., heat, cold, and systemic)
10. Rabies
B. Toxicology
1. Acids and alkalis
2. Carbon monoxide
3. Cyanide
4. Drug interactions (including alternative therapies)
5. Overdose and ingestions
6. Substance abuse

10. Shock (6% of test)

A. Cardiogenic
B. Distributive (e.g., anaphylactic, septic, neurogenic)
C. Hypovolemic https://youtu.be/4Wf0pugV0eQ
D. Obstructive (e.g., pericardial tamponade, tension pneumothorax)
E. Shock (not specific)

11. Medical Emergencies and Communicable Diseases (11% of test)

A. Medical emergencies
1. Allergic reactions
2. Blood dyscrasia
3. Disseminated intravascular coagulation (DIC)
4. Electrolyte/fluid imbalance
5. Endocrine conditions:
a. Adrenal
b. Glucose-related conditions
c. Thyroid
6. Fever
7. Hemophilia
8. Immunocompromise/oncological (e.g., HIV/AIDS)
9. Renal failure
10. Sepsis
11. Sickle cell crisis
B. Communicable diseases
1. C. difficile
2. Childhood diseases (e.g., measles, mumps, pertussis, chicken pox, diptheria)
3. Herpes zoster
4. Mononucleosis
5. Multi-drug resistant organisms (e.g., MRSA, VRE)
6. Tuberculosis

12. Professional Issues (7% of test)

A. Nurse
1. Critical incident stress management
2. Ethical dilemmas
3. Evidence-based practice
4. Lifelong learning
5. Research
B. Patient
1. Pain Management
2. Discharge planning
3. End of life issues
a. Organ and tissue donation
b. Advance directive
c. Family presence
d. Withholding, withdrawing, and palliative care
4. Forensic evidence collection
5. Patient safety
6. Transfer and stabilization
7. Triage
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
5. Performance improvement
6. Risk management
7. Stabilization and transfer

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