Medical Tests CEN Exam Questions
Certified Emergency Nurse (Page 5 )

Updated On: 15-Feb-2026

You are caring for the child who has had a tonsillectomy. The physician has written postoperative orders.
Which of the following orders would the nurse question?

  1. Clear, cool liquids when awake
  2. No milk or milk products
  3. Monitor for bleeding
  4. Suction every 2 hours

Answer(s): D

Explanation:

You would not want to suction a patient who just had a tonsillectomy. Suction equipment should be available at bedside in case of airway obstruction. Otherwise, a patient would not be suctioned due to the risk of trauma to the oropharynx. All other orders listed are appropriate for this patient.



You are monitoring a child who had a tonsillectomy. On assessment, which findings would indicate to you that the child might be bleeding?

  1. Decreased pulse
  2. Elevation in blood pressure
  3. Complaints of discomfort
  4. Frequent swallowing

Answer(s): D

Explanation:

Frequent swallowing by the child might indicate that there is bleeding. Other signs or symptoms might include restlessness, vomiting blood, and a fast, thready pulse. Elevation of blood pressure and discomfort do not indicate bleeding.



After a tonsillectomy, your patient begins to vomit. What intervention should be your priority?

  1. Administer an antiemetic
  2. Turn the patient to the side
  3. Notify the physician
  4. Maintain the patient's "nothing by mouth" status

Answer(s): B

Explanation:

Your first priority should be to turn the patient on the side to prevent aspiration. Only then should you notify the physician. It is also important to continue to maintain the "nothing by mouth" feeding status of the patient and give antiemetic if prescribed.



When caring for a patient with glaucoma, which of the following symptoms would you not expect to see on the patient's chart?

  1. Severe eye pain
  2. Frequent pink-eye infections
  3. Blurred vision
  4. Nausea and vomiting

Answer(s): B

Explanation:

Frequent pink-eye infections are not symptomatic of glaucoma, but reddening of the eyes is a common sympton.



Which of the following orders would the physician prescribe for the patient with retinal detachment?

  1. Bathroom privileges
  2. Head of bed up 45 degrees
  3. Eye patch to affected eye
  4. Dark glasses to read or watch television

Answer(s): C

Explanation:

The physician would order an eye patch to the affected eye. This decreases movement of the eye and prevents further damage to the eye. The physician may limit activity until the eye can be repaired.






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