Medical Tests CEN Exam Questions
Certified Emergency Nurse (Page 7 )

Updated On: 16-Feb-2026

Which of the following would be associated with detached retina?

  1. Pain in the affected eye
  2. Total loss of vision
  3. Feeling like a curtain had fallen over their eyes
  4. Yellow discoloration of the scleroses

Answer(s): C

Explanation:

A patient with a detached retinapatient would complain of a sense of a curtain falling across their field of vision There is no pain associated with retinal detachment, but it is an ophthalmic emergency in that immediate steps must be taken to protect the patient's vision.



What intervention would you need to take if your patient had a contusion of the eyeball following a traumatic injury?

  1. Notify the physician.
  2. Irrigate the eye with cool water.
  3. Apply ice to the affected eye.
  4. Accompany the patient to the emergency room.

Answer(s): C

Explanation:

The priority intervention for this patient would be to apply ice to the affected eye. The patient should then be seen by a physician to rule out any other eye injury. Do not irrigate the eye with cool water until it is examined by a physician.



What nursing action would the nurse take when caring for a patient with enucleation with bright red drainage?

  1. Notify the physician.
  2. Continue to monitor the drainage.
  3. Document the finding.
  4. Mark the drainage on the dressing.

Answer(s): A

Explanation:

The nurse's first priority would be to notify the physician. The presence of bright red drainage on the dressing is an indication of hemorrhage. The other options are inappropriate for this patient.



You are completing a hearing screening on a patient. You note that the sound lateralizes to the patient's left ear during a Weber test. What does this finding indicate?

  1. A normal finding
  2. Conductive hearing loss in the right ear
  3. Sensorineural or conductive loss
  4. Presence of nystagmus

Answer(s): C

Explanation:

This test indicates sensorineural or conductive loss in the right ear. The Weber test is done by placing a vibrating tuning fork at the middle of the forehead. The patient should hear sound by bone conduction equally in both ears; if not, then the patient has hearing loss in the ear that did not hear the sound.



When caring for a hearing impaired patient what approach will facilitate communication?

  1. Speak frequently.
  2. Speak loudly.
  3. Speak directly into the impaired ear.
  4. Speak in a normal tone.

Answer(s): D

Explanation:

The nurse should speak in a normal tone of voice when addressing the patient. The nurse should talk directly to the patient while facing them. If the patient still does not understand then the nurse should move closer to the better ear to facilitate communication.






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