Certified Emergency Nurse Practice Questions and Answers

A patient presents to the ED with CP and diaphoresis, & denies dyspnea. VS are BP 148/70, HR 72, RR 18, SPO2 98 RA. BBS clear & equal. The ECG shows inferior wall ST elevation. You anticipate the following oxygen order. A. No supplemental O2 @ this time B. NC 6L C. PNRB @ 10 L D. NRB @ 15L A. No supplemental O2 @ this time A patient c/o CP, dyspnea, & diaphoresis. Which of the following assessment factors would indicate a possible diagnosis of acute coronary syndrome? A. Pleuritic CP B. Positional CP C. CP that radiates to the shoulders, with pain in the R shoulder worse than pain in the L shoulder D. Pain reproducible with chest walk palpation C. CP that radiates to the shoulders, with pain in the R shoulder worse than pain in the L shoulder Which of the following human compensatory mechanisms to the presence of shock triggers glycogenolysis? A. chemoreceptor activation B. clotting cascade activation C. cerebral autoregulation stimulation D. adrenal gland stimulation D. adrenal gland stimulation causes adrenals to release 2 catecholamines: Epi and Norepi . Epi increases HR and peripheral vasoconstriction & triggers glycogenolysis A patient presents to the ED with ABD pain and "ripping" back pain. Which condition places the patient @ risk for abdominal aortic aneurysm dissection? A. Downs syndrome B. Romano-Ward syndrome C. Jervell & Lange-Nielsen Syndrome D. Ehler-Danlos Syndrome D. Ehler-Danlos Syndrome Patients with Ehler-Danlos Syndrome may be identified by hyper mobile joints & skin that is hyper-extensible, has a soft velvety-like appearance, is fragile, & tears or bruises easily. Ehler-Danlos Syndrome is a connective tissue disorder that places patients @ risk for the presence of aortic aneurysm and dissection. Romano-Ward syndrome -Congenital long QT syndrome -may have sudden death resulting from a dysrhythmia Jervell Lange-Nielsen Syndrome -Congenital long QT syndrome -profound hearing loss from birth -may have sudden death resulting from a dysrhythmia