Certified Emergency Nurse Exam 2| Questions with
100% Correct Verified Answers
Myocarditis diagnostic findings - ANSWER elevated WBC, elevated CK-MB and trop, elevated
ESR
Myocarditis treatment - ANSWER antibiotics; ACE inhibitors, beta blockers, or diuretics; steroids
Pericarditis diagnostic findings - ANSWER elevated troponin, WBC, ESR, CRP; ST elevation in
all leads except AVR and V1; tall, peaked T waves; chest x-ray with "water bottle" silhouette
Endocarditis signs and symptoms - ANSWER Janeway lesions, Osler's nodes, Roth's spots
Left-sided heart failure symptoms - ANSWER dyspnea and cough, crackles; cough with
frothy sputum, hemoptysis; left-sided S3 sound, oliguria
Right-sided heart failure symptoms - ANSWER related to systemic circulation; edema;
JVD; dependent edema in lower legs; hepatomegaly; ascites; right-sided S3 sound; weight
gain; nocturia
Heart failure diagnostic test findings - ANSWER BNP is main laboratory value to measure, more
than 100 pg/mL is heart failure; hypokalemia, hyponatremia
First-line hypertension drugs - ANSWER labetalol, hydralazine, clonidine, metoprolol
Pulmonary hypertension is - ANSWER elevated blood pressure in the arteries to the lungs and is
caused by occlusions or narrowing of the arteries
, Pulmonary hypertension medications - ANSWER Vasodilators: epoprostenol, iloprost, bosentan,
macitentan, sildenafil, tadalafil; diuretics, anticoagulants
Pericardial tamponade is - ANSWER a buildup of fluid in the pericardial space, preventing the
ventricles from functioning properly
Becks triiad - ANSWER Sign of pericardial tamponade: hypotension, JVD, muffled heart tones
Pericardial tamponade signs and symptoms - ANSWER Beck's triiad, pulsus
paradoxus, Kussmaul's sign
Pericardial tamponade x-ray findings - ANSWER globe-shaped heart
Hypovolemic shock lab findings - ANSWER hyperkalemia, hypermagnesemia,
hypernatremia, increased BUN/creatinine, increased lactate, increased urine specific gravity
Cause of respiratory acidosis - ANSWER Asthma, COPD
Cause of respiratory alkalosis - ANSWER hyperventilation
Cause of metabolic alkalosis - ANSWER overabundance of bicarbonate, loss of lactic acid in
the blood because of kidney dysfunction or diabetic disorders
Cause of metabolic acidosis - ANSWER diarrhea, vomiting (prolonged), kidney dysfunction
(occurs because decreased bicarbonate in blood cannot neutralize acids)
CO2 levels during high-quality chest compressions - ANSWER 10 to 20 mmHg
Sedative/hypnotic drugs for induction - ANSWER midazolam, fentanyl, propofol,
etomidate, ketamine
100% Correct Verified Answers
Myocarditis diagnostic findings - ANSWER elevated WBC, elevated CK-MB and trop, elevated
ESR
Myocarditis treatment - ANSWER antibiotics; ACE inhibitors, beta blockers, or diuretics; steroids
Pericarditis diagnostic findings - ANSWER elevated troponin, WBC, ESR, CRP; ST elevation in
all leads except AVR and V1; tall, peaked T waves; chest x-ray with "water bottle" silhouette
Endocarditis signs and symptoms - ANSWER Janeway lesions, Osler's nodes, Roth's spots
Left-sided heart failure symptoms - ANSWER dyspnea and cough, crackles; cough with
frothy sputum, hemoptysis; left-sided S3 sound, oliguria
Right-sided heart failure symptoms - ANSWER related to systemic circulation; edema;
JVD; dependent edema in lower legs; hepatomegaly; ascites; right-sided S3 sound; weight
gain; nocturia
Heart failure diagnostic test findings - ANSWER BNP is main laboratory value to measure, more
than 100 pg/mL is heart failure; hypokalemia, hyponatremia
First-line hypertension drugs - ANSWER labetalol, hydralazine, clonidine, metoprolol
Pulmonary hypertension is - ANSWER elevated blood pressure in the arteries to the lungs and is
caused by occlusions or narrowing of the arteries
, Pulmonary hypertension medications - ANSWER Vasodilators: epoprostenol, iloprost, bosentan,
macitentan, sildenafil, tadalafil; diuretics, anticoagulants
Pericardial tamponade is - ANSWER a buildup of fluid in the pericardial space, preventing the
ventricles from functioning properly
Becks triiad - ANSWER Sign of pericardial tamponade: hypotension, JVD, muffled heart tones
Pericardial tamponade signs and symptoms - ANSWER Beck's triiad, pulsus
paradoxus, Kussmaul's sign
Pericardial tamponade x-ray findings - ANSWER globe-shaped heart
Hypovolemic shock lab findings - ANSWER hyperkalemia, hypermagnesemia,
hypernatremia, increased BUN/creatinine, increased lactate, increased urine specific gravity
Cause of respiratory acidosis - ANSWER Asthma, COPD
Cause of respiratory alkalosis - ANSWER hyperventilation
Cause of metabolic alkalosis - ANSWER overabundance of bicarbonate, loss of lactic acid in
the blood because of kidney dysfunction or diabetic disorders
Cause of metabolic acidosis - ANSWER diarrhea, vomiting (prolonged), kidney dysfunction
(occurs because decreased bicarbonate in blood cannot neutralize acids)
CO2 levels during high-quality chest compressions - ANSWER 10 to 20 mmHg
Sedative/hypnotic drugs for induction - ANSWER midazolam, fentanyl, propofol,
etomidate, ketamine
