100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached 4.6 TrustPilot
logo-home
Exam (elaborations)

CEN Cardiovascular Emergencies 2025/2026 – 100+ Expert-Level Questions with Rationales | ACS, CPR, Aortic Dissection, Cardiac Arrest, IO Access, Tamponade, EKG, Pediatric Emergencies

Rating
-
Sold
-
Pages
20
Grade
A+
Uploaded on
01-08-2025
Written in
2025/2026

This focused CEN review guide features over 100 advanced cardiovascular emergency questions and answers designed to reflect the format, clinical rigor, and content areas of the Certified Emergency Nurse (CEN) exam for the 2025/2026 testing year. Each question includes a detailed rationale, aligning with the latest AHA guidelines, ACLS protocols, and emergency nursing best practices. The document thoroughly covers the following high-yield cardiovascular topics: Cardiac Arrest & Resuscitation: ACLS post-defibrillation protocols, PETCO₂ interpretation, high-quality CPR indicators, intraosseous drug administration Acute Coronary Syndrome (ACS): Oxygen-Aspirin-Nitroglycerin-Morphine (OANM) sequence, cardiac biomarkers (Troponin vs. CK-MB), contraindications to fibrinolytics Cardiac Dysrhythmias & Treatment: Tachycardia with hypotension, cardioversion vs. medication, use of amiodarone, adenosine, and synchronized shock Cardiac Trauma & Aneurysms: Blunt cardiac injury, dissecting aortic aneurysm management, pericarditis vs. MI, tamponade (Beck’s Triad), thoracotomy Heart Failure & Fluid Overload: Key findings (S3 sounds, JVD, rales), treatment priorities (airway first), medication sequencing Pediatric Cardiac Arrest: Arrest progression (respiratory → shock → cardiac), non-SIDS etiologies, magnesium for torsades de pointes Emergency Diagnostics: Interpretation of EKG, blood pressure management, endotracheal medication dosing, IO vs IV access This guide is indispensable for candidates preparing for the BCEN’s CEN certification, new ER nurses seeking core competency, or advanced students in trauma and cardiovascular emergency care. Recommended for: Courses: CEN Exam Prep, Emergency Cardiovascular Nursing, ACLS Certification Training Programs: BCEN Certification Programs, Emergency Department Clinical Residency, Advanced Nursing Pathophysiology Users: Emergency RNs, trauma nurses, ER nurse interns, critical care nurses, and EMS professionals transitioning to hospital roles Keywords: CEN 2025, cardiovascular emergencies, cardiac arrest, ACS treatment, Troponin I, PETCO2, synchronized cardioversion, IO access, CPR guidelines, aortic dissection, cardiac tamponade, pericarditis, endocarditis, blunt chest trauma, pediatric CPR, S3 heart sound, fibrinolytics contraindications, high-quality CPR, dissecting aneurysm, ACLS drug doses

Show more Read less
Institution
CEN Cardiovascular Emergencies
Course
CEN Cardiovascular Emergencies

Content preview

CEN Cardiovascular Emergencies
2025/2026 Exam Questions and Correct
Answers | New Update



Preload refers to:

a. The volume of blood entering the left side of the heart

b. The volume of blood entering the right side of the heart

c. The pressure in the venous system that the heart must overcome to pump the

blood

d. The pressure in the arterial system that the heart must overcome to pump the

blood - 🧠ANSWER ✔✔b. Preload is the volume of blood that enters the right side

of the heart. This volume stretches the fibers in the heart prior to contraction.

Preload is commonly measured as atrial pressure.

When suctioning during a cardiac arrest, suctioning should be limited to which of

the following?

,a. Less than 5 seconds

b. Less than 10 seconds

c. Less than 20 seconds


d. Less than 30 seconds - 🧠ANSWER ✔✔B. According to the 2010 BLS and

ACLS guidelines, suctioning for longer than 10 seconds may result in pulling too

much oxygen out of the airways resulting in hypoxemia.

You are caring for a 65 year old who collapsed outside of the hospital and was

brought in to the emergency department. During CPR, quantitative waveform

capnography shows a PETCO2 level < 10 mm HG. Which of the following is the

correct response to this finding?

a. Do nothing; this is normal.

b. Increase the amount of oxygen being delivered.

c. Attempt to improve the quality of CPR.


d. Decrease the amount of oxygen being delivered. - 🧠ANSWER ✔✔C.

Quantitative waveform capnography provides a good indication of the quality of

CPR. Levels < 10 mm HG indicate either a problem with the quality of CPR or

with the placement of the ETT. EtCO2 levels of ≤10 mmHg predicted death in

, adult patients with cardiac arrest. Measurement of EtCO2 varies directly with the

cardiac output produced by chest compression . Goal is 35-45mmg HG or 5-6%

CO2.

You are caring for an 85 year old and are having trouble establishing an

intravenous line. The ED physician asks for an intraosseous needle to establish an

IO line for medication administration. Which of the following is TRUE about the

intraosseous route of drug administration?

a. It should only be done on children under the age of 16.

b. It is preferred over the IV route of drug administration.

c. It should only be attempted after all other routes have been attempted.


d. Any drug or fluid can be administered via the IO route. - 🧠ANSWER ✔✔D.

Any drug that can be given via the IV route can also be given via the IO route.

Although commonly thought of in reference to pediatric patients, an IO route can

be established on any age person. IO access is the preferred route over the ETT but

not IV route; it is often the easiest route to establish while CPR is being done.

You have defibrillated the patient in ventricular fibrillation. The appropriate action

to take next is:

a. Do CPR for a 2-minute cycle.



COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED

Written for

Institution
CEN Cardiovascular Emergencies
Course
CEN Cardiovascular Emergencies

Document information

Uploaded on
August 1, 2025
Number of pages
20
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
JOSHCLAY West Governors University
View profile
Follow You need to be logged in order to follow users or courses
Sold
245
Member since
2 year
Number of followers
14
Documents
17795
Last sold
10 hours ago
JOSHCLAY

JOSHCLAY EXAM HUB, WELCOME ALL, HERE YOU WILL FIND ALL DOCUMENTS &amp; PACKAGE DEAL YOU NEED FOR YOUR SCHOOL WORK OFFERED BY SELLER JOSHCLAY

3.6

53 reviews

5
22
4
8
3
11
2
5
1
7

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions