1|Page
CERTIFIED EMERGENCY NURSE (CEN)
EXAM 2025|ORIGINAL
600Qs&As|ALREADY GRADED A+|100%
VERIFIED
What is Prinzmetal's angina? Also known as variant angina -
..........ANSWER.......Vasospasms of the coronary artery. ST segment
elevation occurs during the time of pain and disappears when pain
subsides. Is not triggered by activity and general occur between
midnight to 0800. Beta-Blockers and large doses of aspirin are
contraindicated in this condition.
source: CEN Q&A second edition
Does Nitroglycerin cause a decrease in Preload or Afterload? -
..........ANSWER.......Trick question! It causes it in both, when the
vasodilatory effect causes a drop in circulatory volume the sympathetic
nervous system kicks in leading to tachycardia, and a lower Blood
Pressure
source: CEN Q&A second edition
,2|Page
What is the triad signs for a Right Ventricular Infarction (RVI)? -
..........ANSWER.......hypo-tension, clear lungs and jugular venous
distention (JVD) with Kussmaul's sign (increased jugular vein pressure
on inspiration)
source: CEN Q&A second edition
True or False ? nitroglycerin cannot do anything to correct complete
obstruction from ruptured plaques or platelet aggregations (clots). -
..........ANSWER.......True:
https://www.emsworld.com/article/10321209/recognition-and-treatment-
right-ventricular-myocardial-infarction
Lead V1 is associated with what locational MI -
..........ANSWER.......anterior or septal infarct
source: CEN Q&A second edition
Lead V8 is associated with what locational MI - ..........ANSWER.......a
posterior MI
source: CEN Q&A second edition
,3|Page
In what leads would you see a apical infarction on a 12 lead ekg? -
..........ANSWER.......V5 and V6
source: CEN Q&A second edition
In what leads would you see a Lateral infarction on a 12 lead ekg? -
..........ANSWER.......Leads I, aVL, V5 and V6
source: CEN Q&A second edition
In what leads would you see a septal infarction on a 12 lead ekg? -
..........ANSWER.......Lead V1 and V2
source: CEN Q&A second edition
What type of MI will show reciprocal changes in V1 and V2 -
..........ANSWER.......A posterior MI
After a pt is given a thrombolytic what are the 3 symptoms of re-
perfusion to look out for? - ..........ANSWER.......1. the resolution of
chest pain
2. a normaliztion of the ST elevation
3. a dysrhythmia (most commonly accelerated idioventricular rhythm)
, 4|Page
source: CEN Q&A second edition
What cardiac medication causes a short period of asystole? -
..........ANSWER.......Adenosine (Adenocard), slows conduction throught
AV node and interrupts the re-entery pathway
source: CEN Q&A second edition
___ ________ is an alteration in the structure and function of the right
ventricle (RV) of the heart caused by a primary disorder of the
respiratory system. - ..........ANSWER.......Cor Pulmonal. Examples of
conditions that that lead to CP are COPD, Chronic blood clots in the
lungs, Cystic fibrosis, obstructive sleep apnea
https://emedicine.medscape.com/article/154062-overview
Nitroprusside is a vasodialator that is use to lower BP, when given in
large doses at high rates for prolonged periods, what can there be a risk
of developing?
A.Cyanide toxicity
B. hypokalemia
C. hyperkalemia
CERTIFIED EMERGENCY NURSE (CEN)
EXAM 2025|ORIGINAL
600Qs&As|ALREADY GRADED A+|100%
VERIFIED
What is Prinzmetal's angina? Also known as variant angina -
..........ANSWER.......Vasospasms of the coronary artery. ST segment
elevation occurs during the time of pain and disappears when pain
subsides. Is not triggered by activity and general occur between
midnight to 0800. Beta-Blockers and large doses of aspirin are
contraindicated in this condition.
source: CEN Q&A second edition
Does Nitroglycerin cause a decrease in Preload or Afterload? -
..........ANSWER.......Trick question! It causes it in both, when the
vasodilatory effect causes a drop in circulatory volume the sympathetic
nervous system kicks in leading to tachycardia, and a lower Blood
Pressure
source: CEN Q&A second edition
,2|Page
What is the triad signs for a Right Ventricular Infarction (RVI)? -
..........ANSWER.......hypo-tension, clear lungs and jugular venous
distention (JVD) with Kussmaul's sign (increased jugular vein pressure
on inspiration)
source: CEN Q&A second edition
True or False ? nitroglycerin cannot do anything to correct complete
obstruction from ruptured plaques or platelet aggregations (clots). -
..........ANSWER.......True:
https://www.emsworld.com/article/10321209/recognition-and-treatment-
right-ventricular-myocardial-infarction
Lead V1 is associated with what locational MI -
..........ANSWER.......anterior or septal infarct
source: CEN Q&A second edition
Lead V8 is associated with what locational MI - ..........ANSWER.......a
posterior MI
source: CEN Q&A second edition
,3|Page
In what leads would you see a apical infarction on a 12 lead ekg? -
..........ANSWER.......V5 and V6
source: CEN Q&A second edition
In what leads would you see a Lateral infarction on a 12 lead ekg? -
..........ANSWER.......Leads I, aVL, V5 and V6
source: CEN Q&A second edition
In what leads would you see a septal infarction on a 12 lead ekg? -
..........ANSWER.......Lead V1 and V2
source: CEN Q&A second edition
What type of MI will show reciprocal changes in V1 and V2 -
..........ANSWER.......A posterior MI
After a pt is given a thrombolytic what are the 3 symptoms of re-
perfusion to look out for? - ..........ANSWER.......1. the resolution of
chest pain
2. a normaliztion of the ST elevation
3. a dysrhythmia (most commonly accelerated idioventricular rhythm)
, 4|Page
source: CEN Q&A second edition
What cardiac medication causes a short period of asystole? -
..........ANSWER.......Adenosine (Adenocard), slows conduction throught
AV node and interrupts the re-entery pathway
source: CEN Q&A second edition
___ ________ is an alteration in the structure and function of the right
ventricle (RV) of the heart caused by a primary disorder of the
respiratory system. - ..........ANSWER.......Cor Pulmonal. Examples of
conditions that that lead to CP are COPD, Chronic blood clots in the
lungs, Cystic fibrosis, obstructive sleep apnea
https://emedicine.medscape.com/article/154062-overview
Nitroprusside is a vasodialator that is use to lower BP, when given in
large doses at high rates for prolonged periods, what can there be a risk
of developing?
A.Cyanide toxicity
B. hypokalemia
C. hyperkalemia
