SOPHOS COMPREHENSIVE SCRIPT 2026
QUESTIONS AND SOLUTIONS
◉ Major therapeutic goal of cardiogenic shock? Answer: Increased
cardiac output
◉ Elevated cardiac iso-enzyme occur when___ Answer: closed chest
injury, pericarditis, cardiac surgery, MI
◉ ECG change with muscle injury in an acute MI Answer: STEMI
◉ Systolic murmur that is auscultated 2nd intercostal space, right
sternal border is called Answer: aortic stenosis
◉ what is the importance of synchronizing during cardioversion?
Answer: to prevent aflutter with RVR and R on T wave
◉ List some signs of cardiac tamponade Answer: Decreased systolic
blood pressure, JVD, pulsus paradoxus
◉ Initial measures for the treatment of angina pectoris are: Answer:
MONA (morphine, oxygen, nitroglycerin, aspirin
, ◉ QRS complex wider than 0.12 seconds most likely indicates
Answer: Bundle branch block
◉ Upon recognizing ventricular fibrillation, the nurse's first priority
is Answer: responsiveness
◉ treatment of symptomatic complete heart block in an emergency
Answer: transcutaneous pacing
◉ What is the treatment for a patient in aflutter RVR Answer:
cardioversion and amiodarone (cardizem)
◉ using a biphasic defibrillator, how many joules do you use on the
first debrillation? Answer: 120-200 joules
◉ excessive amount of chest tube drainage during the first hours
following thoracic surgery? Answer: 150cc
◉ EKG changes in hyperkalemia Answer: QRS wide, tall peak T wave
◉ how long should you apply pressure over an arterial Answer: 8-10
minute
QUESTIONS AND SOLUTIONS
◉ Major therapeutic goal of cardiogenic shock? Answer: Increased
cardiac output
◉ Elevated cardiac iso-enzyme occur when___ Answer: closed chest
injury, pericarditis, cardiac surgery, MI
◉ ECG change with muscle injury in an acute MI Answer: STEMI
◉ Systolic murmur that is auscultated 2nd intercostal space, right
sternal border is called Answer: aortic stenosis
◉ what is the importance of synchronizing during cardioversion?
Answer: to prevent aflutter with RVR and R on T wave
◉ List some signs of cardiac tamponade Answer: Decreased systolic
blood pressure, JVD, pulsus paradoxus
◉ Initial measures for the treatment of angina pectoris are: Answer:
MONA (morphine, oxygen, nitroglycerin, aspirin
, ◉ QRS complex wider than 0.12 seconds most likely indicates
Answer: Bundle branch block
◉ Upon recognizing ventricular fibrillation, the nurse's first priority
is Answer: responsiveness
◉ treatment of symptomatic complete heart block in an emergency
Answer: transcutaneous pacing
◉ What is the treatment for a patient in aflutter RVR Answer:
cardioversion and amiodarone (cardizem)
◉ using a biphasic defibrillator, how many joules do you use on the
first debrillation? Answer: 120-200 joules
◉ excessive amount of chest tube drainage during the first hours
following thoracic surgery? Answer: 150cc
◉ EKG changes in hyperkalemia Answer: QRS wide, tall peak T wave
◉ how long should you apply pressure over an arterial Answer: 8-10
minute
