Jb Learning Test Prep Exam
Questions & Answers (Grade A+)
Which of the following causes of pulseless electrical activity (PEA)
would be the MOST likely to respond to immediate treatment in
the prehospital setting?
a. Hypokalemia
b. Hypovolemia
c. Lactic acidosis
d. Drug overdose -
correct answer ✅b. Hypovolemia
A woman was struck by lightning while working in her garden. Her
husband tells you that when he first found her, she was
unconscious and not breathing. Your assessment reveals that she is
conscious and alert, but has no recollection of the event. Her
airway is patent, and her breathing is adequate. Her blood pressure
is 134/74mmHg, pulse is 88bpm, and respirations are 20. The
cardiac monitor reveals a sinus rhythm without ectopy. She is
moving all of her extremities and has no obvious burns or
musculoskeletal injuries. She refuses to allow you to apply a
cervical collar and place her onto a backboard, but consents to
other treatment and transport. The MOST appropriate treatment
for this patient includes:
,Jb Learning Test Prep Exam
Questions & Answers (Grade A+)
a. High flow oxygen, continuous cardiac monitoring, two large-bore
IV lines, a 500mL saline bolus, and transport
b. Supplemental oxygen, an IV line of normal saline, 5mg diazepam
to prevent seizures, and prompt tran -
correct answer ✅d. Oxygen via nasal cannula or nonrebreathing
mask, 12 lead ECG acquisition, continuous cardiac monitoring, an IV
line set to keep the vein open, and transport
You are preparing to defibrillate a patient in cardiac arrest with a
manual biphasic defibrillator, but are unsure of the appropriate
initial energy setting. What should you do?
a. Contact medical control for further guidance
b. Deliver three sequential shocks with 120 joules
c. Deliver one shock with 200 joules and resume CPR
d. Continue CPR and shock with 360 joules in 2 minutes -
correct answer ✅
A 70-year-old woman was suddenly awakened with the feeling that
she was suffocating. She is anxious, is laboring to breathe, and has
dried blood on her lips. The ECG shows the cardiac rhythm below.
,Jb Learning Test Prep Exam
Questions & Answers (Grade A+)
Which of the following pathophysiologies BEST describes her
clinical presentation?
a. Increased stroke volume with right heart failure
b. Increased preload with left heart failure
c. Decreased preload with right heart failure
d. Decreased stroke volume with left heart failure -
correct answer ✅d. Decreased stroke volume with left heart
failure
You are assessing a 67-year-old female with chest discomfort when
she becomes unresponsive, apneic, and pulseless. The cardiac
monitor reveals coarse ventricular fibrillation. You achieve return of
spontaneous circulation after 4 minutes and the cardiac monitor
now reveals a narrow complex rhythm. The patient is still
unresponsive, has occasional respirations, blood pressure of 70/40
and a weak pulse of 70. The MOST appropriate post resuscitation
care for this patient includes:
a. Insertion of an airway adjunct, assisted ventilation with a bag-
valve-mask device, vascular access, a 500-1000mL crystalloid fluid
bolus, and an amiodarone infusion at 1mg/min.
, Jb Learning Test Prep Exam
Questions & Answers (Grade A+)
b. Preoxygenation with a bvm and high flow oxygen, endotracheal
intubation, vascular access, 300mg of amiodarone, and a dopamine
infusion.
c. Insertion of a supraglottic airway device, ventilatory assistance,
vascular access, 150mg of amiodarone over 10 minutes, and -
correct answer ✅a. Insertion of an airway adjunct, assisted
ventilation with a bag-valve-mask device, vascular access, a 500-
1000mL crystalloid fluid bolus, and an amiodarone infusion at
1mg/min
A middle aged man presents with Chest discomfort, shortness of
breath, and nausea. You give him supplemental o2 and continue
your assessment. As your partner is attaching the ECG leads, you
should:
a. Establish vascular access
b. Administer 2 to 4mg morphine IV
c. Administer up to 325mg of aspirin
d. Administer 0.4mg of nitroglycerine -
correct answer ✅c. Administer up to 325mg of aspirin
Questions & Answers (Grade A+)
Which of the following causes of pulseless electrical activity (PEA)
would be the MOST likely to respond to immediate treatment in
the prehospital setting?
a. Hypokalemia
b. Hypovolemia
c. Lactic acidosis
d. Drug overdose -
correct answer ✅b. Hypovolemia
A woman was struck by lightning while working in her garden. Her
husband tells you that when he first found her, she was
unconscious and not breathing. Your assessment reveals that she is
conscious and alert, but has no recollection of the event. Her
airway is patent, and her breathing is adequate. Her blood pressure
is 134/74mmHg, pulse is 88bpm, and respirations are 20. The
cardiac monitor reveals a sinus rhythm without ectopy. She is
moving all of her extremities and has no obvious burns or
musculoskeletal injuries. She refuses to allow you to apply a
cervical collar and place her onto a backboard, but consents to
other treatment and transport. The MOST appropriate treatment
for this patient includes:
,Jb Learning Test Prep Exam
Questions & Answers (Grade A+)
a. High flow oxygen, continuous cardiac monitoring, two large-bore
IV lines, a 500mL saline bolus, and transport
b. Supplemental oxygen, an IV line of normal saline, 5mg diazepam
to prevent seizures, and prompt tran -
correct answer ✅d. Oxygen via nasal cannula or nonrebreathing
mask, 12 lead ECG acquisition, continuous cardiac monitoring, an IV
line set to keep the vein open, and transport
You are preparing to defibrillate a patient in cardiac arrest with a
manual biphasic defibrillator, but are unsure of the appropriate
initial energy setting. What should you do?
a. Contact medical control for further guidance
b. Deliver three sequential shocks with 120 joules
c. Deliver one shock with 200 joules and resume CPR
d. Continue CPR and shock with 360 joules in 2 minutes -
correct answer ✅
A 70-year-old woman was suddenly awakened with the feeling that
she was suffocating. She is anxious, is laboring to breathe, and has
dried blood on her lips. The ECG shows the cardiac rhythm below.
,Jb Learning Test Prep Exam
Questions & Answers (Grade A+)
Which of the following pathophysiologies BEST describes her
clinical presentation?
a. Increased stroke volume with right heart failure
b. Increased preload with left heart failure
c. Decreased preload with right heart failure
d. Decreased stroke volume with left heart failure -
correct answer ✅d. Decreased stroke volume with left heart
failure
You are assessing a 67-year-old female with chest discomfort when
she becomes unresponsive, apneic, and pulseless. The cardiac
monitor reveals coarse ventricular fibrillation. You achieve return of
spontaneous circulation after 4 minutes and the cardiac monitor
now reveals a narrow complex rhythm. The patient is still
unresponsive, has occasional respirations, blood pressure of 70/40
and a weak pulse of 70. The MOST appropriate post resuscitation
care for this patient includes:
a. Insertion of an airway adjunct, assisted ventilation with a bag-
valve-mask device, vascular access, a 500-1000mL crystalloid fluid
bolus, and an amiodarone infusion at 1mg/min.
, Jb Learning Test Prep Exam
Questions & Answers (Grade A+)
b. Preoxygenation with a bvm and high flow oxygen, endotracheal
intubation, vascular access, 300mg of amiodarone, and a dopamine
infusion.
c. Insertion of a supraglottic airway device, ventilatory assistance,
vascular access, 150mg of amiodarone over 10 minutes, and -
correct answer ✅a. Insertion of an airway adjunct, assisted
ventilation with a bag-valve-mask device, vascular access, a 500-
1000mL crystalloid fluid bolus, and an amiodarone infusion at
1mg/min
A middle aged man presents with Chest discomfort, shortness of
breath, and nausea. You give him supplemental o2 and continue
your assessment. As your partner is attaching the ECG leads, you
should:
a. Establish vascular access
b. Administer 2 to 4mg morphine IV
c. Administer up to 325mg of aspirin
d. Administer 0.4mg of nitroglycerine -
correct answer ✅c. Administer up to 325mg of aspirin
