STEDI.ORG FINAL REVIEW
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ When a shockable rhythm is present during cardiac arrest and a biphasic
manual defibrillator is available, the initial energy level selected should be:.
Answer: Most biphasic models display the appropriate dose range clearly on
the device- follow the manufacturer recommendations.
◍ A patient presents to you in the emergency department having a rapid
irregular wide-complex tachycardia. The ventricular rate is 150. He is
asymptomatic with a BP of 120/80. His only history is ACS and type 2
diabetes. Which of the following actions is recommended?.
Answer: Seek expert consultation
◍ You have a patient in the emergency department with a return of
spontaneous circulation. On assessment, the patient's blood pressue is 82/40.
Optimum blood pressure for the patient should be ______, achieved by
using ______..
Answer: 90 mmHg; normal saline
◍ When treating a patient with chest pain and nitroglycerin is indicated, what
precautions should be taken prior to its administration?.
Answer: Because nitroglycerin is a vasodilator, it should be administered
with the following precautions in mind. Inferior MI and RV infarction:
Patients must have adequate ventricular preload. Patients that have acute RV
infarction are heavily dependent on the maintenance of RV filling pressures
to regulate both blood pressure and cardiac output. Vasodilators and other
nitrates are contraindicated in these instances.
,◍ In order to meet criteria for an ECG tracing to be called a STEMI, the
provider must find:.
Answer: ST Segment Elevation Myocardial Infarction (STEMI) is
diagnosed if there is ST segment elevation greater than 1 mm (0.1 mV) in 2
or more contiguous precordial leads (2 mm in leads V2 and V3) or two or
more adjacent limb leads, or by new (or presumed new) left bundle branch
block.
◍ Recent history and current trends all suggest that the use of testing and
assessment in the schools is likely to:.
Answer: increase
◍ Use the following scenario for the next 2 questions: While working as part
of a multi-discipline team in a cardiac ICU, you have achieved ROSC of
your 60-year-old cardiac arrest patient..
Answer: Ensure adequate airway and breathing care,
◍ Test misuse and abuse are most likely to occur whenever.
Answer: test users are unaware of the factors that influence test scores
◍ This type of test has uniform administration and scoring procedures.
Answer: Standardized
◍ One of the main advantages of the use of curriculum-based measurements
(CBM) is that they.
Answer: can be used for progress monitoring of both regular and special
education students
◍ The major distinction between testing and assessment is that assessment is a
process that is.
Answer: broader than testing
◍ Which of the following is possible reversible causes of a PEA rhythm?.
Answer: try to identify and treat reversible causes (H's and T's).
◍ Hypotension following cardiac arrest is treated with:.
Answer: NoE
, ◍ A 62-year-old man in the ICU reports that he is developing substernal chest
pain. His level of responsiveness is rapidly decreasing. His blood pressure is
50/P, pulse is 188, and his respirations are 10. The cardiac monitor reveals
monomorphic ventricular tachycardia. Your best course of action is:.
Answer: Defibrillate with 100J
◍ When setting up to transcutaneous pace for a patient, the first step a provider
must do is:.
Answer: Place pacing pads on the patient
◍ What is the primary pacemaker of the heart?.
Answer: SA node
◍ The optimal mean arterial pressure (MAP) for a patient post cardiac arrest
is:.
Answer: 65 mmHg
◍ While working as a paramedic, you arrive to find a 56-year-old woman who
presents with a sudden onset of chest discomfort that has been present for
about 1 hour. The patient describes her discomfort as a "squeezing"
sensation in the middle of her chest. She rates her discomfort an 8 on a 0 to
10 scale. Her blood pressure is 126/72, respirations 14. Oxygen has been
applied, an IV has been started, and the cardiac monitor reveals the rhythm
below. Immediate management of this patient should include:.
Answer: Vagal maneuvers and 6 mg adenosine via a rapid IVP
◍ How we measure in the classroom should be determined by.
Answer: what it is that we want to measure
◍ This type of test does NOT expect all students to complete all items.
Answer: Speed
◍ Robert, a ninth-grader, has just been told, "The reason you're having so
much trouble with division is that you have never mastered compound
multiplication. The Math Basic Skills Tests have indicated this quite clearly.
We are going to provide you with instruction in multiplication
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ When a shockable rhythm is present during cardiac arrest and a biphasic
manual defibrillator is available, the initial energy level selected should be:.
Answer: Most biphasic models display the appropriate dose range clearly on
the device- follow the manufacturer recommendations.
◍ A patient presents to you in the emergency department having a rapid
irregular wide-complex tachycardia. The ventricular rate is 150. He is
asymptomatic with a BP of 120/80. His only history is ACS and type 2
diabetes. Which of the following actions is recommended?.
Answer: Seek expert consultation
◍ You have a patient in the emergency department with a return of
spontaneous circulation. On assessment, the patient's blood pressue is 82/40.
Optimum blood pressure for the patient should be ______, achieved by
using ______..
Answer: 90 mmHg; normal saline
◍ When treating a patient with chest pain and nitroglycerin is indicated, what
precautions should be taken prior to its administration?.
Answer: Because nitroglycerin is a vasodilator, it should be administered
with the following precautions in mind. Inferior MI and RV infarction:
Patients must have adequate ventricular preload. Patients that have acute RV
infarction are heavily dependent on the maintenance of RV filling pressures
to regulate both blood pressure and cardiac output. Vasodilators and other
nitrates are contraindicated in these instances.
,◍ In order to meet criteria for an ECG tracing to be called a STEMI, the
provider must find:.
Answer: ST Segment Elevation Myocardial Infarction (STEMI) is
diagnosed if there is ST segment elevation greater than 1 mm (0.1 mV) in 2
or more contiguous precordial leads (2 mm in leads V2 and V3) or two or
more adjacent limb leads, or by new (or presumed new) left bundle branch
block.
◍ Recent history and current trends all suggest that the use of testing and
assessment in the schools is likely to:.
Answer: increase
◍ Use the following scenario for the next 2 questions: While working as part
of a multi-discipline team in a cardiac ICU, you have achieved ROSC of
your 60-year-old cardiac arrest patient..
Answer: Ensure adequate airway and breathing care,
◍ Test misuse and abuse are most likely to occur whenever.
Answer: test users are unaware of the factors that influence test scores
◍ This type of test has uniform administration and scoring procedures.
Answer: Standardized
◍ One of the main advantages of the use of curriculum-based measurements
(CBM) is that they.
Answer: can be used for progress monitoring of both regular and special
education students
◍ The major distinction between testing and assessment is that assessment is a
process that is.
Answer: broader than testing
◍ Which of the following is possible reversible causes of a PEA rhythm?.
Answer: try to identify and treat reversible causes (H's and T's).
◍ Hypotension following cardiac arrest is treated with:.
Answer: NoE
, ◍ A 62-year-old man in the ICU reports that he is developing substernal chest
pain. His level of responsiveness is rapidly decreasing. His blood pressure is
50/P, pulse is 188, and his respirations are 10. The cardiac monitor reveals
monomorphic ventricular tachycardia. Your best course of action is:.
Answer: Defibrillate with 100J
◍ When setting up to transcutaneous pace for a patient, the first step a provider
must do is:.
Answer: Place pacing pads on the patient
◍ What is the primary pacemaker of the heart?.
Answer: SA node
◍ The optimal mean arterial pressure (MAP) for a patient post cardiac arrest
is:.
Answer: 65 mmHg
◍ While working as a paramedic, you arrive to find a 56-year-old woman who
presents with a sudden onset of chest discomfort that has been present for
about 1 hour. The patient describes her discomfort as a "squeezing"
sensation in the middle of her chest. She rates her discomfort an 8 on a 0 to
10 scale. Her blood pressure is 126/72, respirations 14. Oxygen has been
applied, an IV has been started, and the cardiac monitor reveals the rhythm
below. Immediate management of this patient should include:.
Answer: Vagal maneuvers and 6 mg adenosine via a rapid IVP
◍ How we measure in the classroom should be determined by.
Answer: what it is that we want to measure
◍ This type of test does NOT expect all students to complete all items.
Answer: Speed
◍ Robert, a ninth-grader, has just been told, "The reason you're having so
much trouble with division is that you have never mastered compound
multiplication. The Math Basic Skills Tests have indicated this quite clearly.
We are going to provide you with instruction in multiplication
