Pharm part 2 Questions with Correct Answers
1. Q21. A patient is in cardiac arrest. High-quality chest compressions are being given.
The patient is intubated, and an IV has been started. The rhythm is asystole. What is
the first drug and dose to administer?
A. Epinephrine 1 mg IV
B. Dopamine 2 to 20 mcg/kg per minute IV
C. Atropine 0.5 mg IV
D. Atropine 1 mg IV
A
2. Q22. A 57-year-old patient has palpitations, chest discomfort, and tachycardia. The
monitor shows a regular wide-complex QRS at a rate of 180/min. The patient becomes
diaphoretic with a blood pressure of 80/60 mm Hg. Which action do you take next?\
A. Seek expert consultation
B. Perform synchronized cardioversion
C. Obtain a 12-lead ECG
D. Establish IV access
B
3. Q23. A patient is in ventricular fibrillation cardiac arrest and received a second
shock. Which medication should be administered first?\
A. Atropine 1 mg IV/IO
B. Lidocaine 1 mg/kg IV/IO
C. Epinephrine 1 mg IV/IO
D. Sodium bicarbonate 50 mEq IV/IO
C
, 4. Q24. A 58-year-old patient is difficult to arouse and responds only to noxious stimuli.
Their blood pressure is 70/30 mm Hg, mean arterial pressure is 43 mm Hg, heart rate is
42/min, respiratory rate is 14/min, SpO₂ is 95% on 2 lpm nasal cannula, and
temperature is 37.1° C. There was no change in the patient's heart rate after 2 doses of 1
mg IV atropine. What is the next most appropriate action?\
A. Repeat ECG
B. Administer a third dose of atropine 1 mg
C. Change oxygen NC to a face mask
D. Initiate dopamine infusion at 5 mcg/kg per minute IV
D
5. Q25. A patient with possible ST-segment elevation myocardial infarction has ongoing
chest discomfort. What is a contraindication to nitrate administration?\
A. Use of a phosphodiesterase inhibitor within the previous 24 hours
B. Systolic blood pressure greater than 180 mm Hg
C. Heart rate less than 90/min
D. Anterior wall myocardial infarction
A
6. Q26. You arrive on the scene with the code team. High-quality CPR is in progress. An
AED has previously advised "no shock indicated." A rhythm check now finds asystole.
After resuming high-quality compressions, which action do you take next?\
A. Call for a pulse check
B. Establish IV or IO access
C. Perform endotracheal intubation
D. Insert a laryngeal airway
1. Q21. A patient is in cardiac arrest. High-quality chest compressions are being given.
The patient is intubated, and an IV has been started. The rhythm is asystole. What is
the first drug and dose to administer?
A. Epinephrine 1 mg IV
B. Dopamine 2 to 20 mcg/kg per minute IV
C. Atropine 0.5 mg IV
D. Atropine 1 mg IV
A
2. Q22. A 57-year-old patient has palpitations, chest discomfort, and tachycardia. The
monitor shows a regular wide-complex QRS at a rate of 180/min. The patient becomes
diaphoretic with a blood pressure of 80/60 mm Hg. Which action do you take next?\
A. Seek expert consultation
B. Perform synchronized cardioversion
C. Obtain a 12-lead ECG
D. Establish IV access
B
3. Q23. A patient is in ventricular fibrillation cardiac arrest and received a second
shock. Which medication should be administered first?\
A. Atropine 1 mg IV/IO
B. Lidocaine 1 mg/kg IV/IO
C. Epinephrine 1 mg IV/IO
D. Sodium bicarbonate 50 mEq IV/IO
C
, 4. Q24. A 58-year-old patient is difficult to arouse and responds only to noxious stimuli.
Their blood pressure is 70/30 mm Hg, mean arterial pressure is 43 mm Hg, heart rate is
42/min, respiratory rate is 14/min, SpO₂ is 95% on 2 lpm nasal cannula, and
temperature is 37.1° C. There was no change in the patient's heart rate after 2 doses of 1
mg IV atropine. What is the next most appropriate action?\
A. Repeat ECG
B. Administer a third dose of atropine 1 mg
C. Change oxygen NC to a face mask
D. Initiate dopamine infusion at 5 mcg/kg per minute IV
D
5. Q25. A patient with possible ST-segment elevation myocardial infarction has ongoing
chest discomfort. What is a contraindication to nitrate administration?\
A. Use of a phosphodiesterase inhibitor within the previous 24 hours
B. Systolic blood pressure greater than 180 mm Hg
C. Heart rate less than 90/min
D. Anterior wall myocardial infarction
A
6. Q26. You arrive on the scene with the code team. High-quality CPR is in progress. An
AED has previously advised "no shock indicated." A rhythm check now finds asystole.
After resuming high-quality compressions, which action do you take next?\
A. Call for a pulse check
B. Establish IV or IO access
C. Perform endotracheal intubation
D. Insert a laryngeal airway
