CLINICAL LABORATORY ASSISTANT ACTUAL EXAM TEST PAPER FULL QUESTIONS CORRECT RESPONSES

CLINICAL LABORATORY ASSISTANT ACTUAL EXAM TEST PAPER FULL QUESTIONS
CORRECT RESPONSES
Clinical Laboratory Assistant Practice Solution
TEST Paper 2026/2027 Questions and Answers
Verified Solutions Latest Update

Question:
treatment for PEA.

Answer:
CPR, epinephrine, treat the underlying cause H: hypovolemia, hypoxia, hypothermia, hypo/hyper
K+, H+ acidosis T: toxins (overdose), tension pneumothorax, thrombosis (MI or PE), tamponade



Question:
classic s/s of ACS.

Answer:
Classic s/s Midsternal pressure May radiate to the jaw or down the left arm May be associated with
related s/s, such as SOB or fatigue



Question:
Unstable angina.

Answer:
May see ST elevation but it goes back to normal May occur at rest and require more frequent nitrate
therapy Tx: rest + nitroglycerin; drugs affecting platelets



Question:
Variant = Prinzmetal's (vasospasms).

Answer:
Can happen at rest or anytime ST ■ then ■ during pain episodes ST segment goes back to normal
and Nitro won't help Tx: CCB to relax muscles in the vessel

,Question:
treatment for angina.

Answer:
Maintain cardiac output Bed rest Keep pt calm Want a HYPOmetabolic state Pain relief = morphine
+ nitroglycerin Both have vasodilatory properties Cardiac Bundle, educate pt on: Lipid lowering
med - a -statin Beta blockers - Metoprolol Long-acting Nitrates - Isosorbide dinitrate, Isosorbide
mononitrate ACE inhibitors - Captopril, Lisinopril, Ramipril



Question:
Beta1 BlockeRs (-olol).

Answer:
always check apical heart rate



Question:
ACE Inhibitors → o p r i l.

Answer:
No NSAIDS No salt substitute or K+ supplements



Question:
nitroglycerin.

Answer:
Normal adverse effect = patient has a headache Take 1 tablet, call 911 if not relieved, then take 2
more till ambulance comes; don't exceed 3



Question:
diagnosing acute MI.

Answer:

,unrelieved with nitro Serum troponin I (< 0.1 mcg/L)



Question:
MI priorities.

Answer:
VS including O2 saturation 12 lead ECG (quickly!) IV access (large bore in a large vein) - 2 IVs if
possible Blood sample for labs: CBC, cardiac enzymes and coagulation studies



Question:
acute mi treatment.

Answer:
MONA



Question:
Percutaneous transluminal coronary angioplasty (PTCA).

Answer:
Goal Increase blood flow to myocardium Balloon catheter is inflated inside the artery Coronary
stent may be placed to keep artery open



Question:
meds post- stemi.

Answer:
Aspirin Clopidogrel



Question:
indications for CABG.

Answer:

, Unstable angina AMI Failure of PCI



Question:
CABG (Coronary Artery Bypass Graft).

Answer:
Pre-op teaching Pt can watch educational movie Signed consent Answer questions Post-op teaching
Monitor rhythm + hemodynamics Risk of bleeding Risk of hypervolemia Monitor chest tube +
mediastinal tube Body temp (they got cold in sx) Pain Management Need to cough + deep breathe
Splinting Neurological



Question:
Pacemaker Issues.

Answer:
Failure to pace: pacer spikes are NOT there Biggest cause = low battery Failure to sense: the
pacemaker isn't sensing the pt's HR Can cause ventricular dysrhythmias (mainly V-tach) Treat:
change pacemaker's sensitivity setting Failure to capture: not causing contractions



Question:
teaching for ICD.

Answer:
Keep incision dry for 4 days after insertion or as instructed Report any s/s of infection at incision
site or fever immediately It is usually safe to resume sexual activity once incision is healed Avoid
Avoid antitheft devices, MRIs, metal detectors, + hand-held screening wands Lifting arm on ICD
side above shoulder until approved Avoid driving until cleared by your cardiologist



Question:
v-tach QRS complex.

Answer:
very wide!