JB Learning Test Prep: Cardiology Questions With Complete Solutions

You assess an unresponsive 65-year-old man and find that he is apneic and pulseless. The patient's wife tells you that he has an automatic implanted cardioverter/defibrillator. After initiating CPR, you should: correct answer: apply the AED as soon as possible and analyze his cardiac rhythm. After administering nitroglycerin to a patient with chest discomfort, it is MOST important for you to: correct answer: reassess the patient's blood pressure within 5 minutes. A 66-year-old female presents with an acute onset of confusion, slurred speech, and an inability to move her right arm and leg. Her airway is patent and she is breathing adequately. Which of the following is the MOST important initial information to obtain about this patient correct answer: When she was last seen normal Aspirin may be contraindicated in patients with: correct answer: stomach ulcers. After attaching the AED and pushing the analyze button on an adult patient in cardiac arrest, the AED states that a shock is advised. Which cardiac rhythm is the patient MOST likely in? correct answer: v-fib When treating a patient with chest pain, pressure, or discomfort, you should FIRST correct answer: place the patient in a position of comfort. In patients with heart disease, acute coronary syndrome is MOST often the result of: correct answer: atherosclerosis. Which of the following statements regarding sudden cardiac arrest and ventricular fibrillation is correct? correct answer: For each minute that defibrillation is delayed, the chance of survival decreases by as much as 10%. Aspirin is beneficial to patients experiencing an acute coronary syndrome because it: correct answer: prevents a clot from getting larger. You have analyzed a cardiac arrest patient's rhythm three times with the AED, separated by 2-minute cycles of CPR, and have received no shock messages each time. You should correct answer: continue CPR and transport at once. How can you help maximize cardiac output during CPR? correct answer: Allow the chest to fully recoil in between compressions Which of the following patients is the BEST candidate for the administration of nitroglycerin? correct answer: A woman with chest pain, prescribed nitroglycerin, and a blood pressure of 104/76 mm Hg You are assessing a 70-year-old male who complains of pain in both of his legs. He is conscious and alert, has a blood pressure of 160/90 mm Hg, a pulse rate of 110 beats/min, and respirations of 14 breaths/min and unlabored. Further assessment reveals edema to both of his feet and legs and jugular venous distention. This patient's primary problem is MOST likely: correct answer: right heart failure. Sudden cardiac arrest in the adult population is MOST often the result of: correct answer: cardiac dysrhythmia Which of the following describes pulseless electrical activity (PEA)? correct answer: Any organized cardiac rhythm, slow or fast, that does not produce a palpable pulse During your assessment of a 70-year-old man with crushing chest pain, you note that his blood pressure is 80/50 mm Hg. Your MOST important action should be to: correct answer: transport without delay Use of the automated external defibrillator is contraindicated in patients who: correct answer: are apneic and have a weak carotid pulse. Which of the following is the MOST appropriate response when a patient with chest pain asks you if he or she is having a heart attack? correct answer: I don't know, but we will take good care of you. When assessing a patient who has stroke-like symptoms, you should recall that: correct answer: the patient may be unable to communicate, but can often understand. A 50-year-old man presents with crushing chest pain that suddently began about 30 minutes ago. He