Cardiac Management Exam Questions
with Correct Answers
Which of these are contraindications to the administration of adenosine?
A history of moderate to severe bronchospasm
Active bronchospasm
A known sensitivity to adenosine.
All of the above. - Answer-All of the above.
The correct dose of epinephrine, when given I/O during cardiac arrest is:
0.5 mg.
1.0 mg.
2 to 2.5 mg.
1 to 1.5 mg/kg. - Answer-1.0 mg.
A 60-year-old woman has suffered a cardiac arrest. A healthcare professional trained in
endotracheal intubation has intubated the patient. Which of the following findings would
indicate inadvertent esophageal intubation?
Subcutaneous emphysema
Gurgling sounds heard over the epigastrium
Jugular vein distention
Breath sounds heard on only the right side of the chest - Answer-Gurgling sounds heard
over the epigastrium
Atypical symptoms or unusual presentations of acute coronary syndromes are more
common in:
men, patients who have a history of coronary artery disease, and patients who have a
history of hypertension.
older adults, women, and diabetic individuals.
men, older adults, and individuals who have liver disease.
women, diabetic individuals, and individuals who have liver disease. - Answer-older
adults, women, and diabetic individuals.
A 56-year-old man has a permanent pacemaker in place. Should it be necessary to
defibrillate this patient, adhesive pads or hand-held defibrillator paddles should be
placed:
at least one inch from the pacemaker generator.
it makes no difference where the paddles or pads are placed.
directly over the pacemaker generator.
6 to 8 inches from the pacemaker generator. - Answer-at least one inch from the
pacemaker generator.
A 53-year-old woman is unresponsive. BP 50/P, RR 10. The cardiac monitor initially
showed a narrow-QRS tachycardia at 220 beats/minute. Oxygen therapy was initiated
, and an IV established before the patient's collapse. You promptly delivered a
synchronized shock. Reassessment reveals the patient is not breathing and has no
pulse. The cardiac monitor now reveals ventricular fibrillation. What course of action
should you take at this time?
Place an advanced airway and then begin transcutaneous pacing.
Defibrillate immediately.
Press the "sync" control and deliver another synchronized shock.
Perform CPR for 5 minutes and then prepare to defibrillate. - Answer-Defibrillate
immediately.
A 65-year-old man is complaining of a sudden onset of chest pain. He is awake, alert,
and diaphoretic. Questions asked of the patient thus far reveal a possible acute
coronary syndrome.ST-segment elevation is considered significant if it is more than:
mm in at least two leads.
1 mm in at least two contiguous leads except in V2 and V3.
2 mm in at least two leads, excluding V2 and V3.
5 mm in at least two contiguous leads. - Answer-1 mm in at least two contiguous leads
except in V2 and V3.
A 65-year-old man is complaining of a sudden onset of chest pain. He is awake, alert,
and diaphoretic. Questions asked of the patient thus far reveal a possible acute
coronary syndrome.When the patient's 12-lead ECG is reviewed, the results should be
used to classify the patient into one of three groups. Which of the following correctly
reflects these categories?
ST-segment depression, normal ECG, inconclusive ECG
ST-segment elevation, normal ECG, Q waves
Q waves, ST-segment depression, inconclusive ECG
ST-segment elevation, ST-segment depression, normal/nondiagnostic ECG - Answer-
ST-segment elevation, ST-segment depression, normal/nondiagnostic ECG
A 65-year-old man is complaining of a sudden onset of chest pain. He is awake, alert,
and diaphoretic. Questions asked of the patient thus far reveal a possible acute
coronary syndrome.An IV is in place. The patient's 12-lead ECG reveals ST-segment
elevation in leads II, III, and aVF. Which of the following statements is correct?
Leads II, III, and aVF view the anterior wall of the left ventricle. Since this patient is at
extreme risk for congestive heart failure and cardiogenic shock, furosemide should be
given without delay.
Leads II, III, and aVF view the inferior wall of the left ventricle. Since an inferior
myocardial infarction (MI) is suspected, right chest leads should be quickly used to rule
out right ventricular infarction before giving medications for pain relief.
The patient's 12-lead results are inconclusive. Additional testing is needed before
treatment is begun.
Since relief of pain is a priority in ac - Answer-Leads II, III, and aVF view the inferior wall
of the left ventricle. Since an inferior myocardial infarction (MI) is suspected, right chest
leads should be quickly used to rule out right ventricular infarction before giving
medications for pain relief.
with Correct Answers
Which of these are contraindications to the administration of adenosine?
A history of moderate to severe bronchospasm
Active bronchospasm
A known sensitivity to adenosine.
All of the above. - Answer-All of the above.
The correct dose of epinephrine, when given I/O during cardiac arrest is:
0.5 mg.
1.0 mg.
2 to 2.5 mg.
1 to 1.5 mg/kg. - Answer-1.0 mg.
A 60-year-old woman has suffered a cardiac arrest. A healthcare professional trained in
endotracheal intubation has intubated the patient. Which of the following findings would
indicate inadvertent esophageal intubation?
Subcutaneous emphysema
Gurgling sounds heard over the epigastrium
Jugular vein distention
Breath sounds heard on only the right side of the chest - Answer-Gurgling sounds heard
over the epigastrium
Atypical symptoms or unusual presentations of acute coronary syndromes are more
common in:
men, patients who have a history of coronary artery disease, and patients who have a
history of hypertension.
older adults, women, and diabetic individuals.
men, older adults, and individuals who have liver disease.
women, diabetic individuals, and individuals who have liver disease. - Answer-older
adults, women, and diabetic individuals.
A 56-year-old man has a permanent pacemaker in place. Should it be necessary to
defibrillate this patient, adhesive pads or hand-held defibrillator paddles should be
placed:
at least one inch from the pacemaker generator.
it makes no difference where the paddles or pads are placed.
directly over the pacemaker generator.
6 to 8 inches from the pacemaker generator. - Answer-at least one inch from the
pacemaker generator.
A 53-year-old woman is unresponsive. BP 50/P, RR 10. The cardiac monitor initially
showed a narrow-QRS tachycardia at 220 beats/minute. Oxygen therapy was initiated
, and an IV established before the patient's collapse. You promptly delivered a
synchronized shock. Reassessment reveals the patient is not breathing and has no
pulse. The cardiac monitor now reveals ventricular fibrillation. What course of action
should you take at this time?
Place an advanced airway and then begin transcutaneous pacing.
Defibrillate immediately.
Press the "sync" control and deliver another synchronized shock.
Perform CPR for 5 minutes and then prepare to defibrillate. - Answer-Defibrillate
immediately.
A 65-year-old man is complaining of a sudden onset of chest pain. He is awake, alert,
and diaphoretic. Questions asked of the patient thus far reveal a possible acute
coronary syndrome.ST-segment elevation is considered significant if it is more than:
mm in at least two leads.
1 mm in at least two contiguous leads except in V2 and V3.
2 mm in at least two leads, excluding V2 and V3.
5 mm in at least two contiguous leads. - Answer-1 mm in at least two contiguous leads
except in V2 and V3.
A 65-year-old man is complaining of a sudden onset of chest pain. He is awake, alert,
and diaphoretic. Questions asked of the patient thus far reveal a possible acute
coronary syndrome.When the patient's 12-lead ECG is reviewed, the results should be
used to classify the patient into one of three groups. Which of the following correctly
reflects these categories?
ST-segment depression, normal ECG, inconclusive ECG
ST-segment elevation, normal ECG, Q waves
Q waves, ST-segment depression, inconclusive ECG
ST-segment elevation, ST-segment depression, normal/nondiagnostic ECG - Answer-
ST-segment elevation, ST-segment depression, normal/nondiagnostic ECG
A 65-year-old man is complaining of a sudden onset of chest pain. He is awake, alert,
and diaphoretic. Questions asked of the patient thus far reveal a possible acute
coronary syndrome.An IV is in place. The patient's 12-lead ECG reveals ST-segment
elevation in leads II, III, and aVF. Which of the following statements is correct?
Leads II, III, and aVF view the anterior wall of the left ventricle. Since this patient is at
extreme risk for congestive heart failure and cardiogenic shock, furosemide should be
given without delay.
Leads II, III, and aVF view the inferior wall of the left ventricle. Since an inferior
myocardial infarction (MI) is suspected, right chest leads should be quickly used to rule
out right ventricular infarction before giving medications for pain relief.
The patient's 12-lead results are inconclusive. Additional testing is needed before
treatment is begun.
Since relief of pain is a priority in ac - Answer-Leads II, III, and aVF view the inferior wall
of the left ventricle. Since an inferior myocardial infarction (MI) is suspected, right chest
leads should be quickly used to rule out right ventricular infarction before giving
medications for pain relief.
