HOSMERIT
PDB CEN EXAM 2024/2025 QUESTIONS WITH 100%
ACCURATE SOLUTIONS
A patient complained of Epigastric pain has ST elevation in ECG leads II, III, and aVF. She is
diagnosed with an inferior MI, and NTG is administered sublingually. Her blood pressure drops
from 120/47 to 90/60 so the Provider order is a right-sided ECG while awaiting cardiology.
Where is the correct leap placement for V4R to detect right ventricular MI's?
a. 2nd ICS R sternal border
b. 4th ICS R mid-cliviclar line
c. 5th ICS L mid-clavicular line
d. 5th ICS R mid-axillary line - Precise Answer ✔✔b. 4th ICS R mid-cliviclar line
Which of the following conditions is commonly associated with bradycardias and second agree,
type I heart block?
a. Cardiogenic shock
b. occlusion of the right coronary artery
c. occlusion of the left anterior descending artery
d. prinzmeta's angina - Precise Answer ✔✔b. occlusion of the right coronary artery
Hey 67-year-old male complains of shortness of breath and tightness in his chest. VS: HR=108,
RR=22, BP=167/94, ECG shows St segment elevation in V2, V3, V4. Which coronary artery is
likely occluded?
a. R coronary Artery
b. L Anterior Descending
c. L marginal Artery
d. Circumflex - Precise Answer ✔✔d. Circumflex
,A patient with Ehlers Danlos complains of a sudden onset of severe chest to scapular pain. Heart
rate 98 BPM. The left brachial BP is 180/90, the right brachial BP is 150/70. What is the priority
intervention for this patient?
a. Initiate oxygen via NRB mask and start two large-bore IV's
b. Administer sublingual nitroglycerin to lower blood pressure and relieve pain
c. administer Labetalol to lower heart rate
d. infuse nitroprusside (Nipride) to rapidly lower BP - Precise Answer ✔✔a. Initiate oxygen via
NRB mask and start two large bore IV's
What is the priority intervention for the patient and pulseless polymorphic ventricular
tachycardia?
a. Intubate a patient so you can provide continuous compressions.
b. administer Epinephrine 1 mg IV
c. Administer Magnesium sulfate 2 grams IV
d. Initiate high-quality CPR and defibrillate. - Precise Answer ✔✔d. Initiate high-quality CPR
and defibrillate.
A patient in pulseless electrical activity (PEA) has high-quality CPR in progress and is receiving
epinephrine 1 mg IV at every other pulse check. Which diagnostic test should be performed
immediately to assess myocardial contractility and identify potentially treatable causes of PEA. -
Precise Answer ✔✔Point of care ultrasound
A 35-year-old female complains of palpitations and shortness of breath. Vital signs: HR is 220,
RR 22, BP 76/50. Cardiac monitor reveals a narrow complex tachycardia. During synchronized
cardioversion, the shock is delivered when/where? - Precise Answer ✔✔On the 'R' Wave
(T wave shock can lead to Ventricular dysrhythmias)
A patient with a history of heart failure is being admitted for pneumonia. You notice a prolonged
QT interval on the cardiac monitor. Which of the following medications should the nurse be
concerned about administering?
, a. Aspirin
b. Erythromycin
c. Labetalol
d. Lisinopril - Precise Answer ✔✔b. erythromycin
A 30 y.o. female who smokes and takes birth control complains of sudden onset dyspnea.
Assessment reveals tachypnea, tachycardia, apprehension, and diaphoresis. The nurse expects the
blood gases to reveal which combination:
a. Decrease PaO2 and decrease PaCO2
b. Decrease PaO2 and increased PaCO2
c. Increase PaO2 and decreased PaCO2
d. Increase PaO2 and increase PaCO2 - Precise Answer ✔✔b. Decrease PaO2 and increase
PaCO2
A 20-year-old victim of physical assault is hit in the chest with a bat. Which ECG changes are
seen most often with blunt cardiac injury?
a. Sinus bradycardia
b. Pulseless electrical activity
c. Polymorphic ventricular tachycardia
d. Sinus tachycardia with PVCs - Precise Answer ✔✔d. Sinus tachycardia with PVCs
Which form of shock occurs following a massive pulmonary embolism?
a. Hypovolemic
b. Obstructive
c. Cardiogenic
d. Distributive - Precise Answer ✔✔b. Obstructive
You are performing the airway component of the primary assessment. Which finding would lead
you to conclude that a child has an upper airway obstruction?
a. Dry, nonproductive cough
PDB CEN EXAM 2024/2025 QUESTIONS WITH 100%
ACCURATE SOLUTIONS
A patient complained of Epigastric pain has ST elevation in ECG leads II, III, and aVF. She is
diagnosed with an inferior MI, and NTG is administered sublingually. Her blood pressure drops
from 120/47 to 90/60 so the Provider order is a right-sided ECG while awaiting cardiology.
Where is the correct leap placement for V4R to detect right ventricular MI's?
a. 2nd ICS R sternal border
b. 4th ICS R mid-cliviclar line
c. 5th ICS L mid-clavicular line
d. 5th ICS R mid-axillary line - Precise Answer ✔✔b. 4th ICS R mid-cliviclar line
Which of the following conditions is commonly associated with bradycardias and second agree,
type I heart block?
a. Cardiogenic shock
b. occlusion of the right coronary artery
c. occlusion of the left anterior descending artery
d. prinzmeta's angina - Precise Answer ✔✔b. occlusion of the right coronary artery
Hey 67-year-old male complains of shortness of breath and tightness in his chest. VS: HR=108,
RR=22, BP=167/94, ECG shows St segment elevation in V2, V3, V4. Which coronary artery is
likely occluded?
a. R coronary Artery
b. L Anterior Descending
c. L marginal Artery
d. Circumflex - Precise Answer ✔✔d. Circumflex
,A patient with Ehlers Danlos complains of a sudden onset of severe chest to scapular pain. Heart
rate 98 BPM. The left brachial BP is 180/90, the right brachial BP is 150/70. What is the priority
intervention for this patient?
a. Initiate oxygen via NRB mask and start two large-bore IV's
b. Administer sublingual nitroglycerin to lower blood pressure and relieve pain
c. administer Labetalol to lower heart rate
d. infuse nitroprusside (Nipride) to rapidly lower BP - Precise Answer ✔✔a. Initiate oxygen via
NRB mask and start two large bore IV's
What is the priority intervention for the patient and pulseless polymorphic ventricular
tachycardia?
a. Intubate a patient so you can provide continuous compressions.
b. administer Epinephrine 1 mg IV
c. Administer Magnesium sulfate 2 grams IV
d. Initiate high-quality CPR and defibrillate. - Precise Answer ✔✔d. Initiate high-quality CPR
and defibrillate.
A patient in pulseless electrical activity (PEA) has high-quality CPR in progress and is receiving
epinephrine 1 mg IV at every other pulse check. Which diagnostic test should be performed
immediately to assess myocardial contractility and identify potentially treatable causes of PEA. -
Precise Answer ✔✔Point of care ultrasound
A 35-year-old female complains of palpitations and shortness of breath. Vital signs: HR is 220,
RR 22, BP 76/50. Cardiac monitor reveals a narrow complex tachycardia. During synchronized
cardioversion, the shock is delivered when/where? - Precise Answer ✔✔On the 'R' Wave
(T wave shock can lead to Ventricular dysrhythmias)
A patient with a history of heart failure is being admitted for pneumonia. You notice a prolonged
QT interval on the cardiac monitor. Which of the following medications should the nurse be
concerned about administering?
, a. Aspirin
b. Erythromycin
c. Labetalol
d. Lisinopril - Precise Answer ✔✔b. erythromycin
A 30 y.o. female who smokes and takes birth control complains of sudden onset dyspnea.
Assessment reveals tachypnea, tachycardia, apprehension, and diaphoresis. The nurse expects the
blood gases to reveal which combination:
a. Decrease PaO2 and decrease PaCO2
b. Decrease PaO2 and increased PaCO2
c. Increase PaO2 and decreased PaCO2
d. Increase PaO2 and increase PaCO2 - Precise Answer ✔✔b. Decrease PaO2 and increase
PaCO2
A 20-year-old victim of physical assault is hit in the chest with a bat. Which ECG changes are
seen most often with blunt cardiac injury?
a. Sinus bradycardia
b. Pulseless electrical activity
c. Polymorphic ventricular tachycardia
d. Sinus tachycardia with PVCs - Precise Answer ✔✔d. Sinus tachycardia with PVCs
Which form of shock occurs following a massive pulmonary embolism?
a. Hypovolemic
b. Obstructive
c. Cardiogenic
d. Distributive - Precise Answer ✔✔b. Obstructive
You are performing the airway component of the primary assessment. Which finding would lead
you to conclude that a child has an upper airway obstruction?
a. Dry, nonproductive cough
