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, A. Cardiogenic shock
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B. Ventricular rupture
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C. Bradydysrhythmias
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D. Tachydysrhythmias
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Answer Key: C
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Q3. A 52-year-old man is complaining of palpitations that came on suddenly after walking up a short flight of stairs. His
symptoms have been present for about 20 minutes. He denies chest pain and is not short of breath. His skin is warm and
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dry; breath sounds are clear. His blood pressure (BP) is 144/88 millimeters of mercury (mm Hg), his heart rate is 186 beats
per minute (beats/min), and his ventilatory rate is 18 breaths/min. The cardiac monitor reveals the rhythm here. Vascular
access has been established. Which of the following medications is most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
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Answer Key: D
,Q4. Your general impression of a 78-year-old woman reveals that her eyes are closed, she is not moving, you can see no
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rise and fall of her chest or abdomen, and her skin
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color is pale. When you arrive at the patient’s side, you confirm that she is unresponsive. Your best action in this situation will
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A. Open her airway and give two breaths.
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B. Apply an automated external defibrillator (AED).
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C. Assess breathing and determine whether she has a pulse.
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D. Prepare the necessary equipment to insert an advanced airway.
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Answer Key: C
Q5. A 60-year-old woman has suffered a cardiac arrest. A health care professional trained in endotracheal intubation has
intubated the patient. Which of the following findings would indicate inadvertent esophageal intubation?
A. Jugular vein distention
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
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Answer Key: C
Q6. Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of spontaneous circulation (ROSC) may
necessitate the use of:
, A. Fluid boluses and isoproterenol.
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B. Procainamide, epinephrine, or dopamine.
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C. Epinephrine, dopamine, or norepinephrine.
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D. Fluid boluses, procainamide, and isoproterenol.
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Answer Key: C
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Q7. Which of the following is incorrect with regard to a postevent debriefing?
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A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive environment.
C. The gather phase of the debriefing includes a comparison of the team’s actions with current
resuscitationalgorithms.
D. Team members are given an opportunity to reflect on their performance and how their performance can be
improved.
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Answer Key: C
Q8. Assuming there are no contraindications, which of the following can be performed as an initial intervention for a stable
but symptomatic patient with the rhythm shown?
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A. Defibrillation
B. Vagal maneuvers
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C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
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Answer Key: B
Q9. A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a diagnosis of acute ischemic
stroke. While assessing the patient’s vital signs, you observe swelling of the patient’s lips and tongue. Your best course of
action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
, D. Request an emergent brain computed tomography scan.
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Answer Key: B
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Q10. During a cardiac arrest, multiple attempts to establish a peripheral IV have proved unsuccessful. Your best course of
action at this time will be to:
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A. Insert a central line.
B. Attempt intraosseous access.
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C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful.
View Correct Answer
Answer Key: B
Q11. Synchronized cardioversion:
A. Is used only for atrial dysrhythmias.
B. Delivers a shock during ventricular depolarization.
C. Delivers a shock between the peak and end of the T wave.
D. Is used only for rhythms with a ventricular rate of less than 60 beats/min.
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