Exam 2 Escape room - ICU
The first drug given for all pulseless (mostly dead) rhythms is: - answer Epinephrine
A patient is complaining of dizziness, SOB and has a BP of 80/45 with the rhythm below
(V Tach). You anticipate which of the following first? – answer Amiodarone
The priority intervention for this rhythm would be? (V Fib) – answer Defibrillation
A patient is complaining of dizziness, SOB, and has a BP of 80/45 with the rhythm
below. You anticipate which of the following medications? – answer Amiodarone
Your patient has a BP of 70/40. You anticipate which of the following interventions?
(SATA) – answer Vagal Maneuvers
Adenosine
Diltiazem
The patient has the following rhythm (A Fib). You would anticipate which of the following
interventions? (SATA) – answer Cardio version
Anticoagulant
Diltiazem
Metoprolol
Your patient has a BP of 70/40. You anticipate which of the following
medications/interventions? (SATA) - answerPacemaker
Atropine
What are the differences between 2nd degree Type 1 and Type 2 heart blocks? (SATA)
- answerPR gets progressively longer and you drop a QRS in Type 1
For every PR interval the PR stays the same and has dropped QRSs in type 2
The patient is unresponsive, not breathing and has no pulse. The monitor shows the
rhythm below (3rd degree AVB). You will: (SATA) - answerStart CPR
Give IVP
Epinephrine
, Fix the cause
Discharge teaching for a patient who has a pacemaker should include which of the
following? (SATA) - answerWearing a medical alert bracelet
Monitoring heart rate and rhythm
Avoiding magnetic fields
You see your patient's rhythm below (No QRS following a spike). You know that this is: -
answerFailure to capture
When is cardioversion used? - answerConvert a rapid rhythm with a pulse to a slower
one
What are the only rhythms in this course that you will defibrillate? (SATA) -
answerPulseless ventricular tachycardia
Ventricular fibrillation
Chest pain that is predictable, consistent pain that occurs on exertion and is relieved by
rest and/or nitroglycerin is: - answerStable angina
When a patient is having a myocardial infarction, time is muscle. - answerTrue
Which of the following indicates a patient is having an ACS event? - answerST
elevation, positive cardiac markers, chest pain
What is included in treating a patient having an MI? (SATA) - answerOxygen and
morphine
Nitroglycerin and aspirin
Fibrinolytic and PCI
What are possible complications a patient may experience post PCI? (SATA) -
answerBleeding at the insertion site
Dysrhythmias
Re-occlusion of the coronary artery
Signs and symptoms of pericarditis include: (SATA) - answerGrating/scratching sound
with each heart beat
The first drug given for all pulseless (mostly dead) rhythms is: - answer Epinephrine
A patient is complaining of dizziness, SOB and has a BP of 80/45 with the rhythm below
(V Tach). You anticipate which of the following first? – answer Amiodarone
The priority intervention for this rhythm would be? (V Fib) – answer Defibrillation
A patient is complaining of dizziness, SOB, and has a BP of 80/45 with the rhythm
below. You anticipate which of the following medications? – answer Amiodarone
Your patient has a BP of 70/40. You anticipate which of the following interventions?
(SATA) – answer Vagal Maneuvers
Adenosine
Diltiazem
The patient has the following rhythm (A Fib). You would anticipate which of the following
interventions? (SATA) – answer Cardio version
Anticoagulant
Diltiazem
Metoprolol
Your patient has a BP of 70/40. You anticipate which of the following
medications/interventions? (SATA) - answerPacemaker
Atropine
What are the differences between 2nd degree Type 1 and Type 2 heart blocks? (SATA)
- answerPR gets progressively longer and you drop a QRS in Type 1
For every PR interval the PR stays the same and has dropped QRSs in type 2
The patient is unresponsive, not breathing and has no pulse. The monitor shows the
rhythm below (3rd degree AVB). You will: (SATA) - answerStart CPR
Give IVP
Epinephrine
, Fix the cause
Discharge teaching for a patient who has a pacemaker should include which of the
following? (SATA) - answerWearing a medical alert bracelet
Monitoring heart rate and rhythm
Avoiding magnetic fields
You see your patient's rhythm below (No QRS following a spike). You know that this is: -
answerFailure to capture
When is cardioversion used? - answerConvert a rapid rhythm with a pulse to a slower
one
What are the only rhythms in this course that you will defibrillate? (SATA) -
answerPulseless ventricular tachycardia
Ventricular fibrillation
Chest pain that is predictable, consistent pain that occurs on exertion and is relieved by
rest and/or nitroglycerin is: - answerStable angina
When a patient is having a myocardial infarction, time is muscle. - answerTrue
Which of the following indicates a patient is having an ACS event? - answerST
elevation, positive cardiac markers, chest pain
What is included in treating a patient having an MI? (SATA) - answerOxygen and
morphine
Nitroglycerin and aspirin
Fibrinolytic and PCI
What are possible complications a patient may experience post PCI? (SATA) -
answerBleeding at the insertion site
Dysrhythmias
Re-occlusion of the coronary artery
Signs and symptoms of pericarditis include: (SATA) - answerGrating/scratching sound
with each heart beat
