©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
PDB CEN Practice Exam Questions with
100% Correct Answers (100% Pass)
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 - ✔️✔️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 - ✔️✔️b. occlusion of the right coronary artery
1
,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
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 - ✔️✔️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 - ✔️✔️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?
2
,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
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. - ✔️✔️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. - ✔️✔️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? - ✔️✔️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
3
, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
d. Lisinopril - ✔️✔️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 - ✔️✔️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 - ✔️✔️d. Sinus tachycardia with PVCs
Which form of shock occurs following a massive pulmonary embolism?
a. Hypovolemic
b. Obstructive
c. Cardiogenic
4
PDB CEN Practice Exam Questions with
100% Correct Answers (100% Pass)
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 - ✔️✔️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 - ✔️✔️b. occlusion of the right coronary artery
1
,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
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 - ✔️✔️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 - ✔️✔️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?
2
,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
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. - ✔️✔️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. - ✔️✔️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? - ✔️✔️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
3
, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
d. Lisinopril - ✔️✔️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 - ✔️✔️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 - ✔️✔️d. Sinus tachycardia with PVCs
Which form of shock occurs following a massive pulmonary embolism?
a. Hypovolemic
b. Obstructive
c. Cardiogenic
4
