MDC 3 FINAL EXAM GUIDE WITH
ACCURATE ANSWERS.
CPR, press the code button
1.You walk into your patient's room and they don't have a pulse, what are
you going to do?
bag resuscitation, press the code button
2.You walk into your patient's room and they are not breathing but have a
pulse, what are you going to do?
▪ unconscious, pulseless
▪ shock them with the AED!
3.If you walk into a room with a patient that is in ventricular fibrillation (v fib)
▪ How will they present?
▪ What must we do to get them out of that state?
▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver)
,4.If you walk into a room and a patient is alert and oriented, speaking to you,
has a pulse, but their cardiac monitor shows they are in ventricular
tachycardia
▪ What are you going to do?
Supraventricular Tachycardia (SVT)
5.Which cardiac rhythm requires the patient to take adenosine?
▪ they may end up with a blood clot because the blood is pooling in the atria
6.What is our priority concern for a patient in atrial fibrillation (a-fib)?
control RVR for patient:
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
▪ if meds don't work...cardioversion (synchronized shock to re-start the
rhythm)
▪ if cardioversion doesn't work...ablation
Nursing Interventions: A-fib RVR
▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
, ▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation
7.If you have a patient who comes into the ED and they are having an MI,
what are the signs/symptoms? lab values to confirm this?
Oxygen - 1st
Nitro - given sublingual, 3 doses q 5 min (home), drip (hospital), drops BP
(vasodilator)
Aspirin - antiplatelet, stops clotting, 325 mg, chew it
Morphine - calms the patient down, helps pain
Treatment: Myocardial Infarction
▪ CPK
▪ troponin
▪ CK-MB
▪ BNP
8.Name the cardiac enzymes
angioplasty
stent the artery
angiogram
ACCURATE ANSWERS.
CPR, press the code button
1.You walk into your patient's room and they don't have a pulse, what are
you going to do?
bag resuscitation, press the code button
2.You walk into your patient's room and they are not breathing but have a
pulse, what are you going to do?
▪ unconscious, pulseless
▪ shock them with the AED!
3.If you walk into a room with a patient that is in ventricular fibrillation (v fib)
▪ How will they present?
▪ What must we do to get them out of that state?
▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver)
,4.If you walk into a room and a patient is alert and oriented, speaking to you,
has a pulse, but their cardiac monitor shows they are in ventricular
tachycardia
▪ What are you going to do?
Supraventricular Tachycardia (SVT)
5.Which cardiac rhythm requires the patient to take adenosine?
▪ they may end up with a blood clot because the blood is pooling in the atria
6.What is our priority concern for a patient in atrial fibrillation (a-fib)?
control RVR for patient:
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
▪ if meds don't work...cardioversion (synchronized shock to re-start the
rhythm)
▪ if cardioversion doesn't work...ablation
Nursing Interventions: A-fib RVR
▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
, ▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation
7.If you have a patient who comes into the ED and they are having an MI,
what are the signs/symptoms? lab values to confirm this?
Oxygen - 1st
Nitro - given sublingual, 3 doses q 5 min (home), drip (hospital), drops BP
(vasodilator)
Aspirin - antiplatelet, stops clotting, 325 mg, chew it
Morphine - calms the patient down, helps pain
Treatment: Myocardial Infarction
▪ CPK
▪ troponin
▪ CK-MB
▪ BNP
8.Name the cardiac enzymes
angioplasty
stent the artery
angiogram
