_____________Quiz____________?
A patient with dyspnea and a change in mental status arrives at the emergency department.
The healthcare team completes the necessary assessments and begins to care for the
patient, including initiating cardiac monitoring, pulse oximetry, supplemental oxygen and
vascular access. The team reviews the patient's ECG rhythm strip, as shown in the following
figure. Which agent would the team most likely administer? -
Answer✓✓
Atropine 1 mg every 3 to 5 minutes
_____________Quiz____________?
A patient with bradycardia and signs of hemodynamic compromise does not respond to
atropine. Which interventions could the healthcare provider use next? -
Answer✓✓
Epinephrine or dopamine infusion
Transcutaneous pacing
_____________Quiz____________?
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a patient
brought to the emergency department. Which finding on a 12-lead ECG would confirm this
suspicion? -
Answer✓✓
Wide-complex ventricular rhythm and tall, peaked T waves
1
, _____________Quiz____________?
A patient's ECG reveals a tachyarrhythmia. The patient is hemodynamically stable and has a
heart rate ranging from 120 to 135 beats per minute. Based on the findings of the secondary
assessment, which statement(s) by the patient would the team interpret as a possible
contributing cause? -
Answer✓✓
1. "I've had a terrible cold with a horrible cough and today I developed a fever."
2. "I've been so anxious lately because I just lost my job."
3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
_____________Quiz____________?
A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating a narrow-
complex supraventricular tachyarrhythmia. The patient is not showing signs of hemodynamic
compromise. Which intervention would be initiated first if it does not delay other
interventions? -
Answer✓✓
Vagal maneuvers
_____________Quiz____________?
A patient in the telemetry unit is stable. Cardiac monitoring indicates the patient has
ventricular tachycardia with a pulse. Further assessment reveals that the corrected QT
interval is greater than 0.46 seconds. Which treatment would be appropriate at this time? -
Answer✓✓
Synchronized cardioversion
_____________Quiz____________?
An ECG strip of a patient in the emergency department reveals the following rhythm.
Which feature would the healthcare provider interpret as indicating atrial fibrillation? -
Answer✓✓
Absence of discrete P waves and presence of irregularly irregular QRS complexes
2
, _____________Quiz____________?
A patient is brought into the emergency department. The patient does not have a pulse. The
cardiac monitor shows the following rhythm. The team interprets this as which condition? -
Answer✓✓
Ventricular tachycardia
_____________Quiz____________?
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest,
the patient's ECG showed peaked T waves. What might be causing the patient's cardiac
arrest? -
Answer✓✓
Hyperkalemia
_____________Quiz____________?
A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest
using a biphasic defibrillator. The team member would set the energy dose according to the
manufacturer's recommendations, which is usually: -
Answer✓✓
120 to 200 joules
_____________Quiz____________?
A member of the resuscitation team is preparing to administer medications intravenously to
a patient in cardiac arrest. The team member follows each medication administration with a
bolus of fluid. How much would the team member give? -
Answer✓✓
10 to 20 mL
_____________Quiz____________?
3
A patient with dyspnea and a change in mental status arrives at the emergency department.
The healthcare team completes the necessary assessments and begins to care for the
patient, including initiating cardiac monitoring, pulse oximetry, supplemental oxygen and
vascular access. The team reviews the patient's ECG rhythm strip, as shown in the following
figure. Which agent would the team most likely administer? -
Answer✓✓
Atropine 1 mg every 3 to 5 minutes
_____________Quiz____________?
A patient with bradycardia and signs of hemodynamic compromise does not respond to
atropine. Which interventions could the healthcare provider use next? -
Answer✓✓
Epinephrine or dopamine infusion
Transcutaneous pacing
_____________Quiz____________?
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a patient
brought to the emergency department. Which finding on a 12-lead ECG would confirm this
suspicion? -
Answer✓✓
Wide-complex ventricular rhythm and tall, peaked T waves
1
, _____________Quiz____________?
A patient's ECG reveals a tachyarrhythmia. The patient is hemodynamically stable and has a
heart rate ranging from 120 to 135 beats per minute. Based on the findings of the secondary
assessment, which statement(s) by the patient would the team interpret as a possible
contributing cause? -
Answer✓✓
1. "I've had a terrible cold with a horrible cough and today I developed a fever."
2. "I've been so anxious lately because I just lost my job."
3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
_____________Quiz____________?
A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating a narrow-
complex supraventricular tachyarrhythmia. The patient is not showing signs of hemodynamic
compromise. Which intervention would be initiated first if it does not delay other
interventions? -
Answer✓✓
Vagal maneuvers
_____________Quiz____________?
A patient in the telemetry unit is stable. Cardiac monitoring indicates the patient has
ventricular tachycardia with a pulse. Further assessment reveals that the corrected QT
interval is greater than 0.46 seconds. Which treatment would be appropriate at this time? -
Answer✓✓
Synchronized cardioversion
_____________Quiz____________?
An ECG strip of a patient in the emergency department reveals the following rhythm.
Which feature would the healthcare provider interpret as indicating atrial fibrillation? -
Answer✓✓
Absence of discrete P waves and presence of irregularly irregular QRS complexes
2
, _____________Quiz____________?
A patient is brought into the emergency department. The patient does not have a pulse. The
cardiac monitor shows the following rhythm. The team interprets this as which condition? -
Answer✓✓
Ventricular tachycardia
_____________Quiz____________?
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest,
the patient's ECG showed peaked T waves. What might be causing the patient's cardiac
arrest? -
Answer✓✓
Hyperkalemia
_____________Quiz____________?
A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest
using a biphasic defibrillator. The team member would set the energy dose according to the
manufacturer's recommendations, which is usually: -
Answer✓✓
120 to 200 joules
_____________Quiz____________?
A member of the resuscitation team is preparing to administer medications intravenously to
a patient in cardiac arrest. The team member follows each medication administration with a
bolus of fluid. How much would the team member give? -
Answer✓✓
10 to 20 mL
_____________Quiz____________?
3
