ECC- Final Exam Questions with Correct Answers Latest Update 2025/2026
What would you do if this was occurring with a transcutaneous pacemaker? - Answers Adjust
the sensitivty
A pt with ST-elevation myocardial infarction (STEMI) suddenly develops a 3rd degree heart
block with a rate of 38 bpm. BP is 62/38. Skin is cool, moist, and pale. After ensuring a patent
airway and adequate ventilation , the nurses priority intervention would be the: - Answers
Anticipation of transcutaneous pacemaker
A pt in hypertensive crisis has an intial BP of 220/120. An hour after initiating treatment, the pts
blood pressure is 170/108. What should the nurse report during interdisciplinary rounds? -
Answers Blood pressure decreased an ideal amount
A newly admitted develops positive JVD, HR 168, BP 84/78, and muffled heart tones. What is
your assessment of the situation - Answers Cardiac tamponade
Which of the following represents right heart failure? - Answers Positive jugular vein distention,
peripheral edema, S3 heart sound
A pt has heart failure. What education will you provide upon discharge ? - Answers 1500 mg/day
sodium diet
Daily weights
Which intervention should be performed first for the above rhythm ? - Answers Defibrillation
Which of the following are symptoms of aortic stenosis? - Answers Pulmonary edema
The ECG monitor indicates a patient is in ventricular tachycardia. The patient is awake, alert,
anxious, and complains of chest pain. Vitals: HR 190, BP 80/40, Respirations 24, O2 sat 92% on
2 liters nasal cannula. Which of the following interventions should the nurse anticipate? -
Answers Synchronized cardioversion
Which 2 of the following would be indicative of dilated cardiomyopathy ? - Answers Bilateral
lower extremity edema
15% ejection fraction (EF)
Patients on heart rate controlling medications (e.g. calcium channel blockers , beta blockers,
amiodarone) - Answers May not compensate well for shock
Rhabdomyolysis has just been diagnosed on your pt. Which of the following complications can
develop due to this diagnosis? - Answers Renal failure
A pt is admitted with the diagnosis of sepsis. Currently they are anxious with vitals: HR 125, BP
80/55, RR 24,O2 sat 94% on 6 liters via nasal cannula (just increased last hour). Which findings
, indicate organ dysfunction? - Answers HR 125
Sepsis induced hypotension
Increased need for supplemental oxygen
After having an appropriate response to administration of IV naloxone (narcan), an overdose
patient has again become unresponsive. This status change is most likely caused by: - Answers
Longer half life of the offending substance over that of naloxone (narcane)
The nurse suspects a pt is developing sepsis from the following vitals signs: T:101.3F, P-107. R-
24, BP-88/30, O2 sat 94%. After notifying the physician, which of the following actions receives
the HIGHEST priority? - Answers Obtain blood cultures , administering antibiotic therapy, and a
fluid bolus (30ml/kg)
An 80kg, hemodynamicaly stable, patient with pyelonephritis , has a urine output of 0.3 ml/kg/hr
for the last 4 hours and the above results. What do these findings indicate? - Answers Systemic
inflammatory response syndrome
What occurs at the cellular level to cause the lactic acid to increase? - Answers Anaerobic
metabolism
A pt has absent lung sounds in the left lobe, tracheal deviation, SpO2:81%, RR:36, HR:132, &
BP:82/68. What shock state is present? - Answers Obstructive shock
A patient with a history of alcohol abuse is started on CIWA protocol. The nurse finds the
patient sleeping when it is time for the patients scheduled IV Ativan. What is the most important
action? - Answers Wake and assess the patient
A pt has severed spinal cord at the level of C-4 and has developed neurogenic shock. Which of
the following would be an expected finding? - Answers Vasodilation
The physician ordered hypertonic saline infusion. What do you anticipate is the optimal speed to
correct a serum sodium of 113? No more than: - Answers 0.5 mEq/L per hour
A patient is lethargic with the following vitals:HR 51, BP 90/55, RR 12, TEMP 95.8F. Which of the
following is MOST likely the cause? - Answers Hypothyroidism
The point of care glucose for a patient is 450 and the ABG showed pH 7.2 with sodium
bicarbonate of 9. The patient is lethargic with fruity breath. What treatment recommendations
would you share with the physician ? - Answers Fluid bolus and intravenous insulin
A patient being treated for diabetic ketoacidosis (DKA) received 3L isotonic fluid bolus, 10 units
regular insulin IV push, and started on an insulin drip in the emergency department 4hours ago.
This patient should be closely monitored for the subsequent development of: - Answers
Premature ventricular contractions PVC
What would you do if this was occurring with a transcutaneous pacemaker? - Answers Adjust
the sensitivty
A pt with ST-elevation myocardial infarction (STEMI) suddenly develops a 3rd degree heart
block with a rate of 38 bpm. BP is 62/38. Skin is cool, moist, and pale. After ensuring a patent
airway and adequate ventilation , the nurses priority intervention would be the: - Answers
Anticipation of transcutaneous pacemaker
A pt in hypertensive crisis has an intial BP of 220/120. An hour after initiating treatment, the pts
blood pressure is 170/108. What should the nurse report during interdisciplinary rounds? -
Answers Blood pressure decreased an ideal amount
A newly admitted develops positive JVD, HR 168, BP 84/78, and muffled heart tones. What is
your assessment of the situation - Answers Cardiac tamponade
Which of the following represents right heart failure? - Answers Positive jugular vein distention,
peripheral edema, S3 heart sound
A pt has heart failure. What education will you provide upon discharge ? - Answers 1500 mg/day
sodium diet
Daily weights
Which intervention should be performed first for the above rhythm ? - Answers Defibrillation
Which of the following are symptoms of aortic stenosis? - Answers Pulmonary edema
The ECG monitor indicates a patient is in ventricular tachycardia. The patient is awake, alert,
anxious, and complains of chest pain. Vitals: HR 190, BP 80/40, Respirations 24, O2 sat 92% on
2 liters nasal cannula. Which of the following interventions should the nurse anticipate? -
Answers Synchronized cardioversion
Which 2 of the following would be indicative of dilated cardiomyopathy ? - Answers Bilateral
lower extremity edema
15% ejection fraction (EF)
Patients on heart rate controlling medications (e.g. calcium channel blockers , beta blockers,
amiodarone) - Answers May not compensate well for shock
Rhabdomyolysis has just been diagnosed on your pt. Which of the following complications can
develop due to this diagnosis? - Answers Renal failure
A pt is admitted with the diagnosis of sepsis. Currently they are anxious with vitals: HR 125, BP
80/55, RR 24,O2 sat 94% on 6 liters via nasal cannula (just increased last hour). Which findings
, indicate organ dysfunction? - Answers HR 125
Sepsis induced hypotension
Increased need for supplemental oxygen
After having an appropriate response to administration of IV naloxone (narcan), an overdose
patient has again become unresponsive. This status change is most likely caused by: - Answers
Longer half life of the offending substance over that of naloxone (narcane)
The nurse suspects a pt is developing sepsis from the following vitals signs: T:101.3F, P-107. R-
24, BP-88/30, O2 sat 94%. After notifying the physician, which of the following actions receives
the HIGHEST priority? - Answers Obtain blood cultures , administering antibiotic therapy, and a
fluid bolus (30ml/kg)
An 80kg, hemodynamicaly stable, patient with pyelonephritis , has a urine output of 0.3 ml/kg/hr
for the last 4 hours and the above results. What do these findings indicate? - Answers Systemic
inflammatory response syndrome
What occurs at the cellular level to cause the lactic acid to increase? - Answers Anaerobic
metabolism
A pt has absent lung sounds in the left lobe, tracheal deviation, SpO2:81%, RR:36, HR:132, &
BP:82/68. What shock state is present? - Answers Obstructive shock
A patient with a history of alcohol abuse is started on CIWA protocol. The nurse finds the
patient sleeping when it is time for the patients scheduled IV Ativan. What is the most important
action? - Answers Wake and assess the patient
A pt has severed spinal cord at the level of C-4 and has developed neurogenic shock. Which of
the following would be an expected finding? - Answers Vasodilation
The physician ordered hypertonic saline infusion. What do you anticipate is the optimal speed to
correct a serum sodium of 113? No more than: - Answers 0.5 mEq/L per hour
A patient is lethargic with the following vitals:HR 51, BP 90/55, RR 12, TEMP 95.8F. Which of the
following is MOST likely the cause? - Answers Hypothyroidism
The point of care glucose for a patient is 450 and the ABG showed pH 7.2 with sodium
bicarbonate of 9. The patient is lethargic with fruity breath. What treatment recommendations
would you share with the physician ? - Answers Fluid bolus and intravenous insulin
A patient being treated for diabetic ketoacidosis (DKA) received 3L isotonic fluid bolus, 10 units
regular insulin IV push, and started on an insulin drip in the emergency department 4hours ago.
This patient should be closely monitored for the subsequent development of: - Answers
Premature ventricular contractions PVC
