Cardiology FISDAP Practice Quiz with Correct Answers. 2024 Latest Edition. Graded A+, Exams of Nursing

Download Cardiology FISDAP Practice Quiz with Correct Answers. 2024 Latest Edition. Graded A+ and more Exams Nursing in PDF only on Docsity! Cardiology FISDAP Practice Quiz with Correct Answers. 2024 Latest Edition. Already Graded A+ 56-year-old man presents with the cardiac rhythm. He complains of chest discomfort, shortness of breath, and is profusely diaphoretic. His blood pressure is 84/64 mm Hg and his radial pulses are barely palpable. You should: A) defibrillate with 200 biphasic joules. B) prepare for immediate cardiac pacing. C) give 150 mg of amiodarone over 10 minutes. D) consider sedation and perform cardioversion. - ANSD) consider sedation and perform cardioversion. A 27-year-old female complains of palpitations. The cardiac monitor reveals a narrow- complex tachycardia at 180/min. She denies any other symptoms, and states that this has happened to her before, but it typically resolves on its own. Her blood pressure is 126/66 mm Hg, pulse is 180 beats/min, and respirations are 16 breaths/min. After attempting vagal maneuvers and giving two doses of adenosine, her cardiac rhythm and vital signs remain unchanged. You should: A) administer 5 mg of midazolam and perform synchronized cardioversion starting with 50 joules. B) administer 0.35 mg/kg of diltiazem over 2 minutes and then reassess her hemodynamic status. C) transport at once, reassess her frequently, and perform synchronized cardioversion if necessary. D) infuse 150 mg of amiodarone over 10 minutes, reassess her, and repeat the amiodarone if needed. - ANSC) transport at once, reassess her frequently, and perform synchronized cardioversion if necessary. A 39-year-old female presents with an acute onset of lightheadedness. The cardiac monitor reveals a tachycardic rhythm at 185 beats/min with QRS complexes that measure 0.08 seconds in duration. Despite vagal maneuvers and adenosine, her cardiac rhythm remains unchanged. She is conscious and alert, has a blood pressure of 118/72 mm Hg, and denies shortness of breath or chest discomfort. You should: A) consider that her rhythm is ventricular in origin. B) transport immediately and monitor her en route. C) administer 150 mg of amiodarone over 10 minutes. D) perform synchronized cardioversion with 50 joules. - ANSB) transport immediately and monitor her en route. A 54-year-old man presents with the following cardiac rhythm. The paramedic's initial action should be to: A) administer atropine, 0.5 mg rapid IV push. B) begin transcutaneous cardiac pacing. C) assess for hemodynamic compromise. D) administer a 20 mL/kg IV fluid bolus. - ANSC) assess for hemodynamic compromise A 60-year-old man presents with chest discomfort, diaphoresis, and dyspnea. The 12- lead ECG reveals 4-mm ST segment elevation in leads V1 through V4. You should suspect: A) anterolateral infarct. B) anteroseptal injury. C) anterolateral injury. D) inferoseptal ischemia. - ANSB) anteroseptal injury. A 65-year-old man has had vomiting and diarrhea for the past 2 days and complains of severe weakness. His cardiac rhythm is shown below. Treatment for him should include: A) crystalloid fluid boluses. B) adenosine, 6 mg rapid IV. C) synchronized cardioversion. D) diltiazem, 0.25 mg/kg. - ANSA) crystalloid fluid boluses. A 70-year-old woman was suddenly awakened with the feeling that she was suffocating. She is anxious, is laboring to breathe, and has dried blood on her lips. The ECG shows the cardiac rhythm below. Which of the following pathophysiologies BEST explains her clinical presentation? A) Increased stroke volume with right heart failure B) Increased preload with left heart failure C) Decreased preload with right heart failure D) Decreased stroke volume with left heart failure - ANSD) Decreased stroke volume with left heart failure A 71-year-old male presents with chest pain and shortness of breath. He is conscious, but confused, and is profusely diaphoretic. He has weakly palpable radial pulses, a BP of 70/40 mm Hg, and diffuse crackles in all lung fields. You administer high-flow oxygen and apply the cardiac monitor, which reveals sinus tachycardia. The closest appropriate hospital is 40 miles away. Which of the following is the MOST appropriate next action? A) Obtain a 12-lead ECG tracing. B) Begin an infusion of dopamine. C) Perform a head-to-toe exam. C) Dilates the coronary arteries D) Increases platelet production - ANSB) Prevents platelet aggregation When administering a sympathomimetic medication, you must be alert for: A) severe bradycardia. B) cardiac dysrhythmias. C) acute hypotension. D) acute respiratory failure. - ANSB) cardiac dysrhythmias. When assessing a patient with suspected cardiac-related chest pain, which of the following questions would be MOST appropriate to ask? A) Does the pain move to your arms? B) Were you at rest when the pain began? C) Is the pain crushing or dull in nature? D) Can you describe the quality of the pain? - ANSD) can you describe the quality of the pain? When assessing a patient's pulse, you note that it is fast and has an irregularly irregular pattern. On the basis of these findings, which of the following cardiac rhythms would MOST likely be seen on the cardiac monitor? A) Ventricular tachycardia B) Supraventricular tachycardia C) Second-degree AV block type 1 D) Uncontrolled atrial fibrillation - ANSD) Uncontrolled atrial fibrillation When assessing lead II in a patient with a heart rate of 70 beats/min, the Q-T interval is considered prolonged if it is: A) twice the width of the QRS complex. B) consistently greater than 0.20 seconds. C) greater than one half of the R-R interval. D) three times the length of the P-R interval. - ANSC) greater than one half of the R-R interval. when obtaining a 12 - lead ECG, lead V1 should be placed: A) upper right shoulder just above the clavicle B) approximately 1 inch to the right of the angle of Louis C) In the sec intercostal space just inferior to the sec rib. D) in the fourth intercostal space just to the right of the sternum - ANSD) in the fourth intercostal space just to the right of the sternum Which of the following 12-lead ECG findings signifies a left bundle branch block? A) QRS duration of 126 ms; terminal S wave in lead aVL B) QRS duration of 124 ms; terminal S wave in lead V1 C) QRS duration of 122 ms; terminal S wave in lead V6 - ANSB) QRS duration of 124 ms; terminal S wave in lead V1 Which of the following assessment findings would be the MOST clinically significant in a 60-year-old patient with a BP of 240/120 mm Hg? A) Tinnitus B) Epistaxis C) Slurred speech D) Bounding pulse - ANSC) Slurred speech which of the following causes of pulseless electrical activity would be the most likely to respond to immediate treatment in the prehospital setting? A) hypokalemia B) hypovolemia C) lactic acidosis D) Drug overdose - ANSB) hypovolemia Which of the following findings would lead the paramedic to suspect pericarditis when assessing a 40-year-old male with chest pain and no cardiac history? A) The patient's age and absence of a cardiac history B) The pain decreases when the patient sits forward C) Widespread ST depression of greater than 2 mm D) Greater than 3-mm ST elevation in leads V2 and V3 - ANSB) The pain decreases when the patient sits forward Which of the following interventions has the greatest impact on patient survival from sudden cardiac arrest? A) Identifying the cause B) Advanced airway control C) Early CPR and defibrillation D) Cardiac medication administration - ANSC) Early CPR and defibrillation Which of the following is an absolute contraindication for fibrinolytic therapy? A) Subdural hematoma 3 years ago B) BP of 170/100 mm Hg on presentation C) Current use of anticoagulant medication D) Ischemic stroke within the last 12 months - ANSA) Subdural hematoma 2 years ago Which of the following signs or symptoms occurs more commonly in patients with stable angina than in those with unstable angina? A) Chest pressure, tightness, or discomfort B) ST segment elevation on the 12-lead ECG C) Pain that lasts more than 15 minutes D) Chest pain that begins during exertion - ANSD) Chest pain that begins during exertion Wolff-Parkinson-White (WPW) syndrome - ANSWolff-Parkinson-White (WPW) syndrome is a condition in which accessory pathways - called the bundle of Kent - bypass the atrioventricular (AV) node, causing the ventricles to depolarize earlier than normal (preexcitation). You are assessing a 67-year-old female with chest discomfort when she becomes unresponsive, apneic, and pulseless. The cardiac monitor reveals coarse ventricular fibrillation. You achieve return of spontaneous circulation after 4 minutes and the cardiac monitor now reveals a narrow complex rhythm. The patient is still unresponsive, has occasional respirations, a blood pressure of 70/40 mm Hg, and a weak pulse of 70 beats/min. The MOST appropriate postresuscitation care for this patient includes: A) insertion of an airway adjunct, assisted ventilation with a bag-valve-mask device, vascular access, a 500- to 1,000-mL crystalloid fluid bolus, and an amiodarone infusion at 1 mg/min. B) preoxygenation with a bag-valve-mask device and high-flow oxygen, endotracheal intubation, vascular access, 300 mg of amiodarone, and a dopamine infusion. C) insertion of a supraglottic airway device, ventilatory assistance, vascular acce - ANSA) insertion of an airway adjunct, assisted ventilation with a bag-valve-mask device, vascular access, a 500- to 1,000-mL crystalloid fluid bolus, and an amiodarone infusion at 1 mg/min. You are assessing a 75-year-old male who experienced a sudden onset of slurred speech, a right-sided facial droop, and left-sided hemiparesis approximately 45 minutes ago. His blood pressure is 170/94 mm Hg, pulse rate is 68 beats/min and irregular, and respirations are 14 breaths/min and unlabored. His oxygen saturation is 92% on room air. The MOST appropriate treatment for this patient includes: A) oxygen via nonrebreathing mask, an IV of normal saline, cardiac monitoring, 5 mg of labetalol to lower his BP, blood glucose assessment, and rapid transport. B) 160 to 325 mg of aspirin, supplemental oxygen via nasal cannula, cardiac monitoring, blood glucose assessment, an IV of an isotonic crystalloid, and transport. C) assisted ventilation with a bag-valve-mask device, cardiac monitoring, an IV of normal saline, IV dextrose if his blood glucose level is less than 80 mg/dL, and transport.