PDB CEN Practice Exam Questions And Answers

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 - Answer- 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 - Answer- b. occlusion of the right coronary artery 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 - Answer- 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 - Answer- 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? 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. - Answer- d. Initiate high-quality CPR and defibrillate.