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PDB CEN Practice Exam Questions and answers | Newest
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PDB CEN Practice Exam Questions and answers | Newest
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PDB CEN Practice Exam Questions andanswers | Newest
A patient complained of Epigastric pain has ST elevation in ECG leads II, III, and aVF. She
II II II II II II II II II II II II II II II II
is diagnosed with an inferior MI, and NTG is administered sublingually. Her blood
II II II II II II II II II II II II II
pressure drops from 120/47 to 90/60 so the Provider order is a right-sided ECG while
II II II II II II II II II II II II II II II
awaiting cardiology. Where is the correct leap placement for V4R to detect right
II II II II II II II II II II II II II
ventricular MI's?
II II II
a. 2nd ICS R sternal border
II II II II II
b. 4th ICS R mid-cliviclar line
II II II II II
c. 5th ICS L mid-clavicular line
II II II II II
d. 5th ICS R mid-axillary line - b. 4th ICS R mid-cliviclar line
II II II II II II II II II II II II II II
Which of the following conditions is commonly associated with bradycardias and second
II II II II II II II II II II II II II
agree, type I heart block?
II II II II II
a. Cardiogenic shock
II II
b. occlusion of the right coronary artery
II II II II II II
c. occlusion of the left anterior descending artery
II II II II II II II
d. prinzmeta's angina - b. occlusion of the right coronary artery
II II II II II II II II II II II II
Hey 67-year-old male complains of shortness of breath and tightness in his chest. VS:
II II II II II II II II II II II II II II II
HR=108, RR=22, BP=167/94, ECG shows St segment elevation in V2, V3, V4. Which
II II II II II II II II II II II II II
coronary artery is likely occluded?
II II II II II
a. R coronary Artery
II II II
b. L Anterior Descending
II II II
c. L marginal Artery
II II II
d. Circumflex - d. Circumflex
II II II II II II
A patient with Ehlers Danlos complains of a sudden onset of severe chest to scapular
II II II II II II II II II II II II II II II II
pain. Heart rate 98 BPM. The left brachial BP is 180/90, the right brachial BP is 150/70.
II II II II II II II II II II II II II II II II II
What is the priority intervention for this patient?
II II II II II II II II
a. Initiate oxygen via NRB mask and start two large-bore IV's
II II II II II II II II II II
b. Administer sublingual nitroglycerin to lower blood pressure and relieve pain
II II II II II II II II II II
c. administer Labetalol to lower heart rate
II II II II II II
d. infuse nitroprusside (Nipride) to rapidly lower BP - a. Initiate oxygen via NRB mask and
II II II II II II II II II II II II II II II II II
start two large bore IV's
II II II II II
What is the priority intervention for the patient and pulseless polymorphic ventricular
II II II II II II II II II II II II II
tachycardia?
II
a. Intubate a patient so you can provide continuous compressions.
II II II II II II II II II II
b. administer Epinephrine 1 mg IV
II II II II II
,c. Administer Magnesium sulfate 2 grams IV
II II II II II II
d. Initiate high-quality CPR and defibrillate. - d. Initiate high-quality CPR and defibrillate.
II II II II II II II II II II II II II II
A patient in pulseless electrical activity (PEA) has high-quality CPR in progress and is
II II II II II II II II II II II II II II II
receiving epinephrine 1 mg IV at every other pulse check. Which diagnostic test should be
II II II II II II II II II II II II II II II
performed immediately to assess myocardial contractility and identify potentially treatable
II II II II II II II II II II
causes of PEA. - Point of care ultrasound
II II II II II II II II II II
A 35-year-old female complains of palpitations and shortness of breath. Vital signs: HR is
II II II II II II II II II II II II II II II
220, RR 22, BP 76/50. Cardiac monitor reveals a narrow complex tachycardia. During
II II II II II II II II II II II II II
synchronized cardioversion, the shock is delivered when/where? - On the 'R' Wave
II II II II II II II II II II II II II II II
(T wave shock can lead to Ventricular dysrhythmias)
II II II II II II II
A patient with a history of heart failure is being admitted for pneumonia. You notice a
II II II II II II II II II II II II II II II II II
prolonged QT interval on the cardiac monitor. Which of the following medications should
II II II II II II II II II II II II II
the nurse be concerned about administering?
II II II II II II
a. Aspirin
II
b. Erythromycin
II
c. Labetalol
II
d. Lisinopril - b. erythromycin
II II II II II II
A 30 y.o. female who smokes and takes birth control complains of sudden onset
II II II II II II II II II II II II II II II
dyspnea. Assessment reveals tachypnea, tachycardia, apprehension, and diaphoresis.
II II II II II II II II
The nurse expects the blood gases to reveal which combination:
II II II II II II II II II II
a. Decrease PaO2 and decrease PaCO2
II II II II II
b. Decrease PaO2 and increased PaCO2
II II II II II
c. Increase PaO2 and decreased PaCO2
II II II II II
d. Increase PaO2 and increase PaCO2 - b. Decrease PaO2 and increase PaCO2
II II II II II II II II II II II II II II
A 20-year-old victim of physical assault is hit in the chest with a bat. Which ECG changes
II II II II II II II II II II II II II II II II II II
are seen most often with blunt cardiac injury?
II II II II II II II II
a. Sinus bradycardia
II II
b. Pulseless electrical activity
II II II
c. Polymorphic ventricular tachycardia
II II II
d. Sinus tachycardia with PVCs - d. Sinus tachycardia with PVCs
II II II II II II II II II II II II
Which form of shock occurs following a massive pulmonary embolism?
II II II II II II II II II II II
a. Hypovolemic
II
b. Obstructive
II
c. Cardiogenic
II
d. Distributive - b. Obstructive
II II II II II II
You are performing the airway component of the primary assessment. Which finding
II II II II II II II II II II II II II
would lead you to conclude that a child has an upper airway obstruction?
II II II II II II II II II II II II II II
a. Dry, nonproductive cough
II II II
b. Inspiratory stridor
II II
, c. Subcostal retractions
II II
d. Wheezing - b. Inspiratory stridor
II II II II II II II
A patient is transported to the ED three days post-op pelvic fracture repair after an abrupt
II II II II II II II II II II II II II II II II II
onset of pleuritic chest pain, dyspnea, hemoptysis, and jugular vein distention. ECG
II II II II II II II II II II II II
shows new onset right bundle branch block and right access deviation. Which of the
II II II II II II II II II II II II II II
following is the "gold standard" in diagnosing a pulmonary embolus.
II II II II II II II II II II II
a. Ventricular-perfusing lung scan
II II II
b. CT pulmonary angiography
II II II
c. Magnetic resonance imaging
II II II
d. D-dimer - b. CT pulmonary angiography
II II II II II II II II
When the SPO2 suddenly decreases from 95% to 75% in the mechanically vanilla
II II II II II II II II II II II II II II
patient what is the priority?
II II II II II
a. manually ventilate the patient
II II II II
b. Access breath sounds bilaterally
II II II II
c. check the ventilator tubing for kinks
II II II II II II
d. assure the oxygen is connected to the ventilator - d. assure the oxygen is connected to
II II II II II II II II II II II II II II II II II II
the ventilator
II II
Analyze the following ABG results seen in a patient after ethylene glycol ingestion: pH
II II II II II II II II II II II II II II II
7.32, Co2 32, HCO3 17
II II II II II
a. Respiratory acidosis
II II
b. Respiratory alkalosis
II II
c. Metabolic acidosis
II II
d. Metabolic alkalosis - c. Metabolic acidosis
II II II II II II II II
Albuterol is administered via nebulizer to a patient experiencing an asthma exacerbation.
II II II II II II II II II II II II II
On reassessment, the nurse would expect which the following findings?
II II II II II II II II II II
a. An increased peak flow reading
II II II II II
b. Decrease in oxygen saturation
II II II II
c. Pulseless paradoxes
II II
d. Decrease in heart rate - a. A increased peak flow readings
II II II II II II II II II II II II II
Patient returns to the ED after a high impact frontal MVC which caused multiple rib
II II II II II II II II II II II II II II II II
fractures. The nurse monitors the patient closely for signs of respiratory distress, which
II II II II II II II II II II II II II
may indicate pulmonary contusion. The peak time for clinical symptoms of pulmonary
II II II II II II II II II II II II
contusion to manifest is:
II II II II
a. Immediately following the chest injury
II II II II II
b. 6 to 12 hours post injury
II II II II II II
c. 24 to 48 hours post injury
II II II II II II
d. 72 hours post injury - b. 6 to 12 hours post injury
II II II II II II II II II II II II II II
You have an order for nitroglycerin on a patient complaining of chest pain. Which medical
II II II II II II II II II II II II II II II II
history would concern the nurse to inquire about home medication prior to administering
II II II II II II II II II II II II II
nitroglycerin?
II
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