Which of the following is not generally used as an initial measure for the treatment of angina pectoris?
a. rest
b. ativan
c. oxygen
d. nitroglycerine - ANSWERb. ativan
AnswerThe classical ECG change in acute myocardial infarction (AMI) is a:
a. wide Q wave
b. ST segment elevation
c....
Which of the following is not generally used as an initial measure for the treatment of
angina pectoris?
a. rest
b. ativan
c. oxygen
d. nitroglycerine - ANSWERb. ativan
AnswerThe classical ECG change in acute myocardial infarction (AMI) is a:
a. wide Q wave
b. ST segment elevation
c. prolonged P- interval
d. ST segment depression - ANSWERb. ST segment elevation
AnswerElevated cardiac iso-enzymes generally do not occur in which of the following?
a. congestive heart failure
b. pericarditis
c. closed chest injury
d. AMI - ANSWERa. congestive heart failure
AnswerThe major therapeutic goal in the treatment of cardiogenic shock is to:
a. increase the afterload
b. lower the BUN
c. increase cardiac output
d. decrease fluid volume - ANSWERc. increase cardiac output
AnswerIn dealing with a severely depressed patient in the ED, the initial nursing action
should be:
a. encouraging the patient to verbalize his/her concerns
b. providing for additional privacy for the patient
c. restricting visits from the family members
d. facilitating a safe environment for the patient - ANSWERd. facilitating a safe
environment for the patient
AnswerA 55 year old female comes to the ED with an acute onset of constant
epigastric pain while at a restaurant. She is awake, alert, and very anxious. The priority
for this patient is:
, a. obtain an order for an antacid
b. do a 12 lead ECG
c. ask her about previous pain like this
d. obtain a family cardiac history - ANSWERb. do a 12 lead ECG
d. hazardous, as it may progress to second degree heart block - ANSWERc. hazardous,
as the ventricular rate may suddenly increase
AnswerThe initial drug treatment for sustained ventricular tachycardia when a pulse is
present is:
a. Isuprel 1.0 mg in 250 ml D5W drip
b. Epinephrine 1.0 mg IV push
c. atropine 0.5 mg IV push
d. amiodarone 150 mg IV over 10 min - ANSWERd. amiodarone 150 mg IV over 10 min
AnswerOne of the first therapies to be administered in the treatment of complete heart
block is:
a. phenobarbital
b. external pacing
c. metoprolol
d. digoxin - ANSWERb. external pacing
AnswerYour patient has atrial flutter with a ventricular response of 150 beats per
minute. Therapy for this rhythm is:
a. amiodarone
b. lidocaine
c. digoxin
d. adenosin (Adenocard) - ANSWERa. amiodarone
AnswerA major sign of cardiac tamponade is:
a. collapsed neck veins
b. pulsus paradoxus
c. increased systolic pressure
d. S3 heart sound - ANSWERb. pulsus paradoxus
AnswerThe most important activity to prevent pathogens from spreading in the ED is:
a. using gloves
b. washing your hands
c. wearing a mask
d. keeping doors closed - ANSWERb. washing your hands
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