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PDB CEN Practice Exam Questions And 100% Correct Answers
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PDB CEN Practice Exam Questions And 100% Correct AnswersA patient comes in with complaints of Epigastric pain who has ST elevation in ECG leads
II, III, and aVF. The patient is diagnosed with an inferior MI and is given NTG
sublingually. The patient's blood pressure drops from 120/47 to 90/60, and the Provider
orders a right-sided ECG while awaiting cardiology. Where would the appropriate lead
placement for V4R be to identify 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 - Response 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 - Response b. occlusion of the right coronary artery
Hey 67 yr old male complains of SOB, 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 presents with sudden onset of severe chest to scapular
pain. HR 98 BPM. L Brachial BP 180/90, R Brachial BP 150/70. What is the priority
,intervention for this patient?
a. Apply oxygen via NRB mask and establish two large-bore IV's
b. Administer sublingual nitroglycerin to decrease blood pressure and alleviate pain
c. administer Labetalol to reduce heart rate
d. administer nitroprusside (Nipride) to quickly decrease BP - Answer a. Establish
oxygen via NRB mask and establish 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.
For a patient who is in pulseless electrical activity (PEA) but receiving high-quality CPR
and epinephrine 1mg IV at every other pulse check, which of the following diagnostic
tests should be ordered now to evaluate myocardial contractility and identify possible
treatable causes of PEA? ANSWER Point of care ultrasound
A 35-year-old female complains of palpitations and shortness of breath. Vital signs: HR
is 220, RR 22, BP 76/50. Cardiac monitor reveals a narrow complex tachycardia. During
synchronized cardioversion, the shock is delivered when/where? - Answer On the 'R'
Wave
(T wave shock can lead to Ventricular dysrhythmias)
A patient who has a history of heart failure is being admitted for pneumonia. You notice
that there is a prolonged QT interval on the cardiac monitor. Which of the following
medications are you, as the nurse, concerned about administering?
a. Aspirin
, b. Erythromycin
c. Labetalol
d. Lisinopril - Answer b. erythromycin
A 30 y.o. female who smokes and takes birth control complains of sudden onset
dyspnea. Assessment reveals tachypnea, tachycardia, apprehension and diaphoresis.
The nurse expects the blood gases to reveal which combination:
a. Decrease PaO2 and decrease PaCO2
b. Decrease PaO2 and increased PaCO2
c. Increase PaO2 and decreased PaCO2
d. Increase PaO2 and increase PaCO2
Answer b. Decrease PaO2 and increase PaCO2
A 20-year-old victim of physical assault is struck to the chest with a bat. Which ECG
changes are seen most frequently with blunt cardiac injury?
a. Sinus bradycardia
b. Pulseless electrical activity
c. Polymorphic ventricular tachycardia
d. Sinus tachycardia with PVCs - Answer d. Sinus tachycardia with PVCs
Which type of shock occurs after a massive pulmonary embolism?
a. Hypovolemic
b. Obstructive
c. Cardiogenic
d. Distributive - Answer b. Obstructive
You are conducting the airway part of the primary survey. What sign would you interpret
as indicating an upper airway obstruction in a child?
a. Dry, nonproductive cough
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