Fisdap Cardiology Practice Quiz Questions and Correct Answers A 42 y/o F has a pulse and is breathing adequately after a single shock from the AED.In which position should you put her?
- recovery
- supine
- prone
d. Fowler's - Correct Answer: a. recovery
Recommended for pts with a pulse and adequate respiratory rate.
A 42 y/o M is unresponsive. He was found behind a restaurant and bystanders are unsure how long he has been there. What should you do?
- open the airway with a manual manoeuvre
- assist his ventilations
- check for a carotid pulse
- check for a medical alert bracelet - Correct Answer: c. check for a carotid pulse
He is unresponsive, so this should be your next action. If he has a pulse then you can assess his airway and respiratory status.
A 45 y/o F complains of weakness, SOB, back pain, and pressure in her chest. What should you suspect?
- hypertensive emergency
- dissecting aortic aneurysm
- spontaneous pneumothorax
d. myocardial infarction - Correct Answer: d. myocardial infarction
An acute MI is a blockage of an artery(s). The blockage deprives the heart muscle of oxygen and causes the heart to become ischemic. She is SOB and weak because her heart is not perfusing the body's tissue adequately (hypoperfusion).
A 48 y/o M suddenly becomes confused after taking nitroglycerine. He is sitting upright but is unable to follow your directions. What should you do?
- check his BGL
- obtain a stroke scale assessment
- place him in a supine position
d. obtain a blood pressure - Correct Answer: c. place him in a supine position
Nitroglycerine is a vasodilator. He is confused because his brain is not receiving enough O2 and glucose. Positioning him supine will help his brain receive the nutrients he 1 / 2
needs without having to pump against gravity. This should help improve his mental status.
A 55 y/o F's skin is cool, clammy, and ashen. Her LOC begins to decrease, and you can no longer palpate a radial pulse. What should should you do?
- begin chest compressions
- assess the carotid pulse
- transport rapidly
d. insert an OPA - Correct Answer: b. assess the carotid pulse
The next step in the assessment when you are unable to palpate a radial pulse is to assess a central pulse. Assessing for adequate circulation is an essential skill. If you are unable to feel a peripheral pulse, assess a central pulse for 10 seconds. If you are unable to feel a central pulse, then you should start CPR. All healthcare providers are required to check a pulse before starting CPR.
A 56 y/o M complains of epigastric pain that started an hour ago. He is diaphoretic and the pain is radiating into his left arm. What should you suspect?
- angina pectoris
- peptic ulcer disease
- myocardial infarction
d. anxiety attack - Correct Answer: c. myocardial infarction
The ischemia associated with MI can cause referred pain in the arm or discomfort in the upper abdomen. Without immediate treatment a MI can cause death of the heart tissue in about 20 minutes.
A 57 y/o M with chest pain needs assistance taking his medication. What should you do?
- call for medical direction
- obtain a medical history
- assess his vital signs
d. assist him with his medication - Correct Answer: c. assess his vital signs
This is the first thing you should do BEFORE assisting with medication administration.Medical direction will ask you about his vital signs before administering a medical is allowed.
A 61 y/o M with chest pain took one dose of nitroglycerine prior to your arrival. He has experienced no relief. Vital signs are BP 88/44, P 58, R 22. What should you do?
- assist with the administration of aspirin
- apply oxygen
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