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EMERGENCY CARDIAC CARE ACTUAL EXAM 2025 |149 QUESTIONS WITH ACCURATE SOLUTIONS
- What is the most reliable method of confirming & monitoring correct placement of an endotracheal tube? use of esophageal detection devices continuous waveform capnography use of pulse oximetry device 5 - point auscultation
- What medication is indicated for a patient experiencing asystole? Atropine Epinephrin e Amiodarone Lidocaine
- Post-cardiac arrest patients undergoing induced hypothermia must have their core body temperature
cooled to: between 34 - 36º C between 32 - 34º C between 20 - 22º C between 28-30º C
- What is the ideal targeted temperature for therapeutic hypothermia? 31 - 34 degrees Celsius 28 - 35 degrees Celsius 32 - 25 degrees Celsius 28 - 34 degrees Celsius
cardiac patients Children COPD patients
- In a scenario where a patient in cardiac arrest has received two shocks and one dose of epinephrine, but remains in pulseless ventricular tachycardia, what would be the next steps in the emergency response protocol, including drug administration and other interventions? Administer amiodarone 300 mg and continue CPR while preparing for advanced airway management.
Administer a second dose of epinephrine and prepare for transport to the hospital. Continue CPR for 5 minutes before administering any drugs. Switch to a different antiarrhythmic drug immediately without further assessment.
- A 72 - year-old female presents to the emergency department (ED) by EMS due to a new onset feeling of weakness. Upon ED evaluation, the patient's heart rate was 35 bpm, but a femoral pulse was detected, and blood pressure of 85/ mmHg was manually measured. Upon ECG interpretation, the initial rhythm was a first-degree heart block, and the attending provider requested an initial dose of atropine. Which of the following is the appropriate dose of atropine for this patient? Atropine IV 0.5 - 1 mg Atropine IV 1.5 mg Atropine IV push 3 mg Atropine intraosseous 3 mg
- What is the indication for the use of magnesium in a cardiac arrest? ventricular tacycardia associated with a normal QT interval Pulseless v-tach associated torsades de pointes shock-refractory ventricular tachycardia
34 - 35 C
- A patient presents with atrial fibrillation and a rapid ventricular response. After administering beta blockers, the patient's heart rate remains elevated. What would be the next appropriate step in management? Continue beta blockers and monitor Administer digoxin Initiate anticoagulation therapy Prepare for cardioversion
- 17803 - What is the definitive treatment for ventricular fibrillation (v-fib) or pulseless ventricular tachycardia (v- tach)? Defibrillation Oxygenation Chest compressions Amiodarone
- How often should you switch chest compressions to avoid fatigue? 5 minutes 2 minutes 3 minutes
4 minutes
- What is a key characteristic of atrial fibrillation as described in the provided information? P waves are present Atria are depolarizing normally Chaotic wavy baseline is observed
minimizing intrathoracic pressure Ventilate at a rapid rate to quickly restore normal breathing Provide continuous positive airway pressure to maintain lung inflation
- When performing CPR how often should you switch chest compressors? Every two minutes or five cycles
Every 5 minutes Switching chest compressors is not needed Every 30 to 60 seconds or five cycles
- During CPR, high-quality compressions must be performed at a rate of ___ to per minute 125; 135 150; 170 100; 120 115; 145
- Explain the significance of the progressively lengthening PR interval in Type 1 second degree heart block. It indicates a stable heart rhythm. It suggests that the heart is functioning normally. It shows a pattern of conduction delay leading to a dropped QRS complex. It means that the heart is in complete block.
- You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? Contact the patient's family to see what they would
10 seconds 15 seconds 20 seconds 25 seconds
- What is a recommended therapy for torsades de pointes during cardiac arrest? Magnesium Epinephrine Amiodaron e Lidocaine
- During a cardiac arrest scenario, a patient presents with signs of hypovolemia. Which intervention should be prioritized to potentially reverse the PEA? Administer atropine immediately. Initiate chest compressions and provide fluid resuscitation. Monitor vital signs and wait for further
instructions. Administer epinephrine without assessing the cause.
- A patient presents with stable narrow-complex tachycardia and has already received a 6mg dose of adenosine without effect. If you are considering the next step in management, what would be the appropriate action? Administer another 6mg dose of adenosine. Administer 12mg of adenosine as the second dose. Start intravenous epinephrine immediately. Perform synchronized cardioversion.
appropriately sized oropharyngeal airway? Measure from the corner of the mouth to the angle of the mandible to the tip of the earlobe. Measure from the nose to the tip of the earlobe. Measure from the earlobe to the teeth. Estimate by using the size of the patient's finger.
- A patient is determined to have an ST-elevation myocardial infarction. Providers have a goal of "door-to balloon" (arrival to the hospital to the time of PCI) time of: 15 minutes 90 minutes 30 minutes 2 hours
- During the primary survey, for what length of time should you assess for the presence of a pulse? check for a pulse for no more than 3 seconds check for a pulse for no more than 5 seconds check for a pulse for at least 5 seconds but no more than 10 seconds check for a pulse for at least 10 seconds but no more an 30 seconds
- A patient is found unresponsive and pulseless. An ECG shows no P waves or QRS complexes, with low amplitude undulations. Based on this information, what should be the immediate next step in management? Administer atropine Initiate chest compressions and prepare for defibrillation
- Explain why it is critical to divert a suspected stroke patient to a facility with CT capabilities when the current hospital's CT scanner is inoperable. To ensure the patient receives timely imaging for accurate diagnosis and treatment. To avoid unnecessary delays in patient transport. To allow the EMS team to complete their report. To provide the patient with a better hospital environment.
- Type 1 (Wenckeback/Mobitz I) second-degree block is characterized by dropped P waves with a consistent PR interval no apparent association between P waves and QRS complexes progressive lengthening of the PR interval until a P wave is not conducted bizarre-looking QRS complexes
- High-quality CPR recommends a heath care team-level coordination that switches the compressions providers
every _______________________________ _. minute 2 minutes 4 minutes 5 minutes
- Stroke patients who may be candidates for fibrinolytic therapy MUST receive definitive treatment within hours of onset of symptoms. 1 - 2 3 - 4 ½
