PAPER 2026 QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+
◉ His initial vital signs are HR 120/min, BP 135/88 mm Hg, RR
23/min, SpO2 87%, and temperature 37.3C. When considering
oxygen saturation, what is your course of action?
o Intubate the patient immediately
o Administer albuterol nebulizer
o Do not start oxygen
o Start oxygen at 4L/min via nasal cannula. Answer: o Start oxygen
at 4L/min via nasal cannula
◉ What additional question help you determine next steps?
o Do you take any medication?
o Do you have any allergies?
o When was the last time you went to the doctor?
o When did the symptoms start?
o Have you had any recent falls?. Answer: o Do you take any
medication?
o Do you have any allergies?
o When did the symptoms start?
, ◉ Your patient continues to say that he has chest discomfort. What
treatment can you repeat as long as it is not contradicted by vital
signs?
o Morphine sublingual every 1 to 3 minutes
o Morphine IV every 1 to 3 minutes
o Nitroglycerine sublingual or translingual every 3 to 5 minutes
o Nitroglycerine every 1 to 3 minutes. Answer: o Nitroglycerine
sublingual or translingual every 3 to 5 minutes
◉ What is your interpretation of the patient's ECG tracing?
o Anterior ST-segment elevation of myocardial infarction (STEMI)
o Ventricular tachycardia
o Posterior ST-segment elevation myocardial infarction (STEMI)
o Normal sinus rhythm with premature ventricular contractions.
Answer: o Anterior ST-segment elevation of myocardial infarction
(STEMI)
◉ With the diagnosis of STEMI, what is the most probable
treatment?
o Release to home
o Admission to an intensive car unit
o Admission for observation