ADULT 2 CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ A patient is in cardiac arrest. Ventricular fibrillation has been refractory to
an initial shock. If no pathway for medication administration is in place,
which method is preferred?Endotracheal tube Central line External jugular
vein IV or IO.
Answer: IV or IO
◍ Key manifestations Type 2.
Answer: - polyuria - polydipsia - weight gain - fatigue
◍ Identify The ECG Strip.
Answer: Sinus Bradycardia
◍ You are the code team leader and arrive to find a patient with CPR in
progress. On the next rhythm check, you see the rhythm shown here. Team
members tell you that the patient was well but reported chest discomfort and
then collapsed. She has no pulse or respirations. Bag-mask ventilations are
producing visible chest rise, and IO access has been established. Which
intervention would be your next action?Intubation and administration of
100% oxygen Epinephrine 1 mg Dopamine at 10 to 20 mcg/kg per minute
Atropine 1 mg.
Answer: Epinephrine 1 mg
◍ Priority treatment for DKA.
Answer: - IV fluids - insulin- electrolyte management - dextrose
◍ A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV
bolus and a heparin infusion of 1000 units per hour are being administered.
The patient did not take aspirin because he has a history of gastritis, which
was treated 5 years ago. What is your next action?Give enteric-coated
aspirin 325 mg rectally Give aspirin 162 to 325 mg to chew Give
, enteric-coated aspirin 75 mg orally Give clopidogrel 300 mg orally.
Answer: Give aspirin 162 to 325 mg to chew
◍ Identify The ECG Strip.
Answer: Third-degree Atrioventricular block
◍ POC hyperthyroidism.
Answer: - methimazole or PTU- Beta-Blocker- Radioactive iodine - increase
calorie - increase protein - increase carb diet - cool environment -
thyroidectomy
◍ What does urine look like in DI?.
Answer: dilute urine with low specific gravity
◍ Rapid-acting insulins.
Answer: Lispro and Aspart give right before meals (about 15 mins)
◍ Identify The ECG Strip.
Answer: Monomorphic ventricular tachycardia
◍ A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis
and a blood pressure of 80/60 mm Hg. What is the initial dose of
atropine?0.1 mg 1 mg 3 mg 0.5 mg.
Answer: 1 mg
◍ DI vs. SIADH urine specific gravity.
Answer: DI: low (dilute) SIADH: high (concentrated) (1.010-1.035)
◍ What is the recommended compression rate for high-quality CPR?70 to 80
compressions per minute 100 to 120 compressions per minute 50 to 20
compressions per minute 90 to 100 compression per minute.
Answer: 100 to 120 compressions per minute
◍ Identify The ECG Strip.
Answer: Agonal Rhythm/Asystole
◍ A 57-year-old woman has palpitations, chest discomfort, and tachycardia.
The monitor shows a regular wide-complex QRS at a rate of 180/min. She
becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action
, do you take next?Seek expert consultation Perform electrical cardioversion
Establish IV access Obtain a 12-lead ECG.
Answer: Perform electrical cardioversion
◍ Identify The ECG Strip.
Answer: Pulseless electrical activity
◍ Peritoneal Dialysis.
Answer: - in stomach - less invasive - dwell time (sitting in there) -
complication = infection, cloudy, smelly, redness
◍ A patient has sinus bradycardia with a heart rate of 36/min. Atropine has
been administered to a total dose of 3 mg. A transcutaneous pacemaker has
failed to capture. The patient is confused, and her blood pressure is 88/56
mm Hg. Which therapy is now indicated?Adenosine 6 mg Epinephrine 2 to
10 mcg/min Normal saline 250 mL to 500 mL bolus Atropine 1 mg.
Answer: Epinephrine 2 to 10 mcg/min
◍ What is the core problem in hyperparathyroidism?.
Answer: high PTH --> hypercalcemia + bone demineralization
◍ Cystitis.
Answer: - burning - urgency - pain- frequency - lower abdominal pain-
dysuria - suprapubic pain- cloudy urine - more common in women-
localized/lower UTI treatment =antibiotics
◍ Identify The ECG Strip.
Answer: Sinus Tachycardia
◍ Chronic Kidney Disease.
Answer: - progressive, irreversible loss of kidney function, leads to fluid,
electrolyte, and metabolic waste accumulation - risk factors= age >60, DM,
HTN, CVD- renal diet= low sodium, low potassium, low phosphorus, avoid
salt, avoid dairy, nuts, and cola (increased in Phos). Avoid bananas, oranges,
potatoes (increased K).
◍ Identify The ECG Strip.
QUESTIONS WITH SOLUTIONS GRADED A+
◍ A patient is in cardiac arrest. Ventricular fibrillation has been refractory to
an initial shock. If no pathway for medication administration is in place,
which method is preferred?Endotracheal tube Central line External jugular
vein IV or IO.
Answer: IV or IO
◍ Key manifestations Type 2.
Answer: - polyuria - polydipsia - weight gain - fatigue
◍ Identify The ECG Strip.
Answer: Sinus Bradycardia
◍ You are the code team leader and arrive to find a patient with CPR in
progress. On the next rhythm check, you see the rhythm shown here. Team
members tell you that the patient was well but reported chest discomfort and
then collapsed. She has no pulse or respirations. Bag-mask ventilations are
producing visible chest rise, and IO access has been established. Which
intervention would be your next action?Intubation and administration of
100% oxygen Epinephrine 1 mg Dopamine at 10 to 20 mcg/kg per minute
Atropine 1 mg.
Answer: Epinephrine 1 mg
◍ Priority treatment for DKA.
Answer: - IV fluids - insulin- electrolyte management - dextrose
◍ A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV
bolus and a heparin infusion of 1000 units per hour are being administered.
The patient did not take aspirin because he has a history of gastritis, which
was treated 5 years ago. What is your next action?Give enteric-coated
aspirin 325 mg rectally Give aspirin 162 to 325 mg to chew Give
, enteric-coated aspirin 75 mg orally Give clopidogrel 300 mg orally.
Answer: Give aspirin 162 to 325 mg to chew
◍ Identify The ECG Strip.
Answer: Third-degree Atrioventricular block
◍ POC hyperthyroidism.
Answer: - methimazole or PTU- Beta-Blocker- Radioactive iodine - increase
calorie - increase protein - increase carb diet - cool environment -
thyroidectomy
◍ What does urine look like in DI?.
Answer: dilute urine with low specific gravity
◍ Rapid-acting insulins.
Answer: Lispro and Aspart give right before meals (about 15 mins)
◍ Identify The ECG Strip.
Answer: Monomorphic ventricular tachycardia
◍ A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis
and a blood pressure of 80/60 mm Hg. What is the initial dose of
atropine?0.1 mg 1 mg 3 mg 0.5 mg.
Answer: 1 mg
◍ DI vs. SIADH urine specific gravity.
Answer: DI: low (dilute) SIADH: high (concentrated) (1.010-1.035)
◍ What is the recommended compression rate for high-quality CPR?70 to 80
compressions per minute 100 to 120 compressions per minute 50 to 20
compressions per minute 90 to 100 compression per minute.
Answer: 100 to 120 compressions per minute
◍ Identify The ECG Strip.
Answer: Agonal Rhythm/Asystole
◍ A 57-year-old woman has palpitations, chest discomfort, and tachycardia.
The monitor shows a regular wide-complex QRS at a rate of 180/min. She
becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action
, do you take next?Seek expert consultation Perform electrical cardioversion
Establish IV access Obtain a 12-lead ECG.
Answer: Perform electrical cardioversion
◍ Identify The ECG Strip.
Answer: Pulseless electrical activity
◍ Peritoneal Dialysis.
Answer: - in stomach - less invasive - dwell time (sitting in there) -
complication = infection, cloudy, smelly, redness
◍ A patient has sinus bradycardia with a heart rate of 36/min. Atropine has
been administered to a total dose of 3 mg. A transcutaneous pacemaker has
failed to capture. The patient is confused, and her blood pressure is 88/56
mm Hg. Which therapy is now indicated?Adenosine 6 mg Epinephrine 2 to
10 mcg/min Normal saline 250 mL to 500 mL bolus Atropine 1 mg.
Answer: Epinephrine 2 to 10 mcg/min
◍ What is the core problem in hyperparathyroidism?.
Answer: high PTH --> hypercalcemia + bone demineralization
◍ Cystitis.
Answer: - burning - urgency - pain- frequency - lower abdominal pain-
dysuria - suprapubic pain- cloudy urine - more common in women-
localized/lower UTI treatment =antibiotics
◍ Identify The ECG Strip.
Answer: Sinus Tachycardia
◍ Chronic Kidney Disease.
Answer: - progressive, irreversible loss of kidney function, leads to fluid,
electrolyte, and metabolic waste accumulation - risk factors= age >60, DM,
HTN, CVD- renal diet= low sodium, low potassium, low phosphorus, avoid
salt, avoid dairy, nuts, and cola (increased in Phos). Avoid bananas, oranges,
potatoes (increased K).
◍ Identify The ECG Strip.
