and Answers
Page 1 of 138
,Question
The patient suddenly becomes unconscious and has a weak carotid pulse. Cardiac
monitoring, supplementary oxygen, and an IV have been initiated. The code cart
with all the drugs and a transcutaneous pacer are immediately available. Next you
would?
Correct Answer
Give atropine 0.5 mg IV.
Question
You arrive on the scene to find CPR in progress. Nursing staff report that the
patient was recovering from a pulmonary embolism and suddenly collapsed.
There is no pulse or spontaneous respirations. High-quality CPR and effective
bag-mask ventilation are being provided. An IV has been initiated. What would
you do now?
Correct Answer
Give epinephrine 1 mg IV.
Page 2 of 138
,Question 91
Following imitation of CPR and 1 shock for VF, this rhythm is present on the next
rhythm check. A second shock is give, and chest compressions are resumed
immediately. An IV is in place, and no drugs have been given. Bag-mask
ventilations are producing visible chest rise. What is your next order?
Correct Answer
Prepare to give epinephrine 1 mg IV.
Question 92
A patient presents with the above rhythm and reports an irregular heartbeat. She
has no other symptoms. Her medical history is significant for a myocardial
infarction 7 years ago. Blood pressure is 110/70 mm Hg. What would you do at
this time
Correct Answer
Continue monitoring and seek expert consultation.
Page 3 of 138
, Question 93
You are monitoring a patient with chest discomfort who suddenly becomes
unresponsive. You observe the following rhythm on the cardiac monitor. A
defibrillator is present. What is your first action?
Correct Answer
Give a single shock.
Question 94
A patient has been resuscitated from cardiac arrest and is being prepared for
transport. She is intubated and is receiving 100% oxygen. Blood pressure is 80/60
mm Hg. During the resuscitation, she received 2 doses of epinephrine 1 mg and 1
dose of aminodarone 300 mg IV. You now observe the above rhythm on the
cardiac monitor. The rhythm abnormality is becoming more frequent and
increasing in number. You should order:
Correct Answer
1 to 2 L of normal saline
Page 4 of 138