NURS 4581 Exam 2 Escape Room –
ICU Questions and Answers
The first drug given for all pulseless (mostly dead) rhythms is: - ANSWER-Epinephrine
A patient is complaining of dizziness, SOB and has a BP of 80/45 with the rhythm below
(V Tach). You anticipate which of the following first? - ANSWER-Amiodarone
The priority intervention for this rhythm would be? (V Fib) - ANSWER-Defibrillation
A patient is complaining of dizziness, SOB, and has a BP of 80/45 with the rhythm
below. You anticipate which of the following medications? - ANSWER-Amiodarone
Your patient has a BP of 70/40. You anticipate which of the following interventions?
(SATA) - ANSWER-Vagal Maneuvers
Adenosine
Diltiazem
The patient has the following rhythm (A Fib). You would anticipate which of the following
interventions? (SATA) - ANSWER-Cardioversion
Anticoagulant
Diltiazem
Metoprolol
Your patient has a BP of 70/40. You anticipate which of the following
medications/interventions? (SATA) - ANSWER-Pacemaker
Atropine
What are the differences between 2nd degree Type 1 and Type 2 heart blocks? (SATA)
- ANSWER-PR gets progressively longer and you drop a QRS in Type 1
For every PR interval the PR stays the same and has dropped QRSs in type 2
The patient is unresponsive, not breathing and has no pulse. The monitor shows the
rhythm below (3rd degree AVB). You will: (SATA) - ANSWER-Start CPR
, Give IVP
Epinephrine
Fix the cause
Discharge teaching for a patient who has a pacemaker should include which of the
following? (SATA) - ANSWER-Wearing a medical alert bracelet
Monitoring heart rate and rhythm
Avoiding magnetic fields
You see your patient's rhythm below (No QRS following a spike). You know that this is: -
ANSWER-Failure to capture
When is cardioversion used? - ANSWER-Convert a rapid rhythm with a pulse to a
slower one
What are the only rhythms in this course that you will defibrillate? (SATA) - ANSWER-
Pulseless ventricular tachycardia
Ventricular fibrillation
Chest pain that is predictable, consistent pain that occurs on exertion and is relieved by
rest and/or nitroglycerin is: - ANSWER-Stable angina
When a patient is having a myocardial infarction, time is muscle. - ANSWER-True
Which of the following indicates a patient is having an ACS event? - ANSWER-ST
elevation, positive cardiac markers, chest pain
What is included in treating a patient having an MI? (SATA) - ANSWER-Oxygen and
morphine
Nitroglycerin and aspirin
Fibrinolytic and PCI
What are possible complications a patient may experience post PCI? (SATA) -
ANSWER-Bleeding at the insertion site
Dysrhythmias
Re-occlusion of the coronary artery
Signs and symptoms of pericarditis include: (SATA) - ANSWER-Grating/scratching
ICU Questions and Answers
The first drug given for all pulseless (mostly dead) rhythms is: - ANSWER-Epinephrine
A patient is complaining of dizziness, SOB and has a BP of 80/45 with the rhythm below
(V Tach). You anticipate which of the following first? - ANSWER-Amiodarone
The priority intervention for this rhythm would be? (V Fib) - ANSWER-Defibrillation
A patient is complaining of dizziness, SOB, and has a BP of 80/45 with the rhythm
below. You anticipate which of the following medications? - ANSWER-Amiodarone
Your patient has a BP of 70/40. You anticipate which of the following interventions?
(SATA) - ANSWER-Vagal Maneuvers
Adenosine
Diltiazem
The patient has the following rhythm (A Fib). You would anticipate which of the following
interventions? (SATA) - ANSWER-Cardioversion
Anticoagulant
Diltiazem
Metoprolol
Your patient has a BP of 70/40. You anticipate which of the following
medications/interventions? (SATA) - ANSWER-Pacemaker
Atropine
What are the differences between 2nd degree Type 1 and Type 2 heart blocks? (SATA)
- ANSWER-PR gets progressively longer and you drop a QRS in Type 1
For every PR interval the PR stays the same and has dropped QRSs in type 2
The patient is unresponsive, not breathing and has no pulse. The monitor shows the
rhythm below (3rd degree AVB). You will: (SATA) - ANSWER-Start CPR
, Give IVP
Epinephrine
Fix the cause
Discharge teaching for a patient who has a pacemaker should include which of the
following? (SATA) - ANSWER-Wearing a medical alert bracelet
Monitoring heart rate and rhythm
Avoiding magnetic fields
You see your patient's rhythm below (No QRS following a spike). You know that this is: -
ANSWER-Failure to capture
When is cardioversion used? - ANSWER-Convert a rapid rhythm with a pulse to a
slower one
What are the only rhythms in this course that you will defibrillate? (SATA) - ANSWER-
Pulseless ventricular tachycardia
Ventricular fibrillation
Chest pain that is predictable, consistent pain that occurs on exertion and is relieved by
rest and/or nitroglycerin is: - ANSWER-Stable angina
When a patient is having a myocardial infarction, time is muscle. - ANSWER-True
Which of the following indicates a patient is having an ACS event? - ANSWER-ST
elevation, positive cardiac markers, chest pain
What is included in treating a patient having an MI? (SATA) - ANSWER-Oxygen and
morphine
Nitroglycerin and aspirin
Fibrinolytic and PCI
What are possible complications a patient may experience post PCI? (SATA) -
ANSWER-Bleeding at the insertion site
Dysrhythmias
Re-occlusion of the coronary artery
Signs and symptoms of pericarditis include: (SATA) - ANSWER-Grating/scratching
