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• A patient experiencing a right ventricular infarction would be expected
to present with:
A) hypertension and tachycardia
B) ST elevation in lead II, III and aVF.
C) greater than 2-mm ST depression in lead V1
D) sever pulmonary edema and hemoptysis -✓✓B) ST elevation in lead
II, III and aVF.
• You are assessing a middle-aged female who complains of chest
discomfort. She is conscious, alert, and oriented. Her skin is diaphoretic.
Her blood pressure is 122/72 mm Hg, her pulse rate is 120 beats/min,
and her respirations are 20 breaths/min. On the basis of her chief
complaint, which of your assessment findings is the MOST significant?
A) Diaphoresis
B) Mental status
C) Elevated Respiratory Rate
D) Pulse rate of 120 beats/min -✓✓D) pulse rate of 120 beats/min
• In contrast to unstable angina, stable angina occurs when a patient:
A) complains of chest pain at the same time of the day for more than 2
weeks.
B) needs more than two nitroglycerin treatments to relieve his or her
chest pain.
C) experiences chest discomfort after a certain, predictable amount of
exertion.
, D) presents with chest pain or discomfort during periods of low oxygen
demand. -✓✓C) experiences chest discomfort after a certain,
predictable amount of exertion.
• A 71-year-old male presents with chest pain and shortness of breath.
He is conscious, but confused, and is profusely diaphoretic. He has
weakly palpable radial pulses, a BP of 70/40 mm Hg, and diffuse
crackles in all lung fields. You administer high-flow oxygen and apply
the cardiac monitor, which reveals sinus tachycardia. The closest
appropriate hospital is 40 miles away. Which of the following is the
MOST appropriate next action?
A) Obtain a 12-lead ECG tracing.
B) Begin an infusion of dopamine.
C) Perform a head-to-toe exam.
D) Give 20 mL/kg fluid boluses. -✓✓B) Begin an infusion of
dopamine.
• Which of the following is an absolute contraindication for fibrinolytic
therapy?
A) Subdural hematoma 3 years ago
B) BP of 170/100 mm Hg on presentation
C) Current use of anticoagulant medication
D) Ischemic stroke within the last 12 months -✓✓A) Subdural
hematoma 2 years ago
• You are treating a 68-year-old woman with chest pressure and
shortness of breath that started 2 days ago. Her BP is 76/52 mm Hg and
her pulse is 130 beats/min and weak. The cardiac monitor reveals sinus
tachycardia with occasional PVCs and auscultation of her lungs reveals
diffuse coarse crackles. Which of the following treatment interventions
is MOST appropriate for this patient?