PDB CEN Practice Exam Test Bank Practice Questions &
Answers 2023/2024 well Verified
A patient complained of Epigastric pain has ST elevation in ECG leads II, III, and aVF. She is diagnosed
with an inferior MI, and NTG is administered sublingually. Her blood pressure drops from 120/47 to
90/60 so the Provider order is a right-sided ECG while awaiting cardiology. Where is the correct leap
placement for V4R to detect right ventricular MI's?
a. 2nd ICS R sternal border
b. 4th ICS R mid-cliviclar line
c. 5th ICS L mid-clavicular line
d. 5th ICS R mid-axillary line correct answers b. 4th ICS R mid-cliviclar line
Which of the following conditions is commonly associated with bradycardias and second agree, type I
heart block?
a. Cardiogenic shock
b. occlusion of the right coronary artery
c. occlusion of the left anterior descending artery
d. prinzmeta's angina correct answers b. occlusion of the right coronary artery
Hey 67-year-old male complains of shortness of breath and tightness in his chest. VS: HR=108, RR=22,
BP=167/94, ECG shows St segment elevation in V2, V3, V4. Which coronary artery is likely occluded?
a. R coronary Artery
b. L Anterior Descending
c. L marginal Artery
d. Circumflex correct answers d. Circumflex
A patient with Ehlers Danlos complains of a sudden onset of severe chest to scapular pain. Heart rate 98
BPM. The left brachial BP is 180/90, the right brachial BP is 150/70. What is the priority intervention for
this patient?
a. Initiate oxygen via NRB mask and start two large-bore IV's
b. Administer sublingual nitroglycerin to lower blood pressure and relieve pain
c. administer Labetalol to lower heart rate
d. infuse nitroprusside (Nipride) to rapidly lower BP correct answers a. Initiate oxygen via NRB mask and
start two large bore IV's
What is the priority intervention for the patient and pulseless polymorphic ventricular tachycardia?
a. Intubate a patient so you can provide continuous compressions.
b. administer Epinephrine 1 mg IV
c. Administer Magnesium sulfate 2 grams IV
d. Initiate high-quality CPR and defibrillate. correct answers d. Initiate high-quality CPR and defibrillate.
A patient in pulseless electrical activity (PEA) has high-quality CPR in progress and is receiving
epinephrine 1 mg IV at every other pulse check. Which diagnostic test should be performed immediately
to assess myocardial contractility and identify potentially treatable causes of PEA. correct answers Point
of care ultrasound
,A 35-year-old female complains of palpitations and shortness of breath. Vital signs: HR is 220, RR 22, BP
76/50. Cardiac monitor reveals a narrow complex tachycardia. During synchronized cardioversion, the
shock is delivered when/where? correct answers On the 'R' Wave
(T wave shock can lead to Ventricular dysrhythmias)
A patient with a history of heart failure is being admitted for pneumonia. You notice a prolonged QT
interval on the cardiac monitor. Which of the following medications should the nurse be concerned
about administering?
a. Aspirin
b. Erythromycin
c. Labetalol
d. Lisinopril correct answers b. erythromycin
A 30 y.o. female who smokes and takes birth control complains of sudden onset dyspnea. Assessment
reveals tachypnea, tachycardia, apprehension, and diaphoresis. The nurse expects the blood gases to
reveal which combination:
a. Decrease PaO2 and decrease PaCO2
b. Decrease PaO2 and increased PaCO2
c. Increase PaO2 and decreased PaCO2
d. Increase PaO2 and increase PaCO2 correct answers b. Decrease PaO2 and increase PaCO2
A 20-year-old victim of physical assault is hit in the chest with a bat. Which ECG changes are seen most
often with blunt cardiac injury?
a. Sinus bradycardia
b. Pulseless electrical activity
c. Polymorphic ventricular tachycardia
d. Sinus tachycardia with PVCs correct answers d. Sinus tachycardia with PVCs
Which form of shock occurs following a massive pulmonary embolism?
a. Hypovolemic
b. Obstructive
c. Cardiogenic
d. Distributive correct answers b. Obstructive
You are performing the airway component of the primary assessment. Which finding would lead you to
conclude that a child has an upper airway obstruction?
a. Dry, nonproductive cough
b. Inspiratory stridor
c. Subcostal retractions
d. Wheezing correct answers b. Inspiratory stridor
A patient is transported to the ED three days post-op pelvic fracture repair after an abrupt onset of
pleuritic chest pain, dyspnea, hemoptysis, and jugular vein distention. ECG shows new onset right bundle
branch block and right access deviation. Which of the following is the "gold standard" in diagnosing a
pulmonary embolus.
a. Ventricular-perfusing lung scan
b. CT pulmonary angiography
, c. Magnetic resonance imaging
d. D-dimer correct answers b. CT pulmonary angiography
When the SPO2 suddenly decreases from 95% to 75% in the mechanically vanilla patient what is the
priority?
a. manually ventilate the patient
b. Access breath sounds bilaterally
c. check the ventilator tubing for kinks
d. assure the oxygen is connected to the ventilator correct answers d. assure the oxygen is connected to
the ventilator
Analyze the following ABG results seen in a patient after ethylene glycol ingestion: pH 7.32, Co2 32,
HCO3 17
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis correct answers c. Metabolic acidosis
Albuterol is administered via nebulizer to a patient experiencing an asthma exacerbation. On
reassessment, the nurse would expect which the following findings?
a. An increased peak flow reading
b. Decrease in oxygen saturation
c. Pulseless paradoxes
d. Decrease in heart rate correct answers a. A increased peak flow readings
Patient returns to the ED after a high impact frontal MVC which caused multiple rib fractures. The nurse
monitors the patient closely for signs of respiratory distress, which may indicate pulmonary contusion.
The peak time for clinical symptoms of pulmonary contusion to manifest is:
a. Immediately following the chest injury
b. 6 to 12 hours post injury
c. 24 to 48 hours post injury
d. 72 hours post injury correct answers b. 6 to 12 hours post injury
You have an order for nitroglycerin on a patient complaining of chest pain. Which medical history would
concern the nurse to inquire about home medication prior to administering nitroglycerin?
a. Depression
b. Diabetes
c. Pulmonary hypertension
d. Pneumonia correct answers c pulmonary hypertension
Which air leak syndrome is considered the most life-threatening?
a. Spontaneous pneumothorax
b. Open pneumothorax
c. Tension pneumothorax
d. Pneumoperitoneum correct answers c tension pneumothorax
EMS bring in a patient who was snowboarding and ran into a suspended cable. He has dyspnea,
dysphonia, odynophagia, and subcutaneous emphysema. The nurse suspects:
Answers 2023/2024 well Verified
A patient complained of Epigastric pain has ST elevation in ECG leads II, III, and aVF. She is diagnosed
with an inferior MI, and NTG is administered sublingually. Her blood pressure drops from 120/47 to
90/60 so the Provider order is a right-sided ECG while awaiting cardiology. Where is the correct leap
placement for V4R to detect right ventricular MI's?
a. 2nd ICS R sternal border
b. 4th ICS R mid-cliviclar line
c. 5th ICS L mid-clavicular line
d. 5th ICS R mid-axillary line correct answers b. 4th ICS R mid-cliviclar line
Which of the following conditions is commonly associated with bradycardias and second agree, type I
heart block?
a. Cardiogenic shock
b. occlusion of the right coronary artery
c. occlusion of the left anterior descending artery
d. prinzmeta's angina correct answers b. occlusion of the right coronary artery
Hey 67-year-old male complains of shortness of breath and tightness in his chest. VS: HR=108, RR=22,
BP=167/94, ECG shows St segment elevation in V2, V3, V4. Which coronary artery is likely occluded?
a. R coronary Artery
b. L Anterior Descending
c. L marginal Artery
d. Circumflex correct answers d. Circumflex
A patient with Ehlers Danlos complains of a sudden onset of severe chest to scapular pain. Heart rate 98
BPM. The left brachial BP is 180/90, the right brachial BP is 150/70. What is the priority intervention for
this patient?
a. Initiate oxygen via NRB mask and start two large-bore IV's
b. Administer sublingual nitroglycerin to lower blood pressure and relieve pain
c. administer Labetalol to lower heart rate
d. infuse nitroprusside (Nipride) to rapidly lower BP correct answers a. Initiate oxygen via NRB mask and
start two large bore IV's
What is the priority intervention for the patient and pulseless polymorphic ventricular tachycardia?
a. Intubate a patient so you can provide continuous compressions.
b. administer Epinephrine 1 mg IV
c. Administer Magnesium sulfate 2 grams IV
d. Initiate high-quality CPR and defibrillate. correct answers d. Initiate high-quality CPR and defibrillate.
A patient in pulseless electrical activity (PEA) has high-quality CPR in progress and is receiving
epinephrine 1 mg IV at every other pulse check. Which diagnostic test should be performed immediately
to assess myocardial contractility and identify potentially treatable causes of PEA. correct answers Point
of care ultrasound
,A 35-year-old female complains of palpitations and shortness of breath. Vital signs: HR is 220, RR 22, BP
76/50. Cardiac monitor reveals a narrow complex tachycardia. During synchronized cardioversion, the
shock is delivered when/where? correct answers On the 'R' Wave
(T wave shock can lead to Ventricular dysrhythmias)
A patient with a history of heart failure is being admitted for pneumonia. You notice a prolonged QT
interval on the cardiac monitor. Which of the following medications should the nurse be concerned
about administering?
a. Aspirin
b. Erythromycin
c. Labetalol
d. Lisinopril correct answers b. erythromycin
A 30 y.o. female who smokes and takes birth control complains of sudden onset dyspnea. Assessment
reveals tachypnea, tachycardia, apprehension, and diaphoresis. The nurse expects the blood gases to
reveal which combination:
a. Decrease PaO2 and decrease PaCO2
b. Decrease PaO2 and increased PaCO2
c. Increase PaO2 and decreased PaCO2
d. Increase PaO2 and increase PaCO2 correct answers b. Decrease PaO2 and increase PaCO2
A 20-year-old victim of physical assault is hit in the chest with a bat. Which ECG changes are seen most
often with blunt cardiac injury?
a. Sinus bradycardia
b. Pulseless electrical activity
c. Polymorphic ventricular tachycardia
d. Sinus tachycardia with PVCs correct answers d. Sinus tachycardia with PVCs
Which form of shock occurs following a massive pulmonary embolism?
a. Hypovolemic
b. Obstructive
c. Cardiogenic
d. Distributive correct answers b. Obstructive
You are performing the airway component of the primary assessment. Which finding would lead you to
conclude that a child has an upper airway obstruction?
a. Dry, nonproductive cough
b. Inspiratory stridor
c. Subcostal retractions
d. Wheezing correct answers b. Inspiratory stridor
A patient is transported to the ED three days post-op pelvic fracture repair after an abrupt onset of
pleuritic chest pain, dyspnea, hemoptysis, and jugular vein distention. ECG shows new onset right bundle
branch block and right access deviation. Which of the following is the "gold standard" in diagnosing a
pulmonary embolus.
a. Ventricular-perfusing lung scan
b. CT pulmonary angiography
, c. Magnetic resonance imaging
d. D-dimer correct answers b. CT pulmonary angiography
When the SPO2 suddenly decreases from 95% to 75% in the mechanically vanilla patient what is the
priority?
a. manually ventilate the patient
b. Access breath sounds bilaterally
c. check the ventilator tubing for kinks
d. assure the oxygen is connected to the ventilator correct answers d. assure the oxygen is connected to
the ventilator
Analyze the following ABG results seen in a patient after ethylene glycol ingestion: pH 7.32, Co2 32,
HCO3 17
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis correct answers c. Metabolic acidosis
Albuterol is administered via nebulizer to a patient experiencing an asthma exacerbation. On
reassessment, the nurse would expect which the following findings?
a. An increased peak flow reading
b. Decrease in oxygen saturation
c. Pulseless paradoxes
d. Decrease in heart rate correct answers a. A increased peak flow readings
Patient returns to the ED after a high impact frontal MVC which caused multiple rib fractures. The nurse
monitors the patient closely for signs of respiratory distress, which may indicate pulmonary contusion.
The peak time for clinical symptoms of pulmonary contusion to manifest is:
a. Immediately following the chest injury
b. 6 to 12 hours post injury
c. 24 to 48 hours post injury
d. 72 hours post injury correct answers b. 6 to 12 hours post injury
You have an order for nitroglycerin on a patient complaining of chest pain. Which medical history would
concern the nurse to inquire about home medication prior to administering nitroglycerin?
a. Depression
b. Diabetes
c. Pulmonary hypertension
d. Pneumonia correct answers c pulmonary hypertension
Which air leak syndrome is considered the most life-threatening?
a. Spontaneous pneumothorax
b. Open pneumothorax
c. Tension pneumothorax
d. Pneumoperitoneum correct answers c tension pneumothorax
EMS bring in a patient who was snowboarding and ran into a suspended cable. He has dyspnea,
dysphonia, odynophagia, and subcutaneous emphysema. The nurse suspects:
