JB Learning Cardiology Exam – Cardiac
Function, Assessment, and Emergency
Care Review
You assess an unresponsive 65-year-old man and find that he is apneic and
pulseless. The patient's wife tells you that he has an automatic implanted
cardioverter/defibrillator. After initiating CPR, you should: - ✔✔✔✔->>apply
the AED as soon as possible and analyze his cardiac rhythm.
After administering nitroglycerin to a patient with chest discomfort, it is MOST
important for you to: - ✔✔✔✔->>reassess the patient's blood pressure within
5 minutes.
A 66-year-old female presents with an acute onset of confusion, slurred
speech, and an inability to move her right arm and leg. Her airway is patent
and she is breathing adequately. Which of the following is the MOST important
initial information to obtain about this patient - ✔✔✔✔->>When she was last
seen normal
Aspirin may be contraindicated in patients with: - ✔✔✔✔->>stomach ulcers.
,After attaching the AED and pushing the analyze button on an adult patient in
cardiac arrest, the AED states that a shock is advised. Which cardiac rhythm is
the patient MOST likely in? - ✔✔✔✔->>v-fib
When treating a patient with chest pain, pressure, or discomfort, you should
FIRST - ✔✔✔✔->>place the patient in a position of comfort.
In patients with heart disease, acute coronary syndrome is MOST often the
result of: - ✔✔✔✔->>atherosclerosis.
Which of the following statements regarding sudden cardiac arrest and
ventricular fibrillation is correct? - ✔✔✔✔->>For each minute that
defibrillation is delayed, the chance of survival decreases by as much as 10%.
Aspirin is beneficial to patients experiencing an acute coronary syndrome
because it: - ✔✔✔✔->>prevents a clot from getting larger.
You have analyzed a cardiac arrest patient's rhythm three times with the AED,
separated by 2-minute cycles of CPR, and have received no shock messages
each time. You should - ✔✔✔✔->>continue CPR and transport at once.
How can you help maximize cardiac output during CPR? - ✔✔✔✔->>Allow the
chest to fully recoil in between compressions
Which of the following patients is the BEST candidate for the administration of
nitroglycerin? - ✔✔✔✔->>A woman with chest pain, prescribed nitroglycerin,
and a blood pressure of 104/76 mm Hg
You are assessing a 70-year-old male who complains of pain in both of his legs.
He is conscious and alert, has a blood pressure of 160/90 mm Hg, a pulse rate
, of 110 beats/min, and respirations of 14 breaths/min and unlabored. Further
assessment reveals edema to both of his feet and legs and jugular venous
distention. This patient's primary problem is MOST likely: - ✔✔✔✔->>right
heart failure.
Sudden cardiac arrest in the adult population is MOST often the result of: -
✔✔✔✔->>cardiac dysrhythmia
Which of the following describes pulseless electrical activity (PEA)? - ✔✔✔✔-
>>Any organized cardiac rhythm, slow or fast, that does not produce a
palpable pulse
During your assessment of a 70-year-old man with crushing chest pain, you
note that his blood pressure is 80/50 mm Hg. Your MOST important action
should be to: - ✔✔✔✔->>transport without delay
Use of the automated external defibrillator is contraindicated in patients who:
- ✔✔✔✔->>are apneic and have a weak carotid pulse.
Which of the following is the MOST appropriate response when a patient with
chest pain asks you if he or she is having a heart attack? - ✔✔✔✔->>I don't
know, but we will take good care of you.
When assessing a patient who has stroke-like symptoms, you should recall
that: - ✔✔✔✔->>the patient may be unable to communicate, but can often
understand.
A 50-year-old man presents with crushing chest pain that suddently began
about 30 minutes ago. He is diaphoretic and anxious. The EMT should: -
✔✔✔✔->>administer chewable aspirin.
Function, Assessment, and Emergency
Care Review
You assess an unresponsive 65-year-old man and find that he is apneic and
pulseless. The patient's wife tells you that he has an automatic implanted
cardioverter/defibrillator. After initiating CPR, you should: - ✔✔✔✔->>apply
the AED as soon as possible and analyze his cardiac rhythm.
After administering nitroglycerin to a patient with chest discomfort, it is MOST
important for you to: - ✔✔✔✔->>reassess the patient's blood pressure within
5 minutes.
A 66-year-old female presents with an acute onset of confusion, slurred
speech, and an inability to move her right arm and leg. Her airway is patent
and she is breathing adequately. Which of the following is the MOST important
initial information to obtain about this patient - ✔✔✔✔->>When she was last
seen normal
Aspirin may be contraindicated in patients with: - ✔✔✔✔->>stomach ulcers.
,After attaching the AED and pushing the analyze button on an adult patient in
cardiac arrest, the AED states that a shock is advised. Which cardiac rhythm is
the patient MOST likely in? - ✔✔✔✔->>v-fib
When treating a patient with chest pain, pressure, or discomfort, you should
FIRST - ✔✔✔✔->>place the patient in a position of comfort.
In patients with heart disease, acute coronary syndrome is MOST often the
result of: - ✔✔✔✔->>atherosclerosis.
Which of the following statements regarding sudden cardiac arrest and
ventricular fibrillation is correct? - ✔✔✔✔->>For each minute that
defibrillation is delayed, the chance of survival decreases by as much as 10%.
Aspirin is beneficial to patients experiencing an acute coronary syndrome
because it: - ✔✔✔✔->>prevents a clot from getting larger.
You have analyzed a cardiac arrest patient's rhythm three times with the AED,
separated by 2-minute cycles of CPR, and have received no shock messages
each time. You should - ✔✔✔✔->>continue CPR and transport at once.
How can you help maximize cardiac output during CPR? - ✔✔✔✔->>Allow the
chest to fully recoil in between compressions
Which of the following patients is the BEST candidate for the administration of
nitroglycerin? - ✔✔✔✔->>A woman with chest pain, prescribed nitroglycerin,
and a blood pressure of 104/76 mm Hg
You are assessing a 70-year-old male who complains of pain in both of his legs.
He is conscious and alert, has a blood pressure of 160/90 mm Hg, a pulse rate
, of 110 beats/min, and respirations of 14 breaths/min and unlabored. Further
assessment reveals edema to both of his feet and legs and jugular venous
distention. This patient's primary problem is MOST likely: - ✔✔✔✔->>right
heart failure.
Sudden cardiac arrest in the adult population is MOST often the result of: -
✔✔✔✔->>cardiac dysrhythmia
Which of the following describes pulseless electrical activity (PEA)? - ✔✔✔✔-
>>Any organized cardiac rhythm, slow or fast, that does not produce a
palpable pulse
During your assessment of a 70-year-old man with crushing chest pain, you
note that his blood pressure is 80/50 mm Hg. Your MOST important action
should be to: - ✔✔✔✔->>transport without delay
Use of the automated external defibrillator is contraindicated in patients who:
- ✔✔✔✔->>are apneic and have a weak carotid pulse.
Which of the following is the MOST appropriate response when a patient with
chest pain asks you if he or she is having a heart attack? - ✔✔✔✔->>I don't
know, but we will take good care of you.
When assessing a patient who has stroke-like symptoms, you should recall
that: - ✔✔✔✔->>the patient may be unable to communicate, but can often
understand.
A 50-year-old man presents with crushing chest pain that suddently began
about 30 minutes ago. He is diaphoretic and anxious. The EMT should: -
✔✔✔✔->>administer chewable aspirin.
