JB Learning Cardiology Exam/ JB Learning
Cardiology Exam Preparation /JB Learning
Cardiology Practice Exam Newest 2025/2026
Complete 300 Questions And Correct Detailed
Answers (Verified Rationales)
When assessing a patient who has stroke-like symptoms, you should recall that:
A) the majority strokes are caused by a ruptured cerebral artery.
B) the patient may be unable to communicate, but can often understand.
C) right-sided weakness indicates a stroke in the right cerebral hemisphere.
D) fibrinolytic therapy must be given within 6 hours following the stroke
. - Correct Answer :B
Feedback :
Some patients who have had a stroke may be unable to communicate (expressive aphasia), but they
can often understand what is being said around them; be aware of this possibility. Approximately 80
percent of all strokes are caused by an occluded cerebral artery (ischemic stroke); strokes caused by
a ruptured cerebral artery (hemorrhagic stroke) are less common. Because the left side of the brain
controls the right side of the body, and vice versa, right-sided weakness (hemiparesis) indicates a
stroke in the left cerebral hemisphere. Some patients who have had a stroke may benefit from
fibrinolytic (clot-buster) therapy; however, to be most effective, this treatment must be given within
the first 3 hours following the onset of the stroke.
Which of the following is the MOST detrimental effect that tachycardia can have on a patient
experiencing a cardiac problem?
A+ TEST BANK 1
, JB Learning Cardiology Exam
A) Increased blood pressure
B) Increased oxygen demand
C) Increased stress and anxiety
D) Decreased cardiac functioning
- Correct Answer :B
Feedback :
As the heart beats faster, it consumes and demands more oxygen. Tachycardia can be extremely
detrimental to the patient with a compromised heart that is already deprived of oxygen. Keeping the
patient calm cannot be overemphasized. The more stressed and anxious the patient gets, the faster
his or her heart will beat.
Your assessment of a middle-aged female with chest pressure reveals that she is confused, is
diaphoretic, and has a blood pressure of 70/50 mm Hg. In caring for this patient, it is MOST important
for you to:
A) request an ALS unit to respond to the scene.
B) assist her with her nitroglycerin if she has any.
C) reassess her vital signs at least every 5 minutes.
D) prepare for immediate transport to the hospital.
- Correct Answer :D
Feedback :
Your patient is in shock, which is most likely the result of heart failure (cardiogenic shock).
Immediate transport to the closest appropriate hospital is critical. Assess for and manage problems
with airway, breathing, and circulation, and then get on the road! She needs definitive care that can
be provided only at the hospital. Reassess her vital signs at least every 5 minutes, but do it en route!
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, JB Learning Cardiology Exam
If you can rendezvous with an ALS unit en route, do so. However, you should not remain at the scene
to wait for them. Nitroglycerin is clearly contraindicated for this patient; her BP is dangerously low.
Which of the following patients would MOST likely present with vague or unusual symptoms of an
acute myocardial infarction?
A) 55-year-old obese female
B) 66-year-old male with angina
C) 72-year-old female with diabetes
D) 75-year-old male with hypertension
- Correct Answer :C
Feedback :
Not all patients experiencing acute myocardial infarction (AMI) present with the classic signs and
symptoms one would expect. Middle-aged men often minimize their symptoms and attribute their
chest pain or discomfort to indigestion. Some patients, however, do not experience any pain. In
particular, elderly women with diabetes may present with vague, unusual, or atypical symptoms of
AMI; their only presenting complaint may be fatigue or syncope. Do not rule out a cardiac problem
just because a patient is not experiencing chest pain, pressure, or discomfort; this is especially true in
elderly females with diabetes.
Which of the following statements regarding the automated external defibrillator (AED) is correct?
A) The AED should be applied to patients at risk for cardiac arrest.
B) AEDs will analyze the patient's rhythm while CPR is in progress.
C) The AED should not be used in patients with an implanted defibrillator.
D) AEDs can safely be used in infants and children less than 8 years of age.
- Correct Answer :D
Feedback :
A+ TEST BANK 3
, JB Learning Cardiology Exam
According to the 2015 guidelines for CPR and Emergency Cardiac Care (ECC), the AED can safely be
used in infants and children less than 8 years of age. Although a manual defibrillator is preferred in
infants, an AED can be used. When using the AED in infants and children, you should use pediatric
pads and a dose-attenuating system (energy reducer); however, if these are not available, adult AED
pads should be used. The AED should be applied only to patients in cardiac arrest; if a patient is at
risk for cardiac arrest, have the AED ready but not applied. The AED will not analyze the cardiac
rhythm if the patient is moving (ie, CPR is in progress). AEDs can be used in patients with an
automated implanted cardioverter/defibrillator (AICD) or implanted pacemaker; ensure that the pads
are at least 1 inch away from the implanted device.
Which of the following describes pulseless electrical activity (PEA)?
A) disorganized, chaotic quivering of the heart muscle that does not generate a pulse
B) The presence of a palpable pulse in the absence of any electrical activity in the heart
C) A rapid cardiac rhythm that does not produce a pulse, but responds to defibrillation
D) Any organized cardiac rhythm, slow or fast, that does not produce a palpable pulse
- Correct Answer :D
Feedback :
Pulseless electrical activity (PEA) is a condition in which the heart produces organized electrical
activity (slow or fast), despite the absence of a palpable pulse. A disorganized, chaotic quivering of
the heart muscle that does not generate a pulse is called ventricular fibrillation (V-Fib), and is treated
with defibrillation. Defibrillation is not indicated for patients with PEA; it is indicated only for patients
with V-Fib or pulseless ventricular tachycardia (V-Tach). If the AED gives a no shock message and the
patient is still pulseless, he or she is either in asystole or PEA, neither of which is a shockable rhythm.
Which of the following statements regarding one-rescuer CPR is correct?
A) You should assess the patient for a pulse after 3 cycles of CPR.
B) A compression to ventilation ratio of 15:2 should be delivered.
C) Ventilations should be delivered over a period of 2 to 3 seconds.
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