FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Where are the first electrical impulses stimulating the heart located?.
Answer: Right atrium
◍ What is the best position to optimally hear heart sounds?.
Answer: Sitting up leaning forward
◍ An adult cardiac arrest patient remains in ventricular fibrillation after two
minutes of CPR, one shock and 1 mg epinephrine 1:10,000 I
V. You should administer..
Answer: Amiodarone, 300mg IV
◍ In what leads does ST elevation suggest an anterior wall MI?.
Answer: V3, V4
◍ What does S-T segment elevation greater than 0.1 mV in at least two
contiguous leads indicate?.
Answer: A myocardial infarction
◍ What can rough handling of a patient with severe hypothermia cause?.
Answer: Ventricular fibrillation
◍ Your ALS unit responds to a 55 year-old male complaining of chest pain
and shortness of breath. Upon assessment, you find the patient has a rapid
and regular narrow complex rhythm at a rate of 188 beats per minute. What
is the correct treatment for this patient..
Answer: Synchronized Cardioversion at 50-100 Joules
◍ A 62 year old female complains of chest pain and shortness of breath. She is
extremely anxious. Lung sounds are present with crackles in the bases. Vital
, signs are BP 80/56, P 128, R 24, SpO2 87%. What should you do?.
Answer: Administer Aspirin
◍ A 62 year old female complains of chest pain and shortness of breath. She is
extremely anxious. Vital signs are BP 80/56, P 118, R 24 with crackles,
SpO2 87%. What is the most likely cause?.
Answer: Cardiogenic shock
◍ What is the most effective way to terminate ventricular fibrillation?.
Answer: Defibrillation
◍ A patient has been struck by lightning. You should be most concerned that
the electrical current caused him to do which of the following?.
Answer: Become apneic
◍ - A patient just received an accidental overdose of atenolol. Which of the
following should be used to reverse the effects of this drug?.
Answer: Glucagon
◍ - Which of the following causes congestive heart failure?.
Answer: Poorly functioning left ventricle
◍ A patient was ejected from an automobile and is apneic and pulseless. ECG
reveals a regular rhythm with an R-R interval of 1.24 seconds and a QRS
width of 110 milliseconds. You should consider.
Answer: epinephrine 1 mg IV.
◍ A 40 year old female is complaining of nausea after several episodes of
vomiting. Pulse matches the ECG shown.
https://o.quizlet.com/KfOCtGtN8p3cN7eeTl1sQ
A. jpg Vital signs are BP 130/60, R14, SpO2 98%. You should.
Answer: administer atropine intravenous
◍ Which blood vessels are primarily responsible for the regulation of blood
pressure?.
Answer: Arterioles
◍ What pacemaker in the heart has an intrinsic rate of 60-100 beats per
, minute?.
Answer: SA Node
◍ A patient's chest discomfort has decreased from 8/10 to 2/10 after
nitroglycerin. Which action of nitroglycerin best explains this decrease?.
Answer: Vasodilation of coronary arteries
◍ What should treatment for cardiogenic shock with associated pulmonary
edema include?.
Answer: Elevating the patient's head and shoulders.
◍ A patient presents with confused verbal responses. A radial pulse is not
palpable. ECG shows a wide complex tachycardic rhythm. You should.
Answer: perform synchronized cardioversion
◍ What concept does Starling's Law explain?.
Answer: Heart rate increases when cardiac workload increases
◍ - What is the intrinsic pacemaker rate of the Purkinje fibers?.
Answer: 20-40 times per minute
◍ You are called for a man with a facial laceration. His wife says he was
shaving when he suddenly started talking incoherently and lost his balance.
By the time you arrive, his symptoms have resolved. His wife says he has no
pertinent past medical history. You should suspect a.
Answer: TIA
◍ A 50 year old male complains of light headedness and chest discomfort.
Vital signs are BP 100/86, P 40, R 16. An ECG reveals a second degree type
I AV block. What should you do?.
Answer: Administer atropine
◍ A lethargic 78 year old female has chest pain. She is dyspneic and
nauseated. An ECG shows widened polymorphic complex and a ventricular
rate of 130. What should you do?.
Answer: Synchronized cardioversion
◍ A 45 year old male complains of weakness. Vital signs are BP 90/60, P 40