Disclaimer Use of these or any other course(s)/material(s) does not imply eligibility for certification or successful performance on any certification exam, nor is it a requirement to qualify for individual certification.

5 Sample Questions

A patient complaining of epigastric pain has ST-segment elevation in ECG leads II, III, and aVF. She is diagnosed with an inferior MI, and NTG is administered sublingually. Her blood pressure dropped from 120/74 to 90/60, so the provider ordered a right-side ECG while awaiting cardiology.
Where is the lead placement for V4R to detect right ventricular MI’s?

  • A. 2nd ICS right sternal border 
  • B. 4th ICS right mid-clavicular line
  • C. 5th ICS right mid-clavicular line 
  • D. 5th ICS right mid-axillary line

Which of the following conditions is commonly associated with bradycardias and second-degree, type I heart block? 

  • A. Cardiogenic shock 
  • B. Occlusion of the right coronary artery 
  • C. Occlusion of the left anterior descending artery 
  • D. Prinzmetal’s angina

Watch the video:  12 Lead EKG & Coronary Blood Flow A 67-year-old male complains of shortness of breath and tightness in his chest. VS: HR=108, RR=22, BP=164/94. ECG shows ST segment elevation in V2, V3, and V4. Which coronary artery is likely occluded? 

  • A. Right Coronary Artery 
  • B. Left Anterior Descending 
  • C. Left Marginal Artery 
  • 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, and 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 (SL) nitroglycerin to lower blood pressure and relieve pain. 
  • C. Administer Labetalol to lower heart rate. 
  • D. Infuse nitroprusside (Nipride) to rapidly lower blood pressure.

What is the priority intervention for the patient in pulseless polymorphic ventricular tachycardia? 

  • A. Intubate the patient so you can provide continuous compressions. 
  • B. Administer Epinephrine 1 mg IV. 
  • C. Magnesium sulfate 2 grams IV.
  • D. Initiate high-quality CPR and defibrillate.

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