01
Choose one
1 point
A patient with acute heart failure has pulmonary congestion and significant dyspnea, but is hypotensive. Which action is appropriate regarding vasodilator treatment?
Free Practice Quiz Question List
7 Other Cardiac Emergencies Online Quiz Questions
Use this free practice quiz with 20 questions to review 7 Other Cardiac Emergencies, test your knowledge, and prepare for your next test or exam.
20 questions
02
Choose one
1 point
A patient has cool, clammy skin, weak pulses, and worsening renal function, but is not profoundly hypotensive. Which interpretation is most appropriate?
- A
Shock is unlikely unless profound hypotension is already present.
- B
Shock can be ruled out if the patient has no chest pain.
- C
Shock may be developing before profound hypotension appears.
- D
Shock is present only when pulmonary edema is absent.
03
Choose one
1 point
After ROSC, a patient’s 12-lead ECG shows persistent ST-segment elevation. What should the team do regarding coronary assessment?
- A
Arrange emergency coronary angiography.
- B
Wait for a seizure evaluation before considering cardiac assessment.
- C
Avoid angiography unless the patient also has recurrent ventricular arrhythmias.
- D
Defer coronary assessment until neurologic prognosis is established.
04
Choose all
1 point
A patient with suspected cardiogenic shock is being assessed for inadequate tissue perfusion. Select all findings that support poor perfusion.
- A
Altered mentation
- B
Cool or clammy skin
- C
Crackles on lung examination
- D
Low urine output
05
Choose all
1 point
For a comatose adult after ROSC, which statements describe appropriate general oxygenation, ventilation, or perfusion goals? Select all that apply.
- A
Once oxygenation can be measured reliably, titrate oxygen to avoid both hypoxemia and hyperoxemia.
- B
Generally target PaCO₂ of 35–45 mm Hg in comatose adults.
- C
Maintain MAP at least 65 mm Hg, adjusting care to the patient’s condition.
- D
Continue 100% inspired oxygen indefinitely, regardless of measured oxygenation.
- E
Use one specific vasopressor because it is established as best for every post-arrest patient.
06
True or false
1 point
True or false: Return of spontaneous circulation (ROSC) is the start of ongoing resuscitation, not the end of care.
- A
True
- B
False
07
True or false
1 point
True or false: A single early neurologic finding is enough to establish prognosis after ROSC, even if sedation may be affecting the examination.
- A
True
- B
False
08
Written response
1 point
After ROSC, what minimum mean arterial pressure (MAP), in mm Hg, should generally be maintained?
09
Written response
1 point
A patient with acute heart failure has significant respiratory distress, can protect their airway, and has no contraindication to noninvasive support. Which intervention should be considered?
10
Fill in the blank
1 point
For clinical congestion in acute heart failure, IV loop are commonly used.
11
Fill in the blank
1 point
For an adult who does not follow verbal commands after ROSC, use a deliberate protocol for within the recommended range.
12
Open ended
1 point
A patient with suspected cardiogenic shock has cool, clammy skin, weak pulses, and pulmonary congestion. Describe the immediate priorities for escalation and evaluation, and explain how fluid treatment should be approached.
13
Choose one
1 point
When evaluating a patient with acute decompensated heart failure, which potential precipitating cause should the team assess?
- A
A prior healed skin abrasion
- B
Medication nonadherence
- C
A stable, unchanged chronic scar
- D
A normal capillary refill time
14
True or false
1 point
True or false: Temporary mechanical circulatory support is routine for every patient with cardiogenic shock.
- A
True
- B
False
15
Choose one
1 point
A patient develops worsening breathlessness and orthopnea, with crackles, jugular venous distention, and peripheral edema. Which condition best explains this pattern?
- A
Acute decompensated heart failure
- B
Cardiogenic shock
- C
Isolated medication-related hypoglycemia
- D
Uncomplicated stable angina
16
Choose one
1 point
A patient with acute heart failure has significant respiratory distress but can protect their airway and has no contraindication to noninvasive support. Which respiratory intervention is appropriate to consider?
- A
Use noninvasive positive-pressure ventilation for any patient with breathlessness, regardless of airway protection.
- B
Consider noninvasive positive-pressure ventilation if distress is significant, the patient can protect their airway, and there is no contraindication.
- C
Avoid respiratory support until imaging confirms pulmonary edema.
- D
Use noninvasive positive-pressure ventilation only after respiratory failure has worsened and an advanced airway has been placed.
17
Choose one
1 point
A patient with acute heart failure remains dyspneic and has adequate blood pressure. Which approach to IV nitroglycerin is most consistent with recommended initial care?
- A
Give IV nitroglycerin even if the patient is hypotensive.
- B
Avoid all vasodilators in acute heart failure, regardless of blood pressure.
- C
Consider IV nitroglycerin for dyspnea if blood pressure is adequate, and avoid it in hypotension.
- D
Use a vasodilator only after pulmonary edema has resolved.
18
Choose one
1 point
A patient has cool clammy skin, weak pulses, delayed capillary refill, and low urine output, but blood pressure is not profoundly low. What is the most appropriate response?
- A
Activate a shock or critical-care/cardiology response, establish monitoring and IV access, and urgently assess the cause.
- B
Wait for profound hypotension before escalating care.
- C
Treat the patient as having uncomplicated heart failure unless chest pain is present.
- D
Give a large empiric fluid bolus before assessing for pulmonary congestion.
19
Written response
1 point
After return of spontaneous circulation, what is the minimum mean arterial pressure target in mm Hg?
20
Written response
1 point
After ROSC, which persistent ECG finding calls for emergency coronary angiography?