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  • Book
    Introduction: Certification Examination and Tips for Preparation
    Pass Guarantee
    Part I: Practice Questions and Answers with Rationales
    Chapter 1: Cardiovascular Emergencies
    1. C) Furosemide 40 mg intravenous push
    2. B) Severe headache
    3. C) Prepare for synchronized cardioversion starting at 50 J
    4. D) Initiate fibrinolytic therapy
    5. B) History of cerebral vascular disease/stroke
    6. A) Epinephrine 1 mg every 4 minutes
    7. D) 190/120 mmHg with elevated creatinine
    8. B) Take manual blood pressures in both arms 9. D) Resynchronize in preparation for the next attempt
    10. B) Check for mechanical capture by observing that each pacing spike-QRS complex grouping produces a palpable femoral pulse
    11. D) Administer furosemide via slow IV push
    12. C) Initiate a crystalloid fluid bolus
    13. C) Peripheral edema decreases
    14. C) Reestablish blood flow through an occluded coronary artery
    15. C) Thrill
    16. D) Minimizing the time to revascularization of the occluded coronary vessels
    17. A) Commotio cordis
    18. B) Needle pericardiocentesis 19. C) The patient reports sharp pain in the chest on inspiration
    20. A) Bring down the blood pressure cautiously
    21. D) Anterolateral myocardial infarction
    22. D) A 59-year-old male with supraventricular tachycardia
    23. A) Pericarditis
    24. C) Quantitative end-tidal carbon dioxide
    25. C) Initiate continuous cardiac monitoring with defibrillation capability
    Chapter 2: Respiratory Emergencies
    1. B) Administer racemic epinephrine
    2. D) Hypoxemia
    3. B) Spontaneous pneumothorax 4. D) Aspiration of water can interfere with surfactant function and cause collapse of the alveoli
    5. B) Assist with advanced airway management
    6. A) Streptococcus pneumoniae
    7. A) Provide supplemental oxygen
    8. C) May have a pulmonary embolus due to hypercoagulability in the postpartum period
    9. C) Provide supplemental oxygen
    10. B) Pulsus paradoxus
    11. B) Decrease FiO
    12. A) Pediatric Glasgow Coma Scale
    13. D) Hyperventilation syndrome
    14. C) Moderate-persistent
    15. A) Transudate
    16. A) Chest radiograph
    17. A) Uncompensated respiratory acidosis 18. A) Wheezing upon auscultation
    19. A) Elevated D-dimer
    20. D) Obtain supplies for provider to perform needle decompression
    Chapter 3: Neurological Emergencies
    1. C) Open the airway and apply oxygen
    2. A) Respiratory
    3. B) Brown-Séquard syndrome
    4. A) Complete a full neurological assessment
    5. D) "I will change the drainage bag with clean gloves."
    6. C) Gag
    7. A) Hyperextension
    8. D) Meningeal irritation
    9. D) Methylprednisolone
    10. A) Hydromorphone
    11. A) Dysphagia protocol
    12. A) Guillain-Barré syndrome
    13. B) Pseudo seizures
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