Megacode 6

1 You happen to notice that a patient on the telemetry unit has an abnormal rhythm. You reach the patient's bedside to find the 40-year-old man apparently sleeping. There is no indication in his medical record that he has had an arrhythmia. His rhythm strip showed the following:
  mega1

1 You happen to notice that a patient on the telemetry unit has an abnormal rhythm. You reach the patient's bedside to find the 40-year-old man apparently sleeping. There is no indication in his medical record that he has had an arrhythmia. His rhythm strip showed the following:
  mega1

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

2 You wake the man up, but he seems disoriented. Which of the following should you do first?

2 You wake the man up, but he seems disoriented. Which of the following should you do first?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

3 The patient becomes more alert as he wakes up, but his blood pressure is 85/55 and his heart rate is 48 beats per minute. He states that he feels very uneasy and dizzy and is having trouble breathing. Auscultation reveals crackles at the base of the lungs. What is your assessment at this point?

3 The patient becomes more alert as he wakes up, but his blood pressure is 85/55 and his heart rate is 48 beats per minute. He states that he feels very uneasy and dizzy and is having trouble breathing. Auscultation reveals crackles at the base of the lungs. What is your assessment at this point?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

4 While you were assessing the patient, other team members have applied supplemental oxygen via nasal cannula and made sure that IV access was patent (open and flushed). Another person is starting to apply the ECG leads. What is your next action?

4 While you were assessing the patient, other team members have applied supplemental oxygen via nasal cannula and made sure that IV access was patent (open and flushed). Another person is starting to apply the ECG leads. What is your next action?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

5 You decide to administer atropine for symptomatic bradycardia. What dose do you give?

5 You decide to administer atropine for symptomatic bradycardia. What dose do you give?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

6 You administer the atropine and monitor the patient’s response. Other team members are starting a second large bore IV. After ten seconds of checking the carotid artery, you cannot find a pulse but the rhythm monitor shows a very slow (25 bpm) bradycardia. What is your next course of action?

6 You administer the atropine and monitor the patient’s response. Other team members are starting a second large bore IV. After ten seconds of checking the carotid artery, you cannot find a pulse but the rhythm monitor shows a very slow (25 bpm) bradycardia. What is your next course of action?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

7 A “code blue” has been sent out and the six people in the room quickly assemble into a team. You start high-quality CPR at a rate of 100 to 120 compressions per minute. According to AHA recommendations, are you in the correct position to be the team leader?

7 A “code blue” has been sent out and the six people in the room quickly assemble into a team. You start high-quality CPR at a rate of 100 to 120 compressions per minute. According to AHA recommendations, are you in the correct position to be the team leader?

  • Key A
    A
  • Key B
    B

8 While you are performing CPR, another person brings a defibrillator and attaches the pads. The following rhythm is present:
mega8
There is no pulse after a 10 second check. Which of the following best describes this patient's condition?

8 While you are performing CPR, another person brings a defibrillator and attaches the pads. The following rhythm is present:
mega8
There is no pulse after a 10 second check. Which of the following best describes this patient's condition?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

9 Assuming that CPR is continuing, how do you first manage pulseless electrical activity?

9 Assuming that CPR is continuing, how do you first manage pulseless electrical activity?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

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Enter your email address and your results will instantly be available on the next page. We will also email you a copy of your graded exam.

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