Question 1

The nurse notices that the patient has a first-degree AV block.Everything else about the rhythm is normal.The nurse should

Accepted Answer

A)   prepare to place the patient on a transcutaneous pacemaker.
B)   give the patient atropine to shorten the PR interval.
C)   monitor the rhythm and patient's condition.
D)   give the patient an antiarrhythmic medication.

Question 2

The patient is admitted with sinus pauses causing periods of loss of consciousness.The patient is asymptomatic,awake and alert,but fatigued.He solve questions appropriately.When admitting this patient,the nurse should first

Accepted Answer

A)   prepare the patient for temporary pacemaker insertion.
B)   prepare the patient for permanent pacemaker insertion.
C)   assess the patient's medication profile.
D)   apply transcutaneous pacemaker paddles.

Question 3

Interpret the following rhythm:

Accepted Answer

A)   Normal sinus rhythm
B)   Sinus bradycardia
C)   Sinus tachycardia
D)   Sinus arrhythmia

Question 4

The nurse notices sinus bradycardia on the patient's cardiac monitor.The nurse should

Accepted Answer

A)   give atropine to increase heart rate.
B)   begin transcutaneous pacing of the patient.
C)   start a dopamine infusion to stimulate heart function.
D)   assess for hemodynamic instability.

Question 5

Interpret the following rhythm:

Accepted Answer

A)   Junctional rhythm
B)   An accelerated junctional rhythm
C)   A junctional tachycardia
D)   Atrial fibrillation A

Question 6

The nurse understands that in a third-degree AV block

Accepted Answer

A)   every P wave is conducted to the ventricles.
B)   some P waves are conducted to the ventricles.
C)   none of the P waves are conducted to the ventricles.
D)   the PR interval is prolonged.

Question 7

Interpret the following rhythm:

Accepted Answer

A)   Normal sinus rhythm
B)   Sinus bradycardia
C)   Sinus tachycardia
D)   Sinus arrhythmia

Question 8

Which of the following is true about a patient diagnosed with sinus arrhythmia?

Accepted Answer

A)   The heart rate varies, dependent on vagal tone and respiratory pattern.
B)   Immediate treatment is essential to prevent death.
C)   Sinus arrhythmia is not well tolerated by most patients.
D)   PR and QRS interval measurements are prolonged.

Question 9

Interpret the following rhythm:

Accepted Answer

A)   Atrial pacing
B)   Ventricular pacing
C)   Dual-chamber pacing
D)   Transcutaneous pacing

Question 10

Interpret the following rhythm:

Accepted Answer

A)   Normal sinus rhythm
B)   Sinus bradycardia
C)   Sinus tachycardia
D)   Sinus arrhythmia

Question 11

Interpret the following rhythm:

Accepted Answer

A)   Sinus rhythm with multifocal premature ventricular contractions
B)   Sinus rhythm with unifocal premature ventricular contractions
C)   Sinus rhythm with bigeminal premature ventricular contractions
D)   Sinus rhythm with paired premature ventricular contractions (couplets)  A

Question 12

The patient is in third-degree heart block (complete heart block) and is symptomatic.The treatment for this patient is which of the following? (Select all that apply.)

Accepted Answer

A)   Transcutaneous pacemaker
B)   Atropine IV
C)   Temporary transvenous pacemaker
D)   Permanent pacemaker
E)   Amiodarone IV

Question 13

Interpret the following rhythm:

Accepted Answer

A)   Sinus rhythm with PACs
B)   Normal sinus rhythm
C)   Sinus tachycardia
D)   Sinus bradycardia

Question 14

The nurse notices ventricular tachycardia on the heart monitor.When the patient is assessed,the patient is found to be unresponsive with no pulse.The nurse should

Accepted Answer

A)   treat with intravenous amiodarone or lidocaine.
B)   begin cardiopulmonary resuscitation and advanced life support.
C)   provide electrical cardioversion.
D)   ignore the rhythm because it is benign.

Question 15

The nurse caring for patients with cardiac monitoring understands that when an electrical signal is aimed directly at the positive electrode,the inflection will be:

Accepted Answer

A)   negative.
B)   upside down.
C)   upright.
D)   equally positive and negative. C

Question 16

The nurse caring for patients on cardiac monitors assesses the patient with a prolonged QT interval for

Accepted Answer

A)   electrolyte disturbances such as hypokalemia.
B)   symptomatic bradycardias.
C)   the development of lethal dysrhythmias.
D)   difficulty maintaining the blood pressure.

Question 17

Interpret the following rhythm:

Accepted Answer

A)   Sinus rhythm with multifocal premature ventricular contractions
B)   Sinus rhythm with unifocal premature ventricular contractions
C)   Sinus rhythm with bigeminal premature ventricular contractions
D)   Sinus rhythm with paired premature ventricular contractions (couplets)

Question 18

The rhythm on the cardiac monitor is showing numerous pacemaker spikes,but no P waves or QRS complexes following the spikes.The nurse recognizes this as:

Accepted Answer

A)   normal pacemaker function.
B)   failure to capture.
C)   failure to pace.
D)   failure to sense.

Question 19

The patient's heart rate is 70 beats per minute,but the P waves come after the QRS complex.The nurse correctly determines that the patient's heart rhythm is

Accepted Answer

A)   a normal junctional rhythm.
B)   an accelerated junctional rhythm.
C)   a junctional tachycardia.
D)   atrial fibrillation.

Question 20

Interpret the following rhythm:

Accepted Answer

A)   Normal sinus rhythm
B)   Sinus rhythm with second-degree AV block
C)   Complete heart block
D)   Sinus rhythm with first-degree AV block

Exam 7: Dysrhythmia Interpretation and Management

The nurse notices that the patient has a first-degree AV block.Everything else about the rhythm is normal.The nurse should

Correct AnswerverifiedShow Answer

The patient is admitted with sinus pauses causing periods of loss of consciousness.The patient is asymptomatic,awake and alert,but fatigued.He solve questions appropriately.When admitting this patient,the nurse should first

Correct AnswerverifiedShow Answer

Interpret the following rhythm:

Correct AnswerverifiedShow Answer

The nurse notices sinus bradycardia on the patient's cardiac monitor.The nurse should

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Interpret the following rhythm:

Correct AnswerverifiedA

The nurse understands that in a third-degree AV block

Correct AnswerverifiedShow Answer

Interpret the following rhythm:

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Which of the following is true about a patient diagnosed with sinus arrhythmia?

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Interpret the following rhythm:

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Interpret the following rhythm:

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Interpret the following rhythm:

Correct AnswerverifiedA

The patient is in third-degree heart block (complete heart block) and is symptomatic.The treatment for this patient is which of the following? (Select all that apply.)

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Interpret the following rhythm:

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The nurse notices ventricular tachycardia on the heart monitor.When the patient is assessed,the patient is found to be unresponsive with no pulse.The nurse should

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The nurse caring for patients with cardiac monitoring understands that when an electrical signal is aimed directly at the positive electrode,the inflection will be:

Correct AnswerverifiedC

The nurse caring for patients on cardiac monitors assesses the patient with a prolonged QT interval for

Correct AnswerverifiedShow Answer

Interpret the following rhythm:

Correct AnswerverifiedShow Answer

The rhythm on the cardiac monitor is showing numerous pacemaker spikes,but no P waves or QRS complexes following the spikes.The nurse recognizes this as:

Correct AnswerverifiedShow Answer

The patient's heart rate is 70 beats per minute,but the P waves come after the QRS complex.The nurse correctly determines that the patient's heart rhythm is

Correct AnswerverifiedShow Answer

Interpret the following rhythm:

Correct AnswerverifiedShow Answer

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C

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