Question 1

Which of the following is true about alarm fatigue?

Accepted Answer

A)  There is no way to reduce alarm fatigue. 
B)  Alarm fatigue develops when a person is exposed to an excessive number of alarms. 
C)  People become more sensitized with the increased exposure to alarms. 
D)  Alarm fatigue does not influence response time. 
A)  There is no way to reduce alarm fatigue. 
B)  Alarm fatigue develops when a person is exposed to an excessive number of alarms. 
C)  People become more sensitized with the increased exposure to alarms. 
D)  Alarm fatigue does not influence response time.

Question 2

Reduction of alarm fatigue is an important nursing practice.The nurse addresses this concern when which of the following actions is implemented?

Accepted Answer

A)  Changes the electrodes once per shift 
B)  Provides initial and ongoing education about the intravenous pumps 
C)  Monitors all patients diagnosed with cancer on continuous cardiac monitoring 
D)  Uses preset parameters for the pulse oximetry machine 
A)  Changes the electrodes once per shift 
B)  Provides initial and ongoing education about the intravenous pumps 
C)  Monitors all patients diagnosed with cancer on continuous cardiac monitoring 
D)  Uses preset parameters for the pulse oximetry machine

Question 3

Proper placement of the electrocardiogram (ECG)electrodes is essential for which reason?

Accepted Answer

A)  To ensure real-time detection of arrhythmias 
B)  To prevent painful removal of the electrodes 
C)  To facilitate capture of all leads 
D)  To reduce ventricular arrhythmias 
A)  To ensure real-time detection of arrhythmias 
B)  To prevent painful removal of the electrodes 
C)  To facilitate capture of all leads 
D)  To reduce ventricular arrhythmias

Question 4

The nurse is caring for a patient on continuous cardiac monitoring who is experiencing occasional premature ventricular contractions.Which of the following actions demonstrate appropriate protocol? (Select all that apply.)

Accepted Answer

A)  Review alarm trends and waveforms at least once per shift. 
B)  Review alarm trends and waveforms on report of an alarm. 
C)  Record at least one rhythm strip per shift to the patient's medical record. 
D)  Report any unexpected outcomes to the health care provider at the end of the shift. 
A)  Review alarm trends and waveforms at least once per shift. 
B)  Review alarm trends and waveforms on report of an alarm. 
C)  Record at least one rhythm strip per shift to the patient's medical record. 
D)  Report any unexpected outcomes to the health care provider at the end of the shift.

Question 5

The nurse is reviewing the patient's medications and recognizes that which of the following medications can cause arrhythmias? (Select all that apply.)

Accepted Answer

A)  Digoxin 
B)  Amlodipine 
C)  Amiodarone 
D)  Lasix 
A)  Digoxin 
B)  Amlodipine 
C)  Amiodarone 
D)  Lasix

Question 6

The nurse is assessing if the patient needs a 12-lead electrocardiogram (ECG).Which of the following indications,if identified,indicates that a 12-lead ECG should be obtained? (Select all that apply.)

Accepted Answer

A)  Suspected acute coronary syndromes including myocardial infarction 
B)  History of smoking two packs per day for 30 years 
C)  Evaluation of syncope 
D)  Disorders of the cardiac rhythm 
A)  Suspected acute coronary syndromes including myocardial infarction 
B)  History of smoking two packs per day for 30 years 
C)  Evaluation of syncope 
D)  Disorders of the cardiac rhythm

Question 7

The nurse is observing a nursing student perform a 12-lead electrocardiogram (ECG)tracing on a newly admitted patient.The nurse recognizes that the student requires additional training on this skill when he or she observes which of the following erroneous lead placements?

Accepted Answer

A)  V1-Fourth intercostal space at the right sternal angle 
B)  V2-Fourth intercostal space at the right sternal border 
C)  V4-Fifth intercostal space at the midclavicular line 
D)  V6-Left midaxillary line at the level of V4 horizontally 
A)  V1-Fourth intercostal space at the right sternal angle 
B)  V2-Fourth intercostal space at the right sternal border 
C)  V4-Fifth intercostal space at the midclavicular line 
D)  V6-Left midaxillary line at the level of V4 horizontally

Question 8

The nurse identifies the appropriate equipment necessary to obtain a 12-lead electrocardiogram (ECG)and gathers the following supplies: (Select all that apply.)

Accepted Answer

A)  12-lead ECG machine 
B)  Clean,dry towel 
C)  Hair clippers 
D)  Betadine cleanser 
A)  12-lead ECG machine 
B)  Clean,dry towel 
C)  Hair clippers 
D)  Betadine cleanser

Question 9

When applying electrocardiogram (ECG)electrodes to a woman,it is important to give special consideration to which of the following objectives?

Accepted Answer

A)  Place the electrode as close to the chest wall as possible,close to the breast tissue. 
B)  Place the electrode away from the chest wall,close to the breast tissue. 
C)  Place the electrode as close to the chest wall as possible,avoiding the breast tissue. 
D)  Place the electrode away from the chest way,avoiding the breast tissue. 
A)  Place the electrode as close to the chest wall as possible,close to the breast tissue. 
B)  Place the electrode away from the chest wall,close to the breast tissue. 
C)  Place the electrode as close to the chest wall as possible,avoiding the breast tissue. 
D)  Place the electrode away from the chest way,avoiding the breast tissue.

Question 10

The nurse is reviewing the patient's do-not-resuscitate orders when the cardiac alarm sounds.The rhythm is chaotic with no identifiable waves and the rate cannot be determined.Based on these clinical findings,the nurse determines that the patient is in which of the following cardiac rhythms?

Accepted Answer

A)  Asystole 
B)  Ventricular fibrillation 
C)  Ventricular tachycardia 
D)  Sinus bradycardia 
A)  Asystole 
B)  Ventricular fibrillation 
C)  Ventricular tachycardia 
D)  Sinus bradycardia

Question 11

The nurse is obtaining a 12-lead electrocardiogram (ECG)on a patient with syncope.Which of the following actions,if taken by the nurse,are effective at reducing the presence of artifact in the ECG tracing?

Accepted Answer

A)  Instruct the patient to stop talking. 
B)  Turn the ECG machine on after all the electrodes are applied. 
C)  Position the patient in semi-Fowler's position. 
D)  Maintain the gown on the patient to provide privacy. 
A)  Instruct the patient to stop talking. 
B)  Turn the ECG machine on after all the electrodes are applied. 
C)  Position the patient in semi-Fowler's position. 
D)  Maintain the gown on the patient to provide privacy.

Exam 26: Cardiac Care

Which of the following is true about alarm fatigue?

Reduction of alarm fatigue is an important nursing practice.The nurse addresses this concern when which of the following actions is implemented?

Proper placement of the electrocardiogram (ECG)electrodes is essential for which reason?

The nurse is caring for a patient on continuous cardiac monitoring who is experiencing occasional premature ventricular contractions.Which of the following actions demonstrate appropriate protocol? (Select all that apply.)

The nurse is reviewing the patient's medications and recognizes that which of the following medications can cause arrhythmias? (Select all that apply.)

The nurse is assessing if the patient needs a 12-lead electrocardiogram (ECG).Which of the following indications,if identified,indicates that a 12-lead ECG should be obtained? (Select all that apply.)

The nurse is observing a nursing student perform a 12-lead electrocardiogram (ECG)tracing on a newly admitted patient.The nurse recognizes that the student requires additional training on this skill when he or she observes which of the following erroneous lead placements?

The nurse identifies the appropriate equipment necessary to obtain a 12-lead electrocardiogram (ECG)and gathers the following supplies: (Select all that apply.)

When applying electrocardiogram (ECG)electrodes to a woman,it is important to give special consideration to which of the following objectives?

The nurse is reviewing the patient's do-not-resuscitate orders when the cardiac alarm sounds.The rhythm is chaotic with no identifiable waves and the rate cannot be determined.Based on these clinical findings,the nurse determines that the patient is in which of the following cardiac rhythms?

The nurse is obtaining a 12-lead electrocardiogram (ECG)on a patient with syncope.Which of the following actions,if taken by the nurse,are effective at reducing the presence of artifact in the ECG tracing?

Evidence-Informed Nursing Practice

Transitions in Care

Communication and Collaboration

Documentation and Informatics

Medical Asepsis

Sterile Technique

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Emergency Preparedness and Disaster Management

Pain Assessment and Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Nonparenteral Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage Systems

Emergency Measure for Life Support

Vascular Access and Infusion Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination and Catheterization

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Prevention and Care of Skin Breakdown

Wound Care Management and Dressings

Therapeutic Use of Heat and Cold

Safety in the Community

Self-Care Teaching in the Community

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