Question 1

Sinus bradycardia is a symptom of which of the following? (Select all that apply.)

Accepted Answer

A)  Calcium channel blocker medication 
B)  Beta-blocker medication 
C)  Athletic conditioning 
D)  Hypothermia 
E)  Hyperthyroidism 
A)  Calcium channel blocker medication 
B)  Beta-blocker medication 
C)  Athletic conditioning 
D)  Hypothermia 
E)  Hyperthyroidism A,B,C,D

Question 2

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

Question 3

The nurse is working on the night shift when she 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. 
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. D

Question 4

The patient is admitted with a condition that requires cardiac rhythm monitoring.To apply the monitoring electrodes,the nurse must first:

Accepted Answer

A)  apply a moist gel to the chest. 
B)  make certain that the electrode gel is dry. 
C)  avoid soaps to avoid skin irritation. 
D)  clip chest hair if needed. 
A)  apply a moist gel to the chest. 
B)  make certain that the electrode gel is dry. 
C)  avoid soaps to avoid skin irritation. 
D)  clip chest hair if needed.

Question 5

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

Accepted Answer

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

Question 6

Interpret the following rhythm:

Accepted Answer

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

Question 7

The patient is alert and talking when the nurse notices the following rhythm.The patient's blood pressure is 90/44 mm Hg.The nurse should

Accepted Answer

A)  defibrillate immediately. 
B)  begin basic life support. 
C)  begin advanced life support. 
D)  treat with intravenous amiodarone or lidocaine. 
A)  defibrillate immediately. 
B)  begin basic life support. 
C)  begin advanced life support. 
D)  treat with intravenous amiodarone or lidocaine.

Question 8

The patient's heart rate is 165 beats per minute.His cardiac monitor shows a rapid rate with narrow QRS complexes.The P waves cannot be seen,but the rhythm is regular.The patient's blood pressure has dropped from 124/62 to 78/30.His skin is cold and diaphoretic and he is complaining of nausea.The nurse prepares the patient for:

Accepted Answer

A)  administration of beta-blockers. 
B)  administration of atropine. 
C)  transcutaneous pacemaker insertion. 
D)  emergent cardioversion. 
A)  administration of beta-blockers. 
B)  administration of atropine. 
C)  transcutaneous pacemaker insertion. 
D)  emergent cardioversion.

Question 9

The patient has a permanent pacemaker in place with a demand rate set at 60 beats/min.The cardiac monitor is showing a heart rate of 44 beats/min with no pacemaker spikes.The nurse realizes this as:

Accepted Answer

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

Question 10

Interpret the following rhythm:

Accepted Answer

A)  Atrial Fibrillation 
B)  Atrial Flutter 
C)  Atrial flutter with RVR 
D)  Junctional escape rhythm 
A)  Atrial Fibrillation 
B)  Atrial Flutter 
C)  Atrial flutter with RVR 
D)  Junctional escape rhythm

Question 11

Interpret the following rhythm:

Accepted Answer

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

Question 12

The patient is having premature ventricular contractions (PVCs).The nurse's greatest concern should be:

Accepted Answer

A)  the proximity of the R wave of the PVC to the T wave of a normal beat. 
B)  the fact that PVCs are occurring, because they are so rare. 
C)  if the number of PVCs are decreasing. 
D)  if the PVCs are wider than 0.12 seconds. 
A)  the proximity of the R wave of the PVC to the T wave of a normal beat. 
B)  the fact that PVCs are occurring, because they are so rare. 
C)  if the number of PVCs are decreasing. 
D)  if the PVCs are wider than 0.12 seconds.

Question 13

Interpret the following rhythm:

Accepted Answer

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

Question 14

Interpret the following rhythm:

Accepted Answer

A)  First-degree AV block 
B)  Second-degree AV block Mobitz I (Wenckebach phenomenon) 
C)  Second-degree AV block Mobitz II 
D)  Third-degree AV block (complete heart block) 
A)  First-degree AV block 
B)  Second-degree AV block Mobitz I (Wenckebach phenomenon) 
C)  Second-degree AV block Mobitz II 
D)  Third-degree AV block (complete heart block)

Question 15

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. 
A)  transcutaneous pacemaker. 
B)  atropine IV. 
C)  temporary transvenous pacemaker. 
D)  permanent pacemaker. 
E)  amiodarone IV.

Question 16

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

Question 17

Interpret the following rhythm:

Accepted Answer

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

Question 18

Interpret the following rhythm:

Accepted Answer

A)  Normal pacemaker function. 
B)  Failure to capture. 
C)  Failure to pace. 
D)  Failure to sense. 
A)  Normal pacemaker function. 
B)  Failure to capture. 
C)  Failure to pace. 
D)  Failure to sense.

Question 19

The nurse is calculating the rate for a regular rhythm.There are 20 small boxes between each P wave and 20 small boxes between each R wave.What is the ventricular rate?

Accepted Answer

A)  50 beats/min 
B)  75 beats/min 
C)  85 beats/min 
D)  100 beats/min 
A)  50 beats/min 
B)  75 beats/min 
C)  85 beats/min 
D)  100 beats/min

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

Sinus bradycardia is a symptom of which of the following? (Select all that apply.)

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:

The nurse is working on the night shift when she notices sinus bradycardia on the patient's cardiac monitor.The nurse should:

The patient is admitted with a condition that requires cardiac rhythm monitoring.To apply the monitoring electrodes,the nurse must first:

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

Interpret the following rhythm:

The patient is alert and talking when the nurse notices the following rhythm.The patient's blood pressure is 90/44 mm Hg.The nurse should

The patient has a permanent pacemaker in place with a demand rate set at 60 beats/min.The cardiac monitor is showing a heart rate of 44 beats/min with no pacemaker spikes.The nurse realizes this as:

Interpret the following rhythm:

Interpret the following rhythm:

The patient is having premature ventricular contractions (PVCs).The nurse's greatest concern should be:

Interpret the following rhythm:

Interpret the following rhythm:

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.)

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:

Interpret the following rhythm:

Interpret the following rhythm:

The nurse is calculating the rate for a regular rhythm.There are 20 small boxes between each P wave and 20 small boxes between each R wave.What is the ventricular rate?

Interpret the following rhythm:

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care in the Critical Care Unit

Comfort and Sedation

Nutritional Support

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Shock, sepsis, and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Solid Organ Transplantation

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Exam 7: Dysrhythmia Interpretation and Management

Sinus bradycardia is a symptom of which of the following? (Select all that apply.)

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:

The nurse is working on the night shift when she notices sinus bradycardia on the patient's cardiac monitor.The nurse should:

The patient is admitted with a condition that requires cardiac rhythm monitoring.To apply the monitoring electrodes,the nurse must first:

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

Interpret the following rhythm:

The patient is alert and talking when the nurse notices the following rhythm.The patient's blood pressure is 90/44 mm Hg.The nurse should

The patient has a permanent pacemaker in place with a demand rate set at 60 beats/min.The cardiac monitor is showing a heart rate of 44 beats/min with no pacemaker spikes.The nurse realizes this as:

Interpret the following rhythm:

Interpret the following rhythm:

The patient is having premature ventricular contractions (PVCs).The nurse's greatest concern should be:

Interpret the following rhythm:

Interpret the following rhythm:

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.)

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:

Interpret the following rhythm:

Interpret the following rhythm:

The nurse is calculating the rate for a regular rhythm.There are 20 small boxes between each P wave and 20 small boxes between each R wave.What is the ventricular rate?

Interpret the following rhythm:

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care in the Critical Care Unit

Comfort and Sedation

Nutritional Support

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Shock, sepsis, and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Solid Organ Transplantation

Filters