Question 1

Normal QRS activity takes less than _____________ seconds.

Accepted Answer

A) 0.04 
B) 0.06 
C) 0.12 
D) 0.20 
A) 0.04 
B) 0.06 
C) 0.12 
D) 0.20

Question 2

The P wave on the ECG represents

Accepted Answer

A) Atrial repolarization. 
B) Atrial depolarization. 
C) Ventricular repolarization. 
D) Ventricular depolarization. 
A) Atrial repolarization. 
B) Atrial depolarization. 
C) Ventricular repolarization. 
D) Ventricular depolarization.

Question 3

The heart rate can be calculated using the ECG strip by

Accepted Answer

A) Counting the number of P waves in a 6-second strip and dividing by 10. 
B) Dividing the number of small blocks between R waves into 1500. 
C) Counting the number of QRS complexes in a 1-minute strip and dividing by 10. 
D) Counting the number of QRS complexes in a 6-second strip and multiplying by 60. 
A) Counting the number of P waves in a 6-second strip and dividing by 10. 
B) Dividing the number of small blocks between R waves into 1500. 
C) Counting the number of QRS complexes in a 1-minute strip and dividing by 10. 
D) Counting the number of QRS complexes in a 6-second strip and multiplying by 60.

Question 4

Identify the type of lead placement from the following rhythm strip._____________

Accepted Answer

The answer of Identify the type of lead placement from...

Question 5

Identify the following life-threatening arrhythmias.
A.__________________
B.__________________
C.__________________
D.__________________

Accepted Answer

a.Multifocal PVCs.
b.Third-deg

Question 6

The electrode placement most often used to assess for changes in the inferior wall due to an MI is

Accepted Answer

A) Lead I 
B) Lead II 
C) Lead III 
D) MCL I 
A) Lead I 
B) Lead II 
C) Lead III 
D) MCL I

Question 7

You suspect an unconscious client has aspirated a piece of meat.Your first intervention is to

Accepted Answer

A) Deliver four back blows. 
B) Deliver subdiaphragmatic abdominal thrusts. 
C) Finger probe for obstruction. 
D) Open mouth and use finger sweep. 
A) Deliver four back blows. 
B) Deliver subdiaphragmatic abdominal thrusts. 
C) Finger probe for obstruction. 
D) Open mouth and use finger sweep.

Question 8

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. 
-CPR can be terminated when

Accepted Answer

A) One hour has elapsed and there is still absence of pulse and respirations. 
B) Rescuer is exhausted and cannot continue. 
C) A nursing supervisor directs you to stop CPR. 
D) Pupils are dilated and fixed. 
A) One hour has elapsed and there is still absence of pulse and respirations. 
B) Rescuer is exhausted and cannot continue. 
C) A nursing supervisor directs you to stop CPR. 
D) Pupils are dilated and fixed.

Question 9

If aspiration of a foreign body is suspected and one attempt to ventilate is not successful,your next intervention is to

Accepted Answer

A) Administer four quick breaths. 
B) Deliver four back blows. 
C) Deliver four abdominal thrusts. 
D) Reposition head and attempt to ventilate. 
A) Administer four quick breaths. 
B) Deliver four back blows. 
C) Deliver four abdominal thrusts. 
D) Reposition head and attempt to ventilate.

Question 10

Ventilations are administered at the rate of _____________ per minute for children under 1 year of age.

Accepted Answer

A) 8-10 
B) 12-20 
C) 15-24 
D) 20-30 
A) 8-10 
B) 12-20 
C) 15-24 
D) 20-30

Question 11

Briefly describe the use of the AED either in hospital or outside the hospital.

Accepted Answer

The AED analyzes the heart rhy

Question 12

Compare and contrast the difference between inotropic and chronotropic reserve.

Accepted Answer

Inotropic is under the control of sympat

Question 13

Decreasing arterial blood flow to an area can be accomplished easily by-------------

Accepted Answer

Raising the affected

Question 14

Clients who are candidates for pneumatic compression devices include those with

Accepted Answer

A) Severe arteriosclerosis. 
B) Pulmonary edema. 
C) Joint replacement surgery. 
D) Preexisting deep-vein thrombosis. 
A) Severe arteriosclerosis. 
B) Pulmonary edema. 
C) Joint replacement surgery. 
D) Preexisting deep-vein thrombosis.

Question 15

Appropriate nursing actions for clients using pneumatic compression devices include

Accepted Answer

A) Ensure tight fit of sleeve to client's leg to promote effectiveness of action. 
B) Prevent twists in tubing to allow air flow through the system. 
C) Monitor neurovascular checks every shift to assess for potential complications. 
D) Maintain constant cycling action,without interruption,until therapeutic results have occurred. 
A) Ensure tight fit of sleeve to client's leg to promote effectiveness of action. 
B) Prevent twists in tubing to allow air flow through the system. 
C) Monitor neurovascular checks every shift to assess for potential complications. 
D) Maintain constant cycling action,without interruption,until therapeutic results have occurred.

Question 16

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. 
-To perform cardiac compressions,place your hands

Accepted Answer

A) Center of the chest at nipple line. 
B) Over the xiphoid. 
C) Two fingerbreadths above xiphoid. 
D) One on top of the other over the xiphoid. 
A) Center of the chest at nipple line. 
B) Over the xiphoid. 
C) Two fingerbreadths above xiphoid. 
D) One on top of the other over the xiphoid.

Question 17

When assessing the ECG for pacemaker function you notice the oscilloscope is not showing the usual artifact.The initial intervention should be

Accepted Answer

A) Notify physician immediately that pacemaker is dysfunctional. 
B) Check all connections to determine a secure fit. 
C) Check battery. 
D) Observe that sutures are intact. 
A) Notify physician immediately that pacemaker is dysfunctional. 
B) Check all connections to determine a secure fit. 
C) Check battery. 
D) Observe that sutures are intact.

Exam 31: Circulatory Maintenance

Normal QRS activity takes less than _____________ seconds.

The P wave on the ECG represents

The heart rate can be calculated using the ECG strip by

Identify the type of lead placement from the following rhythm strip._____________

Identify the following life-threatening arrhythmias. A.__________________ B.__________________ C.__________________ D.__________________

The electrode placement most often used to assess for changes in the inferior wall due to an MI is

You suspect an unconscious client has aspirated a piece of meat.Your first intervention is to

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. -CPR can be terminated when

If aspiration of a foreign body is suspected and one attempt to ventilate is not successful,your next intervention is to

Ventilations are administered at the rate of _____________ per minute for children under 1 year of age.

Briefly describe the use of the AED either in hospital or outside the hospital.

Compare and contrast the difference between inotropic and chronotropic reserve.

Decreasing arterial blood flow to an area can be accomplished easily by-------------

Clients who are candidates for pneumatic compression devices include those with

Appropriate nursing actions for clients using pneumatic compression devices include

Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. -To perform cardiac compressions,place your hands

When assessing the ECG for pacemaker function you notice the oscilloscope is not showing the usual artifact.The initial intervention should be

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

Bathing, Bedmaking, and Maintaining Skin Integrity

Personal Hygiene

Vital Signs

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Filters

Identify the following life-threatening arrhythmias. A. B. C. D.