ATI: HCC 2 - Perfusion 2 (EKG Questions 2024) Assessment

A nurse is preparing to perform a 12-lead electrocardiogram (ECG). Which of the following instructions should the nurse provide to the client?

Try to remain still once I have attached the gel pads

A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?

Different apical and radial pulses

A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the clients restored rhythm is symptomatic bradycardia?

Atropine

A nurse in a providers office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions?

Heart failure

A nurse is performing an ECG on a client who is experiencing chest pain. Which of the following statements should the nurse make?

I will need to apply electrodes to your chest and extremities

A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation. Which of the following actions should the nurse take?

Inspect the electrode pads, instruct the client not talk during the test

A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?

Irregular

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

Measure the clients apical pulse

A nurse is reviewing laboratory results of a clients who has atrial fibrillation and is taking warfarin. For which of the following results should the nurse notify the provider?

PT 45 seconds

A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip?

Pacemaker spikes before each QRS comlex

A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should instruct the client to monitor for which of the following complications?

Pulmonary embolism

A nurse us interpreting a clients ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?

QT interval

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

The P wave falls before the QRS complex

A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?

The client experiences sudden weakness of one arm and leg.

A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?

To reduce the risk of stroke in clients who have atrial fibrillation

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The clients INR is 5.2. Which of the following medications should the nurse prepare to administer?

Vitamin K

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the clients EKG should the nurse interpret as a sign of hypokalemia?

abnormally prominent U wave

A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?

atrial depolarization

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

atrial fibrillation

A nurse on a telemetry unit is caring for a client who has premature ventricular contractions (PVCs). While sitting in the chair, the client reports feeling lightheaded. If the client is having PVCs, which of the following findings should the nurse expect when auscultating the clients apical pulse?

irregular pulsations

A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?

lightheadedness

A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors. Which of the following actions should the nurse take?

provide reassurance to the client

A nurse is teaching a newly licensed nurse about evaluating cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex?

the initial wave of the sinus rhythm

A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T-wave.

wave on the far right