Exam #3 Practice Questions

In the electrical conduction system of the heart, which part of the system slows down the electrical impulse?

AV node

A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from normal sinus rhythm to ventricular tachycardia. The patient denies chest pain. The nurse should prepare to assist with which of the following interventions?

Administer Amiodarone

The nurse caring for a patient with a dysrhythmia understands that the P wave on an electrocardiogram (ECG) represents what phase of the cardiac cycle?

Atrial depolarization

Which of the following medication is used to treat sinus bradycardia:

Atropine

Which of the following is the treatment of choice for ventricular fibrillation?

Immediate bystander CPR

A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following as an adverse effect of the medication?

Lightheadedness

A nurse is teaching a client who is starting to take ACE inhibitor to treat hypertension. The nurse should instruct the client to notify his provider if he experiences which of the following adverse effects of this medication?

Persistent cough

The patient has a heart rate of 72 bpm with a regular rhythm. Where does the nurse determine the impulse arises from?

The sinoatrial node

The nurse is preparing to administer a beta-blocker to a client diagnosed with heart failure. Which medication does the nurse anticipate to administer?

Lopressor (metoprolol)

The nurse is attempting to determine the ventricular rate and rhythm of a patient's telemetry strip. What should the nurse examine to determine this part of the analysis?

QT interval

The student nurse during clinical rotation is caring for a patient who is diagnosed with Myocardial Infarction knows that a Primary goal in the treatment of MI is to:

Relieve pain

Which area of the heart's electrical conduction is known as the pacemaker of the heart?

SA node

A patient has had a successful heart transplant for end stage heart disease. What immunosuppressant will be necessary for this patient to take to prevent rejection?

Cyclosporine

The nurse educator in an EKG class explained to the new nurses that the chief pace maker site in the heart is which of the following?

SA Node

The nurse is teaching a client who is to start taking ACE inhibitor to treat hypertension. The nurse should instruct the provider if he experiences which of the following adverse effects of this medication?

Persistent cough

A nurse is providing discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch. Which of the following instructions should the nurse include in the teaching?

Place the patch on an area of skin away from skin folds and joints

The nurse is participating in the care of a client requiring emergent defibrillation. The nurse will complete the following steps in which order?

1: Turn on the defibrillator and place it in not sync mode 2: Apply the malfunction conductor pads to the patient's chest 3: Charge the defibrillator to the prescribed voltage 4: Call clear three times ensuring patient and environment safety 5: Apply the malfunction conductor pads to the patient's chest

The nurse is taking care of a patient who is diagnosed with ventricular tachycardia. Which of the following medication is used to treat a stable patient with ventricular tachycardia?

Amiodarone

The nurse is providing evening care for a patient wearing a continuous telemetry monitor. While the nurse is giving the patient a back rub, the patient's alarm sounds and the nurse notes a flat line on the bedside monitor system. What is the nurse's first response?

Assess the patient and monitor leads

The nurse is monitoring a client's EKG and notes the client's rhythm has changed from normal sinus rhythm to ventricular tachycardia with no palpable carotid pulse. The nurse should prepare to do which of the following intervention?

Defibrillate

A patient with a history of mitral stenosis is admitted to the intensive care unit (ICU) with the abrupt onset of atrial fibrillation. The patient's heart rate ranges from 120 to 140 bpm. The nurse recognizes that interventions are implemented to prevent the development of which of the following?

Embolic stroke

The nurse is caring for a client diagnosed with heart failure identifies which of the following to be a late sign of heart failure?

Frothy blood tinged sputum

The nurse is taking care of a patient with heart failure who is taking Losartan and Spironolactone. The patient is having EKG changes that presents with tall peaked T waves. Which of the following lab results confirms the findings?

K + 8

A nurse is caring for a client who was admitted for treatment of left sided heart failure with intravenous loop diuretics and digitalis therapy. The client is experiencing weakness and an irregular heart rate. The client is experiencing weakness and irregular heart rate. Which of the following actions should the nurse take first?

Review serum electrolytes values

The nurse is caring for a client who is admitted for treatment of left sided heart failure. The client is receiving loop diuretics the client is experiencing weakness and irregular heart rate. Which of the following actions should the nurse take first?

Review the client's electrolyte values

A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. The nurse should plan to monitor for and report which of the following findings to the provider immediately?

Slurred speech

The nurse is assessing a client who has left sided heart failure. Which of the following manifestations should the nurse expect to find?

Weak peripheral pulses

A nurse is providing discharge teaching for a client who has heart failure. The nurse should instruct the client to report which of the following findings immediately to the provider?

Weight gain of 2 pounds in 24 hour

The nurse is explaining the SA Node to a group of students. The explained that the SA node fires at a rate of?

60-100 bpm

You are assisting a patient up from the bed to the bathroom. The patient has swelling in the feet and legs. The patient is receiving treatment for heart failure and is taking Hydralazine and Isordil. Which of the following is a nursing priority action for this patient while assisting the patient to the bathroom?

Assist the patient up slowly and gradually

A nurse is providing morning care for a patient in the ICU. Suddenly, the bedside monitor shows ventricular fibrillation and the patient becomes unresponsive. After calling for assistance, what action should the nurse take next?

Begin cardiopulmonary resuscitation.

To assess for peripheral edema, the nurse will examine which of the following areas of the body?

Feet and ankles

A patient has been diagnosed with CHF. Which of the following is a cause of crackles heard in the bases of the lungs?

Pulmonary congestion

Which of the following is not a characteristic of right sided heart failure?

Pulmonary congestion