exam 5 practice
Select all the characteristics a normal p wave should have? A. One p wave should accompany a QRS complex. B. They should measure more than 0.36 seconds in duration. C. P waves should be flat. D. P waves should be round and upright. E. Multiple p-waves can accompany a QRS complex.
A, D
During discharge teaching for a patient who experienced a mild stroke, you are providing details on how to eliminate risk factors for experiencing another stroke. Which risk factors below for stroke are modifiable? A. Smoking B. Family history C. Advanced age D. Obesity E. Sedentary lifestyle
A, D, E
You're analyzing an ECG strip. In order for the rhythm to be identified as Sinus Tachycardia, what must be present in the rhythm? (Select all that apply): A. One p wave present in front of every QRS complex B. Atrial rate >100 bpm C. Ventricular rate >100 bpm D. Regular atrial rate and irregular ventricular rate E. Regular atrial and ventricular rate F. Atrial rate <60 bpm G. QRS complex <0.12 seconds H. PR interval 0.12-0.20 seconds I. PR interval >0.20 seconds
A, B, C, E, G, H
You're analyzing a patient's ECG reading. What should be found in the rhythm for it to be considered Sinus Bradycardia (select all that apply): A. One p wave present in front of every QRS complex B. Atrial rate 60 and ventricular rate of 60 C. Regular atrial and ventricular rate D. Atrial rate 40 and ventricular rate of 40 E. Regular atrial rate and irregular ventricular rate F. PR interval 0.14 seconds G. PR interval 0.36 seconds H. QRS interval 0.08 seconds I. QRS interval 0.16 seconds
A, C, D, F, H
What should the PR Interval measure for Normal Sinus Rhythm? A. 0.35-0.44 seconds B. > 0.12 seconds C. 0.12-0.20 seconds D. > 0.20 seconds
C. 0.12-0.20 seconds
What is the therapeutic range of the drug Digoxin? A. 2-3.5 ng/mL B. 0.1-2 ng/mL C. 0.5-2 ng/mL D. 3.5-5 ng/mL
C. 0.5-2 ng/mL
An adult patient is being discharged home on Digoxin. Which statements below verbalized by the patient demonstrates they understand how to properly take this medication? Select all that apply: A. "I will limit by intake of foods high in potassium." B. "I will not take this medication and notify the physician if my heart rate is less than 60 bpm." C. "I will measure my pulse rate before every dose I take." D. "It is important that I immediately report any vision changes I may experience while taking this medication."
B, C, D
You're educating a patient about transient ischemic attacks (TIAs). Select all the options that are incorrect about this condition: A. TIAs are caused by a temporary decrease in blood flow to the brain. B. TIAs produce signs and symptoms that can last for several weeks to months. C. A TIAs is a warning sign that an impending stroke may occur. D. TIAs don't require medical treatment.
B, D
Which patients are NOT a candidate for tissue plasminogen activator (tPA) for the treatment of stroke? A. A patient with a CT scan that is negative. B. A patient whose blood pressure is 200/110. C. A patient who is showing signs and symptoms of ischemic stroke. D. A patient who received Heparin 24 hours ago.
B, D B is a sign of hemorrhagic stroke
What EARLY signs and symptoms should the nurse assess for in a patient taking Digoxin that could indicate toxicity of this drug? Select all that apply: A. Dysrhythmias B. Anorexia C. Drowsiness D. Nausea E. Vomiting
B, D, E
Which of the following are NOT typical signs and symptoms of right-sided heart failure? Select-all-that-apply: A. Jugular venous distention B. Persistent cough C. Weight gain D. Crackles E. Nocturia F. Orthopnea
B, D, F
A QRS complex should measure no more than? A. 0.20 seconds B. 0.12 seconds C. 0.08 seconds D. 0.04 seconds
B. 0.12 seconds
A 74 year old female presents to the ER with complaints of dyspnea, persistent cough, and unable to sleep at night due to difficulty breathing. On assessment, you note crackles throughout the lung fields, respiratory rate of 25, and an oxygen saturation of 90% on room air. Which of the following lab results confirm your suspicions of heart failure? A. K+ 5.6 B. BNP 820 C. BUN 9 D. Troponin <0.02
B. BNP 820
You're patient is in ventricular fibrillation (v-fib). You've started CPR and the airway is supported. A rhythm checked in performed and shows the patient is still in ventricular fibrillation. The next action the code team will take in addition to performing high-quality CPR is to? A. Administer Atropine B. Defibrillate C. Administer Epinephrine D. Synchronized cardiovert
B. Defibrillate
What medication can be administered during resuscitation to a patient who is in asystole? A. Amiodarone B. Epinephrine C. Atropine D. Adenosine
B. Epinephrine
In order for tissue plasminogen activator (tPA) to be most effective in the treatment of stroke, it must be administered? A. 6 hours after the onset of stroke symptoms B. 3 hours before the onset of stroke symptoms C. 3 hours after the onset of stroke symptoms D. 12 hours before the onset of stroke symptoms
C. 3 hours after the onset of stroke symptoms
The nurse is assessing an ECG strip and counts 30 LARGE squares. How many seconds of time did the nurse count? A. 30 seconds B. 10 seconds C. 6 seconds D. 60 seconds
C. 6 seconds
You obtain an ECG on a patient and the rhythm is sinus bradycardia with a rate of 52 bpm. Your NEXT nursing action is to? A. Prepare to administer Atropine IV push B. Set-up for transcutaneous pacing C. Assess the patient D. Call a rapid response
C. Assess the patient
The cardiac monitor is showing asystole for the patient's rhythm. However, the patient is alert and oriented with a strong pulse when palpated. The nurse should perform what action next? A. Press the code blue button B. Start CPR C. Check the monitor's cable and electrode connection D. Continue to monitor
C. Check the monitor's cable and electrode connection
A patient is taking Digoxin. Prior to administration you check the patient's apical pulse and find it to be 61 bpm. Morning lab values are the following: K+ 3.3 and Digoxin level of 5 ng/mL. Which of the following is the correct nursing action? A. Hold this dose and administer the second dose at 1800. B. Administer the dose as ordered. C. Hold the dose and notify the physician of the Digoxin level. D. Hold this dose until the patient's potassium level is normal.
C. Hold the dose and notify the physician of the Digoxin level.
The nurse is assessing an ECG strip and begins measuring at the beginning of the p-wave to the beginning of the QRS complex. What is the nurse measuring? A. P wave B. ST segment C. PR interval D. PR segment
C. PR interval
Which statement is correct about atrial flutter? A. The ventricular rate will always be irregular. B. P-waves will be present. C. This rhythm has a saw-tooth appearance. D. The PR interval will be >0.20 seconds.
C. The rhythm has a saw-tooth appearance
The nurse is assessing an ECG strip. Which finding on the ECG strip is NOT a characteristic present in atrial fibrillation (a-fib)? A. fibrillary waves B. unmeasureable atrial rate C. saw-tooth appearance of p waves D. irregular ventricular rate
C. saw-tooth appearance of p waves
On an EKG/ECG strip each small square represents how many seconds of time? A. 0.20 second B. 0.02 seconds C. 0.12 seconds D. 0.04 seconds
D. 0.04 seconds
Which of the following is a late sign of heart failure? A. Shortness of breath B. Orthopnea C. Edema D. Frothy-blood tinged sputum
D. Frothy-blood tinged sputum
The physician's order says to administered Lasix 40 mg IV twice a day. The patient has the following morning labs: Na+ 148, BNP 900, K+ 2.0, and BUN 10. Which of the following is a nursing priority? A. Administer the Lasix as ordered B. Notify the physician of the BNP level C. Assess the patient for edema D. Hold the dose and notify the physician about the potassium level
D. Hold the dose and notify the physician about the potassium level
A patient is experiencing ventricular tachycardia and is unresponsive with no pulse. After activating the emergency response system, the nurse would immediately? A. Prep the patient for defibrillation B. Administer IV epinephrine C. Secure the airway D. Start chest compressions
D. start chest compressions
TRUE or FALSE: Asystole requires immediate defibrillation to increase the patient's chances of survival.
FALSE
TRUE or FALSE: Ventricular fibrillation (V-fib) is a lethal rhythm that results in the quivering of the ventricles which leads to a rapid fall in cardiac output.
TRUE
