NUR405 Practice Questions Flashcards
Which of the following statements about cardiac rhythm is a correct statement?
a. the p wave shows atrial repolarization
b. the QRS complex shows ventricular repolarization
c. the t wave shows ventricular repolarization
d. the f wave shows atrial repolarization
c. the t wave shows ventricular repolarization
You are the nurse on a cardiac unit and your patient needs to be placed on tele. Which of the following statement shows correct placement of telemetry leads?
a. the brown lead on the 4th ICS RSB
b. the green lead on the lower chest to the left of the umbilicus
c. the black lead goes on the right side just below the clavicle
d. the red lead goes on the right side just below the clavicle
a. the brown lead on the 4th ICS RSB
Which of the following statements explains the conduction of the electrical conduction of the telemetry leads?
a. lead one goes from the RU chest to the LL chest
b. lead two goes from the RU chest to the RL chest
c. lead three goes from the LU chest to the LL chest
d. lead four goes from the LU chest to the RL chest
c. lead three goes from the LU chest to the LL chest
A nurse is educating her student on the complications related to bradydysrhythmias. Which of the following includes potential long-term effects of bradydysrhythmias? SOTA
a. myocardial infarction
b. hypertension
c. hypotension
d. heart failure
e. dysrhythmias
a. myocardial infarction
c. hypotension
d. heart failure
e. dysrhythmias
Which of the following explains the significance of tachydysrhythmias?
a. decreased workload on the heart causing increased myocardial oxygen demand
b. increases workload on the heart causing decreased myocardial oxygen demand
c. decreases workload on the heart causing increased myocardial oxygen demand
d. increases workload on the heart causing increased myocardial oxygen demand
d. increases workload on the heart causing increased myocardial oxygen demand
Which of the following features would you expect of a person who has a sustained heart rate of 120bpm?
a. angina
b. palpitations
c. orthopnea
d. decreased urine output
e. hypotension
f. JVD
g. dizziness
all :)
You are taking care of a 15 year old patient who has no underlying health issues but has been diagnosed with a dysrhythmia. Which dysrhythmia would you expect to see on the EKG?
a. atrial fibrillation
b. atrial flutter
c. sinus arrhythmia
d. sinus rhythm
c. sinus arrhythmia
You are the nurse educating a student about the possible causes of sinus bradycardia. Which of the following responses by the student would warrant correction?
a. excess stimulation of the parasympathetic nerve causes bradycardia
b. hypokalemia causes bradycardia
c. a myocardial infarction can cause bradycardia
d. digoxin toxicity can cause bradycardia
b. hypokalemia causes bradycardia
(hyperkalemia)
Your patient has sustained a heart rate of 50bpm and is showing symptoms of bradycardia. Which of the following orders from the provider would you expect?
a. metoprolol
b. digoxin
c. amioderone
d. atropine
d. atropine
Which of the following statements best explains the pathology behind atrial fibrillation?
a. disorganization of electrical activity due to multiple ectopic foci
b. disorganization of electrical activity due to a singular ectopic focus
c. an ectopic focus causes the SA node to fire
d. an ectopic focus causes the AV node to fire
a. disorganization of electrical activity due to multiple ectopic foci
Which of the following explains a patient experiencing a major complication of atrial flutter?
a. a patient who is lethargic
b. a patient who had a seizure
c. a patient who has a decreased INR
d. a patient who has a stroke
d. a patient who has a stroke
You are the nurse teaching your patient about the synchronized cardioversion they will have tomorrow. Which of the following statements shows that the patient understands your teaching?
a. I will be awake for the whole procedure.
b. They will preform a chest x-ray before the procedure.
c. The machine will synchronize with my heartbeat.
d. I will have to have my PTT monitored regularly after the procedure.
c. The machine will synchronize with my heartbeat.
Which of the following explains a first line treatment to treat PSVT?
a. holding my breath for 15 seconds
b. cardioversion
c. amioderone
d. defibrilation
a. holding my breath for 15 seconds
You are admitting a patient to the ED who is in Vtach. Which is the priority nursing action?
a. place oxygen at 4L/min nasal cannula
b. listen to their breath sounds
c. assess heart rate
d. administer prescribed amioderone
c. assess heart rate
Which of the following statements should you expect to see on a patient who has RHF? SOTA
a. coughing
b. JVD
c. peripheral edema
d. confusion
e. crackles in lower lobes
b. JVD
c. peripheral edema
Which of the following statements by the patient warrants correction about heart failure?
a. cor pulmonale is an enlargement of the left side of the heart
b. right sided heart failure causes peripheral edema
c. left sided heart failure causes pulmonary congestion
d. heart failure can be caused by prolonged dysrhythmias
a. cor pulmonale is an enlargement of the left side of the heart
Which of the following statements shows that the patient understood the teaching about their heart failure?
a. i do not need to wear supplemental oxygen
b. i should weigh myself weekly
c. i can eat canned soup for dinner
d. i should take rest periods when walking
d. i should take rest periods when walking
Which of the following patients is most likely to develop PAD?
a. a 22 year old female whose mom has PAD
b. a 57 year old male who takes metoprolol, metformin, and atvorstatin
c. a 30 year old female with RA
d. a 70 year old male who smokes and has hyperlipidemia
b. a 57 year old male who takes metoprolol, metformin, and atorvostatin
Which of the following patients with PAD would the nurse attend to first?
a. a patient who is completing walking exercises with PT
b. a patient who is recovering from an angioplasty
c. a patient who has a blood pressure of 140/90
d. an independent patient who walks to the bathroom barefoot
d. an independent patient who walks to the bathroom barefoot
which of the following is not included in the biggest risk factors for a venous thromboembolism?
a. hypotension
b. venous stasis
c. endothelial damage
d. high fibrin count
a. hypotension
Which of the following shows that the client understood the discharge teaching following their cataract surgery?
a. I may have to wear an eyepatch all the time.
b. Coughing will help me breathe better.
c. I must avoid lifting heavy objects for a while.
d. I can attend my yoga class in the morning.
c. I must avoid lifting heavy objects for a while.
