NSG4100 NURSING PRACTICE ADULT HEALTH
EXAM 3 2026 ACTUAL SCRIPT COMPLETE
QUESTIONS AND ANSWERS 100% CORRECT
◉ A pt is undergoing preoperative teaching before his cardiac
surgery and the nurse is aware that a temporary pacemaker will be
placed later that day. What is the nurses responsibility in the care of
the pt's pacemaker?
a. monitoring for pacemaker malfunction or batter failure
b. determining when it is appropriate to remove the pacemaker
c. making necessary changes to the pacemaker settings
d. selecting alternatives to future pacemaker use. Answer: A
◉ The nurse caring for a pt whose sudden onset of sinus
bradycardia is not responding adequately to atropine. What might
be the tx of choice for this pt?
a. implanted pacemaker
b. transcutaneous pacemaker
c. ICD
d. asynchronous defibrillator. Answer: B
◉ The nurse is caring for a pt who has had a dysrhythmic event. The
nurse is aware of the need to assess for signs of diminished cardiac
,output (CO). What change in status may signal to the nurse a
decrease in CO?
a. increased BP
b. bounding peripheral pulses
c. change in level of consciousness
d. skin flushing. Answer: C
◉ When planning the care of a pt w an impacted pacemaker, what
assessment should the nurse prioritize?
a. core body temperature
b. heart rate and rhythm
c. blood pressure
d. oxygen saturation level. Answer: B
◉ The nurse is assessing a pt who had a pacemaker implanted 4
weeks ago. During the pt's most recent follow-up appt, the nurse
identifies data that suggest the pt may be socially isolated and
depressed. What nursing dx is suggested by these date?
a. decisional conflict r/t pacemaker implantation
b. deficient knowledge r/t pacemaker implantation
c. spiritual distress r/t pacemaker implantation
d. ineffective coping r/t pacemaker implantation. Answer: D
, ◉ The nurse is caring for a pt who is in the recovery room following
the implantation of an ICD. The pt has developed ventricular
tachycardia (VT). What should the nurse assess and document?
a. ECG to compare time and onset of VT and onset of devices shock
b. ECG so physician can see what type of dysrhythmia the pt has
c. pt's LOV at the time of dysrhythmia
d. pt's activity at time of dysthymia. Answer: A
◉ The staff educator is teaching a CPR class. Which of the following
aspects of defibrillation should the educator stress to the class?
a. apply the paddles directly to pt's skin
b. use a conducting medium between paddles and the skin
c. always use a petroleum-based gel between paddles and skin
d. any available liquid can be used between paddles and skin.
Answer: B
◉ During a CPR class, a participant asks about the difference
between cardioversion and defibrillation. What would be the
instructor's best response?
a. cardioversion is done on a beating heart; defibrillation is not
b. the difference is the timing of the delivery of the electric current
c. defibrillation is synchronized with the electrical activity of the
heart, but the cardioversion is not
EXAM 3 2026 ACTUAL SCRIPT COMPLETE
QUESTIONS AND ANSWERS 100% CORRECT
◉ A pt is undergoing preoperative teaching before his cardiac
surgery and the nurse is aware that a temporary pacemaker will be
placed later that day. What is the nurses responsibility in the care of
the pt's pacemaker?
a. monitoring for pacemaker malfunction or batter failure
b. determining when it is appropriate to remove the pacemaker
c. making necessary changes to the pacemaker settings
d. selecting alternatives to future pacemaker use. Answer: A
◉ The nurse caring for a pt whose sudden onset of sinus
bradycardia is not responding adequately to atropine. What might
be the tx of choice for this pt?
a. implanted pacemaker
b. transcutaneous pacemaker
c. ICD
d. asynchronous defibrillator. Answer: B
◉ The nurse is caring for a pt who has had a dysrhythmic event. The
nurse is aware of the need to assess for signs of diminished cardiac
,output (CO). What change in status may signal to the nurse a
decrease in CO?
a. increased BP
b. bounding peripheral pulses
c. change in level of consciousness
d. skin flushing. Answer: C
◉ When planning the care of a pt w an impacted pacemaker, what
assessment should the nurse prioritize?
a. core body temperature
b. heart rate and rhythm
c. blood pressure
d. oxygen saturation level. Answer: B
◉ The nurse is assessing a pt who had a pacemaker implanted 4
weeks ago. During the pt's most recent follow-up appt, the nurse
identifies data that suggest the pt may be socially isolated and
depressed. What nursing dx is suggested by these date?
a. decisional conflict r/t pacemaker implantation
b. deficient knowledge r/t pacemaker implantation
c. spiritual distress r/t pacemaker implantation
d. ineffective coping r/t pacemaker implantation. Answer: D
, ◉ The nurse is caring for a pt who is in the recovery room following
the implantation of an ICD. The pt has developed ventricular
tachycardia (VT). What should the nurse assess and document?
a. ECG to compare time and onset of VT and onset of devices shock
b. ECG so physician can see what type of dysrhythmia the pt has
c. pt's LOV at the time of dysrhythmia
d. pt's activity at time of dysthymia. Answer: A
◉ The staff educator is teaching a CPR class. Which of the following
aspects of defibrillation should the educator stress to the class?
a. apply the paddles directly to pt's skin
b. use a conducting medium between paddles and the skin
c. always use a petroleum-based gel between paddles and skin
d. any available liquid can be used between paddles and skin.
Answer: B
◉ During a CPR class, a participant asks about the difference
between cardioversion and defibrillation. What would be the
instructor's best response?
a. cardioversion is done on a beating heart; defibrillation is not
b. the difference is the timing of the delivery of the electric current
c. defibrillation is synchronized with the electrical activity of the
heart, but the cardioversion is not
