PNR 408 TEST #2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS.
The nurse is caring for a client admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol
misuse who has a serum amylase level of 280 units/L and a serum lipase level of 310 units/L. To which of
the following diagnoses does the nurse attribute these findings? - (answer)Alcohol Misuse
The health care provider prescribes lactulose for a client with hepatic encephalopathy. Which of the
following assessment parameters should the nurse monitor for effectiveness of this medication? -
(answer)Decreased ammonia levels
The family of a client newly diagnosed with hepatitis A asks the nurse what they can do to prevent
becoming ill themselves. Which of the following responses by the nurse is most appropriate? -
(answer)"An injection of immune globulin will need to be given to prevent or minimize the effects from
this exposure."
The nurse is planning care for a client with cirrhosis. Which of the following nursing diagnoses is
priority? - (answer)Ineffective breathing pattern related to pressure on diaphragm and reduced lung
volume
Normal serum bilirubin levels lie between: - (answer)5.1 and 17 mcmol/L
Which if the following is a possible cause of loss of capture in a pacemaker? - (answer)Battery depletion
A patient in the coronary care unit develops ventricular fibrillation. The first action of the nurse should
take is to: - (answer)Initiate cardiopulmonary resuscitation
A patient has a diagnosis of acute myocardial infraction, and his cardiac rhythm is sinus bradycardia with
six to eight premature ventricular contractions (PVCs) per minute. The pattern that the nurse recognize
as the most characteristic of PVC is: - (answer)A wide, distorted QRS complex
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 beats/minute. If the bradycardia is
symptomatic, the nurse would expect the patient to exhibit: - (answer)Shortness of breath
, PNR 408 TEST #2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS.
When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks between the
R waves of a client whose rhythm is regular. From these data, which of the following rates should the
nurse calculate as the client's heart rate? - (answer)100 beats/minute
Which of the following statements best describes the electrical activity of the heart represented by
measuring the PR interval on the ECG? - (answer)The length of time for the electrical impulse to travel
from the SA node to the Purkinje fibres
The nurse obtains a 6-second rhythm strip and charts the following analysis: atrial rate 70, regular;
ventricular rate 40, regular; QRS 0.04 second; no relationship between P waves and QRS complexes;
atria and ventricles beating independently of each other. Which of the following descriptions is a correct
interpretation of this rhythm strip? - (answer)Third-degree heart block
The nurse is caring for a client who is 24 hours postpacemaker insertion. Which of the following nursing
interventions is most appropriate at this time? - (answer)Assessing the incision for any redness, swelling,
or discharge
The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no P
waves. Instead there are fine, wavy lines between the QRS complexes. The QRS complexes measure 0.08
second (narrow), but they occur irregularly with a rate of 120 beats/minute. Which of the following
rhythms should the nurse identify from this data? - (answer)Atrial fibrillation
A client has sought care following a syncopal episode of unknown etiology. Which of the following
nursing actions should the nurse prioritize in the client's subsequent diagnostic workup? -
(answer)Preparing to assist with a head-upright tilt-table test
For which of the following dysrhythmias is defibrillation primarily indicated? - (answer)Ventricular
fibrillation
The nurse is caring for a client in asystole. Which of the following drug treatments is the client most
likely to receive? - (answer)Atropine and epinephrine
SOLUTIONS.
The nurse is caring for a client admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol
misuse who has a serum amylase level of 280 units/L and a serum lipase level of 310 units/L. To which of
the following diagnoses does the nurse attribute these findings? - (answer)Alcohol Misuse
The health care provider prescribes lactulose for a client with hepatic encephalopathy. Which of the
following assessment parameters should the nurse monitor for effectiveness of this medication? -
(answer)Decreased ammonia levels
The family of a client newly diagnosed with hepatitis A asks the nurse what they can do to prevent
becoming ill themselves. Which of the following responses by the nurse is most appropriate? -
(answer)"An injection of immune globulin will need to be given to prevent or minimize the effects from
this exposure."
The nurse is planning care for a client with cirrhosis. Which of the following nursing diagnoses is
priority? - (answer)Ineffective breathing pattern related to pressure on diaphragm and reduced lung
volume
Normal serum bilirubin levels lie between: - (answer)5.1 and 17 mcmol/L
Which if the following is a possible cause of loss of capture in a pacemaker? - (answer)Battery depletion
A patient in the coronary care unit develops ventricular fibrillation. The first action of the nurse should
take is to: - (answer)Initiate cardiopulmonary resuscitation
A patient has a diagnosis of acute myocardial infraction, and his cardiac rhythm is sinus bradycardia with
six to eight premature ventricular contractions (PVCs) per minute. The pattern that the nurse recognize
as the most characteristic of PVC is: - (answer)A wide, distorted QRS complex
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 beats/minute. If the bradycardia is
symptomatic, the nurse would expect the patient to exhibit: - (answer)Shortness of breath
, PNR 408 TEST #2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTIONS.
When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks between the
R waves of a client whose rhythm is regular. From these data, which of the following rates should the
nurse calculate as the client's heart rate? - (answer)100 beats/minute
Which of the following statements best describes the electrical activity of the heart represented by
measuring the PR interval on the ECG? - (answer)The length of time for the electrical impulse to travel
from the SA node to the Purkinje fibres
The nurse obtains a 6-second rhythm strip and charts the following analysis: atrial rate 70, regular;
ventricular rate 40, regular; QRS 0.04 second; no relationship between P waves and QRS complexes;
atria and ventricles beating independently of each other. Which of the following descriptions is a correct
interpretation of this rhythm strip? - (answer)Third-degree heart block
The nurse is caring for a client who is 24 hours postpacemaker insertion. Which of the following nursing
interventions is most appropriate at this time? - (answer)Assessing the incision for any redness, swelling,
or discharge
The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no P
waves. Instead there are fine, wavy lines between the QRS complexes. The QRS complexes measure 0.08
second (narrow), but they occur irregularly with a rate of 120 beats/minute. Which of the following
rhythms should the nurse identify from this data? - (answer)Atrial fibrillation
A client has sought care following a syncopal episode of unknown etiology. Which of the following
nursing actions should the nurse prioritize in the client's subsequent diagnostic workup? -
(answer)Preparing to assist with a head-upright tilt-table test
For which of the following dysrhythmias is defibrillation primarily indicated? - (answer)Ventricular
fibrillation
The nurse is caring for a client in asystole. Which of the following drug treatments is the client most
likely to receive? - (answer)Atropine and epinephrine
