MED/SURG Cardiovascular Exam Questions
with 100% Verified Answers Latest Version
Top Rated A+
Which of the EKG findings is most likely indicative of Acute
Myocardial Infarction (AMI) in a patient presenting with acute chest
pain?
A. Wide and bizarre QRS complexes in the EKG
B. ST segment changes (STEMI or NSTEMI) in the EKG
C. A saw-toothed pattern in the EKG saw-toothed pattern in the EKG
D. Flat line in the EKG
B. ST segment changes (STEMI or NSTEMI) in the EKG
To determine whether there is a delay in impulse conduction through
the atria, the nurse will measure the length of the patient's:
A. P wave
B. PR interval
C. QT interval
D. QRS complex
A. P wave
The P wave represents the depolarization of the atria. The P-R interval
represents depolarization of the atria, atrioventricular (AV) node,
bundle of His, bundle branches, and the Purkinje fibers. The QRS
represents ventricular depolarization. The Q-T interval represents
depolarization and repolarization of the entire conduction system.
,The nurse needs to estimate quickly the heart rate for a patient with a
regular heart rhythm. Which method will be best to use?
A. Print a 1-minute electrocardiogram (ECG) strip and count the
number of QRS complexes.
B. Count the number of large squares in the R-R interval and divide by
300.
C. Use the 3-second markers to count the number of QRS complexes
in 6seconds and multiply by 10.
D. Calculate the number of small squares between one QRS complex
and the next and divide into 1500.
C. Use the 3-second markers to count the number of QRS complexes in
6seconds and multiply by 10.
This is the quickest way to determine the ventricular rate for a patient
with a regular rhythm. All the other methods are accurate, but take
longer.
The nurse obtains a monitor strip on a patient who has had a
myocardial infarction and makes the following analysis: P wave not
apparent, ventricular rate 162, R-R interval regular, P-R interval not
measurable, and QRS complex wide and distorted, QRS duration 0.18
second. The nurse interprets the patient's cardiac rhythm as:
A. Atrial fibrillation
B. Sinus tachycardia
C. Ventricular fibrillation
D. Ventricular tachycardia
D. Ventricular tachycardia
The absence of P waves, wide QRS, rate >150, and the regularity of
,the rhythm indicate ventricular tachycardia. Atrial fibrillation is grossly
irregular, has a narrow QRS configuration, and has fibrillatory atrial
activity. Sinus tachycardia has P waves. Ventricular fibrillation is
irregular and does not have a consistent QRS duration. The absence of
P waves, wide QRS, rate >150, and the regularity of the rhythm
indicate ventricular tachycardia. Atrial fibrillation is grossly irregular,
has a narrow QRS configuration, and has fibrillatory atrial activity. Sinus
tachycardia has P waves. Ventricular fibrillation is irregular and does
not have a consistent QRS duration.
The nurse is admitting a patient who has chest pain. Which
assessment data suggest that the pain is caused by an Acute
Myocardial Infarction (AMI)?
A. The pain is relieved after the patient takes nitroglycerin
B. The pain is reproducible when the patient raises the left arm
C. The pain increases with deep breathing
D. The pain lasted longer than 30 minutes
D. The pain lasted longer than 30 minutes
Which of the following is the most common diagnostic tool used in
patients with HF?
A. Serum Troponin level
B. ABG
C. Echocardiogram
D. Coronary Angiography
C. Echocardiogram
Question 70..07 pts
After reviewing a patient's history, vital signs, physical assessment,
and laboratory data, which of the following information is most
, important for the nurse to communicate to the healthcare provider?
A. Hyperglycemia
B. Elevated troponin
C. T wave on EKG
D. HR 110 bpm
B. Elevated troponin
Which of the following is the worst complication of Acute Coronary
Syndrome (ACS)?
A. Sinus tachycardia
B. Hypertension
C. Sudden cardiac death
D. Angina
C. Sudden cardiac death
A patient who has chronic heart failure tells the nurse, "I was fine
when I went to bed, but I woke up in the middle of the night feeling
like I was suffocating! The nurse will document this assessment
finding as:
A. Orthopnea
B. Paroxysmal nocturnal dyspnea
C. Asthma attack
D. Acute bilateral pleural effusion
B. Paroxysmal nocturnal dyspnea
A 19-year-old has a mandatory electrocardiogram (ECG) before
participating on a college swim team and is found to have sinus
bradycardia, rate 52. BP is 114/54, and the student denies any health
problems. What action by the nurse is appropriate?
A. Allow the student to participate on the swim team.
with 100% Verified Answers Latest Version
Top Rated A+
Which of the EKG findings is most likely indicative of Acute
Myocardial Infarction (AMI) in a patient presenting with acute chest
pain?
A. Wide and bizarre QRS complexes in the EKG
B. ST segment changes (STEMI or NSTEMI) in the EKG
C. A saw-toothed pattern in the EKG saw-toothed pattern in the EKG
D. Flat line in the EKG
B. ST segment changes (STEMI or NSTEMI) in the EKG
To determine whether there is a delay in impulse conduction through
the atria, the nurse will measure the length of the patient's:
A. P wave
B. PR interval
C. QT interval
D. QRS complex
A. P wave
The P wave represents the depolarization of the atria. The P-R interval
represents depolarization of the atria, atrioventricular (AV) node,
bundle of His, bundle branches, and the Purkinje fibers. The QRS
represents ventricular depolarization. The Q-T interval represents
depolarization and repolarization of the entire conduction system.
,The nurse needs to estimate quickly the heart rate for a patient with a
regular heart rhythm. Which method will be best to use?
A. Print a 1-minute electrocardiogram (ECG) strip and count the
number of QRS complexes.
B. Count the number of large squares in the R-R interval and divide by
300.
C. Use the 3-second markers to count the number of QRS complexes
in 6seconds and multiply by 10.
D. Calculate the number of small squares between one QRS complex
and the next and divide into 1500.
C. Use the 3-second markers to count the number of QRS complexes in
6seconds and multiply by 10.
This is the quickest way to determine the ventricular rate for a patient
with a regular rhythm. All the other methods are accurate, but take
longer.
The nurse obtains a monitor strip on a patient who has had a
myocardial infarction and makes the following analysis: P wave not
apparent, ventricular rate 162, R-R interval regular, P-R interval not
measurable, and QRS complex wide and distorted, QRS duration 0.18
second. The nurse interprets the patient's cardiac rhythm as:
A. Atrial fibrillation
B. Sinus tachycardia
C. Ventricular fibrillation
D. Ventricular tachycardia
D. Ventricular tachycardia
The absence of P waves, wide QRS, rate >150, and the regularity of
,the rhythm indicate ventricular tachycardia. Atrial fibrillation is grossly
irregular, has a narrow QRS configuration, and has fibrillatory atrial
activity. Sinus tachycardia has P waves. Ventricular fibrillation is
irregular and does not have a consistent QRS duration. The absence of
P waves, wide QRS, rate >150, and the regularity of the rhythm
indicate ventricular tachycardia. Atrial fibrillation is grossly irregular,
has a narrow QRS configuration, and has fibrillatory atrial activity. Sinus
tachycardia has P waves. Ventricular fibrillation is irregular and does
not have a consistent QRS duration.
The nurse is admitting a patient who has chest pain. Which
assessment data suggest that the pain is caused by an Acute
Myocardial Infarction (AMI)?
A. The pain is relieved after the patient takes nitroglycerin
B. The pain is reproducible when the patient raises the left arm
C. The pain increases with deep breathing
D. The pain lasted longer than 30 minutes
D. The pain lasted longer than 30 minutes
Which of the following is the most common diagnostic tool used in
patients with HF?
A. Serum Troponin level
B. ABG
C. Echocardiogram
D. Coronary Angiography
C. Echocardiogram
Question 70..07 pts
After reviewing a patient's history, vital signs, physical assessment,
and laboratory data, which of the following information is most
, important for the nurse to communicate to the healthcare provider?
A. Hyperglycemia
B. Elevated troponin
C. T wave on EKG
D. HR 110 bpm
B. Elevated troponin
Which of the following is the worst complication of Acute Coronary
Syndrome (ACS)?
A. Sinus tachycardia
B. Hypertension
C. Sudden cardiac death
D. Angina
C. Sudden cardiac death
A patient who has chronic heart failure tells the nurse, "I was fine
when I went to bed, but I woke up in the middle of the night feeling
like I was suffocating! The nurse will document this assessment
finding as:
A. Orthopnea
B. Paroxysmal nocturnal dyspnea
C. Asthma attack
D. Acute bilateral pleural effusion
B. Paroxysmal nocturnal dyspnea
A 19-year-old has a mandatory electrocardiogram (ECG) before
participating on a college swim team and is found to have sinus
bradycardia, rate 52. BP is 114/54, and the student denies any health
problems. What action by the nurse is appropriate?
A. Allow the student to participate on the swim team.
