Exam 2026 -2027 | Most Recent Exam Actual Complete Real
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1
Q
SATA: Characteristics of normal sinus rhythm:
A. Regular atrial rhythm
B. Irregular ventricular rhythm
C. PR Interval < 0.20 seconds
D. QRS complex > 0.12 seconds
E. Equal atrial and ventricular rate
F. Atrial rate > than ventricular rate
G. First-Degree Heart Block
H. Sinus bradycardia
I. Normal Sinus Rhythm
Answers:
A,C,E, and I
2
Q
SATA: You’re analyzing an ECG strip. In order for the rhythm to be identified as
Sinus Tachycardia, what must be present in the rhythm?
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
,Answers:
A, B, C, E, G, H
3
Q
You are analyzing an ECG strip and the rhythm is ventricular tachycardia. The
patient is presenting with a blood pressure of 70/42, mental status changes, and
is clammy and pale. A pulse is present. The nurse preps the patient for?
A. CPR
B. Synchronized cardioversion
C. Defibrillation
D. Atropine IV
Answers:
B
The patient is unstable and demonstrating signs and symptoms related to
decreased cardiac output. A pulse is present. The patient is currently unstable;
therefore, synchronized cardioversion needs to be performed to convert the
patient to a normal rhythm. An antiarrhythmic like Amiodarone may be started
to maintain the normal rhythm.
4
Q
The nurse sees v-fib on the ECG. The patient is unresponsive and has no pulse.
The nurse calls a code blue and takes what step next?
A. Prepares for defibrillation
B. Administers Epinephrine
C. Starts high-quality CPR
D. Notifies the physician
Answers:
The answer is C. The nurse would want to immediately start high-quality CPR
and continue this until help arrives.
5
,Q
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
Answers:
B
Call for help (code blue), CPR, and defibrillation (with v-tach or v-fib), and give
epinephrine (every 3-5 min). Make sure to continue CPR when administering
epinephrine so that medication can circulate around the body.
6
Q
Your patient’s ECG shows atrial flutter. What complication can arise from this
type of rhythm?
A. Pericarditis
B. Stroke
C. Hypoglycemia
D. Endocarditis
Answers:
B.
Atrial flutter can increase the patient’s risk of developing a blood clot which can
lead to a stroke. The clot can leave the heart and travel to the brain or lungs and
cause a stroke or pulmonary embolism.
7
Q
A 62-year-old patient’s ECG shows a PR interval of 0.24 seconds and a QRS
duration of 0.12 seconds. Which of the following is the most appropriate
interpretation and intervention for these findings?
, A. First-degree AV block with a wide QRS complex; monitor the patient and
assess for symptoms
B. Normal ECG findings; no further action is needed
C. Second-degree AV block with a narrow QRS complex; initiate pacing
immediately
D. Third-degree AV block with a wide QRS complex; prepare for immediate
cardioversion
A
Answer: A.
First-degree AV block with a wide QRS complex; monitor the patient and assess
for symptoms
8
Q
A 45-year-old patient is diagnosed with sinus tachycardia. The patient’s heart
rate is consistently above 120 beats per minute, and the underlying cause is
identified as dehydration. Which medication is most appropriate for this
patient?
A. Beta blocker (e.g., metoprolol)
B. Calcium channel blocker (e.g., diltiazem)
C. Diuretic (e.g., furosemide)
D. Antipyretic (e.g., acetaminophen)
A
Answer: A. Beta blocker (e.g., metoprolol)
Rationale: In the case of sinus tachycardia where the underlying cause is not a
primary cardiac issue but rather dehydration, a beta blocker like metoprolol
may be used to manage the elevated heart rate. However, the primary
treatment for sinus tachycardia due to dehydration is to address the
dehydration by providing fluids. Calcium channel blockers are also used for rate
control but are typically not first-line for this scenario. Diuretics and antipyretics
are not appropriate for treating sinus tachycardia directly but may address
underlying conditions.
9
Q