Page 1 of 36
NUR 311 EXAM 3 JEOPARDY/POWERPOINT QUESTIONS
2026 QUESTIONS EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED
What teaching does the nurse include for a patient with atrial fibrillation who
has a new prescription for warfarin?
A."It is important to consume a diet high in green leafy vegetables."
B."You would take aspirin or ibuprofen for headache."
C."Report nosebleeds to your provider immediately."
D."Avoid caffeinated beverages."
•C
•A nosebleed could be indicative of excessive dosing of warfarin. Warfarin is an
anticoagulant and causes decreased ability for blood to clot.Green leafy vegetables
are high in vitamin K, which may antagonize the effects of warfarin; these vegetables
would be eaten in moderate amounts. Aspirin and nonsteroidal anti-inflammatory
agents may prolong the prothrombin time and the international normalized ratio,
causing predisposition to bleeding. These agents would be avoided. It is not
necessary to avoid caffeine because this does not affect clotting; however, green tea
may interfere with the effects of warfarin.
•How does the nurse recognize that atropine has produced a positive outcome
for the patient with bradycardia?
A.The patient states he is dizzy and weak.
B.The nurse notes dyspnea.
C.The patient has a heart rate of 42 beats/min.
D.The monitor shows an increase in heart rate.
•D
•An expected outcome after the administration of atropine is an increased heart rate.
By definition, the bradydysrhythmia has resolved when the heart rate is greater than
60 beats/min.Dizziness and weakness indicate symptoms of decreased cerebral
perfusion and intolerance to the bradydysrhythmia. Dyspnea indicates intolerance to
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the bradydysrhythmia. A heart rate of 42 beats/min after atropine has been given
indicates that bradycardia is unresolved.
•The nurse is caring for a patient with atrial fibrillation (AF). In addition to an
antidysrhythmic, what medication does the nurse plan to administer?
A.Heparin
B.Atropine
C.Dobutamine
D.Magnesium sulfate
•A
•The nurse plans to administer heparin in addition to the antidysrhythmic. AF is the
loss of coordinated atrial contractions that can lead to pooling of blood, resulting in
thrombus formation. The patient is at high risk for pulmonary and systemic
embolism. Heparin and other anticoagulants (e.g., enoxaparin [Lovenox], warfarin
[Coumadin], and novel oral anticoagualants, when nonvalvular, such as dabigatran
[Pradaxa], rivaroxaban [Xarelto], apixaban [Eliquis], or edoxaban [Savaysa]) are
used to prevent thrombus development in the atrium, leading to the risk of
embolization (i.e., stroke).Atropine is used to treat bradycardia and not rapid heart
rate associated with AF. Dobutamine is an inotropic agent used to improve cardiac
output; it may cause tachycardia, thereby worsening atrial fibrillation. Although
electrolyte levels are monitored in clients with dysrhythmia, magnesium sulfate is not
used unless depletion is noted.
•The nurse is caring for a patient who has developed a bradycardia. Which
possible causes does the nurse investigate? Select all that apply
A.Bearing down for a bowel movement
B.Patient stating that he just had a cup of coffee
C.Patient becoming emotional when visitors arrived
D.Diltiazem (Cardizem) administered 1 hour ago
•AD
•Valsalva maneuvers such as bearing down for a bowel movement or gagging may
cause excessive vagal (parasympathetic) stimulation to the heart leading to
decreased rate of sinus node discharge - causing bradycardia. Calcium channel
blockers such as diltiazem may cause bradycardia. Caffeine intake results in an
increased heart rate. Stress, such as an emotional encounter, can result in
tachycardia.
, Page 3 of 36
•Which risk factors are known to contribute to atrial fibrillation? Select all that
apply
A.Use of beta-adrenergic blockers
B.Excessive alcohol use
C.Advancing age
D.High blood pressure
E.Palpitations
•BCD
•Risk factors contributing to atrial fibrillation include excessive alcohol use,
advancing age, and hypertension. Other risk factors involve previous ischemic
stroke, transient ischemic attack or other thromboembolic event, coronary heart
disease, diabetes mellitus, heart failure, mitral valve disease, obesity, and chronic
kidney disease. The incidence of atrial fibrillation also occurs more often in those of
European ancestry and African Americans. Beta-adrenergic blocking agents, which
reduce heart rate, are used to treat atrial fibrillation. Palpitations are a symptom of
atrial fibrillation, rather than a risk or a cause.
•The nurse is caring for a patient with advanced heart failure who develops
asystole. The nurse corrects the graduate nurse when the graduate offers to
perform which intervention?
A.Defibrillation
B.Cardiopulmonary resuscitation (CPR)
C.Administration of epinephrine
D.Administration of oxygen
•A
•Defibrillation interrupts the heart rhythm and allows normal pacemaker cells to take
over. In asystole, there is no rhythm to interrupt. Therefore, this intervention is not
used. If drug therapy fails to restore effective rhythm, CPR is initiated. Epinephrine is
used to increase heart rate in asystole. Hypoxia may be a cause of cardiac arrest, so
the administration of oxygen would be appropriate.
•The nurse is caring for a patient with acute coronary syndrome (ACS) and
atrial fibrillation who has a new prescription for metoprolol. Which monitoring
is essential when administering the medication?
A.ST segment
B.Heart rate
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C.Troponin
D.Myoglobin
•B
•The monitoring of the patient's heart rate is essential. The effects of metoprolol are
to decrease heart rate, blood pressure, and myocardial oxygen demand.ST segment
elevation is consistent with MI; it does not address monitoring of metoprolol.
Elevation in troponin is consistent with a diagnosis of MI, but does not address
needed monitoring for metoprolol. Elevation in myoglobin is consistent with
myocardial injury in ACS, but does not address needed monitoring related to
metoprolol.
•The nurse is caring for a patient with unstable angina whose cardiac monitor
shows ventricular tachycardia. Which action is appropriate to implement first?
A.Defibrillate the patient at 200 joules.
B.Check the patient for a pulse.
C.Cardiovert the patient at 50 joules.
D.Give the patient IV lidocaine.
•B
•The nurse needs to first assess the patient to determine stability before proceeding
with further interventions. If the patient has a pulse and is relatively stable, elective
cardioversion or antidysrhythmic medications may be prescribed. The drug of choice
for stable ventricular tachycardia with a pulse is amiodarone. If the patient is
pulseless or nonresponsive, the patient is unstable and defibrillation is used and not
cardioversion. Also, if the patient is pulseless, lidocaine may be given after
defibrillation.
•The nurse is teaching a group of teens about prevention of heart disease.
Which point is most important for the nurse to emphasize?
A.Reduce abdominal fat.
B.Avoid stress.
C.Do not smoke or chew tobacco.
D.Avoid alcoholic beverages.
•C
•The most important point for the nurse to emphasize when teaching a group of
teens about heart disease prevention is not to smoke or chew tobacco. Tobacco
exposure, including secondhand smoke, reduces coronary blood flow, causing
NUR 311 EXAM 3 JEOPARDY/POWERPOINT QUESTIONS
2026 QUESTIONS EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED
What teaching does the nurse include for a patient with atrial fibrillation who
has a new prescription for warfarin?
A."It is important to consume a diet high in green leafy vegetables."
B."You would take aspirin or ibuprofen for headache."
C."Report nosebleeds to your provider immediately."
D."Avoid caffeinated beverages."
•C
•A nosebleed could be indicative of excessive dosing of warfarin. Warfarin is an
anticoagulant and causes decreased ability for blood to clot.Green leafy vegetables
are high in vitamin K, which may antagonize the effects of warfarin; these vegetables
would be eaten in moderate amounts. Aspirin and nonsteroidal anti-inflammatory
agents may prolong the prothrombin time and the international normalized ratio,
causing predisposition to bleeding. These agents would be avoided. It is not
necessary to avoid caffeine because this does not affect clotting; however, green tea
may interfere with the effects of warfarin.
•How does the nurse recognize that atropine has produced a positive outcome
for the patient with bradycardia?
A.The patient states he is dizzy and weak.
B.The nurse notes dyspnea.
C.The patient has a heart rate of 42 beats/min.
D.The monitor shows an increase in heart rate.
•D
•An expected outcome after the administration of atropine is an increased heart rate.
By definition, the bradydysrhythmia has resolved when the heart rate is greater than
60 beats/min.Dizziness and weakness indicate symptoms of decreased cerebral
perfusion and intolerance to the bradydysrhythmia. Dyspnea indicates intolerance to
, Page 2 of 36
the bradydysrhythmia. A heart rate of 42 beats/min after atropine has been given
indicates that bradycardia is unresolved.
•The nurse is caring for a patient with atrial fibrillation (AF). In addition to an
antidysrhythmic, what medication does the nurse plan to administer?
A.Heparin
B.Atropine
C.Dobutamine
D.Magnesium sulfate
•A
•The nurse plans to administer heparin in addition to the antidysrhythmic. AF is the
loss of coordinated atrial contractions that can lead to pooling of blood, resulting in
thrombus formation. The patient is at high risk for pulmonary and systemic
embolism. Heparin and other anticoagulants (e.g., enoxaparin [Lovenox], warfarin
[Coumadin], and novel oral anticoagualants, when nonvalvular, such as dabigatran
[Pradaxa], rivaroxaban [Xarelto], apixaban [Eliquis], or edoxaban [Savaysa]) are
used to prevent thrombus development in the atrium, leading to the risk of
embolization (i.e., stroke).Atropine is used to treat bradycardia and not rapid heart
rate associated with AF. Dobutamine is an inotropic agent used to improve cardiac
output; it may cause tachycardia, thereby worsening atrial fibrillation. Although
electrolyte levels are monitored in clients with dysrhythmia, magnesium sulfate is not
used unless depletion is noted.
•The nurse is caring for a patient who has developed a bradycardia. Which
possible causes does the nurse investigate? Select all that apply
A.Bearing down for a bowel movement
B.Patient stating that he just had a cup of coffee
C.Patient becoming emotional when visitors arrived
D.Diltiazem (Cardizem) administered 1 hour ago
•AD
•Valsalva maneuvers such as bearing down for a bowel movement or gagging may
cause excessive vagal (parasympathetic) stimulation to the heart leading to
decreased rate of sinus node discharge - causing bradycardia. Calcium channel
blockers such as diltiazem may cause bradycardia. Caffeine intake results in an
increased heart rate. Stress, such as an emotional encounter, can result in
tachycardia.
, Page 3 of 36
•Which risk factors are known to contribute to atrial fibrillation? Select all that
apply
A.Use of beta-adrenergic blockers
B.Excessive alcohol use
C.Advancing age
D.High blood pressure
E.Palpitations
•BCD
•Risk factors contributing to atrial fibrillation include excessive alcohol use,
advancing age, and hypertension. Other risk factors involve previous ischemic
stroke, transient ischemic attack or other thromboembolic event, coronary heart
disease, diabetes mellitus, heart failure, mitral valve disease, obesity, and chronic
kidney disease. The incidence of atrial fibrillation also occurs more often in those of
European ancestry and African Americans. Beta-adrenergic blocking agents, which
reduce heart rate, are used to treat atrial fibrillation. Palpitations are a symptom of
atrial fibrillation, rather than a risk or a cause.
•The nurse is caring for a patient with advanced heart failure who develops
asystole. The nurse corrects the graduate nurse when the graduate offers to
perform which intervention?
A.Defibrillation
B.Cardiopulmonary resuscitation (CPR)
C.Administration of epinephrine
D.Administration of oxygen
•A
•Defibrillation interrupts the heart rhythm and allows normal pacemaker cells to take
over. In asystole, there is no rhythm to interrupt. Therefore, this intervention is not
used. If drug therapy fails to restore effective rhythm, CPR is initiated. Epinephrine is
used to increase heart rate in asystole. Hypoxia may be a cause of cardiac arrest, so
the administration of oxygen would be appropriate.
•The nurse is caring for a patient with acute coronary syndrome (ACS) and
atrial fibrillation who has a new prescription for metoprolol. Which monitoring
is essential when administering the medication?
A.ST segment
B.Heart rate
, Page 4 of 36
C.Troponin
D.Myoglobin
•B
•The monitoring of the patient's heart rate is essential. The effects of metoprolol are
to decrease heart rate, blood pressure, and myocardial oxygen demand.ST segment
elevation is consistent with MI; it does not address monitoring of metoprolol.
Elevation in troponin is consistent with a diagnosis of MI, but does not address
needed monitoring for metoprolol. Elevation in myoglobin is consistent with
myocardial injury in ACS, but does not address needed monitoring related to
metoprolol.
•The nurse is caring for a patient with unstable angina whose cardiac monitor
shows ventricular tachycardia. Which action is appropriate to implement first?
A.Defibrillate the patient at 200 joules.
B.Check the patient for a pulse.
C.Cardiovert the patient at 50 joules.
D.Give the patient IV lidocaine.
•B
•The nurse needs to first assess the patient to determine stability before proceeding
with further interventions. If the patient has a pulse and is relatively stable, elective
cardioversion or antidysrhythmic medications may be prescribed. The drug of choice
for stable ventricular tachycardia with a pulse is amiodarone. If the patient is
pulseless or nonresponsive, the patient is unstable and defibrillation is used and not
cardioversion. Also, if the patient is pulseless, lidocaine may be given after
defibrillation.
•The nurse is teaching a group of teens about prevention of heart disease.
Which point is most important for the nurse to emphasize?
A.Reduce abdominal fat.
B.Avoid stress.
C.Do not smoke or chew tobacco.
D.Avoid alcoholic beverages.
•C
•The most important point for the nurse to emphasize when teaching a group of
teens about heart disease prevention is not to smoke or chew tobacco. Tobacco
exposure, including secondhand smoke, reduces coronary blood flow, causing
