2026 Questions and Correct Detailed Answers
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What does A Fib ECG look like? - CORRECT ANSWER--impulse rate of 350-600
times per minute
-no P waves
-no atrial contractions
-loss of atrial kick
-irregular ventricular response
The nurse is assessing the client's heart sounds. Which instruction will the nurse
provide if there is difficulty in hearing heart sounds?
A. "Please roll onto your left side."
B. "Lay all the way down on your back."
C. "Please hold your breath while I use my stethoscope."
D. "I will just take your pulse instead." - CORRECT ANSWER-A
,Which statement made by the client on the way to the catheterization laboratory
requires an immediate action by the nurse?
A. "My allergies are bothering me, so I took some Benadryl last night before bed."
B. "I was nervous last night, but I still remembered to take my warfarin."
C. "I sure am hungry. I haven't had anything to eat since I went to bed last night."
D. "I don't know what I will do if they find a blockage in my heart." - CORRECT
ANSWER-B
What population is at high risk of hyptertension - CORRECT ANSWER-African
Americans
How often do you assess vital signs on a patient with a dysrhythmia
(gray box) - CORRECT ANSWER-at least every 4 hours
Nursing Safety Priority for Sinus tachycardia what to assess
(gray box) - CORRECT ANSWER--fatigue, weakness, SOB, orthopnea, decreased
O2, increased HR, decreased BP, angina, palpitations
-ECG: T wave inversion or ST elevation/depression
-decreased cerebral perfusion may occur. Symptoms: restlessness and anxiety
-impaired renal function may occur symptoms: decreased urine output.
,The nurse is assessing the client's cardiac rhythm and notes the following: HR 64,
regular rhythm, PR interval 0.20; QRS 0.10. How will the nurse document this
rhythm interpretation in the electronic health record?
A. Sinus tachycardia
B. Sinus bradycardia
C. Normal sinus rhythm
D. Sinus arrhythmia - CORRECT ANSWER-C
NURSING SAFETY PRIORITY
patient education with permanent pacemakers include - CORRECT ANSWER--
Avoid strong electromagnetic fields (magnets and telecommunication
transmitters)
-carry pacemaker identification card
-medical alert bracelet
A fib may lead to - CORRECT ANSWER--DVT or PE due to blood pooling
-HF
, A fib signs and symptoms - CORRECT ANSWER--symptoms depend on
ventricular rate*
-some patients are asymptomatic*
irregular pulse, poor perfusion, fatigue, weakness, SOB, dizziness, anxiety,
syncope, palpitations, chest pain/discomfort, and hypotension
Nursing intervention for a PE - CORRECT ANSWER--stay with patient
-monitor for SOB, chest pain, and hypotension
-initiate a rapid
-notify the provider
T/F patients on anticoagulation should report bleeding gums to their provider
immediately - CORRECT ANSWER-T
NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient -
CORRECT ANSWER-Oxygen
what does the nurse assess for in a patient with a dysrthymia? - CORRECT
ANSWER-Angina, hypotension, HF, decreased cerebral profusion, and decreased
renal profusion.