NURS EXAM QUESTIONS WITH ANSWERS
MAINLY CARDIAC ASSURED A+
The nurse is evaluating a patient's cardiac rhythm strip to determine if there is
a proper function of the VVI mode pacemaker. Which denotes proper
functioning?
A. Spikes precede all P waves and QRS complexes.
B. There are consistent spikes before each P wave.
C. Spikes occur before QRS complexes when intrinsic ventricular
D. beats do not occur.
E. Spikes occur before all QRS complexes
regardless of intrinsic ventricular activity.
. Does the nurse determine that a patient requires further teaching after
permanent pacemaker insertion if which statement is made?
A. "My pulse rate should be less than what my pacemaker is set at."
B. "I'll need to call my health care provider if I feel tired or dizzy."
C. "I'll have to avoid carrying the grocery bags into
the house for the next 6 weeks."
D. "It's safe to use my microwave as long it is
properly grounded and well shielded."
The nurse is reviewing the procedure for the performance of an
electrocardiogram (ECG).
Which action by the nurse indicates an understanding of the correct position for
, the lead when performing a 12-lead electrocardiogram?
• "The lead should be placed on the fourth
intercostal space left sternal border."
• "The lead should be placed on the fourth intercostal space right
sternal border."
• "The lead should be placed on the fifth
intercostal space left midaxillary line."
• "The lead should be placed on the fifth
intercostal space left midclavicular line."
After instruction on the application of anti-embolism stockings, the nurse
determines that the patient requires further teaching if which of these
actions is performed?
A. The patient puts on the stockings before getting out of bed.
B. The patient bunches up the stockings for easier application.
C. The patient ensures that stockings are pulled up all the way.
D. The patient ensures that the rough seams of the
stockings are on the outside.
The nurse is assessing a patient newly diagnosed with mild
hypertension. Which assessment finding should the nurse expect?
A. Asymptomatic
B. Shortness of breath
C. Visual disturbances
D. Frequent nosebleeds
, The nurse monitors the patient for which condition is a complication of
polycythemia vera.
A. Thrombosis
B. Hypotension
C. Cardiomyopathy
D. Pulmonary edema
Rationale:
Polycythemia vera is a disorder of the bone marrow. It results in excessive
production of white blood cells, red blood cells, and platelets. patients with
polycythemia vera are also more likely to form blood clots that can cause thrombi,
strokes, myocardial infarctions, and abnormal bleeding. patients with
polycythemia vera is hypertensive; therefore, hypotension is incorrect.
Cardiomyopathy and pulmonary edema are not concerns with this disorder.
A chaotic small, irregular, disorganized cardiac pattern suddenly appears on
a patient's cardiac monitor. Which is the nurse's first action?
A. Check the blood pressure.
B. Call the health care provider (HCP).
C. Check the patient and the chest leads.
D. Initiate cardiopulmonary resuscitation (CPR).
Which is the priority assessment in the care of a patient who is newly
admitted to the hospital for acute arterial insufficiency of the left leg and
, moderate chronic arterial insufficiency of the right leg?
A. Monitor oxygen saturation with pulse oximetry.
B. Assess activity tolerance before and after exercise.
C. Observe the patient's cardiac rhythm with telemetry.
D. Assess peripheral pulses with an ultrasonic Doppler device.
A patient's electrocardiogram shows that the ventricular rhythm is irregular
and there are no discernible P waves. The nurse recognizes that this pattern is
associated with which condition?
• Atrial flutter
• Atrial fibrillation
• Third-degree atrioventricular (AV) block
• First-degree AV block
The nurse is caring for a patient after an above-the-knee amputation. The
nurse assesses the residual (remaining) limb and expects to note which
finding.
A. The pink color of the skin flap
B. Hot feeling on palpation of the skin flap
C. Serous fluid leaking from the skin flap incision
D. Absent pulse at the proximal pulse point site
closest to the skin flap
The nurse reading the operative record of a patient who had cardiac surgery
notes that the patient's cardiac output immediately after surgery was 3.2
L/min. Evaluation of the cardiac output results leads the nurse to make which
conclusion?
A. The cardiac output is above the normal range.
MAINLY CARDIAC ASSURED A+
The nurse is evaluating a patient's cardiac rhythm strip to determine if there is
a proper function of the VVI mode pacemaker. Which denotes proper
functioning?
A. Spikes precede all P waves and QRS complexes.
B. There are consistent spikes before each P wave.
C. Spikes occur before QRS complexes when intrinsic ventricular
D. beats do not occur.
E. Spikes occur before all QRS complexes
regardless of intrinsic ventricular activity.
. Does the nurse determine that a patient requires further teaching after
permanent pacemaker insertion if which statement is made?
A. "My pulse rate should be less than what my pacemaker is set at."
B. "I'll need to call my health care provider if I feel tired or dizzy."
C. "I'll have to avoid carrying the grocery bags into
the house for the next 6 weeks."
D. "It's safe to use my microwave as long it is
properly grounded and well shielded."
The nurse is reviewing the procedure for the performance of an
electrocardiogram (ECG).
Which action by the nurse indicates an understanding of the correct position for
, the lead when performing a 12-lead electrocardiogram?
• "The lead should be placed on the fourth
intercostal space left sternal border."
• "The lead should be placed on the fourth intercostal space right
sternal border."
• "The lead should be placed on the fifth
intercostal space left midaxillary line."
• "The lead should be placed on the fifth
intercostal space left midclavicular line."
After instruction on the application of anti-embolism stockings, the nurse
determines that the patient requires further teaching if which of these
actions is performed?
A. The patient puts on the stockings before getting out of bed.
B. The patient bunches up the stockings for easier application.
C. The patient ensures that stockings are pulled up all the way.
D. The patient ensures that the rough seams of the
stockings are on the outside.
The nurse is assessing a patient newly diagnosed with mild
hypertension. Which assessment finding should the nurse expect?
A. Asymptomatic
B. Shortness of breath
C. Visual disturbances
D. Frequent nosebleeds
, The nurse monitors the patient for which condition is a complication of
polycythemia vera.
A. Thrombosis
B. Hypotension
C. Cardiomyopathy
D. Pulmonary edema
Rationale:
Polycythemia vera is a disorder of the bone marrow. It results in excessive
production of white blood cells, red blood cells, and platelets. patients with
polycythemia vera are also more likely to form blood clots that can cause thrombi,
strokes, myocardial infarctions, and abnormal bleeding. patients with
polycythemia vera is hypertensive; therefore, hypotension is incorrect.
Cardiomyopathy and pulmonary edema are not concerns with this disorder.
A chaotic small, irregular, disorganized cardiac pattern suddenly appears on
a patient's cardiac monitor. Which is the nurse's first action?
A. Check the blood pressure.
B. Call the health care provider (HCP).
C. Check the patient and the chest leads.
D. Initiate cardiopulmonary resuscitation (CPR).
Which is the priority assessment in the care of a patient who is newly
admitted to the hospital for acute arterial insufficiency of the left leg and
, moderate chronic arterial insufficiency of the right leg?
A. Monitor oxygen saturation with pulse oximetry.
B. Assess activity tolerance before and after exercise.
C. Observe the patient's cardiac rhythm with telemetry.
D. Assess peripheral pulses with an ultrasonic Doppler device.
A patient's electrocardiogram shows that the ventricular rhythm is irregular
and there are no discernible P waves. The nurse recognizes that this pattern is
associated with which condition?
• Atrial flutter
• Atrial fibrillation
• Third-degree atrioventricular (AV) block
• First-degree AV block
The nurse is caring for a patient after an above-the-knee amputation. The
nurse assesses the residual (remaining) limb and expects to note which
finding.
A. The pink color of the skin flap
B. Hot feeling on palpation of the skin flap
C. Serous fluid leaking from the skin flap incision
D. Absent pulse at the proximal pulse point site
closest to the skin flap
The nurse reading the operative record of a patient who had cardiac surgery
notes that the patient's cardiac output immediately after surgery was 3.2
L/min. Evaluation of the cardiac output results leads the nurse to make which
conclusion?
A. The cardiac output is above the normal range.
