Cardiac Rhythms and Dysrhythmias Question and Answer
100% Accuracy, 2024
What is the first choice for treatment with a patient who has ventricular
tachycardia and has a pulse?
Amiodarone
When a patient has long-term atrial fibrillation, the nurse would expect to include
which drug in the plan of care to minimize the greatest risk that is commonly
associated with atrial fibrillation?
Anticoagulants
A 21-year-old female is seen in the Emergency Department for vomiting and
diarrhea for 3 days. Her BP is 94/64 and her EKG rhythm is Sinus tachycardia.
The best action for the nurse to take initially is to:
Treat the underlying problem: the dehydratoin and vomiting.
IV bolus of fluids
Prior to discharge from the Emergency Department, the nurse prints a rhythm
strip on a patient and notices that the P wave cannot be detected and the QRS
complex is 0.24 seconds. This is a change in the patient's condition. What is the
best action for the nurse to take?
Notify the physician
A patient is to have synchronized cardioversion for treatment of atrial flutter. He
has received Heparin 500 units subcutaneously. Which intervention should now
be performed?
Sedate the patient with Versed 2 mg IV push per protocol.
A patient found pulseless and unconscious is placed on the monitor that shows
v-fib rhythm. What should the nurse do next?
Immediately start CPR and call a code.
A 38-year-old female is brought to the Emergency Department with complaints of
her "heart beating out of her chest". She is diaphoretic, tachypneic and her BP is
70/40. The cardiac monitor shows supraventricular tachycardia. Valsalva
, maneuvers and three doses of Adenosine have not been successful. The nurse
should immediately:
prepare the patient for synchronized cardioversion.
The nurse observes V-tach on the monitor. The patient is pulseless and apneic.
The nurse should immediatley?
Open the airway and begin CPR
A 65-year-old female patient comes to the Emergency Department with
complaints of chest pain and shortness of breath. Her BP is 87/60. After being
placed on the monitor it shows that she is in first degree heart block with
bradycardia. What nursing intervention should take place?
Give her atropine 1 mg IVP
The adaptations of a client with complete heart block would most likely include:
Nausea and vertigo
Flushing and slurred speech
Cephalalgia and blurred vision
Syncope and slow ventricular rate
Syncope and slow ventricular rate
A nurse is watching the cardiac monitor and notices that the rhythm suddenly
changes. There are no P waves, the QRS complexes are wide, and the ventricular
rate is regular but over 100. The nurse determines that the client is experiencing:
Premature ventricular contractions
Ventricular tachycardia
Ventricular fibrillation
Sinus tachycardia
A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes.
There are no P waves, the QRS complexes are wide, and the ventricular rate is regular
but over 100. The nurse determines that the client is experiencing:
Premature ventricular contractions
Ventricular tachycardia
Ventricular fibrillation
Sinus tachycardia
100% Accuracy, 2024
What is the first choice for treatment with a patient who has ventricular
tachycardia and has a pulse?
Amiodarone
When a patient has long-term atrial fibrillation, the nurse would expect to include
which drug in the plan of care to minimize the greatest risk that is commonly
associated with atrial fibrillation?
Anticoagulants
A 21-year-old female is seen in the Emergency Department for vomiting and
diarrhea for 3 days. Her BP is 94/64 and her EKG rhythm is Sinus tachycardia.
The best action for the nurse to take initially is to:
Treat the underlying problem: the dehydratoin and vomiting.
IV bolus of fluids
Prior to discharge from the Emergency Department, the nurse prints a rhythm
strip on a patient and notices that the P wave cannot be detected and the QRS
complex is 0.24 seconds. This is a change in the patient's condition. What is the
best action for the nurse to take?
Notify the physician
A patient is to have synchronized cardioversion for treatment of atrial flutter. He
has received Heparin 500 units subcutaneously. Which intervention should now
be performed?
Sedate the patient with Versed 2 mg IV push per protocol.
A patient found pulseless and unconscious is placed on the monitor that shows
v-fib rhythm. What should the nurse do next?
Immediately start CPR and call a code.
A 38-year-old female is brought to the Emergency Department with complaints of
her "heart beating out of her chest". She is diaphoretic, tachypneic and her BP is
70/40. The cardiac monitor shows supraventricular tachycardia. Valsalva
, maneuvers and three doses of Adenosine have not been successful. The nurse
should immediately:
prepare the patient for synchronized cardioversion.
The nurse observes V-tach on the monitor. The patient is pulseless and apneic.
The nurse should immediatley?
Open the airway and begin CPR
A 65-year-old female patient comes to the Emergency Department with
complaints of chest pain and shortness of breath. Her BP is 87/60. After being
placed on the monitor it shows that she is in first degree heart block with
bradycardia. What nursing intervention should take place?
Give her atropine 1 mg IVP
The adaptations of a client with complete heart block would most likely include:
Nausea and vertigo
Flushing and slurred speech
Cephalalgia and blurred vision
Syncope and slow ventricular rate
Syncope and slow ventricular rate
A nurse is watching the cardiac monitor and notices that the rhythm suddenly
changes. There are no P waves, the QRS complexes are wide, and the ventricular
rate is regular but over 100. The nurse determines that the client is experiencing:
Premature ventricular contractions
Ventricular tachycardia
Ventricular fibrillation
Sinus tachycardia
A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes.
There are no P waves, the QRS complexes are wide, and the ventricular rate is regular
but over 100. The nurse determines that the client is experiencing:
Premature ventricular contractions
Ventricular tachycardia
Ventricular fibrillation
Sinus tachycardia
