NRSG3420 EXAM 2 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS GRADED A++
2024/2025
What are the rhythms that we can legally defibrillate?
- V. tach
- V. fib
If you walked into a patient's room and they were in asystole, what do you do
first?
Begin CPR compressions
What are the 3 questions you ask when determining a heart beat?
1. What is the heart rate?
2. Is there a P wave for every QRS?
3. Is the P wave to P wave consistent?
What is the medical treatment for Sinus Bradycardia?
Atropine 1mg IVP and consider pacing
What is the medical management for Ventricular Fibrillation?
If no pulse, prepare to defibrillate at 200J
What happens during Ventricular Fibrillation?
- The heart is "quivering shaking"
- The heart is not fulling contracting (no full force)
, What is the medical management for Ventricular Tachycardia?
- If no pulse, prepare to defibrillate at 200J
- If pulse, administer Amiodarone 150mg IV over 10 minutes
What is the medical management for Atrial Fibrillation?
- Check apical and radial pulses
- Administer medications to control rate
- Initiate blood thinners
How can you tell the difference between Sinus Tachycardia and A. fib/A. flutter?
Questions 2 and 3
- Sinus tachycardia has a P wave for every QRS AND P wave to P wave is consistent
- A. fib has neither
- A. flutter only has a consistent P wave to P wave
What is the medical management for Supraventricular Tachycardia?
- Stimulate vagal nerve (bearing down and coughing)
- Contact provider for carotid massage
- Consider sync cardioversion (if unstable)
- Administer Adenosine 6mg IVP
Can you see the P wave during Supraventricular Tachycardia?
No, the heart is beating so fast that it cannot be seen, but it is there
What is the medical management for Premature Ventricular Contractions (PVCs)?
Assess patient blood pressure and oxygen saturation
What kind of care is necessary for symptomatic and asymptomatic PVC?
WITH COMPLETE SOLUTIONS GRADED A++
2024/2025
What are the rhythms that we can legally defibrillate?
- V. tach
- V. fib
If you walked into a patient's room and they were in asystole, what do you do
first?
Begin CPR compressions
What are the 3 questions you ask when determining a heart beat?
1. What is the heart rate?
2. Is there a P wave for every QRS?
3. Is the P wave to P wave consistent?
What is the medical treatment for Sinus Bradycardia?
Atropine 1mg IVP and consider pacing
What is the medical management for Ventricular Fibrillation?
If no pulse, prepare to defibrillate at 200J
What happens during Ventricular Fibrillation?
- The heart is "quivering shaking"
- The heart is not fulling contracting (no full force)
, What is the medical management for Ventricular Tachycardia?
- If no pulse, prepare to defibrillate at 200J
- If pulse, administer Amiodarone 150mg IV over 10 minutes
What is the medical management for Atrial Fibrillation?
- Check apical and radial pulses
- Administer medications to control rate
- Initiate blood thinners
How can you tell the difference between Sinus Tachycardia and A. fib/A. flutter?
Questions 2 and 3
- Sinus tachycardia has a P wave for every QRS AND P wave to P wave is consistent
- A. fib has neither
- A. flutter only has a consistent P wave to P wave
What is the medical management for Supraventricular Tachycardia?
- Stimulate vagal nerve (bearing down and coughing)
- Contact provider for carotid massage
- Consider sync cardioversion (if unstable)
- Administer Adenosine 6mg IVP
Can you see the P wave during Supraventricular Tachycardia?
No, the heart is beating so fast that it cannot be seen, but it is there
What is the medical management for Premature Ventricular Contractions (PVCs)?
Assess patient blood pressure and oxygen saturation
What kind of care is necessary for symptomatic and asymptomatic PVC?
