ECCO Questions and Answers A+
Graded (2025)
A .patient .has .a .transcutaneous .pacemaker. .Which .action .should .the .nurse
.implement .when .a .pacemaker .spike .occurs .but .is .not .followed .by .ventricular
.complex?
Assess .the .heart .rate
Increase .the .mA
Increase .the .mV
Assess .the .ECG .lead .placement .- .CORRECT .ANSWER-Increase .the .mA
A .patient .has .a .transvenous .temporary .pacemaker .in .place. .Pacemaker .spikes
.are .noted .on .the .ECG, .but .they .are .not .followed .by .a .P .wave .or .QRS .complex.
.Which .is .initially .indicated?
Reposition .patient .on .the .right .side
Increase .the .sensitivity .(set .mV .to .a .lower .number).
Check .the .connections.
Decrease .the .mS .(output) .- .CORRECT .ANSWER-Check .the .connections.
A .patient .has .a .epicardial .temporary .pacemaker .in .place .at .a .rate .of .70 .and .mA
.of .6. .The .patient's .rhythm .is .junctional .with .a .rate .of .55. .No .pacemaker .spikes
.are .noted .on .the .ECG. .Which .is .initially .indicated.
Increase .the .mV .on .the .sensitivity .dial
Change .the .batteries
Increase .the .pacemaker .rate
Increase .the .mA .(output) .- .CORRECT .ANSWER-Change .the .batteries
A .patient's .ICD .defibrillates .and .the .nurse .assesses .the .patient's .rhythm .and
.vital .signs. .What .should .be .the .nurse's .next .step?
Watch .to .see .whether .the .ICD .terminated .the .dysrhythmia
Place .a .magnet .over .the .ICD
Turn .off .the .ICD, .and .insert .a .new .battery
Change .the .ICD .to .standby .mode .- .CORRECT .ANSWER-Watch .to .see .whether
.the .ICD .terminated .the .dysrhythmia
,A .nurse .notes .bradycardia .in .a .patient .admitted .with .subarachnoid .hemorrhage
.and .vomiting. .What .medications .may .increase .the .patient's .risk .of .sudden
.cardiac .death .due .to .long .QT .syndrome?
Anticholinergics .or .phosphodiesterase .inhibitors
Acetaminophen .or .calcium .channel .blockers
ACE .inhibitors .or .anticonvulsants
Antibiotics .or .antidysrhythmics .- .CORRECT .ANSWER-Antibiotics .or
.antidysrhythmics
Which .patient .is .at .greatest .risk .for .development .of .torsades .de .pointes? .A
.patient .with .a...
QTc .of .0.40 .with .hypercalcemia
QTc .of .0.52 .with .hypokalemia
QTc .of .0.44 .with .hyperphosphatemia
QTc .of .0.36 .with .hyponatremia .- .CORRECT .ANSWER-QTc .of .0.52 .with
.hypokalemia
A .patient .has .indication .for .synchronized .cardioversion? .A .patient .with:
Ventricular .tachycardia .with .BP .100/60 .(73)
Supraventricular .tachycardia .with .chest .pain
Atrial .fibrillation .with .a .history .of .VTE
Sinus .bradycardia .with .mental .status .changes .- .CORRECT .ANSWER-
Supraventricular .tachycardia .with .chest .pain
A .nurse .finds .a .patient .unresponsive .and .without .a .palpable .pulse. .Which .of .the
.following .assessments .is .an .indication .for .defibrillation?
Ventricular .fibrillation
Cyanosis
Pulse .oximeter .below .80
Asystole .- .CORRECT .ANSWER-Ventricular .fibrillation
Which .should .the .nurse .include .in .preparing .a .patient .for .an .electrophysiology
.study?
"You'll .see .yourself .in .v .tach .on .the .screen"
"The .study .calls .for .dye .to .be .places .in .your .IV"
"You .will .be .sedated .for .the .procedure"
"Since .you .will .be .awake, .you .can .eat .a .light .breakfast" .- .CORRECT .ANSWER-
"You .will .be .sedated .for .the .procedure"
A .patient .with .a .history .of .cocaine .use .reports .headache, .blurred .vision, .severe
.chest .pain, .nausea, .and .vomiting. .Vital .signs .are: .BP .214/136, .HR .106, .RR .24.
.Which .priority .is .initially .indicated?
Emergent .ophthalmology .consult
,Implement .a .chest .pain .protocol
Initiation .of .anti-emetic .therapy .
Administration .of .an .antihypertensive .- .CORRECT .ANSWER-Administration .of .an
.antihypertensive
A .patient .reports .sudden .onset .of .chest .pain, .and .dyspnea. .Which .3 .assessment
.findings .would .differentiate .whether .the .cause .is .ACS .or .pericarditis?
Pericarditis .pain .often .accompanied .by .severe .headache
ACS .pain .is .not .usually .accompanied .by .fever
Pericarditis .chest .pain .increases .with .inspiration
ACS .chest .pain .doesn't .alter .when .patient .changes .position .- .CORRECT
.ANSWER-ACS .pain .is .not .usually .accompanied .by .fever
Pericarditis .chest .pain .increases .with .inspiration
ACS .chest .pain .doesn't .alter .when .patient .changes .position
A .patient .with .a .recent .MI .reports .stabbing .chest .pain .that .increases .with .deep
.breathing .and .is .relieved .by .leaning .forward. .SpO2 .is .94%. .Which .should .the
.nurse .initially .anticipate?
Corticosteroids .
NSAIDs/ASA
Pericardiocentesis
Nitroglycerin .- .CORRECT .ANSWER-NSAIDs/ASA
A .nurse .observes .a .patient's .jugular .venous .distention, .tachycardia, .and
.hypotension .{BP .72/50 .(57)}. .ECHO .identifies .a .large .pericardial .effusion .and
.onset .of .atrial .collapse. .What .intervention .should .the .nurse .initially .anticipate?
Administer .vasopressor
Prepare .for .intubation .and .mechanical .ventilation
Prepare .for .pericardiocentesis
Administer .morphine .IV .push .- .CORRECT .ANSWER-Prepare .for
.pericardiocentesis
A .patient .with .a .stab .wound .to .the .chest .has .VS: .BP .80/40 .(53), .HR .112, .and .RR
.24. .Diminished .heart .sounds, .dizziness, .JVD, .and .weak .pulses .are .noted. .Which
.should .the .nurse .anticipate?
Administer .fluid .bolus
Infuse .dopamine .
Position .patient .in .High .Fowler's
Prepare .for .pericardiocentesis .- .CORRECT .ANSWER-Administer .fluid .bolus
Prepare .for .pericardiocentesis
, A .patient .has .the .following .ABG .results: .pH .7.25, .PaCO2 .43, .PaO2 .80, .SaO2 .91%,
.and .HCO3- .18. .What .is .the .most .likely .underlying .cause?
Acute .kidney .injury
COPD .exacerbation
Overconsumption .of .antacids
Respiratory .failure .- .CORRECT .ANSWER-Acute .kidney .injury
Which .ABG .result .requires .provider .be .notified .immediately?
pH .greater .than .7.4
HCO3 .greater .than .25
pH .less .than .7.2
PaCO2 .less .than .40 .- .CORRECT .ANSWER-pH .less .than .7.2
Which .patient .in .the .immediate .postoperative .period .should .be .given .a .a .NC .or
.simple .face .mask? .A .patient .requiring:
FiO2 .of .0.75 .- .0.95
FiO2 .of .0.4 .or .less
Oxygen .of .greater .than .15 .L/min
FiO2 .of .0.55 .- .0.90 .- .CORRECT .ANSWER-FiO2 .of .0.4 .or .less
Which .patient .most .likely .to .have .indication .for .non-rebreather .mask? .A .patient:
Who .is .postoperative .lobectomy
With .COPD
With .carbon .monoxide .poisoning
With .asthma .exacerbation .- .CORRECT .ANSWER-With .carbon .monoxide
.poisoning
Which .patient .has .an .indication .for .ventilatory .replacement? .A .patient .with .ABG
.results .of .:
pH .7.32, .PaO2 .68, .PaCO2 .44, .HCO3 .19, .SaO2 .90
pH .7.35, .PaO2 .80, .PaCO2 .45, .HCO3 .22, .SaO2 .93
pH .7.20, .PaO2 .58, .PaCO2 .55, .HCO3 .24, .SaO2 .88
pH .7.50, .PaO2 .75, .PaCO2 .43, .HCO3 .29, .SaO2 .92 .- .CORRECT .ANSWER-pH .7.20,
.PaO2 .58, .PaCO2 .55, .HCO3 .24, .SaO2 .88
A .nurse .checks .that .a .patient .can .remove .the .NIPPV .mask .in .the .event .of
.emesis. .What .are .other .nursing .care .priorities .for .patients .using .NIPPV?
Assess .respiratory .rate .and .depth, .and .changes .in .LOC
Examine .skin .for .breakdown .across .nasal .bridge .or .any .pressure .points.
Ensure .that .mask .leakage .is .within .manufacturer's .limits
Check .for .dryness .or .irritation .of .eyes, .nasal .passages, .and .upper .airway .-
.CORRECT .ANSWER-Assess .respiratory .rate .and .depth, .and .changes .in .LOC
Examine .skin .for .breakdown .across .nasal .bridge .or .any .pressure .points.
Graded (2025)
A .patient .has .a .transcutaneous .pacemaker. .Which .action .should .the .nurse
.implement .when .a .pacemaker .spike .occurs .but .is .not .followed .by .ventricular
.complex?
Assess .the .heart .rate
Increase .the .mA
Increase .the .mV
Assess .the .ECG .lead .placement .- .CORRECT .ANSWER-Increase .the .mA
A .patient .has .a .transvenous .temporary .pacemaker .in .place. .Pacemaker .spikes
.are .noted .on .the .ECG, .but .they .are .not .followed .by .a .P .wave .or .QRS .complex.
.Which .is .initially .indicated?
Reposition .patient .on .the .right .side
Increase .the .sensitivity .(set .mV .to .a .lower .number).
Check .the .connections.
Decrease .the .mS .(output) .- .CORRECT .ANSWER-Check .the .connections.
A .patient .has .a .epicardial .temporary .pacemaker .in .place .at .a .rate .of .70 .and .mA
.of .6. .The .patient's .rhythm .is .junctional .with .a .rate .of .55. .No .pacemaker .spikes
.are .noted .on .the .ECG. .Which .is .initially .indicated.
Increase .the .mV .on .the .sensitivity .dial
Change .the .batteries
Increase .the .pacemaker .rate
Increase .the .mA .(output) .- .CORRECT .ANSWER-Change .the .batteries
A .patient's .ICD .defibrillates .and .the .nurse .assesses .the .patient's .rhythm .and
.vital .signs. .What .should .be .the .nurse's .next .step?
Watch .to .see .whether .the .ICD .terminated .the .dysrhythmia
Place .a .magnet .over .the .ICD
Turn .off .the .ICD, .and .insert .a .new .battery
Change .the .ICD .to .standby .mode .- .CORRECT .ANSWER-Watch .to .see .whether
.the .ICD .terminated .the .dysrhythmia
,A .nurse .notes .bradycardia .in .a .patient .admitted .with .subarachnoid .hemorrhage
.and .vomiting. .What .medications .may .increase .the .patient's .risk .of .sudden
.cardiac .death .due .to .long .QT .syndrome?
Anticholinergics .or .phosphodiesterase .inhibitors
Acetaminophen .or .calcium .channel .blockers
ACE .inhibitors .or .anticonvulsants
Antibiotics .or .antidysrhythmics .- .CORRECT .ANSWER-Antibiotics .or
.antidysrhythmics
Which .patient .is .at .greatest .risk .for .development .of .torsades .de .pointes? .A
.patient .with .a...
QTc .of .0.40 .with .hypercalcemia
QTc .of .0.52 .with .hypokalemia
QTc .of .0.44 .with .hyperphosphatemia
QTc .of .0.36 .with .hyponatremia .- .CORRECT .ANSWER-QTc .of .0.52 .with
.hypokalemia
A .patient .has .indication .for .synchronized .cardioversion? .A .patient .with:
Ventricular .tachycardia .with .BP .100/60 .(73)
Supraventricular .tachycardia .with .chest .pain
Atrial .fibrillation .with .a .history .of .VTE
Sinus .bradycardia .with .mental .status .changes .- .CORRECT .ANSWER-
Supraventricular .tachycardia .with .chest .pain
A .nurse .finds .a .patient .unresponsive .and .without .a .palpable .pulse. .Which .of .the
.following .assessments .is .an .indication .for .defibrillation?
Ventricular .fibrillation
Cyanosis
Pulse .oximeter .below .80
Asystole .- .CORRECT .ANSWER-Ventricular .fibrillation
Which .should .the .nurse .include .in .preparing .a .patient .for .an .electrophysiology
.study?
"You'll .see .yourself .in .v .tach .on .the .screen"
"The .study .calls .for .dye .to .be .places .in .your .IV"
"You .will .be .sedated .for .the .procedure"
"Since .you .will .be .awake, .you .can .eat .a .light .breakfast" .- .CORRECT .ANSWER-
"You .will .be .sedated .for .the .procedure"
A .patient .with .a .history .of .cocaine .use .reports .headache, .blurred .vision, .severe
.chest .pain, .nausea, .and .vomiting. .Vital .signs .are: .BP .214/136, .HR .106, .RR .24.
.Which .priority .is .initially .indicated?
Emergent .ophthalmology .consult
,Implement .a .chest .pain .protocol
Initiation .of .anti-emetic .therapy .
Administration .of .an .antihypertensive .- .CORRECT .ANSWER-Administration .of .an
.antihypertensive
A .patient .reports .sudden .onset .of .chest .pain, .and .dyspnea. .Which .3 .assessment
.findings .would .differentiate .whether .the .cause .is .ACS .or .pericarditis?
Pericarditis .pain .often .accompanied .by .severe .headache
ACS .pain .is .not .usually .accompanied .by .fever
Pericarditis .chest .pain .increases .with .inspiration
ACS .chest .pain .doesn't .alter .when .patient .changes .position .- .CORRECT
.ANSWER-ACS .pain .is .not .usually .accompanied .by .fever
Pericarditis .chest .pain .increases .with .inspiration
ACS .chest .pain .doesn't .alter .when .patient .changes .position
A .patient .with .a .recent .MI .reports .stabbing .chest .pain .that .increases .with .deep
.breathing .and .is .relieved .by .leaning .forward. .SpO2 .is .94%. .Which .should .the
.nurse .initially .anticipate?
Corticosteroids .
NSAIDs/ASA
Pericardiocentesis
Nitroglycerin .- .CORRECT .ANSWER-NSAIDs/ASA
A .nurse .observes .a .patient's .jugular .venous .distention, .tachycardia, .and
.hypotension .{BP .72/50 .(57)}. .ECHO .identifies .a .large .pericardial .effusion .and
.onset .of .atrial .collapse. .What .intervention .should .the .nurse .initially .anticipate?
Administer .vasopressor
Prepare .for .intubation .and .mechanical .ventilation
Prepare .for .pericardiocentesis
Administer .morphine .IV .push .- .CORRECT .ANSWER-Prepare .for
.pericardiocentesis
A .patient .with .a .stab .wound .to .the .chest .has .VS: .BP .80/40 .(53), .HR .112, .and .RR
.24. .Diminished .heart .sounds, .dizziness, .JVD, .and .weak .pulses .are .noted. .Which
.should .the .nurse .anticipate?
Administer .fluid .bolus
Infuse .dopamine .
Position .patient .in .High .Fowler's
Prepare .for .pericardiocentesis .- .CORRECT .ANSWER-Administer .fluid .bolus
Prepare .for .pericardiocentesis
, A .patient .has .the .following .ABG .results: .pH .7.25, .PaCO2 .43, .PaO2 .80, .SaO2 .91%,
.and .HCO3- .18. .What .is .the .most .likely .underlying .cause?
Acute .kidney .injury
COPD .exacerbation
Overconsumption .of .antacids
Respiratory .failure .- .CORRECT .ANSWER-Acute .kidney .injury
Which .ABG .result .requires .provider .be .notified .immediately?
pH .greater .than .7.4
HCO3 .greater .than .25
pH .less .than .7.2
PaCO2 .less .than .40 .- .CORRECT .ANSWER-pH .less .than .7.2
Which .patient .in .the .immediate .postoperative .period .should .be .given .a .a .NC .or
.simple .face .mask? .A .patient .requiring:
FiO2 .of .0.75 .- .0.95
FiO2 .of .0.4 .or .less
Oxygen .of .greater .than .15 .L/min
FiO2 .of .0.55 .- .0.90 .- .CORRECT .ANSWER-FiO2 .of .0.4 .or .less
Which .patient .most .likely .to .have .indication .for .non-rebreather .mask? .A .patient:
Who .is .postoperative .lobectomy
With .COPD
With .carbon .monoxide .poisoning
With .asthma .exacerbation .- .CORRECT .ANSWER-With .carbon .monoxide
.poisoning
Which .patient .has .an .indication .for .ventilatory .replacement? .A .patient .with .ABG
.results .of .:
pH .7.32, .PaO2 .68, .PaCO2 .44, .HCO3 .19, .SaO2 .90
pH .7.35, .PaO2 .80, .PaCO2 .45, .HCO3 .22, .SaO2 .93
pH .7.20, .PaO2 .58, .PaCO2 .55, .HCO3 .24, .SaO2 .88
pH .7.50, .PaO2 .75, .PaCO2 .43, .HCO3 .29, .SaO2 .92 .- .CORRECT .ANSWER-pH .7.20,
.PaO2 .58, .PaCO2 .55, .HCO3 .24, .SaO2 .88
A .nurse .checks .that .a .patient .can .remove .the .NIPPV .mask .in .the .event .of
.emesis. .What .are .other .nursing .care .priorities .for .patients .using .NIPPV?
Assess .respiratory .rate .and .depth, .and .changes .in .LOC
Examine .skin .for .breakdown .across .nasal .bridge .or .any .pressure .points.
Ensure .that .mask .leakage .is .within .manufacturer's .limits
Check .for .dryness .or .irritation .of .eyes, .nasal .passages, .and .upper .airway .-
.CORRECT .ANSWER-Assess .respiratory .rate .and .depth, .and .changes .in .LOC
Examine .skin .for .breakdown .across .nasal .bridge .or .any .pressure .points.
