ECCO exam COMPREHENSIVE QUESTIONS WITH
MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS
(NEW) 2025
Terms in this set (221)
A patient has a transcutaneous Increase the mA
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
A patient has a transvenous Check the connections.
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)
,A patient has a epicardial Change the batteries
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)
A patient's ICD defibrillates Watch to see whether the ICD terminated the dysrhythmia
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
A nurse notes bradycardia in a Antibiotics or antidysrhythmics
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
Which patient is at greatest QTc of 0.52 with hypokalemia
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
A patient has indication for Supraventricular tachycardia with chest pain
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
, A nurse finds a patient Ventricular fibrillation
unresponsive and without a
palpable pulse. Which of the
following assessments is an
indication for defibrillation?
Ventricular
fibrillation
Cyanosis
Pulse oximeter below
80 Asystole
Which should the nurse "You will be sedated for the procedure"
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"
A patient with a history of Administration of an antihypertensive
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
MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS
(NEW) 2025
Terms in this set (221)
A patient has a transcutaneous Increase the mA
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
A patient has a transvenous Check the connections.
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)
,A patient has a epicardial Change the batteries
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)
A patient's ICD defibrillates Watch to see whether the ICD terminated the dysrhythmia
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
A nurse notes bradycardia in a Antibiotics or antidysrhythmics
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
Which patient is at greatest QTc of 0.52 with hypokalemia
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
A patient has indication for Supraventricular tachycardia with chest pain
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
, A nurse finds a patient Ventricular fibrillation
unresponsive and without a
palpable pulse. Which of the
following assessments is an
indication for defibrillation?
Ventricular
fibrillation
Cyanosis
Pulse oximeter below
80 Asystole
Which should the nurse "You will be sedated for the procedure"
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"
A patient with a history of Administration of an antihypertensive
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
