NUR265 LEVEL FOUR 2026 TEST PAPER
SOLVED QUESTIONS GRADED A+
◉ Atenolol side effects. Answer: Bradycardia, hypotension, CHF,
fatigue
◉ Pre Cath Instructions (OUTPATIENT). Answer: Do not take
diuretics on the day of the procedure. Generic names of common
diuretics include furosemide, spironolactone, and
hydrochlorothiazide. (This medicine is also combined with other
medicines - lisinopril, for example - for blood pressure control). If
you take a combination medicine with a diuretic in it, confirm with
the outpatient nurse coordinator whether you should take it before
your procedure.
•Confirm with your physician or medical professional how long to
stay off your blood thinner (generic name is warfarin) at least three
days before your procedure.
•Do not take metformin the night before the procedure, the day of
the procedure, or for two days after the procedure.
•Do not take other oral hypoglycemics, your "blood sugar pills," the
day of procedure, including the generic glyburide.
•If you take insulin injections, give yourself only half the normal
dose the night before the procedure and none on the day of the
procedure.
,•Unless indicated, you can take aspirin or the generic clopidogrel
bisulfate.
◉ Bradycardia rhythm strip. Answer:
◉ Bradycardia treatment. Answer: Asymptomatic= nothing,
document
Symptomatic= atropine
◉ Tachycardia rhythm strip. Answer:
◉ Tachycardia Treatment. Answer: determine underlying disorder
and treat it
◉ Atrial Fibrillation rhythm strip. Answer:
◉ A Fib Clinical manifestations. Answer: Shortness of breath,
lightheaded mess, weakness, activity intolerance, confusion
◉ Atrial Fibrillation Treatment. Answer: - diltiazem if mild
- amiodarone if severe
,- if drug therapy is unsuccessful --> cardioversion
- anticoagulant therapy to prevent clots from pooling in the atria
◉ Premature Ventricular Contractions (PVC) rhythm strip. Answer:
◉ PVC clinical manifestations. Answer: May present with complaints
of fluttering or palpitations, pounding or jumping heart rate, skipped
beats, or an increased awareness of heartbeat.
◉ PVC Treatment. Answer: asymptomatic: observation
symptomatic:
1) *beta blockers*
2) amiodarone = second line
◉ Ventricular Tachycardia rhythm strip. Answer:
◉ V Tach clinical manifestations. Answer: May present with
complaints of dizziness, palpitations, fatigue, chest Ian/pressure,
shortness of breath, syncope, weak erratic pulse or no pulse
, ◉ Ventricular Tachycardia Treatment. Answer: Unstable/no pulse:
CPR and Defib!
If stable:
-Amiodarone
-Lidocaine
If recurrent:
-amiodarone with beta blocker
◉ STEMI rhythm strip. Answer:
◉ STEMI clinical manifestations. Answer: *chest pain that radiates*
to arm, neck, and jaw
- begins abruptly
- severe, "crushing"
- unrelieved by rest and nitroglycerin
*SOA*, ↑ RR
*nausea*, indigestion, epigastric pain
SOLVED QUESTIONS GRADED A+
◉ Atenolol side effects. Answer: Bradycardia, hypotension, CHF,
fatigue
◉ Pre Cath Instructions (OUTPATIENT). Answer: Do not take
diuretics on the day of the procedure. Generic names of common
diuretics include furosemide, spironolactone, and
hydrochlorothiazide. (This medicine is also combined with other
medicines - lisinopril, for example - for blood pressure control). If
you take a combination medicine with a diuretic in it, confirm with
the outpatient nurse coordinator whether you should take it before
your procedure.
•Confirm with your physician or medical professional how long to
stay off your blood thinner (generic name is warfarin) at least three
days before your procedure.
•Do not take metformin the night before the procedure, the day of
the procedure, or for two days after the procedure.
•Do not take other oral hypoglycemics, your "blood sugar pills," the
day of procedure, including the generic glyburide.
•If you take insulin injections, give yourself only half the normal
dose the night before the procedure and none on the day of the
procedure.
,•Unless indicated, you can take aspirin or the generic clopidogrel
bisulfate.
◉ Bradycardia rhythm strip. Answer:
◉ Bradycardia treatment. Answer: Asymptomatic= nothing,
document
Symptomatic= atropine
◉ Tachycardia rhythm strip. Answer:
◉ Tachycardia Treatment. Answer: determine underlying disorder
and treat it
◉ Atrial Fibrillation rhythm strip. Answer:
◉ A Fib Clinical manifestations. Answer: Shortness of breath,
lightheaded mess, weakness, activity intolerance, confusion
◉ Atrial Fibrillation Treatment. Answer: - diltiazem if mild
- amiodarone if severe
,- if drug therapy is unsuccessful --> cardioversion
- anticoagulant therapy to prevent clots from pooling in the atria
◉ Premature Ventricular Contractions (PVC) rhythm strip. Answer:
◉ PVC clinical manifestations. Answer: May present with complaints
of fluttering or palpitations, pounding or jumping heart rate, skipped
beats, or an increased awareness of heartbeat.
◉ PVC Treatment. Answer: asymptomatic: observation
symptomatic:
1) *beta blockers*
2) amiodarone = second line
◉ Ventricular Tachycardia rhythm strip. Answer:
◉ V Tach clinical manifestations. Answer: May present with
complaints of dizziness, palpitations, fatigue, chest Ian/pressure,
shortness of breath, syncope, weak erratic pulse or no pulse
, ◉ Ventricular Tachycardia Treatment. Answer: Unstable/no pulse:
CPR and Defib!
If stable:
-Amiodarone
-Lidocaine
If recurrent:
-amiodarone with beta blocker
◉ STEMI rhythm strip. Answer:
◉ STEMI clinical manifestations. Answer: *chest pain that radiates*
to arm, neck, and jaw
- begins abruptly
- severe, "crushing"
- unrelieved by rest and nitroglycerin
*SOA*, ↑ RR
*nausea*, indigestion, epigastric pain
