The patients heart rate is 180 beats per minute the

This preview shows page 11 - 14 out of 44 pages.

MedSurg Final Exam Practice.docx

52 .   The patient is admitted with a fever ( 103 degrees F ) and rapid heart rate ( 105 bpm ) . The nurse places the patient on a cardiac monitor and finds that the rate is regular , p waves are clearly seen and appear normal , QRS complexes are 0.08 seconds wide . Blood pressure is normal . The nurse should focus on providing .
A . Medications to lower the heart rate
B. Treatment to lower temperature
C. Treatment to lower cardiac output
D. Treatment to reduce heart rate
53 .   The patient is admitted with a condition that requires cardiac rhythm monitoring . To apply the monitoring electrodes , the nurse must first :
Get answer to your question and much more
54 .   A 68 - year - old male presents to the ED with complaints of crushing chest pain that radiates to the left shoulder and arm . The patient is diagnosed with acute myocardial infarction ( AMI ) . Admission orders include oxygen 2 L / NC , blood work , chest x - ray , 12 - lead ECG , and sublingual ( SL ) nitroglycerin . What should be the nurse 's FIRST action ?
Get answer to your question and much more
55 .   The patient 's heart rate is 180 beats per minute . The cardiac monitor shows a rapid rate with narrow QRS complexes . The P waves can not be seen , but the rhythm is regular . The patient 's blood pressure has dropped from 124 / 62 mm Hg to 78/30 mm Hg. The patient 's skin is cold and diaphoretic , and the patient is complaining of nausea . The nurse prepares the patient for
Get answer to your question and much more
56 .   A nurse is reviewing an EKG rhythm strip . The P waves and QRS complexes are regular . The PR interval is 0.16 second , and QRS complexes measure 0.06 second . The heart rate is 64 beats a minute . Which would be a correct interpretation based on these characteristics ?
A . Sinus bradycardia
B. Sick sinus syndrome
C. Normal sinus rhythm
D. First - degree heart block
57 .   The nurse is talking with the patient when the monitor alarms and shows a wavy baseline without a PQRST complex . The nurse should :
Get answer to your question and much more
58 .   The patient has an irregular heart rhythm . To determine an accurate heart rate , the nurse would first :
Get answer to your question and much more
59 .   The normal width of the QRS complex is which of the following Select all that apply . No commas , no spaces , no capitals
Get answer to your question and much more
60 .   The nurse is calculating the rate for a regular rhythm . There are 20 small boxes between each P wave and 20 small boxes between each R wave . What is the ventricular rate ?
A. 50 beats / minute
61 .   The nurse is reading the cardiac monitor and notes that the patient 's heart rhythm is extremely irregular and that there are no discernible P waves . The ventricular rate is 90 beats per minute , and the patient is hemodynamically stable . The nurse realizes that the patient 's rhythm is :
Get answer to your question and much more
62 .   A patient is admitted to the ED with clinical indications of an acute myocardial infarction . Symptoms began 3 hours ago . The facility does not have the capability for percutaneous coronary intervention ( PCI ) . Given this scenario , what is the priority intervention in the treatment and nursing management of this patient ?
Get answer to your question and much more
63 .   When caring for a patient with atrial fibrillation a nurse might expect to see the patient on the following medications ? Include all appropriate medications . ( Select all that apply ) . Use small letters , no spaces , no commas .
Get answer to your question and much more
64 .   A patient is diagnosed with an ST segment elevation myocardial infarction ( STEMI ) , and is receiving tissue plasminogen activator alteplase . Which action is priority nursing intervention ?
A. Monitor kidney failure
B. Monitor psychosocial status
C. Monitor for signs of bleeding
D. Have heparin sodium available
55. The patient's heart rate is 180 beats per minute. The cardiac monitor shows a rapid rate with narrow QRS complexes. The P waves cannot be seen, but the rhythm is regular. The patient's blood pressure has dropped from 124/62 mm Hg to 78/30 mm Hg. The patient's skin is cold and diaphoretic, and the patient is complaining of nausea. The nurse prepares the patient for A.Administration of beta blockers B.Administration of atropine C.Transcutaneous pacemaker insertion
D.Emergent cardioversion
56. A nurse is reviewing an EKG rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The heart rate is 64 beats a minute. Which would be a correct interpretation based on these characteristics?
57. The nurse is talking with the patient when the monitor alarms and shows a wavy baseline without a PQRST complex. The nurse should:
58. The patient has an irregular heart rhythm. To determine an accurate heart rate, the nurse would first:
59. The normal width of the QRS complex is which of the followingSelect all that apply. No commas, no spaces, no capitalsa. 0.06 to 0.10 secondsb. 0.12 to 0.20 secondsc. 1.5 to 2.5 small boxesd. 3.0 to 5.0 small boxese. 0.04 seconds or greater
60. The nurse is calculating the rate for a regular rhythm. There are 20 small boxes betweeneach P wave and 20 small boxes between each R wave. What is the ventricular rate?
61. The nurse is reading the cardiac monitor and notes that the patient's heart rhythm is extremely irregular and that there are no discernible P waves. The ventricular rate is 90 beats per minute, and the patient is hemodynamically stable. The nurse realizes that the patient's rhythm is:

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture