Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 26 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A RR interval
B PP interval
C QT interval
D TP interval
Question #2
A Check the security of all connections and increase the milliamperage
B Reposition the extremity and turn the client to left side
C Document the findings and continue to monitor the client
D Obtain a 12-lead ECG and a portable chest x-ray
Question #3
A R-on-T phenomenon
B Bigeminy
C Couplets
D Multifocal PVCs
Question #4
A Atrial flutter
B Premature atrial complex
C Ventricular fibrillation
D Sinus tachycardia
Question #5
A Insertion of an ICD
B Maze procedure
C Insertion of a permanent pacemaker
D Catheter ablation therapy
Question #6
A PR interval that is 0.18 seconds long
B QRS complex that is 0.10 seconds long
C QT interval that is 0. 46 seconds long
D ST segment that is isoelectric in appearance
Question #7
A Document heart rate before and after administration
B Monitor vital signs and cardiac rhythm
C Keep the client flat for one hour after administration
D Administer every five minutes during cardiac resuscitation
Question #8
A Decreased peripheral vascular resistance
B Increased cardiac output and increased systolic and diastolic blood pressure
C Decreased blood pressure with reflex tachycardia
D Decreased cardiac output and decreased systolic and diastolic blood pressure
Question #9
A sinus tachycardia.
B normal sinus rhythm.
C junctional tachycardia.
D first-degree atrioventricular block.
Question #10
A Place the client on supplemental oxygen.
B Question the client about alcohol and illicit drug use.
C Prepare to administer a calcium channel blocker.
D Instruct the client to hold the breath and bear down.
Question #11
A A suction machine
B A defibrillator
C Cardioversion equipment
D An ECG machine
Question #12
A A client with poor kidney perfusion
B A client with atrial dysrhythmias
C A new myocardial infarction client
D A client with third-degree heart block
Question #13
A The procedure takes less time than a cardiac catheterization.
B During the procedure, the dysrhythmia will be reproduced under controlled conditions.
C After the procedure, the dysrhythmia will not recur.
D The procedure will occur in the operating room under general anesthesia.
Question #14
A Clients with recurrent life-threatening bradycardias
B Clients with recurrent life-threatening tachydysrhythmias
C Clients with sinus tachycardia
D Clients with ventricular bradycardia
Question #15
A S-Q segment
B T wave
C QRT wave
D P-R interval
E P wave
Question #16
A Ventricular fibrillation
B Ventricular tachycardia
C Premature ventricular contraction
D Ventricular bigeminy
Question #17
A Facilitate CPR until the client is prepared for cardioversion
B Monitor blood pressure every 4 hours
C Administer digitalis and diuretics 24 hours before cardioversion
D Instruct the client to restrict food and oral intake
Question #18
A nadolol
B diltazem
C atropine sulfate
D atenolol
Question #19
A Variable heart rate, usually fewer than 90 bpm
B Irregular rhythm
C Delayed conduction, producing a prolonged PR interval
D P waves hidden within the QRS complex
Question #20
A “The heart rate is between 150 to 250 bpm.”
B “The rhythm is regular but fast.”
C “It is when the heart conduction is primarily from the aterioventricular node.”
D “The rhythm has a normal beat, then a premature beat pattern.”
Question #21
A Sensitivity is too low
B Faulty generator
C Lead wire dislodgement
D Fracture of the lead wire
Question #22
A Flattened P waves
B Peaked T waves
C Occasional U waves
D Prolonged QT interval
Question #23
A Scar on the chest
B Quality of the pulse
C “Spike” on the rhythm strip
D Vibration under the skin
Question #24
A Right side of sternum, fourth intercostal space
B Left side of sternum, fourth intercostal space
C Midway between V2 and V4
D Mid-clavicular line, fifth intercostal space
Question #25
A Mace procedure
B Chemical cardioversion
C Elective electrical cardioversion
D Elective electrical defibrillation
Question #26
A SA node, AV node, right and left bundle branches, bundle of His, and the Purkinje fibers
B Sinoatrial (SA) node, atrioventricular (AV) node, bundle of His, right and left bundle branches, and the Purkinje fibers
C SA node, AV node, bundle of His, the Purkinje fibers, and the right and left bundle branches
D AV node, SA node, bundle of His, right and left bundle branches, and the Purkinje fibers
Question #27
A “The heart’s electrical activity will be recorded when the heart rate exceeds 60 beats per minute.”
B “The small box will transmit the heart rhythm to the central monitor all the time.”
C “The box is recording the heart’s electrical activity, and a physician will review the tracing later.”
D “When your spouse needs help, an alarm will go off at the desk.”
Question #28
A Ventricular tachycardia
B Atrial fibrillation
C Ventricular fibrillation
D Atrial flutter
Question #29
A PR interval of 0.1 seconds
B QRS duration of 0.16 seconds
C Q wave of 0.04 seconds
D heart rate of 118 bpm
Question #30
A Delayed conduction, producing a prolonged PR interval
B An irregular rhythm
C A variable heart rate, usually fewer than 60 bpm
D P waves hidden with the QRS complex
Question #31
A A stethoscope
B An automatic external defibrillator
C A blood pressure cuff
D A cell phone to call 911
Question #32
A Altered patterns frequently cause a variety of home safety issues.
B Altered patterns frequently produce neurological deficits.
C Altered patterns frequently turn into life-threatening arrhythmias.
D Altered patterns frequently affect the heart’s ability to pump blood effectively.
Question #33
A Hypotension
B Fluttering
C Nausea
D Fever
Question #34
A administer an IV bolus of furosemide
B prepare the client for a cardioversion
C administer an IV bolus of atropine
D prepare client for a cardiac catheterization
Question #35
A “Your atrial chambers may contain blood clots now, so you must take an anticoagulant for a few weeks before the cardioversion.”
B “There is a long list of clients in line to be cardioverted.”
C “We have to allow your heart to rest for a few weeks before it is stressed by the cardioversion.”
D “The doctor wants to see if your heart will switch back to its normal rhythm by itself.”
Question #36
A T wave
B QRS complex
C PR interval
D P wave
Question #37
A PR interval of 0.24 seconds.
B Heart rate of 42 beats per minute (bpm).
C P-to-QR ratio of 1:2.
D QR interval of 0.25 seconds.
Question #38
A Amiodarone
B Warfarin
C Adenosine
D Atropine
Question #39
A Ventricular tachycardia
B Atrial fibrillation
C Ventricular fibrillation
D Atrial flutter
Question #40
A Ventricular fibrillation
B Premature ventricular contraction
C Asystole
D Atrial flutter
Question #41
A bundle of His
B ventricles
C atria
D atrioventricular node
Question #42
A Alkalosis
B Bradycardia
C Hypovolemia
D Hypokalemia
Question #43
A digoxin
B hypothyroidism
C vagal stimulation
D hypovolemia
Question #44
A maintaining intravenous fluids
B identifying a code-level status
C assessing blood pressure and heart rate frequently
D alerting the healthcare provider of the third-degree heart block
Question #45
A sinus bradycardia.
B sinus dysrhythmia.
C sinus tachycardia.
D normal sinus rhythm.
Question #46
A Atropine
B Dobutamine
C Lidocaine
D Amiodarone
Question #47
A Sinus bradycardia
B Sinus tachycardia
C Ventricular tachycardia
D Normal sinus rhythm
Question #48
A apply supplemental oxygen.
B request sublingual nitroglycerin.
C lie down and elevate the feet.
D avoid caffeinated beverages.
Question #49
A Check the security of all connections and increase the milliamperage
B Obtain a 12-lead ECG and a portable chest x-ray
C Document the findings and continue to monitor the client
D Reposition the extremity and turn the client to left side
Question #50
A Cardizem
B Atropine
C Pronestyl
D Lidocaine
Question #51
A The registered nurse administering atropine sulfate intravenously
B The registered nurse stating to hold all medication until the pulse rate returns to 60 beats/minute
C The registered nurse stating to administer all medications except those which are cardiotonics
D The registered nurse stating to administer digoxin
Question #52
A “If I take my metoprolol daily, I will be able to control my heart rate.”
B “I will take my levothyroxine daily.”
C “I will drink coffee with only two of my meals.”
D “I will cut back on my smoking and drinking alcohol.”
Question #53
A “I will check my pulse every day and report to the doctor if the rate is below the pacemaker setting.”
B “We will be getting rid of our microwave oven so it will not affect my pacemaker.”
C “I will avoid any large magnets that may affect my pacemaker.”
D “I will call the doctor if my incision becomes swollen and red.”
Question #54
A Sinus tachycardia
B Atrial fibrillation
C Paroxysmal atrial tachycardia
D Atrial flutter
Question #55
A “I have an appointment for magnetic resonance imaging of my knee scheduled for next week.”
B “I need to stay at least 10 inches away from the microwave.”
C “I can’t wait to get back to my football league.”
D “I’ll keep a log of each time my ICD discharges.”
Question #56
A Stay at least 5 feet away from microwave ovens.
B Never engage in activities that require vigorous arm and shoulder movement.
C Avoid going through airport metal detectors.
D Avoid undergoing magnetic resonance imaging (MRI).
Question #57
A Maintaining the client’s intravenous fluids
B Identifying the client’s code level status
C Alerting the healthcare provider of the third-degree heart block
D Assessing the client’s blood pressure and heart rate frequently
Question #58
A P waves hidden within the QRS complex
B Irregular rhythm
C Delayed conduction, producing a prolonged PR interval
D Variable heart rate, usually fewer than 90 bpm
Question #59
A Assess the client and monitor leads.
B Call a code and obtain the crash cart.
C Call for assistance and begin CPR.
D Administer a pericardial thump.
Question #60
A 80 bpm.
B 90 bpm.
C 70 bpm.
D 100 bpm.
Question #61
A IV lidocaine
B Immediate defibrillation
C Chemical cardioversion
D Electric cardioversion
Question #62
A It is not necessary to learn how to take your own pulse.
B If you miss a dose of your antiarrhythmia medication, double up on the next dose.
C Do not be concerned if you experience symptoms of lightheadedness and dizziness.
D Your family and friends may want to take a CPR class.
Question #63
A are paired with a normal beat
B occur during the QRS complex
C occur at a rate of more than six per minute
D have the same shape
Question #64
A The sinoatrial (SA) node initiates the impulse.
B Heart rate between 60 and 150 beats per minute.
C Impulse travels to the atrioventricular (AV) node in 0.15 to 0.5 seconds.
D The ventricles depolarize in 0.5 seconds or less.
Question #65
A Send the client to the cardiac catheterization laboratory.
B Administer an IV bolus of atropine.
C Review the client’s medication record.
D Prepare to client for cardioversion.
Question #66
A Sinus bradycardia
B Atrial fibrillation
C Ventricular tachycardia
D Sinus tachycardia
Question #67
A Negative Babinski reflex
B Localized infection
C Hiccuping
D Twiddler syndrome
E Positive Kernig’s sign
Question #68
A Measure the client’s blood pressure.
B Suggest the need for a new beta-blocker to the doctor.
C Double-check the monitoring equipment.
D Do nothing; there is no cause for alarm.
Question #69
A none
B atrial bradycardia
C sinus bradycardia
D heart block
Question #70
A 0.14 seconds
B 0.24 seconds
C 0.16 seconds
D 0.18 seconds
Question #71
A inherent rhythmicity of cardiac muscle tissue.
B inherent electrons in muscle tissue.
C sufficient blood pressure.
D inherent rhythmicity of all muscle tissue.