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