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