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