April 2022 - Gyan Darpan : Learning Portal
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Friday 29 April 2022

Dysrhythmias & EKG Interpretation Q 1

A nurse is assessing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS c...
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Dysrhythmias & EKG Interpretation Q 2

A nurse notes that a client with sinus rhythm has a premature ventricular contraction that falls on the T wave of the preceding beat. The cl...
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Dysrhythmias & EKG Interpretation Q 3

While caring for a client who has sustained an MI, the nurse notes eight PVCs in one minute on the cardiac monitor. The client is receiving ...
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Dysrhythmias & EKG Interpretation Q 4

The adaptations of a client with complete heart block would most likely include:           A. Nausea and vertigo       B. Flushing and slurr...
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Dysrhythmias & EKG Interpretation Q 5

A client with a bundle branch block is on a cardiac monitor. The nurse should expect to observe:           A. Sagging ST segments.       B. ...
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Dysrhythmias & EKG Interpretation Q 6

When ventricular fibrillation occurs in a CCU, the first person reaching the client should:           A. Administer oxygen.       B. Defibri...
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Dysrhythmias & EKG Interpretation Q 7

What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor? Select all that apply.           A. T...
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Dysrhythmias & EKG Interpretation Q 8

When auscultating the apical pulse of a client who has atrial fibrillation, the nurse would expect to hear a rhythm that is characterized by...
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Dysrhythmias & EKG Interpretation Q 9

Atherosclerosis impedes coronary blood flow by which of the following mechanisms?           A. Plaques obstruct the vein.       B. Plaques o...
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Dysrhythmias & EKG Interpretation Q 10

A paradoxical pulse occurs in a client who had a coronary artery bypass graft (CABG) surgery two (2) days ago. Which of the following surgic...
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Dysrhythmias & EKG Interpretation Q 11

A nurse notices frequent artifacts on the ECG monitor for a client whose leads are connected by cable to a console at the bedside. The nurse...
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Dysrhythmias & EKG Interpretation Q 12

A woman with severe mitral stenosis and mitral regurgitation has a pulmonary artery catheter inserted. The physician orders pulmonary artery...
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Dysrhythmias & EKG Interpretation Q 13

A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and ...
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Dysrhythmias & EKG Interpretation Q 14

A nurse is viewing the cardiac monitor in a client’s room and notes that the client has just gone into ventricular tachycardia. The client i...
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Thursday 28 April 2022

Dysrhythmias & EKG Interpretation Q 15

A nurse is caring for a client with unstable ventricular tachycardia. The nurse instructs the client to do which of the following, if prescr...
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Dysrhythmias & EKG Interpretation Q 16

A client is having frequent premature ventricular contractions. A nurse would place a priority on the assessment of which of the following i...
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Dysrhythmias & EKG Interpretation Q 17

A client has developed atrial fibrillation, which has a ventricular rate of 150 beats per minute. A nurse assesses the client for:          ...
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Dysrhythmias & EKG Interpretation Q 18

A nurse is watching the cardiac monitor, and a client’s rhythm suddenly changes. There are no P waves; instead, there are wavy lines. The QR...
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Dysrhythmias & EKG Interpretation Q 19

A client with rapid rate atrial fibrillation asks a nurse why the physician is going to perform carotid massage. The nurse responds that thi...
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Heart Failure & Valvular Diseases Q 1

Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of coronary artery disease?         ...
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Heart Failure & Valvular Diseases Q 2

What is the first intervention for a client experiencing MI?           A. Administer morphine       B. Administer oxygen       C. Administer...
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Heart Failure & Valvular Diseases Q 3

Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?...
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Heart Failure & Valvular Diseases Q 4

What is the most common complication of an MI?           A. Cardiogenic shock       B. Heart failure       C. Arrhythmias       D. Pericardi...
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Heart Failure & Valvular Diseases Q 5

With which of the following disorders is jugular vein distention most prominent?           A. Abdominal aortic aneurysm       B. Heart failu...
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Heart Failure & Valvular Diseases Q 6

Toxicity from which of the following medications may cause a client to see a green-yellow halo around lights?           A. digoxin (Lanoxin)...
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Heart Failure & Valvular Diseases Q 7

Which of the following symptoms is most commonly associated with left-sided heart failure?           A. Crackles       B. Arrhythmias       ...
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