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MEDSURG 2 HEART FINAL EXAM NEWEST 2025
ACTUAL EXAM COMPLETE 70 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
- The nurse in the intensive care unit (ICU) hears an alarm
sound in the patient's room. Arriving in the room, the patient is unresponsive, without a pulse, and a flat line on the monitor.What is the first action by the nurse?
THE CORRECT ANSWER: is Begin cardiopulmonary
resuscitation (CPR)
- The staff educator is teaching a class in dysrhythmias. What
statement is correct for defibrillation?
THE CORRECT ANSWER: is It is used to eliminate
ventricular dysrhythmias
- You enter your client's room and find them pulseless and
unresponsive. What would be the treatment of choice for this client?
THE CORRECT ANSWER: is Immediate defibrillation
- A 26-year-old Air Force staff sergeant is returning for
diagnostic followup to the cardiologist's office where you practice nursing. Her Holter monitor strip reveals a heart rate with normal conduction but with a rate consistently above 105
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beats per minutes. What other conditions can cause this response in a healthy heart?
THE CORRECT ANSWER: is All options are correct
- A patient with a history of atrial fibrillation has had a
worsening of the condition. The nurse knows that the drug of choice for long-term stabilization of atrial fibrillation is what?
THE CORRECT ANSWER: is Quinidine (Generic)
- Your client has just been diagnosed with a dysrhythmia. The
client asks you to explain normal sinus rhythm. What would you explain are the characteristics of normal sinus rhythm?
THE CORRECT ANSWER: is The sinoatrial (SA) node
initiates the impulse
- Your client has been diagnosed with an atrial dysrhythmia.
The client has come to the clinic for a follow-up appointment and to talk with the physician about options to stop this dysrhythmia. What would be a procedure used to treat this client?
THE CORRECT ANSWER: is Elective electrical
cardioversion
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- The nurse caring for a patient with a dysrhythmia understands
that the P wave on an electrocardiogram (ECG) represents what phase of the cardiac cycle?
THE CORRECT ANSWER: is Atrial depolarization
- The nurse is attempting to determine the ventricular rate and
rhythm of a patient's telemetry strip. What should the nurse examine to determine this part of the analysis?
THE CORRECT ANSWER: is RR interval
- Sam, a retired professional NFL player, visits his
cardiologist for his annual physical. The nurse takes an ECG and notices an abnormal finding. However, the nurse realizes that this result can be normal when present without symptoms.
This finding is a:
THE CORRECT ANSWER: is Heart rate of 42 beats per
minute (bpm)
- Two days after discharge following a permanent pacemaker
insertion, the client returns to the clinic for a follow-up appointment. He reports tenderness and throbbing around the incision. The nurse observes mild swelling, erythema, and
warmth at the site and suspects which of the following:
THE CORRECT ANSWER: is Pacemaker site infection
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- A client has a medical diagnosis of an advanced AV block
and is symptomatic due to a slow heart rate. With what initial treatment(s) should the nurse be prepared to assist?
THE CORRECT ANSWER: is IV bolus of atropine or
temporary pacing
- Which PR interval presents a first-degree heart block?
THE CORRECT ANSWER: is 0.24 seconds
- A patient experiences a new wide complex tachycardia with
a rate of 150. After assessing the patient, the nurse finds the patients is awake and alert, although complaining that he "does not feel right." He has a blood pressure reading of 96/60 and oxygen saturation of 92% on room air. The nurse's next action is
to:
THE CORRECT ANSWER: is Notify the provider stat
- The nurse is assessing a patient with a probable diagnosis of
first-degree AV block. He is aware that this dysrhythmia is evident on an ECG strip by which of the following?
THE CORRECT ANSWER: is Delayed conduction,
producing a prolonged PR interval