Med-Surg Ch 25: Cardiac Arrhythmias
NCLEX-Style Questions & Answers 2026
A patient scheduled for the next dose of atenolol has a blood pressure (BP) of 94/60 mm Hg. Which
action should the nurse take next? - ANSWER ✔✨---Notify HCP
The nurse is caring for a patient who suddenly goes into ventricular fibrillation. Which interventions
would be priority for the nurse to perform? Select all that apply. - ANSWER ✔✨---Defibrillate the
pt
Start CPR immediately
A patient's electrocardiogram (ECG) tracing reveals a regular rhythm with a rate of 130 bpm. For which
etiology should the nurse check? Select all that apply. - ANSWER ✔✨---Hypoxia
Shock
Dehydration
Atropine use
Anxiety
The nurse is caring for a with a new pacemaker. Which statements by the patient would indicate an
understanding of the device? Select all that apply. - ANSWER ✔✨---"I will need to carry a
pacemaker ID card with me at all times"
"It is important to let my care team know about this device before getting imaging procedures"
"I will have to limit the movement of my left arm for a while"
, A patient's electrocardiogram (ECG) tracing reveals no relationship between P waves and QRS
complexes. The patient is confused, and blood pressure is 60/30 mm Hg. Which orders should the nurse
expect? Select all that apply. - ANSWER ✔✨---IV atropine
Transwercutaneous pacing
A patient's heart rate is 38 bpm and blood pressure (BP) is 70/30 mm Hg. What is the nurse's top priority
action? - ANSWER ✔✨---Administer IV atropine
A patient with flutter waves on a recent electrocardiogram (ECG) reports syncopal episode, dyspnea,
and angina. Which treatment should the nurse expect to be prescribed? - ANSWER ✔✨---
Synchronized cardioversion
A patient is prescribed warfarin for atrial fibrillation. Which statement by the patient would indicate
understanding of the medication? - ANSWER ✔✨---"I will have to get blood work done often to
make sure the medication is working"
A patient with a regular heart rhythm of 155 bpm reports dyspnea and angina. Which prescribed
medications will the nurse expect to administer? - ANSWER ✔✨---Adenosine
The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are
characteristics of normal sinus rhythm (NSR)? - ANSWER ✔✨---QRS interval less than or equal to
0.10 seconds
A patient on continuous telemetry monitoring shows a pattern of "sawtooth" waves occurring at a rapid
rate. Which intervention would the nurse perform? - ANSWER ✔✨---Prepare pt for synchronized
cardioversion
The nurse is caring for a diagnosed with atrial fibrillation. Which medications would the nurse anticipate
administering? Select all that apply. - ANSWER ✔✨---Digoxin, Cardizem, Warfarin
A patient is prescribed digoxin. Which statement by the patient would indicate a need for reinforcement
of teaching about this medication? - ANSWER ✔✨---"I need to limit potassium-rich foods in my
diet now that I'm taking this medication"
NCLEX-Style Questions & Answers 2026
A patient scheduled for the next dose of atenolol has a blood pressure (BP) of 94/60 mm Hg. Which
action should the nurse take next? - ANSWER ✔✨---Notify HCP
The nurse is caring for a patient who suddenly goes into ventricular fibrillation. Which interventions
would be priority for the nurse to perform? Select all that apply. - ANSWER ✔✨---Defibrillate the
pt
Start CPR immediately
A patient's electrocardiogram (ECG) tracing reveals a regular rhythm with a rate of 130 bpm. For which
etiology should the nurse check? Select all that apply. - ANSWER ✔✨---Hypoxia
Shock
Dehydration
Atropine use
Anxiety
The nurse is caring for a with a new pacemaker. Which statements by the patient would indicate an
understanding of the device? Select all that apply. - ANSWER ✔✨---"I will need to carry a
pacemaker ID card with me at all times"
"It is important to let my care team know about this device before getting imaging procedures"
"I will have to limit the movement of my left arm for a while"
, A patient's electrocardiogram (ECG) tracing reveals no relationship between P waves and QRS
complexes. The patient is confused, and blood pressure is 60/30 mm Hg. Which orders should the nurse
expect? Select all that apply. - ANSWER ✔✨---IV atropine
Transwercutaneous pacing
A patient's heart rate is 38 bpm and blood pressure (BP) is 70/30 mm Hg. What is the nurse's top priority
action? - ANSWER ✔✨---Administer IV atropine
A patient with flutter waves on a recent electrocardiogram (ECG) reports syncopal episode, dyspnea,
and angina. Which treatment should the nurse expect to be prescribed? - ANSWER ✔✨---
Synchronized cardioversion
A patient is prescribed warfarin for atrial fibrillation. Which statement by the patient would indicate
understanding of the medication? - ANSWER ✔✨---"I will have to get blood work done often to
make sure the medication is working"
A patient with a regular heart rhythm of 155 bpm reports dyspnea and angina. Which prescribed
medications will the nurse expect to administer? - ANSWER ✔✨---Adenosine
The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are
characteristics of normal sinus rhythm (NSR)? - ANSWER ✔✨---QRS interval less than or equal to
0.10 seconds
A patient on continuous telemetry monitoring shows a pattern of "sawtooth" waves occurring at a rapid
rate. Which intervention would the nurse perform? - ANSWER ✔✨---Prepare pt for synchronized
cardioversion
The nurse is caring for a diagnosed with atrial fibrillation. Which medications would the nurse anticipate
administering? Select all that apply. - ANSWER ✔✨---Digoxin, Cardizem, Warfarin
A patient is prescribed digoxin. Which statement by the patient would indicate a need for reinforcement
of teaching about this medication? - ANSWER ✔✨---"I need to limit potassium-rich foods in my
diet now that I'm taking this medication"
