NURS 640 EXAM 2 TEST PAPER QUESTIONS
AND SOLUTIONS 2026 GRADED A+
◉ The nurse is analyzing a clients electrocardiogram tracing. Which
of the following complexes is not normally seen on an
electrocardiogram tracing? Answer: U wave
It can indicate electrolyte imbalance, medication effects, and
ischemia
◉ The nurse is analyzing a clients electrocardiogram tracing and
realizes that each small square on the paper is equal to: Answer:
0.04 second
◉ 5.The nurse is reading an ECG rhythm strip and notes that there
are nine QRS complexes in a 6- second strip. The heart rate is:
Answer: multiplying the QRS complexes in a 6-second strip by 10
◉ .The nurse notes that on a clients electrocardiogram tracing, there
is one P wave for every QRS complex and a delay in the impulse
transmission at the AV node. This regular rhythm is identified as:
Answer: First-degree atrioventricular (AV) block
,◉ A client is unresponsive and has no pulse. The nurse notes that
the electrocardiogram tracing shows continuous large and bizarre
QRS complexes measured greater than 0.12 each. This rhythm is
identified as Answer: ventricular tachycardia.
◉ An elderly client is demonstrating a change in heart rate that
occurs with respirations. When planning care for the client, the
nurse knows that treatment may include Answer: Pacemaker
insertion
◉ A clients electrocardiogram tracing shows a sawtooth pattern
with F waves. The nurse realizes this client is demonstrating:
Answer: A Flutter
◉ The electrocardiogram tracing for a client shows premature
junctional complexes. Which of the following should the nurse do to
assist this client? Answer: Check on the serum digoxin level
◉ Which of the following should the nurse instruct a client who has
been diagnosed with an arrhythmia? Answer: symptom
management, how to take own pulse, and substances to avoid the
onset of an arrhythmia
◉ A client is diagnosed with supraventricular tachycardia. The nurse
should prepare to administer which of the following medications?
Answer: Adenosine
,◉ A client is recovering from insertion of a pacemaker to pace the
activity of the ventricles. At which point on the electrocardiogram
tracing will the nurse assess pacer spikes? Answer: Before the QRS
complex
◉ 1.A client with a heart rate of 40 who is experiencing shortness of
breath and nausea is diagnosed with second-degree AV block type II.
Which of the following will be included in this clients treatment?
Answer: Atropine, External Pacer
◉ A clients electrocardiogram rhythm strip is a straight line. Which
of the following should the nurse do to help this client? Answer:
Assess for loose leads. 2. Assess for power to the monitor. 3. Assess
the strip for possible fine ventricular fibrillation. 4. Begin
cardiopulmonary resuscitation once verified the client has no pulse.
◉ The nurse is assessing a client who is diagnosed with pulseless
electrical activity. Which of the following will the nurse include in
this assessment? Answer: H's and T's
◉ Which of the following should be implemented to ensure the safe
use of a defibrillator? Answer: do not place over monitoring
electrodes or implanted devices. Paddles should be at least 1 inch
away from an implanted device. Transdermal medication should be
removed from the clients chest before using the paddles
, ◉ A client is diagnosed with anemia. The nurse realizes that which
of the following could be the treatment for this clients disorder?
Answer: Erythropoietin therapy
◉ A client is diagnosed with alpha- and beta- defect thalassemia.
The nurse realizes that this disease is common within which of the
following cultural groups? Answer: African Americans
◉ alpha-defect thalassemia Answer: Populations of Asian descent
such as those from China or the Philippines
◉ beta-defect thalassemia. Answer: Populations of Mediterranean
ancestry
◉ The mother of a newborn is concerned since the baby is
jaundiced. The nurse realizes that the infant should be assessed for
which of the following anemias? Answer: Hereditary spherocytosis
is also known as congenital hemolytic anemia
◉ During the health history portion of the assessment, the client
states, I have sickle-cell trait. The nurse realizes that: Answer: Client
is a carrier
AND SOLUTIONS 2026 GRADED A+
◉ The nurse is analyzing a clients electrocardiogram tracing. Which
of the following complexes is not normally seen on an
electrocardiogram tracing? Answer: U wave
It can indicate electrolyte imbalance, medication effects, and
ischemia
◉ The nurse is analyzing a clients electrocardiogram tracing and
realizes that each small square on the paper is equal to: Answer:
0.04 second
◉ 5.The nurse is reading an ECG rhythm strip and notes that there
are nine QRS complexes in a 6- second strip. The heart rate is:
Answer: multiplying the QRS complexes in a 6-second strip by 10
◉ .The nurse notes that on a clients electrocardiogram tracing, there
is one P wave for every QRS complex and a delay in the impulse
transmission at the AV node. This regular rhythm is identified as:
Answer: First-degree atrioventricular (AV) block
,◉ A client is unresponsive and has no pulse. The nurse notes that
the electrocardiogram tracing shows continuous large and bizarre
QRS complexes measured greater than 0.12 each. This rhythm is
identified as Answer: ventricular tachycardia.
◉ An elderly client is demonstrating a change in heart rate that
occurs with respirations. When planning care for the client, the
nurse knows that treatment may include Answer: Pacemaker
insertion
◉ A clients electrocardiogram tracing shows a sawtooth pattern
with F waves. The nurse realizes this client is demonstrating:
Answer: A Flutter
◉ The electrocardiogram tracing for a client shows premature
junctional complexes. Which of the following should the nurse do to
assist this client? Answer: Check on the serum digoxin level
◉ Which of the following should the nurse instruct a client who has
been diagnosed with an arrhythmia? Answer: symptom
management, how to take own pulse, and substances to avoid the
onset of an arrhythmia
◉ A client is diagnosed with supraventricular tachycardia. The nurse
should prepare to administer which of the following medications?
Answer: Adenosine
,◉ A client is recovering from insertion of a pacemaker to pace the
activity of the ventricles. At which point on the electrocardiogram
tracing will the nurse assess pacer spikes? Answer: Before the QRS
complex
◉ 1.A client with a heart rate of 40 who is experiencing shortness of
breath and nausea is diagnosed with second-degree AV block type II.
Which of the following will be included in this clients treatment?
Answer: Atropine, External Pacer
◉ A clients electrocardiogram rhythm strip is a straight line. Which
of the following should the nurse do to help this client? Answer:
Assess for loose leads. 2. Assess for power to the monitor. 3. Assess
the strip for possible fine ventricular fibrillation. 4. Begin
cardiopulmonary resuscitation once verified the client has no pulse.
◉ The nurse is assessing a client who is diagnosed with pulseless
electrical activity. Which of the following will the nurse include in
this assessment? Answer: H's and T's
◉ Which of the following should be implemented to ensure the safe
use of a defibrillator? Answer: do not place over monitoring
electrodes or implanted devices. Paddles should be at least 1 inch
away from an implanted device. Transdermal medication should be
removed from the clients chest before using the paddles
, ◉ A client is diagnosed with anemia. The nurse realizes that which
of the following could be the treatment for this clients disorder?
Answer: Erythropoietin therapy
◉ A client is diagnosed with alpha- and beta- defect thalassemia.
The nurse realizes that this disease is common within which of the
following cultural groups? Answer: African Americans
◉ alpha-defect thalassemia Answer: Populations of Asian descent
such as those from China or the Philippines
◉ beta-defect thalassemia. Answer: Populations of Mediterranean
ancestry
◉ The mother of a newborn is concerned since the baby is
jaundiced. The nurse realizes that the infant should be assessed for
which of the following anemias? Answer: Hereditary spherocytosis
is also known as congenital hemolytic anemia
◉ During the health history portion of the assessment, the client
states, I have sickle-cell trait. The nurse realizes that: Answer: Client
is a carrier
