DYSRHYTHMIA NCLEX STUDY GUIDE 2026
QUESTIONS WITH SOLUTIONS GRADED A+
▶ Q. Several cycles of basic life support maneuvers have failed to relieve a
severe airway obstruction in an unconscious 44-year-old woman. You
should: Answer: perform direct laryngoscopy and attempt to remove the
obstruction with Magill forceps
▶ Structural protection afforded to a motorcycle rider during a crash comes
from: Answer: protective gear worn by the rider
▶ Systemic effects following exposure to a hazardous material: Answer:
may be delayed for hours or even years
▶ The inferior wall of the left ventricle is supplied by the: Answer: right
coronary artery.
▶ The MOST important thing you can do to facilitate the exchange of
information between you and your patient is to: Answer: Pay Attention!
▶ Therapeutic doses of certain drugs may reach toxic levels in older
people due to deterioration of the: Answer: liver
▶ Which of the following statements regarding the umbilical cord is MOST
correct? Answer: the umbilical vein carries oxygenated blood from the
placenta to the fetus
▶ Aging is a linear process, which means that: Answer: the rate at which
we lose functions does not increase with age
▶ Common signs of left-sided heart failure include all of the following,
EXCEPT: Answer: hypotension.
▶ Mass casualty equipment and supplies needed for airway control include
all of the following, EXCEPT: Answer: large-bore IV catheters for thoracic
decompression
,▶ Professional skepticism is? Answer: a useful tool and facilitates sound
clinical decision making
▶ Q. End-tidal carbon dioxide (ETCO2) detection is a reliable method for
confirming proper ET tube placement because: Answer: carbon dioxide is
not present in the esophagus
▶ The MOST appropriate initial question to ask a patient who complains of
chest pain is: Answer: Can you describe the pain?
▶ What type of injuries would MOST likely occur if a passenger is wearing
his or her lap belt above the pelvic bone during a frontal impact? Answer:
Abdominal and lumbar spine
▶ Which of the following interventions generally is preferred for a patient
who overdosed on a barbiturate more than 1 hour ago? Answer: Activated
charcoal
▶ Which of the following is NOT a critical point addressed by the "White
Paper" written in 1966, that was entitled "Accidental Death and Disability:
The Neglected Disease of Modern Society"? Answer: ensuring that
paramedics responded to every call
▶ You are caring for a 44-year-old woman who was sexually assaulted by
several men. She is conscious but very quiet. Your partner, a female
paramedic, quickly examines her and finds no immediate life threatening
injuries. The patient tells you that all she wants to do is go home and take a
shower. After multiple attempts to convince the patient to consent to
transport, you are unsuccessful. Your MOST appropriate action should be
to? Answer: ask the patient if there is a friend you can call with whom she
can stay.
▶ A metallic taste in the mouth, explosive diarrhea, and a skin rash are
MOST indicative of: Answer: arsenic poisoning
▶ Barotrauma secondary to bag-mask ventilations in an infant means that
your ventilations? Answer: were too forceful
▶ Common signs and symptoms of gardnerella vaginitis include? Answer:
a "fishy" vaginal odor, itching, irritation, and vaginal discharge
,▶ In a patient with left heart failure and pulmonary edema: Answer:
increased pressure in the left atrium and pulmonary veins forces serum out
of the pulmonary capillaries and into the alveoli.
▶ Patient autonomy is MOST accurately defined as the? Answer: patient's
right to direct his or her own care and to decide how end-of-life care should
be provided
▶ Q. When auscultating the lungs of a patient with pulmonary edema, you
will MOST likely hear: Answer: crackles in the bases of the lungs at the
end of inspiration
▶ Reflection is a powerful tool for getting a good patient history because:
Answer: Two reasons: 1) Reflection usually does not break the flow of your
patient's thoughts. It helps you both stay focused. 2 )The information you
will obtain is not biased by "leading the patient".
▶ Routine pre-hospital treatment for a patient with internal hemorrhage and
shock includes all of the following, EXCEPT: Answer: analgesia if the
systolic BP is greater than 70 mmHg
▶ When transporting one stable and one critical patient in the same
ambulance, you should: Answer: load the most critical patient last so he or
she can be unloaded first.
▶ Which of the following statements regarding aging is MOST correct?
Answer: Health care providers may attribute genuine disease symptoms to
age, resulting in inadequate care
▶ * Hyperkalemia is most accurately defined as? Answer: an elevated
SERUM potassium level
▶ During shock, norepinephrine release causes: Answer: the body to
shunt blood from areas of lesser need to areas of greater need
▶ During your initial assessment of a patient with a hematologic disorder,
your priority should be to: Answer: note any signs and symptoms that may
be immediately life threatening.
, ▶ If a paramedic is self-motivated, he or she should NOT? Answer: require
maximum supervision at work
▶ Postmenopausal women? Answer: are more susceptible to
atherosclerosis and osteoporosis
▶ Q. The ___ are pyramid-like structures that form the posterior
attachment of the vocal cords. Answer: arytenoid cartilages
▶ The objective of dash displacement is to: Answer: lift the dash up and
move it forward
▶ The proper compression-to-ventilation ratio for two-rescuer adult CPR
when an oropharyngeal airway is in place is: Answer: 30:2
▶ When a patient tells you that he or she takes a "water pill," it is MOST
important for you to: Answer: Clarify what they mean.
▶ Which of the following is an extrinsic cause of falls in the elderly?
Answer: An uneven sidewalk
▶ An acetone breath odor is common following exposure to all of the
following toxins, EXCEPT: Answer: camphor
▶ An empathetic attitude: Answer: "Putting yourself in his or her shoes".
Empathy can help you set your patient on a path to healing ~ no matter
what the diagnosis.
▶ If your only protection from gunfire in a residence is behind a frame wall,
you should: Answer: stand near the door or window frame, which usually
contain more wood than other areas of the wall.
▶ In addition to meeting the metabolic needs of the developing fetus, the
mother's blood supply increases significantly in order to perfuse her own
organs, especially the? Answer: uterus and kidneys
▶ Q. Chronic obstructive pulmonary disease (COPD) is characterized by:
Answer: changes in pulmonary structure and function that are progressive
and irreversible
QUESTIONS WITH SOLUTIONS GRADED A+
▶ Q. Several cycles of basic life support maneuvers have failed to relieve a
severe airway obstruction in an unconscious 44-year-old woman. You
should: Answer: perform direct laryngoscopy and attempt to remove the
obstruction with Magill forceps
▶ Structural protection afforded to a motorcycle rider during a crash comes
from: Answer: protective gear worn by the rider
▶ Systemic effects following exposure to a hazardous material: Answer:
may be delayed for hours or even years
▶ The inferior wall of the left ventricle is supplied by the: Answer: right
coronary artery.
▶ The MOST important thing you can do to facilitate the exchange of
information between you and your patient is to: Answer: Pay Attention!
▶ Therapeutic doses of certain drugs may reach toxic levels in older
people due to deterioration of the: Answer: liver
▶ Which of the following statements regarding the umbilical cord is MOST
correct? Answer: the umbilical vein carries oxygenated blood from the
placenta to the fetus
▶ Aging is a linear process, which means that: Answer: the rate at which
we lose functions does not increase with age
▶ Common signs of left-sided heart failure include all of the following,
EXCEPT: Answer: hypotension.
▶ Mass casualty equipment and supplies needed for airway control include
all of the following, EXCEPT: Answer: large-bore IV catheters for thoracic
decompression
,▶ Professional skepticism is? Answer: a useful tool and facilitates sound
clinical decision making
▶ Q. End-tidal carbon dioxide (ETCO2) detection is a reliable method for
confirming proper ET tube placement because: Answer: carbon dioxide is
not present in the esophagus
▶ The MOST appropriate initial question to ask a patient who complains of
chest pain is: Answer: Can you describe the pain?
▶ What type of injuries would MOST likely occur if a passenger is wearing
his or her lap belt above the pelvic bone during a frontal impact? Answer:
Abdominal and lumbar spine
▶ Which of the following interventions generally is preferred for a patient
who overdosed on a barbiturate more than 1 hour ago? Answer: Activated
charcoal
▶ Which of the following is NOT a critical point addressed by the "White
Paper" written in 1966, that was entitled "Accidental Death and Disability:
The Neglected Disease of Modern Society"? Answer: ensuring that
paramedics responded to every call
▶ You are caring for a 44-year-old woman who was sexually assaulted by
several men. She is conscious but very quiet. Your partner, a female
paramedic, quickly examines her and finds no immediate life threatening
injuries. The patient tells you that all she wants to do is go home and take a
shower. After multiple attempts to convince the patient to consent to
transport, you are unsuccessful. Your MOST appropriate action should be
to? Answer: ask the patient if there is a friend you can call with whom she
can stay.
▶ A metallic taste in the mouth, explosive diarrhea, and a skin rash are
MOST indicative of: Answer: arsenic poisoning
▶ Barotrauma secondary to bag-mask ventilations in an infant means that
your ventilations? Answer: were too forceful
▶ Common signs and symptoms of gardnerella vaginitis include? Answer:
a "fishy" vaginal odor, itching, irritation, and vaginal discharge
,▶ In a patient with left heart failure and pulmonary edema: Answer:
increased pressure in the left atrium and pulmonary veins forces serum out
of the pulmonary capillaries and into the alveoli.
▶ Patient autonomy is MOST accurately defined as the? Answer: patient's
right to direct his or her own care and to decide how end-of-life care should
be provided
▶ Q. When auscultating the lungs of a patient with pulmonary edema, you
will MOST likely hear: Answer: crackles in the bases of the lungs at the
end of inspiration
▶ Reflection is a powerful tool for getting a good patient history because:
Answer: Two reasons: 1) Reflection usually does not break the flow of your
patient's thoughts. It helps you both stay focused. 2 )The information you
will obtain is not biased by "leading the patient".
▶ Routine pre-hospital treatment for a patient with internal hemorrhage and
shock includes all of the following, EXCEPT: Answer: analgesia if the
systolic BP is greater than 70 mmHg
▶ When transporting one stable and one critical patient in the same
ambulance, you should: Answer: load the most critical patient last so he or
she can be unloaded first.
▶ Which of the following statements regarding aging is MOST correct?
Answer: Health care providers may attribute genuine disease symptoms to
age, resulting in inadequate care
▶ * Hyperkalemia is most accurately defined as? Answer: an elevated
SERUM potassium level
▶ During shock, norepinephrine release causes: Answer: the body to
shunt blood from areas of lesser need to areas of greater need
▶ During your initial assessment of a patient with a hematologic disorder,
your priority should be to: Answer: note any signs and symptoms that may
be immediately life threatening.
, ▶ If a paramedic is self-motivated, he or she should NOT? Answer: require
maximum supervision at work
▶ Postmenopausal women? Answer: are more susceptible to
atherosclerosis and osteoporosis
▶ Q. The ___ are pyramid-like structures that form the posterior
attachment of the vocal cords. Answer: arytenoid cartilages
▶ The objective of dash displacement is to: Answer: lift the dash up and
move it forward
▶ The proper compression-to-ventilation ratio for two-rescuer adult CPR
when an oropharyngeal airway is in place is: Answer: 30:2
▶ When a patient tells you that he or she takes a "water pill," it is MOST
important for you to: Answer: Clarify what they mean.
▶ Which of the following is an extrinsic cause of falls in the elderly?
Answer: An uneven sidewalk
▶ An acetone breath odor is common following exposure to all of the
following toxins, EXCEPT: Answer: camphor
▶ An empathetic attitude: Answer: "Putting yourself in his or her shoes".
Empathy can help you set your patient on a path to healing ~ no matter
what the diagnosis.
▶ If your only protection from gunfire in a residence is behind a frame wall,
you should: Answer: stand near the door or window frame, which usually
contain more wood than other areas of the wall.
▶ In addition to meeting the metabolic needs of the developing fetus, the
mother's blood supply increases significantly in order to perfuse her own
organs, especially the? Answer: uterus and kidneys
▶ Q. Chronic obstructive pulmonary disease (COPD) is characterized by:
Answer: changes in pulmonary structure and function that are progressive
and irreversible
