NURS 640 CORE MAIN EXAM ALL QUESTIONS
AND ANSWERS SURE A+
✔✔Which of the following should the nurse instruct a client diagnosed with hypertrophic
cardiomyopathy? (Select all that apply.) - ✔✔Activity level, avoid overexertion, and
avoid dehydration
✔✔The nurse determines that a client diagnosed with pericarditis is demonstrating the
classic signs of the Beck triad - ✔✔muffled heart sounds, elevated jugular vein
pressure, and hypotension
✔✔A client is experiencing an alteration in heart rate. The nurse realizes this client is
experiencing a disorder of which part of the heart? - ✔✔The sinoatrial node is the
dominant pacemaker of the heart. The sinoatrial node has an inherent rate of 60 to 100
bpm
✔✔A client is suspected of having cardiac damage. The nurse realizes that which of the
following diagnostic tests is most commonly used to help diagnose this clients possible
cardiac damage or disease? - ✔✔A 12-lead electrocardiogram
✔✔The nurse is analyzing a clients electrocardiogram tracing. Which of the following
complexes is not normally seen on an electrocardiogram tracing? - ✔✔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: - ✔✔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: - ✔✔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: - ✔✔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 - ✔✔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 - ✔✔Pacemaker insertion
✔✔A clients electrocardiogram tracing shows a sawtooth pattern with F waves. The
nurse realizes this client is demonstrating: - ✔✔A Flutter
✔✔The electrocardiogram tracing for a client shows premature junctional complexes.
Which of the following should the nurse do to assist this client? - ✔✔Check on the
serum digoxin level
✔✔Which of the following should the nurse instruct a client who has been diagnosed
with an arrhythmia? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔Atropine, External Pacer
, ✔✔A clients electrocardiogram rhythm strip is a straight line. Which of the following
should the nurse do to help this client? - ✔✔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? - ✔✔H's and T's
✔✔Which of the following should be implemented to ensure the safe use of a
defibrillator? - ✔✔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? - ✔✔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? - ✔✔African
Americans
✔✔alpha-defect thalassemia - ✔✔Populations of Asian descent such as those from
China or the Philippines
✔✔beta-defect thalassemia. - ✔✔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? -
✔✔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: - ✔✔Client is a carrier
autosomal recessive disorder passed from parent to offspring in this pattern
✔✔A client diagnosed with acute myeloid leukemia is recovering from a bone marrow
transplant. Which of the following nursing interventions would not be appropriate for this
client? - ✔✔no anesthesia
✔✔A client diagnosed with chronic disseminated intravascular coagulation is prescribed
heparin. The nurse realizes that this medication is used to: - ✔✔interference with the
clotting processes and the chance of preventing further overuse of clotting factors
AND ANSWERS SURE A+
✔✔Which of the following should the nurse instruct a client diagnosed with hypertrophic
cardiomyopathy? (Select all that apply.) - ✔✔Activity level, avoid overexertion, and
avoid dehydration
✔✔The nurse determines that a client diagnosed with pericarditis is demonstrating the
classic signs of the Beck triad - ✔✔muffled heart sounds, elevated jugular vein
pressure, and hypotension
✔✔A client is experiencing an alteration in heart rate. The nurse realizes this client is
experiencing a disorder of which part of the heart? - ✔✔The sinoatrial node is the
dominant pacemaker of the heart. The sinoatrial node has an inherent rate of 60 to 100
bpm
✔✔A client is suspected of having cardiac damage. The nurse realizes that which of the
following diagnostic tests is most commonly used to help diagnose this clients possible
cardiac damage or disease? - ✔✔A 12-lead electrocardiogram
✔✔The nurse is analyzing a clients electrocardiogram tracing. Which of the following
complexes is not normally seen on an electrocardiogram tracing? - ✔✔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: - ✔✔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: - ✔✔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: - ✔✔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 - ✔✔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 - ✔✔Pacemaker insertion
✔✔A clients electrocardiogram tracing shows a sawtooth pattern with F waves. The
nurse realizes this client is demonstrating: - ✔✔A Flutter
✔✔The electrocardiogram tracing for a client shows premature junctional complexes.
Which of the following should the nurse do to assist this client? - ✔✔Check on the
serum digoxin level
✔✔Which of the following should the nurse instruct a client who has been diagnosed
with an arrhythmia? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔Atropine, External Pacer
, ✔✔A clients electrocardiogram rhythm strip is a straight line. Which of the following
should the nurse do to help this client? - ✔✔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? - ✔✔H's and T's
✔✔Which of the following should be implemented to ensure the safe use of a
defibrillator? - ✔✔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? - ✔✔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? - ✔✔African
Americans
✔✔alpha-defect thalassemia - ✔✔Populations of Asian descent such as those from
China or the Philippines
✔✔beta-defect thalassemia. - ✔✔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? -
✔✔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: - ✔✔Client is a carrier
autosomal recessive disorder passed from parent to offspring in this pattern
✔✔A client diagnosed with acute myeloid leukemia is recovering from a bone marrow
transplant. Which of the following nursing interventions would not be appropriate for this
client? - ✔✔no anesthesia
✔✔A client diagnosed with chronic disseminated intravascular coagulation is prescribed
heparin. The nurse realizes that this medication is used to: - ✔✔interference with the
clotting processes and the chance of preventing further overuse of clotting factors
