BAYCARE EKG UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS FULL
SOLUTION GRADED A+
◉ A 38-year-old female is brought to the Emergency Department with
complaints of her "heart beating out of her chest". She is diaphoretic,
tachypneic and her BP is 70/40. The cardiac monitor shows
supraventricular tachycardia. Valsalva maneuvers and three doses of
Adenosine have not been successful. The nurse should immediately:
a.) prepare the patient for synchronized cardioversion.
b.) give Epinephrine 1 mg IV and repeat in 3 minutes.
c.) give Adenosine 6 mg IV per protocol.
d.) perform unilateral carotid massage. Answer: a.) prepare the patient
for synchronized cardioversion.
◉ Prior to discharge from the Emergency Department, the nurse
prints a rhythm strip on a patient and notices that the P wave cannot
be detected and the QRS complex is 0.24 seconds. This is a change in
the patient's condition. What is the best action for the nurse to take?
a.) Measure the PR interval.
b.) Prepare the patient for discharge.
c.) Notify the physician of this abnormal strip.
, d.) Continue to monitor for abnormalities. Answer: c.) Notify the
physician of this abnormal strip.
Rationale:
c.) is correct because notifying the physician of the abnormal rhythm
would be the most appropriate response. The patient has experienced
a rhythm change and requires further treatment.
a.) is not correct for measuring the PR would not be possible as there
is no P wave present. Since the QRS interval and other parameters
given are abnormal, discharging the patient would not be appropriate
at this point.
b.) is not correct as discharging the patient is not appropriate or safe
practice.
d.) is not correct because continuing to monitor the patient without
any other actions would be inappropriate as the patient has
experienced a change in condition.
◉ A patient is to have synchronized cardioversion for treatment of
atrial flutter. He has received Heparin 500 units subcutaneously.
Which of the following interventions should now be performed?
a.) Assist the MD in intubating the patient to stabilize airway.
b.) Sedate the patient with Versed 2 mg IV push per protocol.
c.) Set the defibrillator in asynchronous mode and charge to 300
joules.
QUESTIONS AND CORRECT ANSWERS FULL
SOLUTION GRADED A+
◉ A 38-year-old female is brought to the Emergency Department with
complaints of her "heart beating out of her chest". She is diaphoretic,
tachypneic and her BP is 70/40. The cardiac monitor shows
supraventricular tachycardia. Valsalva maneuvers and three doses of
Adenosine have not been successful. The nurse should immediately:
a.) prepare the patient for synchronized cardioversion.
b.) give Epinephrine 1 mg IV and repeat in 3 minutes.
c.) give Adenosine 6 mg IV per protocol.
d.) perform unilateral carotid massage. Answer: a.) prepare the patient
for synchronized cardioversion.
◉ Prior to discharge from the Emergency Department, the nurse
prints a rhythm strip on a patient and notices that the P wave cannot
be detected and the QRS complex is 0.24 seconds. This is a change in
the patient's condition. What is the best action for the nurse to take?
a.) Measure the PR interval.
b.) Prepare the patient for discharge.
c.) Notify the physician of this abnormal strip.
, d.) Continue to monitor for abnormalities. Answer: c.) Notify the
physician of this abnormal strip.
Rationale:
c.) is correct because notifying the physician of the abnormal rhythm
would be the most appropriate response. The patient has experienced
a rhythm change and requires further treatment.
a.) is not correct for measuring the PR would not be possible as there
is no P wave present. Since the QRS interval and other parameters
given are abnormal, discharging the patient would not be appropriate
at this point.
b.) is not correct as discharging the patient is not appropriate or safe
practice.
d.) is not correct because continuing to monitor the patient without
any other actions would be inappropriate as the patient has
experienced a change in condition.
◉ A patient is to have synchronized cardioversion for treatment of
atrial flutter. He has received Heparin 500 units subcutaneously.
Which of the following interventions should now be performed?
a.) Assist the MD in intubating the patient to stabilize airway.
b.) Sedate the patient with Versed 2 mg IV push per protocol.
c.) Set the defibrillator in asynchronous mode and charge to 300
joules.
