VNSG 1409 Med-Surg Exam 1 Chapter 21-26 EXAM
LATEST 2026-2027 200 QUESTIONS AND 100%
Verified ANSWERS
The nurse is caring for a patient undergoing cardiac rehabilitation. Place in order, from the highest to
lowest priority (1 to 3), how the nurse will anticipate therapy.
1. Encouragement to maintain optimal physical fitness
2. Ability to deliver self-care
3. Return to previous level of function - answer>>2,3,1
After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a
patient's sinoatrial (SA) node with a P wave. What does this represent? - answer>>Atrial depolarization
The nurse is reinforcing teaching for a patient who has a pacemaker. What should be included upon
discharge? - answer>>Carry a pacemaker identification card
The nurse is sitting at the desk watching the telemetry monitors and notes a patient's rhythm suddenly
shows asystole. Which action should the nurse take first? - answer>>Start CPR
The nurse is caring for a patient receiving warfarin (Coumadin) for atrial fibrillation. Which finding
would be of most concern to the nurse? - answer>>The pt reports using aspirin for headaches
A patient is diagnosed with ventricular fibrillation. For which emergency intervention should the nurse
anticipate preparing? - answer>>defibrillation
The nurse is reviewing the cardiac strip for a patient and notes the following: no measurable P waves
and a wavy, irregular pattern with a rate of 120 beats/minute. The nurse should interpret this
as which arrhythmia? - answer>>Atrial fibrillation
,The nurse is reinforcing teaching for a patient with premature ventricular contractions (PVCs) who is
being discharged. Which lifestyle recommendation should be the most important for the nurse to
include? - answer>>It is important for you to avoid caffeine and alcoholic beverages.
The nurse is caring for a patient who develops a sinus rate of 120 beats/minute. What action should
the nurse take? - answer>>Inform the RN STAT
The nurse is reinforcing teaching for a patient who has had a pacemaker implanted in the right side
of the chest. Which patient statement indicates correct understanding of the discharge teaching? -
answer>>I should report redness or pain at the surgical site
The nurse is caring for a patient with digoxin toxicity. Which rhythm should the nurse monitor for? -
answer>>V-tachycardia
A patient is experiencing palpitations that are found to be PVCs. Which finding should the nurse
monitor for? - answer>>Dizziness
The nurse is caring for a group of patients. Which patient is at risk for developing premature atrial
contractions (PACs)? - answer>>A pt who smokes & takes digoxin
The nurse observes two PACs in 1 minute on a patient's cardiac monitor. The patient is asymptomatic.
What action is required by the nurse? - answer>>Continue monitoring the pt
The nurse is reviewing laboratory results for a patient receiving warfarin (Coumadin) and notes the
international normalized ratio (INR) is twice the therapeutic range. Which medication should the nurse
prepare to administer if bleeding occurs? - answer>>Vitamin K
The nurse is reading a cardiac monitor of a patient and observes a regular rh - answer>>Atrial flutter
The nurse is preparing to administer digoxin (Lanoxin). The nurse assesses the apical pulse for 15
seconds and notes a rate of 54 beats/minute. Which action should the nurse take? - answer>>Access
the apical pulse for 1 minute
, The nurse notices that the ST segment is elevated on a patient reporting chest pain. What action
should the nurse take? - answer>>Alert the supervising RN and patient's physician immediately.
The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see
first? - answer>>A patient with atrial fibrillation reporting dyspnea
The nurse is conducting a community health screening. Which individual should the nurse recognize as
being the highest risk for atrial fibrillation? - answer>>A 66-year-old male smoker with a history of
rheumatic heart disease
The nurse is reviewing orders for a patient and notes an order for epinephrine. Which medication in
the patient's history should cause the nurse to question this order? - answer>>Carvedilol ( Coreg)
The nurse is reviewing laboratory results for a patient with ventricular fibrillation. The nurse should
anticipate which finding? - answer>>Potassium 6.8 mEq/L
A patient is in a third-degree atrioventricular block at a rate of 45 beats/minute. Which area of the
heart should the nurse consider as pacing this patient's heart rate? - answer>>Atrioventricular (AV)
node
The nurse is interpreting a cardiac strip. The strip reveals a regular QRS complex and regular P wave.
The PR interval is 0.16 second and the QRS complex measures 0.06 second. The patient's heart rate is
102 beats/minute. Which is the correct interpretation of this rhythm? - answer>>Sinus tachycardia
The nurse is interpreting a cardiac strip. The strip reveals a regular QRS complex and regular P wave.
The PR interval is 0.16 second and the QRS complex measures 0.06 second. The patient's heart rate is
102 beats/minute. Which is the correct interpretation of this rhythm? - answer>>Wear medical alert
identification
Avoid magnetic fields and high voltage
Report dizziness, irregular heartbeats, and palpations
LATEST 2026-2027 200 QUESTIONS AND 100%
Verified ANSWERS
The nurse is caring for a patient undergoing cardiac rehabilitation. Place in order, from the highest to
lowest priority (1 to 3), how the nurse will anticipate therapy.
1. Encouragement to maintain optimal physical fitness
2. Ability to deliver self-care
3. Return to previous level of function - answer>>2,3,1
After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a
patient's sinoatrial (SA) node with a P wave. What does this represent? - answer>>Atrial depolarization
The nurse is reinforcing teaching for a patient who has a pacemaker. What should be included upon
discharge? - answer>>Carry a pacemaker identification card
The nurse is sitting at the desk watching the telemetry monitors and notes a patient's rhythm suddenly
shows asystole. Which action should the nurse take first? - answer>>Start CPR
The nurse is caring for a patient receiving warfarin (Coumadin) for atrial fibrillation. Which finding
would be of most concern to the nurse? - answer>>The pt reports using aspirin for headaches
A patient is diagnosed with ventricular fibrillation. For which emergency intervention should the nurse
anticipate preparing? - answer>>defibrillation
The nurse is reviewing the cardiac strip for a patient and notes the following: no measurable P waves
and a wavy, irregular pattern with a rate of 120 beats/minute. The nurse should interpret this
as which arrhythmia? - answer>>Atrial fibrillation
,The nurse is reinforcing teaching for a patient with premature ventricular contractions (PVCs) who is
being discharged. Which lifestyle recommendation should be the most important for the nurse to
include? - answer>>It is important for you to avoid caffeine and alcoholic beverages.
The nurse is caring for a patient who develops a sinus rate of 120 beats/minute. What action should
the nurse take? - answer>>Inform the RN STAT
The nurse is reinforcing teaching for a patient who has had a pacemaker implanted in the right side
of the chest. Which patient statement indicates correct understanding of the discharge teaching? -
answer>>I should report redness or pain at the surgical site
The nurse is caring for a patient with digoxin toxicity. Which rhythm should the nurse monitor for? -
answer>>V-tachycardia
A patient is experiencing palpitations that are found to be PVCs. Which finding should the nurse
monitor for? - answer>>Dizziness
The nurse is caring for a group of patients. Which patient is at risk for developing premature atrial
contractions (PACs)? - answer>>A pt who smokes & takes digoxin
The nurse observes two PACs in 1 minute on a patient's cardiac monitor. The patient is asymptomatic.
What action is required by the nurse? - answer>>Continue monitoring the pt
The nurse is reviewing laboratory results for a patient receiving warfarin (Coumadin) and notes the
international normalized ratio (INR) is twice the therapeutic range. Which medication should the nurse
prepare to administer if bleeding occurs? - answer>>Vitamin K
The nurse is reading a cardiac monitor of a patient and observes a regular rh - answer>>Atrial flutter
The nurse is preparing to administer digoxin (Lanoxin). The nurse assesses the apical pulse for 15
seconds and notes a rate of 54 beats/minute. Which action should the nurse take? - answer>>Access
the apical pulse for 1 minute
, The nurse notices that the ST segment is elevated on a patient reporting chest pain. What action
should the nurse take? - answer>>Alert the supervising RN and patient's physician immediately.
The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see
first? - answer>>A patient with atrial fibrillation reporting dyspnea
The nurse is conducting a community health screening. Which individual should the nurse recognize as
being the highest risk for atrial fibrillation? - answer>>A 66-year-old male smoker with a history of
rheumatic heart disease
The nurse is reviewing orders for a patient and notes an order for epinephrine. Which medication in
the patient's history should cause the nurse to question this order? - answer>>Carvedilol ( Coreg)
The nurse is reviewing laboratory results for a patient with ventricular fibrillation. The nurse should
anticipate which finding? - answer>>Potassium 6.8 mEq/L
A patient is in a third-degree atrioventricular block at a rate of 45 beats/minute. Which area of the
heart should the nurse consider as pacing this patient's heart rate? - answer>>Atrioventricular (AV)
node
The nurse is interpreting a cardiac strip. The strip reveals a regular QRS complex and regular P wave.
The PR interval is 0.16 second and the QRS complex measures 0.06 second. The patient's heart rate is
102 beats/minute. Which is the correct interpretation of this rhythm? - answer>>Sinus tachycardia
The nurse is interpreting a cardiac strip. The strip reveals a regular QRS complex and regular P wave.
The PR interval is 0.16 second and the QRS complex measures 0.06 second. The patient's heart rate is
102 beats/minute. Which is the correct interpretation of this rhythm? - answer>>Wear medical alert
identification
Avoid magnetic fields and high voltage
Report dizziness, irregular heartbeats, and palpations
