NSG 3500 Exam 2 Study Guide –
Maternal Health Nursing Units 4,
5, 6 | Galen College of Nursing
2026/2027 well written !!!
Indications for Cardiac Pacing - correct answer 100%-✔✔Symptomatic
bradycardia, heart block, SA node dysfunction, and post-cardiac surgery.
Transcutaneous Pacing Characteristics - correct answer 100%-✔✔Uses
largest pads, is painful, temporary, and used for ACLS unstable bradycardia.
Transvenous and Epicardial Pacing - correct answer 100%-
✔✔Transvenous uses an endocardial lead; epicardial leads are attached post-
cardiac surgery.
Permanent Pacemaker - correct answer 100%-✔✔A surgically implanted
device under the skin providing long-term pacing.
Pacemaker Capture Definition - correct answer 100%-✔✔A pacing spike
followed immediately by an appropriate cardiac response (P wave or QRS).
, Pacemaker Failure to Capture - correct answer 100%-✔✔A pacing spike is
visible on the ECG, but no cardiac depolarization/response follows.
Pacemaker Failure to Pace - correct answer 100%-✔✔No pacing spike is
produced when the patient's intrinsic heart rate drops below set rate.
Pacemaker Oversensing - correct answer 100%-✔✔Pacemaker
misinterprets non-cardiac signals as intrinsic heart activity and fails to pace.
Indications for ICD Placement - correct answer 100%-✔✔Spontaneous
sustained VT, or VF/VT after transient/reversible causes are excluded.
Primary Purpose of an ICD - correct answer 100%-✔✔To detect and
terminate life-threatening ventricular arrhythmias to prevent sudden cardiac
death.
Pacemaker Education: Symptoms to Report - correct answer 100%-
✔✔Report fatigue, weakness, or dizziness due to decreased cardiac output and
hypoxia.
Pacemaker Education: Edema Reporting - correct answer 100%-
✔✔Report new or worsening edema caused by fluid retention from reduced
cardiac output.
Pacemaker Education: Hiccups - correct answer 100%-✔✔Report
prolonged hiccuping, which indicates phrenic nerve/diaphragm stimulation from a
dislodged lead.
Maternal Health Nursing Units 4,
5, 6 | Galen College of Nursing
2026/2027 well written !!!
Indications for Cardiac Pacing - correct answer 100%-✔✔Symptomatic
bradycardia, heart block, SA node dysfunction, and post-cardiac surgery.
Transcutaneous Pacing Characteristics - correct answer 100%-✔✔Uses
largest pads, is painful, temporary, and used for ACLS unstable bradycardia.
Transvenous and Epicardial Pacing - correct answer 100%-
✔✔Transvenous uses an endocardial lead; epicardial leads are attached post-
cardiac surgery.
Permanent Pacemaker - correct answer 100%-✔✔A surgically implanted
device under the skin providing long-term pacing.
Pacemaker Capture Definition - correct answer 100%-✔✔A pacing spike
followed immediately by an appropriate cardiac response (P wave or QRS).
, Pacemaker Failure to Capture - correct answer 100%-✔✔A pacing spike is
visible on the ECG, but no cardiac depolarization/response follows.
Pacemaker Failure to Pace - correct answer 100%-✔✔No pacing spike is
produced when the patient's intrinsic heart rate drops below set rate.
Pacemaker Oversensing - correct answer 100%-✔✔Pacemaker
misinterprets non-cardiac signals as intrinsic heart activity and fails to pace.
Indications for ICD Placement - correct answer 100%-✔✔Spontaneous
sustained VT, or VF/VT after transient/reversible causes are excluded.
Primary Purpose of an ICD - correct answer 100%-✔✔To detect and
terminate life-threatening ventricular arrhythmias to prevent sudden cardiac
death.
Pacemaker Education: Symptoms to Report - correct answer 100%-
✔✔Report fatigue, weakness, or dizziness due to decreased cardiac output and
hypoxia.
Pacemaker Education: Edema Reporting - correct answer 100%-
✔✔Report new or worsening edema caused by fluid retention from reduced
cardiac output.
Pacemaker Education: Hiccups - correct answer 100%-✔✔Report
prolonged hiccuping, which indicates phrenic nerve/diaphragm stimulation from a
dislodged lead.
