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A client has frequent bursts of ventricular tachycardia on the cardiac monitor. What should the nurse be
most concerned about with this dysrhythmia?
1.It can develop into ventricular fibrillation at any time.
2.It is almost impossible to convert to a normal rhythm.
3.It is uncomfortable for the client, giving a sense of impending doom.
4.It produces a high cardiac output with cerebral and myocardial ischemia. - Answer -1.
A client has received antidysrhythmic therapy for the treatment of premature ventricular contractions
(PVCs). The nurse evaluates this therapy as most effective if which finding is noted with regard to the
PVCs?
1.They occur in pairs.
2.They appear to be multifocal.
3.They fall on the second half of the T wave.
4.They decrease to a frequency of less than 6 per minute. - Answer -4.
A client in sinus bradycardia, with a heart rate of 45 beats per minute and blood pressure of 82/60 mm
Hg, reports dizziness. Which intervention should the nurse anticipate will be prescribed?
1.Administer digoxin.
2.Defibrillate the client.
3.Continue to monitor the client.
4.Prepare for transcutaneous pacing. - Answer -4.
A client in ventricular fibrillation is about to be defibrillated. To convert this rhythm effectively, the
monophasic defibrillator machine should be set at which energy level (in joules, J) for the first delivery?
1.50 J
, 2.120 J
3.200 J
4.360 J - Answer -4.
A client is at risk for vasovagal attacks that cause bradydysrhythmias. The nurse would tell the client to
avoid which actions to prevent this occurrence? (Select all that apply.)
1.Applying pressure on the eyes
2.Raising the arms above the head
3.Taking stool softeners on a daily basis
4.Bearing down during a bowel movement
5.Simulating a gag reflex when brushing the teeth - Answer -1.
2.
4.
5.
A client is being treated with procainamide for a cardiac dysrhythmia. Following intravenous
administration of the medication, the client complains of dizziness. What intervention should the nurse
take first?
1.Obtain a 12-lead electrocardiogram.
2.Check the client's fingerstick blood glucose level.
3.Auscultate the client's apical pulse and blood pressure.
4.Measure the QRS interval duration on the rhythm strip. - Answer -3.
A client is having frequent premature ventricular contractions. The nurse should place priority on
assessment of which item?
1.Causative factors, such as caffeine
2.Sensation of fluttering or palpitations
3.Blood pressure and oxygen saturation
4.Precipitating factors, such as infection - Answer -3.
Questions with Correct Answers
Guaranteed Perfect Score
A client has frequent bursts of ventricular tachycardia on the cardiac monitor. What should the nurse be
most concerned about with this dysrhythmia?
1.It can develop into ventricular fibrillation at any time.
2.It is almost impossible to convert to a normal rhythm.
3.It is uncomfortable for the client, giving a sense of impending doom.
4.It produces a high cardiac output with cerebral and myocardial ischemia. - Answer -1.
A client has received antidysrhythmic therapy for the treatment of premature ventricular contractions
(PVCs). The nurse evaluates this therapy as most effective if which finding is noted with regard to the
PVCs?
1.They occur in pairs.
2.They appear to be multifocal.
3.They fall on the second half of the T wave.
4.They decrease to a frequency of less than 6 per minute. - Answer -4.
A client in sinus bradycardia, with a heart rate of 45 beats per minute and blood pressure of 82/60 mm
Hg, reports dizziness. Which intervention should the nurse anticipate will be prescribed?
1.Administer digoxin.
2.Defibrillate the client.
3.Continue to monitor the client.
4.Prepare for transcutaneous pacing. - Answer -4.
A client in ventricular fibrillation is about to be defibrillated. To convert this rhythm effectively, the
monophasic defibrillator machine should be set at which energy level (in joules, J) for the first delivery?
1.50 J
, 2.120 J
3.200 J
4.360 J - Answer -4.
A client is at risk for vasovagal attacks that cause bradydysrhythmias. The nurse would tell the client to
avoid which actions to prevent this occurrence? (Select all that apply.)
1.Applying pressure on the eyes
2.Raising the arms above the head
3.Taking stool softeners on a daily basis
4.Bearing down during a bowel movement
5.Simulating a gag reflex when brushing the teeth - Answer -1.
2.
4.
5.
A client is being treated with procainamide for a cardiac dysrhythmia. Following intravenous
administration of the medication, the client complains of dizziness. What intervention should the nurse
take first?
1.Obtain a 12-lead electrocardiogram.
2.Check the client's fingerstick blood glucose level.
3.Auscultate the client's apical pulse and blood pressure.
4.Measure the QRS interval duration on the rhythm strip. - Answer -3.
A client is having frequent premature ventricular contractions. The nurse should place priority on
assessment of which item?
1.Causative factors, such as caffeine
2.Sensation of fluttering or palpitations
3.Blood pressure and oxygen saturation
4.Precipitating factors, such as infection - Answer -3.
