Rasmussen Final
MDC3 Exam
Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]
,What does A Fib ECG look like? - Answer: -impulse rate of 350-600 times per minute
-no P waves
-no atrial contractions
-loss of atrial kick
-irregular ventricular response
How often do you assess vital signs on a patient with a dysrhythmia
(gray box) - Answer: at least every 4 hours
Nursing Safety Priority for Sinus tachycardia what to assess
(gray box) - Answer: -fatigue, weakness, SOB, orthopnea, decreased O2, increased HR, decreased BP,
angina, palpitations
-ECG: T wave inversion or ST elevation/depression
-decreased cerebral perfusion may occur. Symptoms: restlessness and anxiety
-impaired renal function may occur symptoms: decreased urine output.
The nurse is assessing the client's cardiac rhythm and notes the following: HR 64, regular rhythm, PR
interval 0.20; QRS 0.10. How will the nurse document this rhythm interpretation in the electronic health
record?
A. Sinus tachycardia
B. Sinus bradycardia
C. Normal sinus rhythm
D. Sinus arrhythmia - Answer: C
NURSING SAFETY PRIORITY
patient education with permanent pacemakers include - Answer: -Avoid strong electromagnetic fields
(magnets and telecommunication transmitters)
-carry pacemaker identification card
-medical alert bracelet
, A fib may lead to - Answer: -DVT or PE due to blood pooling
-HF
A fib signs and symptoms - Answer: -symptoms depend on ventricular rate*
-some patients are asymptomatic*
irregular pulse, poor perfusion, fatigue, weakness, SOB, dizziness, anxiety, syncope, palpitations, chest
pain/discomfort, and hypotension
Nursing intervention for a PE - Answer: -stay with patient
-monitor for SOB, chest pain, and hypotension
-initiate a rapid
-notify the provider
T/F patients on anticoagulation should report bleeding gums to their provider immediately - Answer: T
NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient - Answer: Oxygen
what does the nurse assess for in a patient with a dysrthymia? - Answer: Angina, hypotension, HF,
decreased cerebral profusion, and decreased renal profusion.
How to decrease/prevent dysthymias - Answer: -avoid vagus nerve stimulation
-take medications
-stop smoking
-avoid caffeine
-alcohol in moderation
-manage stress
The nurse is caring for client who is experiencing occasional premature ventricular contractions. What
assessment data are most concerning to the nurse?
MDC3 Exam
Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]
,What does A Fib ECG look like? - Answer: -impulse rate of 350-600 times per minute
-no P waves
-no atrial contractions
-loss of atrial kick
-irregular ventricular response
How often do you assess vital signs on a patient with a dysrhythmia
(gray box) - Answer: at least every 4 hours
Nursing Safety Priority for Sinus tachycardia what to assess
(gray box) - Answer: -fatigue, weakness, SOB, orthopnea, decreased O2, increased HR, decreased BP,
angina, palpitations
-ECG: T wave inversion or ST elevation/depression
-decreased cerebral perfusion may occur. Symptoms: restlessness and anxiety
-impaired renal function may occur symptoms: decreased urine output.
The nurse is assessing the client's cardiac rhythm and notes the following: HR 64, regular rhythm, PR
interval 0.20; QRS 0.10. How will the nurse document this rhythm interpretation in the electronic health
record?
A. Sinus tachycardia
B. Sinus bradycardia
C. Normal sinus rhythm
D. Sinus arrhythmia - Answer: C
NURSING SAFETY PRIORITY
patient education with permanent pacemakers include - Answer: -Avoid strong electromagnetic fields
(magnets and telecommunication transmitters)
-carry pacemaker identification card
-medical alert bracelet
, A fib may lead to - Answer: -DVT or PE due to blood pooling
-HF
A fib signs and symptoms - Answer: -symptoms depend on ventricular rate*
-some patients are asymptomatic*
irregular pulse, poor perfusion, fatigue, weakness, SOB, dizziness, anxiety, syncope, palpitations, chest
pain/discomfort, and hypotension
Nursing intervention for a PE - Answer: -stay with patient
-monitor for SOB, chest pain, and hypotension
-initiate a rapid
-notify the provider
T/F patients on anticoagulation should report bleeding gums to their provider immediately - Answer: T
NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient - Answer: Oxygen
what does the nurse assess for in a patient with a dysrthymia? - Answer: Angina, hypotension, HF,
decreased cerebral profusion, and decreased renal profusion.
How to decrease/prevent dysthymias - Answer: -avoid vagus nerve stimulation
-take medications
-stop smoking
-avoid caffeine
-alcohol in moderation
-manage stress
The nurse is caring for client who is experiencing occasional premature ventricular contractions. What
assessment data are most concerning to the nurse?
