Dysrhythmia NCLEX Questions with 100% Verified Answers!!!
1. You are the nurse working on the Answer: D. A pulse would be assessed for
telemetry unit and you have fi- first. Then the patient will be defibrillized
nally gotten to sit down to work and chest compressions will begin imme-
on some charting. Suddenly the diately.
heart monitors at the station
start beeping. Patient in room 18
is showing this rhythm on the
monitor. The medical team ad-
vances together into the room
and finds them unconscious.
What is priority action by the
nurse?
A) Prepare to administer adeno-
sine to the patient
B) Begin chest compressions
C) Prepare for defibrillation
D) Check for a pulse
2. The nurse sees the following Answer: C. Anemia can contribute to si-
rhythm on the monitor. Which of nus tachycardia.
the following lab values does the
nurse identify as being most like-
ly to have caused this dysrhyth-
mia?
a) K 3.0
b) Ca 10.5
c) Hgb 9
d) Magnesium 2.1
3. The patient who has recent- Answer: A. Following defibrillation, CPR
ly been experiencing runs of is immediately initiated if a perfusable
ventricular tachycardia sudden- rhythm is not initiated. The client may
ly loses consciousness. The pa- need to be shocked again, but chest com-
tient is defibrillated, and the rate pressions must begin first.
returns as the following. What
should the nurse do first?
A) Begin compressions
B) Shock the client again imme-
diately
,Dysrhythmia NCLEX Questions with 100% Verified Answers!!!
C) Prepare for intubation
D) Administer adenosine
4. A patient with cardiomyopathy Answer: B. Antiarrhythmic medications
has been given an ICD. Which of are prescribed with the use of an ICD in
the following medications would order to prevent the tachycardic (or other
the nurse expect to see in the deadly arrhythmia) from occurring in the
MAR for this patient? first place. This makes sure that the ICD
A) Warfarin is used only when absolutely necessary.
B) Cardizem
C) Nitroglycerin
D) Digoxin
5. The patient with a history of hy- Answer: B. Atrial flutter places the client at
pertension and diabetes has the high risk for development of clot formation
following rhythm strip. The pa- in the atria. Because the client is stable
tient's vitals are as follows: BP at this time, cardioversion or adenosine
145/89, HR 90, SpO2 95%, RR 19. would not be performed at this time. Be-
Which of the following does the fore cardioversion can occur in a patient,
nurse expect to do at this time? anticoagulant therapy should be begun at
a) Prepare the client for car- least 48 hours beforehand if possible.
dioversion STAT
b) Begin administering anticoag-
ulants
c) Grab the crash cart for admin-
istration of adenosine
d) Teach the client about possi-
bility of pacemaker installation
6. The nurse is preparing to ad- Answer: A, B, and D. Adenosine is ad-
minister adenosine to the patient ministered as a very quick IV push. The
with the following rhythm which physician must be present in the room
is symptomatic. What should the and the crash cart must be on hand. An
nurse plan on having in the pa- ekg monitor should be in the room to mon-
tient room? itor the effectiveness of the medication.
a) Physician
b) Crash cart
c) IV pump
, Dysrhythmia NCLEX Questions with 100% Verified Answers!!!
d) EKG monitor
e) Lidocaine
7. The nurse has just administered Answer: B. This finding would be ex-
adenosine via IV push and sees pected upon administration of adenosine.
the following rhythm on the mon- The rhythm should then begin again in
itor. What is the nurse's priority some other rhythm, hopefully normal si-
intervention? nus rhythm. It would be important to doc-
a) Apply conductive gel and de- ument the exact time of this change and
fibrillate the patient continue to monitor the change back to
b) Document the findings and NSR. If this change does not occur, or if
continue to monitor another rhythm is produced, appropriate
c) Administer another mg of the action would then be taken based on the
medication result.
d) Begin chest compressions
8. You, the nurse, note the follow- Answer: B. With SVT (Supraventricular
ing rhythm on the EKG monitor tachycardia), the first thing to do would be
for a patient named billy. What is to instruct the pt. to perform the Valsalva
the first thing the nurse should maneuver by bearing down.
do?
a) Check for a pulse
b) Tell Billy to try to poop
c) Prepare to defibrillate billy
d) Prepare to administer
Amiodorone
9. A group of nursing students are Answer(s): 2, 3
discussing atrial flutter. These
students recognize that which of The ATRIAL rate is 220-300 bpm. Ven-
the following are seen with atrial tricular is about 75-150. The rhythm is
flutter? Select all that apply: regular, with the P wave appearing as little
1) Ventricular rate of 220-300 flutter or a "saw tooth pattern". The PR in-
bpm. terval is not measurable r/t this saw-tooth
2) Regular rhythm P wave. The QRS is normal.
3) Saw-tooth pattern
4) Measurable PR interval
5) Long QRS interval
1. You are the nurse working on the Answer: D. A pulse would be assessed for
telemetry unit and you have fi- first. Then the patient will be defibrillized
nally gotten to sit down to work and chest compressions will begin imme-
on some charting. Suddenly the diately.
heart monitors at the station
start beeping. Patient in room 18
is showing this rhythm on the
monitor. The medical team ad-
vances together into the room
and finds them unconscious.
What is priority action by the
nurse?
A) Prepare to administer adeno-
sine to the patient
B) Begin chest compressions
C) Prepare for defibrillation
D) Check for a pulse
2. The nurse sees the following Answer: C. Anemia can contribute to si-
rhythm on the monitor. Which of nus tachycardia.
the following lab values does the
nurse identify as being most like-
ly to have caused this dysrhyth-
mia?
a) K 3.0
b) Ca 10.5
c) Hgb 9
d) Magnesium 2.1
3. The patient who has recent- Answer: A. Following defibrillation, CPR
ly been experiencing runs of is immediately initiated if a perfusable
ventricular tachycardia sudden- rhythm is not initiated. The client may
ly loses consciousness. The pa- need to be shocked again, but chest com-
tient is defibrillated, and the rate pressions must begin first.
returns as the following. What
should the nurse do first?
A) Begin compressions
B) Shock the client again imme-
diately
,Dysrhythmia NCLEX Questions with 100% Verified Answers!!!
C) Prepare for intubation
D) Administer adenosine
4. A patient with cardiomyopathy Answer: B. Antiarrhythmic medications
has been given an ICD. Which of are prescribed with the use of an ICD in
the following medications would order to prevent the tachycardic (or other
the nurse expect to see in the deadly arrhythmia) from occurring in the
MAR for this patient? first place. This makes sure that the ICD
A) Warfarin is used only when absolutely necessary.
B) Cardizem
C) Nitroglycerin
D) Digoxin
5. The patient with a history of hy- Answer: B. Atrial flutter places the client at
pertension and diabetes has the high risk for development of clot formation
following rhythm strip. The pa- in the atria. Because the client is stable
tient's vitals are as follows: BP at this time, cardioversion or adenosine
145/89, HR 90, SpO2 95%, RR 19. would not be performed at this time. Be-
Which of the following does the fore cardioversion can occur in a patient,
nurse expect to do at this time? anticoagulant therapy should be begun at
a) Prepare the client for car- least 48 hours beforehand if possible.
dioversion STAT
b) Begin administering anticoag-
ulants
c) Grab the crash cart for admin-
istration of adenosine
d) Teach the client about possi-
bility of pacemaker installation
6. The nurse is preparing to ad- Answer: A, B, and D. Adenosine is ad-
minister adenosine to the patient ministered as a very quick IV push. The
with the following rhythm which physician must be present in the room
is symptomatic. What should the and the crash cart must be on hand. An
nurse plan on having in the pa- ekg monitor should be in the room to mon-
tient room? itor the effectiveness of the medication.
a) Physician
b) Crash cart
c) IV pump
, Dysrhythmia NCLEX Questions with 100% Verified Answers!!!
d) EKG monitor
e) Lidocaine
7. The nurse has just administered Answer: B. This finding would be ex-
adenosine via IV push and sees pected upon administration of adenosine.
the following rhythm on the mon- The rhythm should then begin again in
itor. What is the nurse's priority some other rhythm, hopefully normal si-
intervention? nus rhythm. It would be important to doc-
a) Apply conductive gel and de- ument the exact time of this change and
fibrillate the patient continue to monitor the change back to
b) Document the findings and NSR. If this change does not occur, or if
continue to monitor another rhythm is produced, appropriate
c) Administer another mg of the action would then be taken based on the
medication result.
d) Begin chest compressions
8. You, the nurse, note the follow- Answer: B. With SVT (Supraventricular
ing rhythm on the EKG monitor tachycardia), the first thing to do would be
for a patient named billy. What is to instruct the pt. to perform the Valsalva
the first thing the nurse should maneuver by bearing down.
do?
a) Check for a pulse
b) Tell Billy to try to poop
c) Prepare to defibrillate billy
d) Prepare to administer
Amiodorone
9. A group of nursing students are Answer(s): 2, 3
discussing atrial flutter. These
students recognize that which of The ATRIAL rate is 220-300 bpm. Ven-
the following are seen with atrial tricular is about 75-150. The rhythm is
flutter? Select all that apply: regular, with the P wave appearing as little
1) Ventricular rate of 220-300 flutter or a "saw tooth pattern". The PR in-
bpm. terval is not measurable r/t this saw-tooth
2) Regular rhythm P wave. The QRS is normal.
3) Saw-tooth pattern
4) Measurable PR interval
5) Long QRS interval
