Dysrhythmias Practice Questions
2024/2025 Exam Questions and Correct
Answers | New Update
You are the nurse working on the telemetry unit and you have finally gotten
to sit down to work on some charting. Suddenly the heart monitors at the
station start beeping. Patient in room 18 is showing this rhythm on the
monitor. The medical team advances together into the room and finds them
unconscious. What is priority action by the nurse?
A) Prepare to administer adenosine to the patient
B) Begin chest compressions
C) Prepare for defibrillation
D) Check for a pulse - 🧠ANSWER ✔✔Answer: D
A pulse would be assessed for first. Then the patient will be defibrillized
and chest compressions will begin immediately.
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,The patient who has recently been experiencing runs of ventricular
tachycardia suddenly loses consciousness. The patient is defibrillated, and
the rate returns as the following. What should the nurse do first?
A) Begin compressions
B) Shock the client again immediately
C) Prepare for intubation
D) Administer adenosine - 🧠ANSWER ✔✔Answer: A
Following defibrillation, CPR is immediately initiated if a perfusable rhythm
is not initiated. The client may need to be shocked again, but chest
compressions must begin first.
The patient with a history of hypertension and diabetes has the following
rhythm strip. The patient's vitals are as follows: BP 145/89, HR 90, SpO2
95%, RR 19. Which of the following does the nurse expect to do at this
time?
a) Prepare the client for cardioversion STAT
b) Begin administering anticoagulants
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,c) Grab the crash cart for administration of adenosine
d) Teach the client about possibility of pacemaker installation - 🧠ANSWER
✔✔Answer: B
Atrial flutter places the client at high risk for development of clot formation
in the atria. Because the client is stable at this time, cardioversion or
adenosine would not be performed at this time. Before cardioversion can
occur in a patient, anticoagulant therapy should be begun at least 48 hours
beforehand if possible.
The nurse is preparing to administer adenosine to the patient with the
following rhythm which is symptomatic. What should the nurse plan on
having in the patient room? Select All That Apply:
a) Physician
b) Crash cart
c) IV pump
d) EKG monitor
e) Lidocaine - 🧠ANSWER ✔✔Answer: A, B, and D
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, Adenosine is administered as a very quick IV push. The physician must be
present in the room and the crash cart must be on hand. An ekg monitor
should be in the room to monitor the effectiveness of the medication.
The nurse has just administered adenosine via IV push and sees the
following rhythm on the monitor. What is the nurse's priority intervention?
a) Apply conductive gel and defibrillate the patient
b) Document the findings and continue to monitor
c) Administer another mg of the medication
d) Begin chest compressions - 🧠ANSWER ✔✔Answer: B
This finding would be expected upon administration of adenosine. The
rhythm should then begin again in some other rhythm, hopefully normal
sinus rhythm. It would be important to document the exact time of this
change and continue to monitor the change back to NSR. If this change
does not occur, or if another rhythm is produced, appropriate action would
then be taken based on the result.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
2024/2025 Exam Questions and Correct
Answers | New Update
You are the nurse working on the telemetry unit and you have finally gotten
to sit down to work on some charting. Suddenly the heart monitors at the
station start beeping. Patient in room 18 is showing this rhythm on the
monitor. The medical team advances together into the room and finds them
unconscious. What is priority action by the nurse?
A) Prepare to administer adenosine to the patient
B) Begin chest compressions
C) Prepare for defibrillation
D) Check for a pulse - 🧠ANSWER ✔✔Answer: D
A pulse would be assessed for first. Then the patient will be defibrillized
and chest compressions will begin immediately.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
,The patient who has recently been experiencing runs of ventricular
tachycardia suddenly loses consciousness. The patient is defibrillated, and
the rate returns as the following. What should the nurse do first?
A) Begin compressions
B) Shock the client again immediately
C) Prepare for intubation
D) Administer adenosine - 🧠ANSWER ✔✔Answer: A
Following defibrillation, CPR is immediately initiated if a perfusable rhythm
is not initiated. The client may need to be shocked again, but chest
compressions must begin first.
The patient with a history of hypertension and diabetes has the following
rhythm strip. The patient's vitals are as follows: BP 145/89, HR 90, SpO2
95%, RR 19. Which of the following does the nurse expect to do at this
time?
a) Prepare the client for cardioversion STAT
b) Begin administering anticoagulants
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
,c) Grab the crash cart for administration of adenosine
d) Teach the client about possibility of pacemaker installation - 🧠ANSWER
✔✔Answer: B
Atrial flutter places the client at high risk for development of clot formation
in the atria. Because the client is stable at this time, cardioversion or
adenosine would not be performed at this time. Before cardioversion can
occur in a patient, anticoagulant therapy should be begun at least 48 hours
beforehand if possible.
The nurse is preparing to administer adenosine to the patient with the
following rhythm which is symptomatic. What should the nurse plan on
having in the patient room? Select All That Apply:
a) Physician
b) Crash cart
c) IV pump
d) EKG monitor
e) Lidocaine - 🧠ANSWER ✔✔Answer: A, B, and D
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Adenosine is administered as a very quick IV push. The physician must be
present in the room and the crash cart must be on hand. An ekg monitor
should be in the room to monitor the effectiveness of the medication.
The nurse has just administered adenosine via IV push and sees the
following rhythm on the monitor. What is the nurse's priority intervention?
a) Apply conductive gel and defibrillate the patient
b) Document the findings and continue to monitor
c) Administer another mg of the medication
d) Begin chest compressions - 🧠ANSWER ✔✔Answer: B
This finding would be expected upon administration of adenosine. The
rhythm should then begin again in some other rhythm, hopefully normal
sinus rhythm. It would be important to document the exact time of this
change and continue to monitor the change back to NSR. If this change
does not occur, or if another rhythm is produced, appropriate action would
then be taken based on the result.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
