AH3 QUESTIONS AND ANSWERS
A patient with an acute MI has a sinus tachycardia of 126 bpm. The nurses recognizes
that if this dysrhythmia is not treated, the patient is likely to experience
a. hypertension
b. escape rhythms
c. ventricular tachycardia
d. an increase in infarct size - Answers :d. an increase in infarct size
A patient with no history of heart disease has a rhythm strip that shows an occasional
distorted P wave followed by normal AV and ventricular conduction. The nurse
questions the patient about
a. the use of caffeine
b. the use of sedatives
c. any aerobic training
d. holding of breath during exertion - Answers :a. the use of caffeine
A patient with a sinus node dysfunction has a permanent pacemaker inserted. Before
discharge, the nurse teaches the patient to
a. avoid cooking with microwave ovens
b. avoid high-voltage electrical generators
c. use mild analgesics to control the chest spasms cause by the pacing current
d. start lifting the arm above the shoulder right away to prevent a "frozen shoulder" -
Answers :b. avoid high-voltage electrical generators
A patient on the cardiac telemetry unit goes into ventricular fibrillation and is
unresponsive. Following imitation of the emergency call system (Code Blue), the next
priority for the nurse is to
a. get the crash cart
b. administer amiodarone IV
c. defibrillate with 360 joules
d. begin CPR - Answers :d. begin CPR
The use of catheter ablation therapy to "burn" areas of the cardiac conduction system is
indicated for treatment of
a. sinus arrest
b. heart blocks
c. tachydysrhythmias
d. Premature Ventricular Tachycardia - Answers :c. tachydysrhythmias
, What is the initial shock for a defibrillator? - Answers :200 joules
The nurse is monitoring the cardiac rhythms of clients in the coronary car unit. Which
client will need immediate intervention?
a. Client admitted with HF who has atrial fibrillation with a rate of 88 bpm while at rest
b. Client with a newly implanted demand ventricular pacemaker who has occasional
periods of sinus rhythm at a rate of 90-100 bpm
c. Client who has had an acute myocardial infarction and has a sinus rhythm at a rate of
76 bpm with frequent PVCs
d. Client who recently started taking atenolol and has a 1st degree heart block, with a
rate of 58 bpm. - Answers :c. Client who has had an acute myocardial infarction and has
a sinus rhythm at a rate of 76 bpm with frequent PVCs
The nurse is participating as a team member in the resuscitation of a client who has had
a cardiac arrest. The HCP who is directing the resuscitation asks the nurse to
administer epinephrine 1 mg IV. After giving the medication, which action should the
nurse take next?
a. prepare to defibrillate the client
b. offer to take over chest compressions
c. state: "epinephrine 1 mg IV has been given"
d. Continue to monitor the client's responsiveness - Answers :c. state: "epinephrine 1
mg IV has been given"
The nurse in the cardiovascular clinic receives telephone calls from 4 clients. Which
client should be scheduled to be seen most urgently?
a. Client with peripheral arterial disease who complains of leg cramps when walking
b. Client with atrial fibrillation who reports episodes of lightheadedness and syncope
c. Client with a new permanent pacemaker who has severe itchiness at the wound site
d. Client with angina who nitroglycerin twice in the last week while exercising - Answers
:b. Client with atrial fibrillation who reports episodes of lightheadedness and syncope
During a home visit to an 88 year old client who is taking digoxin 0.25 mg/day to treat
HF and A-Fib, the nurse obtains this assessment information. Which finding is most
important to communicate to the HCP?
a. Apical pulse 68 bpm and irregular
b. digoxin taken with meals
A patient with an acute MI has a sinus tachycardia of 126 bpm. The nurses recognizes
that if this dysrhythmia is not treated, the patient is likely to experience
a. hypertension
b. escape rhythms
c. ventricular tachycardia
d. an increase in infarct size - Answers :d. an increase in infarct size
A patient with no history of heart disease has a rhythm strip that shows an occasional
distorted P wave followed by normal AV and ventricular conduction. The nurse
questions the patient about
a. the use of caffeine
b. the use of sedatives
c. any aerobic training
d. holding of breath during exertion - Answers :a. the use of caffeine
A patient with a sinus node dysfunction has a permanent pacemaker inserted. Before
discharge, the nurse teaches the patient to
a. avoid cooking with microwave ovens
b. avoid high-voltage electrical generators
c. use mild analgesics to control the chest spasms cause by the pacing current
d. start lifting the arm above the shoulder right away to prevent a "frozen shoulder" -
Answers :b. avoid high-voltage electrical generators
A patient on the cardiac telemetry unit goes into ventricular fibrillation and is
unresponsive. Following imitation of the emergency call system (Code Blue), the next
priority for the nurse is to
a. get the crash cart
b. administer amiodarone IV
c. defibrillate with 360 joules
d. begin CPR - Answers :d. begin CPR
The use of catheter ablation therapy to "burn" areas of the cardiac conduction system is
indicated for treatment of
a. sinus arrest
b. heart blocks
c. tachydysrhythmias
d. Premature Ventricular Tachycardia - Answers :c. tachydysrhythmias
, What is the initial shock for a defibrillator? - Answers :200 joules
The nurse is monitoring the cardiac rhythms of clients in the coronary car unit. Which
client will need immediate intervention?
a. Client admitted with HF who has atrial fibrillation with a rate of 88 bpm while at rest
b. Client with a newly implanted demand ventricular pacemaker who has occasional
periods of sinus rhythm at a rate of 90-100 bpm
c. Client who has had an acute myocardial infarction and has a sinus rhythm at a rate of
76 bpm with frequent PVCs
d. Client who recently started taking atenolol and has a 1st degree heart block, with a
rate of 58 bpm. - Answers :c. Client who has had an acute myocardial infarction and has
a sinus rhythm at a rate of 76 bpm with frequent PVCs
The nurse is participating as a team member in the resuscitation of a client who has had
a cardiac arrest. The HCP who is directing the resuscitation asks the nurse to
administer epinephrine 1 mg IV. After giving the medication, which action should the
nurse take next?
a. prepare to defibrillate the client
b. offer to take over chest compressions
c. state: "epinephrine 1 mg IV has been given"
d. Continue to monitor the client's responsiveness - Answers :c. state: "epinephrine 1
mg IV has been given"
The nurse in the cardiovascular clinic receives telephone calls from 4 clients. Which
client should be scheduled to be seen most urgently?
a. Client with peripheral arterial disease who complains of leg cramps when walking
b. Client with atrial fibrillation who reports episodes of lightheadedness and syncope
c. Client with a new permanent pacemaker who has severe itchiness at the wound site
d. Client with angina who nitroglycerin twice in the last week while exercising - Answers
:b. Client with atrial fibrillation who reports episodes of lightheadedness and syncope
During a home visit to an 88 year old client who is taking digoxin 0.25 mg/day to treat
HF and A-Fib, the nurse obtains this assessment information. Which finding is most
important to communicate to the HCP?
a. Apical pulse 68 bpm and irregular
b. digoxin taken with meals
