QUESTIONS AND ANSWERS: CARDIAC
FOCUS QUESTIONS AND ANSWERS
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, 1. A nurse working on a telemetry unit understands that a patient with which arrhythmia
would most likely need a pacemaker?
a. Ventricular fibrillation
b. Atrial fibrillation
c. Third degree heart block
d. First degree AV block
2. The nurse is caring for a patient when the following rhythm is seen on the monitor. The
client becomes short of breath, diaphoretic, and complains of feeling palpitations. Which
interventions would the nurse expect to implement? (select all that apply)
a. Rapid IV push 6mg of atropine
b. Tell the patient to perform the valsalva maneuver
c. Prepare for cardioversion
d. Administer digoxin via suppository
3. The nurse is caring for a young pediatric client who was diagnosed with Tetralogy of
Fallot. The client begins to exhibit signs of a Tet spell. Which of the following
interventions would be most beneficial to the client? (select all that apply)
a. Telling the patient to cough
b. Assisting the patient into a squatting position
c. Administer IV magnesium sulfate to help the patient relax
d. Call the doctor immediately for instructions on what interventions to perform
e. Administer IV morphine to calm the patient’s anxiety and lower respiratory rate
f. Gather equipment and prepare for intubation
4. The assessment that would lead the nurse to suspect that a newborn infant has a
ventricular septal defect is:
a. A loud, harsh murmur with a systolic tremor
b. A machine like murmur
c. Cyanosis when crying
d. Blood pressure higher in arms than the legs
5. The nurse working in the NICU has begun to assess a patient at the beginning of the
shift. Which of the following assessment findings should lead the nurse to suspect
coarctation of the aorta? (select all that apply)
a. Warm hands and feet
b. +3 and +4 pulses in the upper extremities
c. Severe cyanosis
d. Pale legs
e. Systolic ejection murmur