CHA Exam 3 Practice Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
The Client shows Vfib on the telemetry at the nurses station. Which action should the
telemetry nurse implement first? - CORRECT ANSWER Call a STAT code
(Vfib needs to be treated within 3-5 minutes because ventricles are quivering causing no
perfusion, no pulse and tanking fast)
The client is experiencing PVCs. which antidysrhythmic medication would the nurse expect
the provider to order for this client? - CORRECT ANSWER Amidodarone
(This will suppress ventricular ectopy and is the drug of choice for ventricular dysrhythmias)
The client is exhibiting sinus bradycardia, is complaining of syncope and weakness, and has a
BP of 98/60. Which treatment should the nurse anticipate being implemented? - CORRECT
ANSWER Prepare for insertion of a pacemaker
(there is not enough oxygen getting out to the brain and body, the patient IS
SYMPTOMATIC)
Which intervention should the nurse implement when defibrillating a client who is in VFIB? -
CORRECT ANSWER Shout "All clear" prior to defibrillating the client
The client has chronic atrial fibrillation. Which discharge teaching should the nurse discuss
with the client? - CORRECT ANSWER Instruct the client to use a soft bristle tooth
brush
(patient will be on anticoagulation medications, so on bleeding precautions)
, The client is exhibiting VTACH. Which intermission should the nurse implement first? -
CORRECT ANSWER Asses clients apical pulse and blood pressure
(this will determine if client is in cardiac arrest)
The client is ih VFIB. Which intervention should the nurse implement? SATA - CORRECT
ANSWER -Start CPR
-Prepare to defibrillate the client
-Crash Cart
-Amidodarone
The client who is 1 day post-op CABG surgery is exhibiting sinus tachycardia. Which
intervention should the nurse implement. - CORRECT ANSWER Determine is the
client is having pain
(treat the cause)
The client's telemetry reading shows a P wave before each QRS complex and the rate
is 78. Which action should the nurse implement? - CORRECT ANSWER Document
this as normal sinus rhythm
Which client problem has priority for the client with cardiac dysrhythmia? - CORRECT
ANSWER Decreased cardiac output
Which cardiac enzyme would the nurse expect to elevate first in a client diagnosed with
myocardial infarction? - CORRECT ANSWER Troponin
(enzymes that elevates within 1-2 hours, CK-MP elevates within 12-24 hours, LODH within
24-36 hours)
Along with persistent, crushing chest pain, which signs/symptoms would make the
ACTUAL QUESTIONS AND CORRECT
ANSWERS
The Client shows Vfib on the telemetry at the nurses station. Which action should the
telemetry nurse implement first? - CORRECT ANSWER Call a STAT code
(Vfib needs to be treated within 3-5 minutes because ventricles are quivering causing no
perfusion, no pulse and tanking fast)
The client is experiencing PVCs. which antidysrhythmic medication would the nurse expect
the provider to order for this client? - CORRECT ANSWER Amidodarone
(This will suppress ventricular ectopy and is the drug of choice for ventricular dysrhythmias)
The client is exhibiting sinus bradycardia, is complaining of syncope and weakness, and has a
BP of 98/60. Which treatment should the nurse anticipate being implemented? - CORRECT
ANSWER Prepare for insertion of a pacemaker
(there is not enough oxygen getting out to the brain and body, the patient IS
SYMPTOMATIC)
Which intervention should the nurse implement when defibrillating a client who is in VFIB? -
CORRECT ANSWER Shout "All clear" prior to defibrillating the client
The client has chronic atrial fibrillation. Which discharge teaching should the nurse discuss
with the client? - CORRECT ANSWER Instruct the client to use a soft bristle tooth
brush
(patient will be on anticoagulation medications, so on bleeding precautions)
, The client is exhibiting VTACH. Which intermission should the nurse implement first? -
CORRECT ANSWER Asses clients apical pulse and blood pressure
(this will determine if client is in cardiac arrest)
The client is ih VFIB. Which intervention should the nurse implement? SATA - CORRECT
ANSWER -Start CPR
-Prepare to defibrillate the client
-Crash Cart
-Amidodarone
The client who is 1 day post-op CABG surgery is exhibiting sinus tachycardia. Which
intervention should the nurse implement. - CORRECT ANSWER Determine is the
client is having pain
(treat the cause)
The client's telemetry reading shows a P wave before each QRS complex and the rate
is 78. Which action should the nurse implement? - CORRECT ANSWER Document
this as normal sinus rhythm
Which client problem has priority for the client with cardiac dysrhythmia? - CORRECT
ANSWER Decreased cardiac output
Which cardiac enzyme would the nurse expect to elevate first in a client diagnosed with
myocardial infarction? - CORRECT ANSWER Troponin
(enzymes that elevates within 1-2 hours, CK-MP elevates within 12-24 hours, LODH within
24-36 hours)
Along with persistent, crushing chest pain, which signs/symptoms would make the
