TOPRANK: DIAGNOSTIC TEST EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
C.Check the client status and lead replace - ANS 2. A client is wearing continuous cardiac
monitor which begins to sound its alarm. A nurse sees no ECG complexes on the screen. Which
of the following should be a priority action of the nurse?
*
1/1
A.Call a code blue
B.Call the physician
C.Check the client status and lead replace
D.Press the recorder button on the ECG console
a. a, c, f - ANS 3. When interpreting ECG, the nurse would keep in mind which of the
following about P wave? Select all that apply.
a) Reflects electrical impulse beginning at the SA node
b) Indicates electrical impulse beginning with AV node
c) Reflects atrial muscle depolarization
d) Has duration normally of 0.11 second or less
e) Reflects ventricular muscle depolarization
f) Prolonged p wave interval usually caused by heart blocks
2026/2027 ALLRIGHTS RESERVED
1
,*
1/1
a. a, c, f
b. c, d, e
c. a, b, c ,d
all of the above
C. "Does the pain get worse when you breathe in?" - ANS 4. A client with no history of
cardiovascular disease comes to the ambulatory clinic with flu-like symptoms. The client
suddenly complains of chest pain. Which of the following questions would best help a nurse
discriminate pain caused by a non cardiac problem?
*
0/1
A. "Can you describe the pain to me?"
B. "Have you ever had this pain before?"
C. "Does the pain get worse when you breathe in?"
D. "Can you rate the pain on a scale of 1 to 10, with 10 being the worst?"
B. Variant angina - ANS 1. A client with angina complains that the anginal pain is prolonged
and severe and occurs at the same time of each day, most often at rest in the absence of
precipitating factors. How would the nurse best describe this type of anginal pain?
*
0/1
A. Stable angina
B. Variant angina
C. Unstable angina
D. Nonanginal pain
B. Limiting movement and abduction of the right arm - ANS 5. A nurse is caring for a client
immediately after insertion of a permanent demand pacemaker via the right subclavian vein.
2026/2027 ALLRIGHTS RESERVED
2
,Which of the following activities will assist with preventing dislodgement of the pacing
catheter?
*
1/1
A. Limiting movement and abduction of the left arm
B. Limiting movement and abduction of the right arm
C. Assisting the client to get out of bed and ambulate with a walker
D. Having the physical therapist do active range-of-motion exercises to the right arm
B. Status of airway - ANS 7. A nurse is evaluating a client's response to cardioversion. Which
of the following observations would be of highest priority to the nurse?
*
1/1
A. Blood pressure
B. Status of airway
C. Oxygen flow rate
D. Level of consciousness
C. Ventricular tachycardia - ANS 9. A nurse is watching the cardiac monitor and notices that
the rhythm suddenly changes. There are no P waves, the QRS complexes are wide and the
ventricular rate is regular but more than 100bpm. The nurse determines that the client is
experiencing which of the following dysrhythmias?
*
1/1
A. Sinus Tachycardia
B. Ventricular fibrillation
C. Ventricular tachycardia
D. Premature ventricular contractions
2026/2027 ALLRIGHTS RESERVED
3
, C. Normal sinus rhythm - ANS 10. The nurse is reviewing an electrocardiogram rhythm strip.
The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes
measures 0.06 second. The overall heart rate is 64bpm. Which of the following would be a
correct interpretation based on these characteristics?
*
1/1
A. Sinus Bradycardia
B. Sick sinus syndrome
C. Normal sinus rhythm
D. First degree heart block
A. Observe the client for chest pain - ANS 15. After administration of t-PA, the nurse
understands that nursing assessment priority is to:
*
1/1
A. Observe the client for chest pain
B. Monitor for fever
C. Monitor the 12 lead ECG every 4 hours
D. Monitor breath sounds
A. Cardiac dysrhythmias - ANS 16. When monitoring a client who is receiving t-PA , the nurse
understands that it is important to monitor vital signs and make resuscitation equipment
available because reperfusion of the cardiac tissue can result in which of the following?
*
1/1
A. Cardiac dysrhythmias
B. Hypertensions
C. Seizure
D. Hypothermia
2026/2027 ALLRIGHTS RESERVED
4
QUESTIONS AND ANSWERS 100% PASS
2026/2027
C.Check the client status and lead replace - ANS 2. A client is wearing continuous cardiac
monitor which begins to sound its alarm. A nurse sees no ECG complexes on the screen. Which
of the following should be a priority action of the nurse?
*
1/1
A.Call a code blue
B.Call the physician
C.Check the client status and lead replace
D.Press the recorder button on the ECG console
a. a, c, f - ANS 3. When interpreting ECG, the nurse would keep in mind which of the
following about P wave? Select all that apply.
a) Reflects electrical impulse beginning at the SA node
b) Indicates electrical impulse beginning with AV node
c) Reflects atrial muscle depolarization
d) Has duration normally of 0.11 second or less
e) Reflects ventricular muscle depolarization
f) Prolonged p wave interval usually caused by heart blocks
2026/2027 ALLRIGHTS RESERVED
1
,*
1/1
a. a, c, f
b. c, d, e
c. a, b, c ,d
all of the above
C. "Does the pain get worse when you breathe in?" - ANS 4. A client with no history of
cardiovascular disease comes to the ambulatory clinic with flu-like symptoms. The client
suddenly complains of chest pain. Which of the following questions would best help a nurse
discriminate pain caused by a non cardiac problem?
*
0/1
A. "Can you describe the pain to me?"
B. "Have you ever had this pain before?"
C. "Does the pain get worse when you breathe in?"
D. "Can you rate the pain on a scale of 1 to 10, with 10 being the worst?"
B. Variant angina - ANS 1. A client with angina complains that the anginal pain is prolonged
and severe and occurs at the same time of each day, most often at rest in the absence of
precipitating factors. How would the nurse best describe this type of anginal pain?
*
0/1
A. Stable angina
B. Variant angina
C. Unstable angina
D. Nonanginal pain
B. Limiting movement and abduction of the right arm - ANS 5. A nurse is caring for a client
immediately after insertion of a permanent demand pacemaker via the right subclavian vein.
2026/2027 ALLRIGHTS RESERVED
2
,Which of the following activities will assist with preventing dislodgement of the pacing
catheter?
*
1/1
A. Limiting movement and abduction of the left arm
B. Limiting movement and abduction of the right arm
C. Assisting the client to get out of bed and ambulate with a walker
D. Having the physical therapist do active range-of-motion exercises to the right arm
B. Status of airway - ANS 7. A nurse is evaluating a client's response to cardioversion. Which
of the following observations would be of highest priority to the nurse?
*
1/1
A. Blood pressure
B. Status of airway
C. Oxygen flow rate
D. Level of consciousness
C. Ventricular tachycardia - ANS 9. A nurse is watching the cardiac monitor and notices that
the rhythm suddenly changes. There are no P waves, the QRS complexes are wide and the
ventricular rate is regular but more than 100bpm. The nurse determines that the client is
experiencing which of the following dysrhythmias?
*
1/1
A. Sinus Tachycardia
B. Ventricular fibrillation
C. Ventricular tachycardia
D. Premature ventricular contractions
2026/2027 ALLRIGHTS RESERVED
3
, C. Normal sinus rhythm - ANS 10. The nurse is reviewing an electrocardiogram rhythm strip.
The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes
measures 0.06 second. The overall heart rate is 64bpm. Which of the following would be a
correct interpretation based on these characteristics?
*
1/1
A. Sinus Bradycardia
B. Sick sinus syndrome
C. Normal sinus rhythm
D. First degree heart block
A. Observe the client for chest pain - ANS 15. After administration of t-PA, the nurse
understands that nursing assessment priority is to:
*
1/1
A. Observe the client for chest pain
B. Monitor for fever
C. Monitor the 12 lead ECG every 4 hours
D. Monitor breath sounds
A. Cardiac dysrhythmias - ANS 16. When monitoring a client who is receiving t-PA , the nurse
understands that it is important to monitor vital signs and make resuscitation equipment
available because reperfusion of the cardiac tissue can result in which of the following?
*
1/1
A. Cardiac dysrhythmias
B. Hypertensions
C. Seizure
D. Hypothermia
2026/2027 ALLRIGHTS RESERVED
4
