CARDIAC ATI UPADTED QUESTIONS AND ANSWERS
GRADED A+
✔✔You are to give 0.9NS IV at 50ml/hr to a PT who is receiving hemodynamic
monitoring and has an indwelling IV catheter in the left hand. Which sites can it be given
in? Select all
1. Peripheral saline lock
2. Port on the arterial line
3. Port on the proximal CVP lumen of the pulmonary artery catheter
4. Port on distal lumen of PA catheter
5. Ballon Inflammation port. - ✔✔1. Peripheral saline lock
3. Port on the proximal CVP lumen of the pulmonary artery catheter- can be used for
fluids also
✔✔You are caring for a group of PTs and should recognize which PT is at risk for a
dysrhythmia? Select All
1. PT with metabolic acidosis
2. PT with K level of 4.3
3. PT whose O2 sat is 96%
4. COPD PT
5. PT who underwent a stent replacement - ✔✔1. PT with metabolic acidosis-acid base
imbalance = @ risk
4. COPD PT- at risk
5. PT who underwent a stent replacement- at risk
✔✔What is cardioversion? - ✔✔Delivery of direct countercheck to the heart synced with
QRS complex.
**used for atria dysrhythmias, SVT, Ventricular tachycardia with pulse.
TREATMENT OF CHOICE FOR PTs WHO ARE SYMPTOMATIC
✔✔Complications of Cardioversion? - ✔✔Pulmonary embolism- (AEB dyspnea, chest
pain, air hunger, decreased sat)
Stoke(CVA)- (AEB decrease LOC, slurred speech, muscle weakness/paralysis)
MI- (AEB chest pain and elevated or depressed ST segment)
✔✔Electrical management for bradycardia would be? - ✔✔Pacemaker for any rhythm
less than 60/min
, ✔✔Rn admitted a PT following placement of a temporary pacemaker. Which of the
following actions should the nurse use to promote safety? Select all
1. Wear gloves when handling pacemaker leads
2. Verify the use of three pronged grounding plugs
3. Minimize PT shoulder movements
4. Keep the lead wires taut when turning the client
5. additional batteries should be kept at the RN's station - ✔✔1. Wear gloves when
handling pacemaker leads- gloves should be worn
2. Verify the use of three pronged grounding plugs-reduce the risk of accidental
electrical charge
3. Minimize PT shoulder movements- minimze or wear a sling to promote secure
anchoring of the lead wires
✔✔PT has complete Heart block HR 34, BP 83/48, he is lethargic, and unable to
complete sentences. Which action should you do first?
1. Clean skin with soap and water
2. Prepare PT for insertion of permanent pacemaker
3. Obtain signed informed consent form for a pacemaker
4. Apply transcutaneous pacemaker pads. - ✔✔1. Clean skin with soap and water- need
to do this before applying transcutaneous pads
✔✔You are doing discharge teaching with PT who has a permanent pacemaker. Which
statement indicates a need for further teaching?
1. I will notify the airport screeners about my pacemaker
2. I will call my doctor
about hiccups
3. I will have to disconnect my garage door opener
4. I will take my HR every morning - ✔✔3. I will have to disconnect my garage door
opener-household appliances do not affect it
✔✔PT just had an insertion of a temporary venous pacemaker via the femoral artery
and its set to VVI rate of 70/min. Which finding should the RN report? Select all
1. Cool and clammy foot with cap refill of 5 sec
2. Observed pacing spike followed by a QRS complex
3. Twitching of intercostal muscle
4. HR of 84
5. BP 104/62 - ✔✔1. Cool and clammy foot with cap refill of 5 sec-indicates femoral
hematoma r/t insertion of the lead wires
3. Twitching of intercostal muscle - indicates lead wire perforation and stimulation of the
diaphragm
GRADED A+
✔✔You are to give 0.9NS IV at 50ml/hr to a PT who is receiving hemodynamic
monitoring and has an indwelling IV catheter in the left hand. Which sites can it be given
in? Select all
1. Peripheral saline lock
2. Port on the arterial line
3. Port on the proximal CVP lumen of the pulmonary artery catheter
4. Port on distal lumen of PA catheter
5. Ballon Inflammation port. - ✔✔1. Peripheral saline lock
3. Port on the proximal CVP lumen of the pulmonary artery catheter- can be used for
fluids also
✔✔You are caring for a group of PTs and should recognize which PT is at risk for a
dysrhythmia? Select All
1. PT with metabolic acidosis
2. PT with K level of 4.3
3. PT whose O2 sat is 96%
4. COPD PT
5. PT who underwent a stent replacement - ✔✔1. PT with metabolic acidosis-acid base
imbalance = @ risk
4. COPD PT- at risk
5. PT who underwent a stent replacement- at risk
✔✔What is cardioversion? - ✔✔Delivery of direct countercheck to the heart synced with
QRS complex.
**used for atria dysrhythmias, SVT, Ventricular tachycardia with pulse.
TREATMENT OF CHOICE FOR PTs WHO ARE SYMPTOMATIC
✔✔Complications of Cardioversion? - ✔✔Pulmonary embolism- (AEB dyspnea, chest
pain, air hunger, decreased sat)
Stoke(CVA)- (AEB decrease LOC, slurred speech, muscle weakness/paralysis)
MI- (AEB chest pain and elevated or depressed ST segment)
✔✔Electrical management for bradycardia would be? - ✔✔Pacemaker for any rhythm
less than 60/min
, ✔✔Rn admitted a PT following placement of a temporary pacemaker. Which of the
following actions should the nurse use to promote safety? Select all
1. Wear gloves when handling pacemaker leads
2. Verify the use of three pronged grounding plugs
3. Minimize PT shoulder movements
4. Keep the lead wires taut when turning the client
5. additional batteries should be kept at the RN's station - ✔✔1. Wear gloves when
handling pacemaker leads- gloves should be worn
2. Verify the use of three pronged grounding plugs-reduce the risk of accidental
electrical charge
3. Minimize PT shoulder movements- minimze or wear a sling to promote secure
anchoring of the lead wires
✔✔PT has complete Heart block HR 34, BP 83/48, he is lethargic, and unable to
complete sentences. Which action should you do first?
1. Clean skin with soap and water
2. Prepare PT for insertion of permanent pacemaker
3. Obtain signed informed consent form for a pacemaker
4. Apply transcutaneous pacemaker pads. - ✔✔1. Clean skin with soap and water- need
to do this before applying transcutaneous pads
✔✔You are doing discharge teaching with PT who has a permanent pacemaker. Which
statement indicates a need for further teaching?
1. I will notify the airport screeners about my pacemaker
2. I will call my doctor
about hiccups
3. I will have to disconnect my garage door opener
4. I will take my HR every morning - ✔✔3. I will have to disconnect my garage door
opener-household appliances do not affect it
✔✔PT just had an insertion of a temporary venous pacemaker via the femoral artery
and its set to VVI rate of 70/min. Which finding should the RN report? Select all
1. Cool and clammy foot with cap refill of 5 sec
2. Observed pacing spike followed by a QRS complex
3. Twitching of intercostal muscle
4. HR of 84
5. BP 104/62 - ✔✔1. Cool and clammy foot with cap refill of 5 sec-indicates femoral
hematoma r/t insertion of the lead wires
3. Twitching of intercostal muscle - indicates lead wire perforation and stimulation of the
diaphragm
