lOMoARcPSD| 63525276
NUR 380 CARDIAC NURSING – ECG INTERPRETATION
AND MANAGEMENT STRATEGIES – 2025/2026
ACCURATE QUESTIONS ,COMPLETE SOLUTIONS
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 measure 0.06 second. The overall heart rate is 64
beats/minute. Which would be a correct interpretation based on these characteristics?
1.
Sinus bradycardia
2.
Sick sinus syndrome
3.
Normal sinus rhythm
4.
First-degree heart block
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no
electrocardiographic complexes on the screen. Which is the priority action of the nurse?
1.
Call a code.
2.
Call the health care provider.
3.
Check the client's status and lead placement.
4.
Press the recorder button on the electrocardiogram console.
A client is having frequent premature ventricular contractions. The nurse should place priority on
assessment of which item?
1.
Sensation of palpitations
2.
Causative factors, such as caffeine
, lOMoAR cPSD| 63525276
3.
Precipitating factors, such as infection
4.
Blood pressure and oxygen saturation
The nurse is evaluating a client's response to cardioversion. Which observation would be of highest
priority to the nurse?
1.
Blood pressure
2.
Status of airway
3.
Oxygen flow rate
4.
Level of consciousness
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR interval is
0.14 second, the QRS complex measures 0.08 second, and the PP and RR intervals are regular. How
should the nurse correctly interpret this rhythm?
1.
Sinus dysrhythmia
2.
Sinus tachycardia
3.
Sinus bradycardia
4.
Normal sinus rhythm
The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours
ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and
edema. The pedal pulse is palpable and unchanged from admission. How should the nurse correctly
interpret the client's neurovascular status?
1.
The neurovascular status is normal because of increased blood flow through the leg.
, lOMoAR cPSD| 63525276
2.
The neurovascular status is moderately impaired, and the surgeon should be called.
3.
The neurovascular status is slightly deteriorating and should be monitored for another hour.
4.
The neurovascular status is adequate from an arterial approach, but venous complications are arising.
The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac
tamponade. Which observation would indicate that the procedure was unsuccessful?
1.
Rising blood pressure
2.
Clearly audible heart sounds
3.
Client expressions of relief
4.
Rising central venous pressure
A client with angina complains that the anginal pain is prolonged and severe and occurs at the same time
each day, most often at rest in the absence of precipitating factors. How would the nurse best describe this
type of anginal pain?
1.
Stable angina
2.
Variant angina
3.
Unstable angina
4.
Nonanginal pain
The nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade. Which assessment
finding indicates the presence of this complication?
1.
Flat neck veins
, lOMoAR cPSD| 63525276
2.
A pulse rate of 60 beats/min
3.
Muffled or distant heart sounds
4.
Wheezing on auscultation of the lungs
The home care nurse is providing instructions to a client with an arterial ischemic leg ulcer about home
care management and self-care management. Which statement, if made by the client, indicates a need for
further instruction?
1.
"I need to be sure not to go barefoot around the house."
2.
"If I cut my toenails, I need to be sure that I cut them straight across."
3.
"It is all right to apply lanolin to my feet, but I shouldn't place it between my toes."
4.
"I need to be sure that I elevate my leg above my heart level for at least an hour every day."
The nurse in the medical unit is reviewing the laboratory test results for a client who has been transferred
from the intensive care unit. The nurse notes that a cardiac troponin T level assay was performed while the
client was in the intensive care unit. The nurse determines that this test was performed to assist in
diagnosing which condition?
1.
Heart failure
2.
Atrial fibrillation
3.
Myocardial infarction
4.
Ventricular tachycardia
The nurse is caring for a client with cardiac disease who has been placed on a cardiac monitor. The nurse
notes that the client has developed atrial fibrillation and has a ventricular rate of 150 beats/min. The nurse
should next assess the client for which finding?
NUR 380 CARDIAC NURSING – ECG INTERPRETATION
AND MANAGEMENT STRATEGIES – 2025/2026
ACCURATE QUESTIONS ,COMPLETE SOLUTIONS
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 measure 0.06 second. The overall heart rate is 64
beats/minute. Which would be a correct interpretation based on these characteristics?
1.
Sinus bradycardia
2.
Sick sinus syndrome
3.
Normal sinus rhythm
4.
First-degree heart block
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no
electrocardiographic complexes on the screen. Which is the priority action of the nurse?
1.
Call a code.
2.
Call the health care provider.
3.
Check the client's status and lead placement.
4.
Press the recorder button on the electrocardiogram console.
A client is having frequent premature ventricular contractions. The nurse should place priority on
assessment of which item?
1.
Sensation of palpitations
2.
Causative factors, such as caffeine
, lOMoAR cPSD| 63525276
3.
Precipitating factors, such as infection
4.
Blood pressure and oxygen saturation
The nurse is evaluating a client's response to cardioversion. Which observation would be of highest
priority to the nurse?
1.
Blood pressure
2.
Status of airway
3.
Oxygen flow rate
4.
Level of consciousness
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR interval is
0.14 second, the QRS complex measures 0.08 second, and the PP and RR intervals are regular. How
should the nurse correctly interpret this rhythm?
1.
Sinus dysrhythmia
2.
Sinus tachycardia
3.
Sinus bradycardia
4.
Normal sinus rhythm
The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours
ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and
edema. The pedal pulse is palpable and unchanged from admission. How should the nurse correctly
interpret the client's neurovascular status?
1.
The neurovascular status is normal because of increased blood flow through the leg.
, lOMoAR cPSD| 63525276
2.
The neurovascular status is moderately impaired, and the surgeon should be called.
3.
The neurovascular status is slightly deteriorating and should be monitored for another hour.
4.
The neurovascular status is adequate from an arterial approach, but venous complications are arising.
The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac
tamponade. Which observation would indicate that the procedure was unsuccessful?
1.
Rising blood pressure
2.
Clearly audible heart sounds
3.
Client expressions of relief
4.
Rising central venous pressure
A client with angina complains that the anginal pain is prolonged and severe and occurs at the same time
each day, most often at rest in the absence of precipitating factors. How would the nurse best describe this
type of anginal pain?
1.
Stable angina
2.
Variant angina
3.
Unstable angina
4.
Nonanginal pain
The nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade. Which assessment
finding indicates the presence of this complication?
1.
Flat neck veins
, lOMoAR cPSD| 63525276
2.
A pulse rate of 60 beats/min
3.
Muffled or distant heart sounds
4.
Wheezing on auscultation of the lungs
The home care nurse is providing instructions to a client with an arterial ischemic leg ulcer about home
care management and self-care management. Which statement, if made by the client, indicates a need for
further instruction?
1.
"I need to be sure not to go barefoot around the house."
2.
"If I cut my toenails, I need to be sure that I cut them straight across."
3.
"It is all right to apply lanolin to my feet, but I shouldn't place it between my toes."
4.
"I need to be sure that I elevate my leg above my heart level for at least an hour every day."
The nurse in the medical unit is reviewing the laboratory test results for a client who has been transferred
from the intensive care unit. The nurse notes that a cardiac troponin T level assay was performed while the
client was in the intensive care unit. The nurse determines that this test was performed to assist in
diagnosing which condition?
1.
Heart failure
2.
Atrial fibrillation
3.
Myocardial infarction
4.
Ventricular tachycardia
The nurse is caring for a client with cardiac disease who has been placed on a cardiac monitor. The nurse
notes that the client has developed atrial fibrillation and has a ventricular rate of 150 beats/min. The nurse
should next assess the client for which finding?
