NUR242 EXAM 2 2026 COMPREHENSIVE
REVIEW AND TESTED CONCEPTS
◉ When a client's cardiac monitor shows ventricular tachycardia,
which action would the nurse take first? Answer: Assess pulse
◉ Which is the priority intervention for the unconscious client in
ventricular fibrillation? Answer: Defibrillation
◉ Which nursing intervention is the priority action when admitting
a client to the emergency department during cardiac arrest from
ventricular fibrillation? Answer: initiating defibrillation
◉ When the nurse in the coronary care unit (CCU) identifies
ventricular fibrillation on a client's cardiac monitor, which
intervention is the priority? Answer: Defibrillate the client.
◉ Which action would the nurse perform when a client is in
ventricular fibrillation? Select all that apply. One, some, or all
responses may be correct. Answer: Initiating CPR
Assessing the EKG
Using a defibrillator
Obtaining electrolytes
,Administering epinephrine
◉ A 20-year-old client seen in the emergency department reports
frequent "skipped heart beats," and the nurse notes frequent
premature ventricular complexes (PVCs) on the cardiac monitor.
Which action would the nurse take first? Answer: Ask the client
about use of caffeine or stimulant drugs
◉ When caring for a client with acute coronary syndrome who has
frequent premature ventricular complexes (PVCs), the nurse will be
most concerned about PVCs occurring in which phase of the cardiac
cycle? Answer: T wave
◉ A client's cardiac monitor indicates multiple multifocal premature
ventricular complexes (PVCs). Which medication is indicated for
treatment of ventricular dysrhythmias? Answer: Amiodarone
◉ The nurse is analyzing the client's rhythm when the nurse notes
multiple premature ventricular contractions (PVCs). Each PVC
occurs in no particular pattern and looks like all other PVCs. How
will the nurse interpret this finding? Answer: Unifocal
◉ When assisting with cardioversion, which action will the nurse
take before delivering the prescribed shock? Answer: Shout "clear"
to all persons at the bedside
, ◉ Which certification would the emergency nursing staff member
possess to perform defibrillation or cardioversion and special
resuscitation for clients who sustained injuries in a tsunami?
Answer: Advanced Cardiac Life Support (ACLS)
◉ Which diagnostic test is most important to obtain rapidly when
caring for a client who has just arrived in the emergency department
with possible acute coronary syndrome (ACS)? Answer: 12-lead
electrocardiogram (ECG)
◉ Which laboratory value will be most important for the nurse to
monitor to determine whether a client with chest pain has acute
coronary syndrome (ACS)? Answer: Troponin T (cTnT)
◉ A client is admitted to the emergency department with crushing
chest pain. A diagnosis of acute coronary syndrome is suspected.
Which medication is indicated to prevent progression to a
myocardial infarction? Answer: Aspirin
◉ To determine whether a client is experiencing acute coronary
syndrome (ACS), which component of the electrocardiogram would
the nurse analyze? Answer: ST segment
REVIEW AND TESTED CONCEPTS
◉ When a client's cardiac monitor shows ventricular tachycardia,
which action would the nurse take first? Answer: Assess pulse
◉ Which is the priority intervention for the unconscious client in
ventricular fibrillation? Answer: Defibrillation
◉ Which nursing intervention is the priority action when admitting
a client to the emergency department during cardiac arrest from
ventricular fibrillation? Answer: initiating defibrillation
◉ When the nurse in the coronary care unit (CCU) identifies
ventricular fibrillation on a client's cardiac monitor, which
intervention is the priority? Answer: Defibrillate the client.
◉ Which action would the nurse perform when a client is in
ventricular fibrillation? Select all that apply. One, some, or all
responses may be correct. Answer: Initiating CPR
Assessing the EKG
Using a defibrillator
Obtaining electrolytes
,Administering epinephrine
◉ A 20-year-old client seen in the emergency department reports
frequent "skipped heart beats," and the nurse notes frequent
premature ventricular complexes (PVCs) on the cardiac monitor.
Which action would the nurse take first? Answer: Ask the client
about use of caffeine or stimulant drugs
◉ When caring for a client with acute coronary syndrome who has
frequent premature ventricular complexes (PVCs), the nurse will be
most concerned about PVCs occurring in which phase of the cardiac
cycle? Answer: T wave
◉ A client's cardiac monitor indicates multiple multifocal premature
ventricular complexes (PVCs). Which medication is indicated for
treatment of ventricular dysrhythmias? Answer: Amiodarone
◉ The nurse is analyzing the client's rhythm when the nurse notes
multiple premature ventricular contractions (PVCs). Each PVC
occurs in no particular pattern and looks like all other PVCs. How
will the nurse interpret this finding? Answer: Unifocal
◉ When assisting with cardioversion, which action will the nurse
take before delivering the prescribed shock? Answer: Shout "clear"
to all persons at the bedside
, ◉ Which certification would the emergency nursing staff member
possess to perform defibrillation or cardioversion and special
resuscitation for clients who sustained injuries in a tsunami?
Answer: Advanced Cardiac Life Support (ACLS)
◉ Which diagnostic test is most important to obtain rapidly when
caring for a client who has just arrived in the emergency department
with possible acute coronary syndrome (ACS)? Answer: 12-lead
electrocardiogram (ECG)
◉ Which laboratory value will be most important for the nurse to
monitor to determine whether a client with chest pain has acute
coronary syndrome (ACS)? Answer: Troponin T (cTnT)
◉ A client is admitted to the emergency department with crushing
chest pain. A diagnosis of acute coronary syndrome is suspected.
Which medication is indicated to prevent progression to a
myocardial infarction? Answer: Aspirin
◉ To determine whether a client is experiencing acute coronary
syndrome (ACS), which component of the electrocardiogram would
the nurse analyze? Answer: ST segment
