NUl 185/l NU185l Examl 3–l Medical-
Surgicall Nursingl IIl Reviewl |l Galenl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Whatl doesl thel patientl withl thel pacemakerl needl tol dol everyl day?
Answer:
Monitorl heartl rate
Q:l Whenl educatingl thel patientl aboutl thingsl theyl cannotl dol becausel theyl havel al
pacemakerl Whatl shouldl thel nursel include?
Answer:
Don'tl playl anyl contactl sportsl likel football,l basketballl orl baseballl andl don'tl participatel
inl anyl ofl thel contactl sportsl withl al grandchildl becausel itl canl causel pacerl wiresl tol
dislodgel ,l andl dol notl strainl liftl orl dol anyl strenuousl activityl forl thel firstl 4l tol 6l weeks
Q:l Whenl educatingl thel patientl aboutl theirl pacemaker,l whatl thingl shouldl youl includel
otherl thanl nol contactl sportsl orl strenuousl exercise?
Answer:
Theyl canl stilll travell justl notifyl TSAl aboutl thel pacemakerl sol theyl canl dol al personall
searchl instead,l canl stilll usel al microwavel justl standl awayl froml it,l alwaysl keepl
pacemakerl cardl onl hand,l andl usel phonel onl thel oppositel sidel ofl pacemaker
Q:l Whatl shouldl thel nursel monitorl forl whenl thel patientl comesl backl postopl froml
havingl al pacemakerl inserted
Answer:
,Bleedingl froml thel sitel andl bradycardia
Q:l Thel nursel hasl al correctl understandingl whenl shel saysl "forl thel patientl withl thel
pacemaker,l wel arel worriedl ifl theirl heartl ratel is_________l setl ratel butl not________l setl
rate
Answer:
Below,l above
Q:l Whatl shouldl thel nursel dol forl al patientl whol hasl al pacemakerl andl theirl heartl ratel
isl lessl thanl 60
Answer:
Calll thel doctorl becausel itl indicatesl itl isl notl working
Q:l Whatl isl thel purposel ofl havingl anl implantedl cardioverterl defibrillatorl thatl wel
alwaysl wantl tol re-educatel thel patientl about
Answer:
Itl detectsl al lethall rhythml andl shocksl thel patientl outl ofl itl tol bringl theml tol al morel
stablel rhythm
Q:l Asl anl LPN,l whatl isl yourl jobl whenl caringl forl al patientl postopl afterl gettingl anl
ICD
Answer:
Re-educatel andl reinforcel thel teachingl initiallyl givenl byl thel RNl tol ensurel thel patientl
understandsl thel purposel ofl thisl device
Q:l Whatl isl al transesophageall echol andl whatl isl thel purpose?
Answer:
, It'sl anl echol thatl goesl downl thel patient'sl esophagusl withl anl ultrasoundl probel tol getl al
closerl lookl atl thel patient'sl heartl andl itl givesl al morel accuratel ejectionl fractionl forl thel
patientl withl heartl issuesl orl beginningl stagel ofl heartl failure,l andl itl isl usedl beforel
plannedl cardioversionl tol rulel outl clots
Q:l Whatl teachingl dol youl getl thel patientl beforel theyl havel al TEE
Answer:
NPOl 6l tol 8l hoursl before
Q:l Whatl shouldl youl dol forl thel patientl whol hadl al TEEl beforel theyl getl sentl home
Answer:
Makel surel theirl gagl reflexl hasl returnedl byl givingl theml smalll sipsl ofl water
Q:l Howl canl wel preventl thel patientl froml aspiratingl postopl afterl al TEEl duel tol thel
airwayl beingl numb?
Answer:
Rolll theml onl theirl leftl side
Q:l Whatl isl cardioversion?
Answer:
Shockingl thel patient
Q:l Whatl dol youl needl atl bedsidel whenl performingl cardioversionl withl al doctor?
Answer:
Crashl car,l ambul bag,l intubationl equipment,l andl makel surel resuscitationl equipmentl isl
hookedl up
Surgicall Nursingl IIl Reviewl |l Galenl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Whatl doesl thel patientl withl thel pacemakerl needl tol dol everyl day?
Answer:
Monitorl heartl rate
Q:l Whenl educatingl thel patientl aboutl thingsl theyl cannotl dol becausel theyl havel al
pacemakerl Whatl shouldl thel nursel include?
Answer:
Don'tl playl anyl contactl sportsl likel football,l basketballl orl baseballl andl don'tl participatel
inl anyl ofl thel contactl sportsl withl al grandchildl becausel itl canl causel pacerl wiresl tol
dislodgel ,l andl dol notl strainl liftl orl dol anyl strenuousl activityl forl thel firstl 4l tol 6l weeks
Q:l Whenl educatingl thel patientl aboutl theirl pacemaker,l whatl thingl shouldl youl includel
otherl thanl nol contactl sportsl orl strenuousl exercise?
Answer:
Theyl canl stilll travell justl notifyl TSAl aboutl thel pacemakerl sol theyl canl dol al personall
searchl instead,l canl stilll usel al microwavel justl standl awayl froml it,l alwaysl keepl
pacemakerl cardl onl hand,l andl usel phonel onl thel oppositel sidel ofl pacemaker
Q:l Whatl shouldl thel nursel monitorl forl whenl thel patientl comesl backl postopl froml
havingl al pacemakerl inserted
Answer:
,Bleedingl froml thel sitel andl bradycardia
Q:l Thel nursel hasl al correctl understandingl whenl shel saysl "forl thel patientl withl thel
pacemaker,l wel arel worriedl ifl theirl heartl ratel is_________l setl ratel butl not________l setl
rate
Answer:
Below,l above
Q:l Whatl shouldl thel nursel dol forl al patientl whol hasl al pacemakerl andl theirl heartl ratel
isl lessl thanl 60
Answer:
Calll thel doctorl becausel itl indicatesl itl isl notl working
Q:l Whatl isl thel purposel ofl havingl anl implantedl cardioverterl defibrillatorl thatl wel
alwaysl wantl tol re-educatel thel patientl about
Answer:
Itl detectsl al lethall rhythml andl shocksl thel patientl outl ofl itl tol bringl theml tol al morel
stablel rhythm
Q:l Asl anl LPN,l whatl isl yourl jobl whenl caringl forl al patientl postopl afterl gettingl anl
ICD
Answer:
Re-educatel andl reinforcel thel teachingl initiallyl givenl byl thel RNl tol ensurel thel patientl
understandsl thel purposel ofl thisl device
Q:l Whatl isl al transesophageall echol andl whatl isl thel purpose?
Answer:
, It'sl anl echol thatl goesl downl thel patient'sl esophagusl withl anl ultrasoundl probel tol getl al
closerl lookl atl thel patient'sl heartl andl itl givesl al morel accuratel ejectionl fractionl forl thel
patientl withl heartl issuesl orl beginningl stagel ofl heartl failure,l andl itl isl usedl beforel
plannedl cardioversionl tol rulel outl clots
Q:l Whatl teachingl dol youl getl thel patientl beforel theyl havel al TEE
Answer:
NPOl 6l tol 8l hoursl before
Q:l Whatl shouldl youl dol forl thel patientl whol hadl al TEEl beforel theyl getl sentl home
Answer:
Makel surel theirl gagl reflexl hasl returnedl byl givingl theml smalll sipsl ofl water
Q:l Howl canl wel preventl thel patientl froml aspiratingl postopl afterl al TEEl duel tol thel
airwayl beingl numb?
Answer:
Rolll theml onl theirl leftl side
Q:l Whatl isl cardioversion?
Answer:
Shockingl thel patient
Q:l Whatl dol youl needl atl bedsidel whenl performingl cardioversionl withl al doctor?
Answer:
Crashl car,l ambul bag,l intubationl equipment,l andl makel surel resuscitationl equipmentl isl
hookedl up
