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NRNP 6566 Wk1-5 Midterm Exam
Questions And Answers 2026
Identify 1st degree heart block - correct-answer - cardiologist consult
Order echo to rule out structural diagnosis, check thyroid levels, medications,
electrolytes and identify and treat cause
Identify 2nd degree heart block - correct-answer - permanent pacemaker,
continuous tele monitoring, possible transcutaneous pacing, determine cause; IV
atropine if poor perfusion s/s every 3-5 minutes with max of 3mg if poor
perfusion. No response to atropine, use dopamine, epinephrine, isoproterenol
Identify 3rd degree heart block/complete heart block - correct-answer -
Permanent pacemaker, telemetry monitoring and transcutaneous pacing if
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needed, identify cause, IV atropine if s/s poor perfusion. If no response to
atropine, use dopamine, epinephrine and isoproterenol
Atrial fibrillation - correct-answer - Stable- rate control versus rhythm control
strategy (example: AV nodal blockers, antiarrhythmics, anticoagulation). Ablation
may be needed if no response to medications
Unstable- DCC/ cardioversion
Atrial Flutter - correct-answer - Cardioversion
Rate control not as responsive as Afib
Ventricular fibrillation - correct-answer - Defibrillate and CPR
Ventricular Tachycardia - correct-answer - Stable- betablocker
Amiodarone, sotalol, mexiletine to reduce number of shocks
NRNP 6566 Wk1-5 Midterm Exam
Questions And Answers 2026
Identify 1st degree heart block - correct-answer - cardiologist consult
Order echo to rule out structural diagnosis, check thyroid levels, medications,
electrolytes and identify and treat cause
Identify 2nd degree heart block - correct-answer - permanent pacemaker,
continuous tele monitoring, possible transcutaneous pacing, determine cause; IV
atropine if poor perfusion s/s every 3-5 minutes with max of 3mg if poor
perfusion. No response to atropine, use dopamine, epinephrine, isoproterenol
Identify 3rd degree heart block/complete heart block - correct-answer -
Permanent pacemaker, telemetry monitoring and transcutaneous pacing if
, 2|Page
needed, identify cause, IV atropine if s/s poor perfusion. If no response to
atropine, use dopamine, epinephrine and isoproterenol
Atrial fibrillation - correct-answer - Stable- rate control versus rhythm control
strategy (example: AV nodal blockers, antiarrhythmics, anticoagulation). Ablation
may be needed if no response to medications
Unstable- DCC/ cardioversion
Atrial Flutter - correct-answer - Cardioversion
Rate control not as responsive as Afib
Ventricular fibrillation - correct-answer - Defibrillate and CPR
Ventricular Tachycardia - correct-answer - Stable- betablocker
Amiodarone, sotalol, mexiletine to reduce number of shocks
