NSG 4100 FOCUSED AH3 Exam 3 Questions With
Answers Graded A+ Assured Success
1. The nurse is attending to a client who has orders for central venous pressure
monitoring. The nurse understands the catheter attached to a pressure monitoring
system will be placed in the:
a. Left to right ventricle
b. Vena cava or L. atrium
c. Vena cava or R. atrium
d. Pulmonary artery or vein.
2. The nurse preceptor is observing a newly hired nurse care for a client who has
hemodynamic monitoring catheter in place. Which of the following actions by the
newly hired nurse requires immediate intervention by the nurse preceptor? (which is
the wrong answer?)
a. Refusing to use topical antibiotic ointment & creams on the insertion sites
b. Using alcohol based hand rub before and after each contact with the
catheter
C. replacing transducer tubing, continuous flush devices and solution every 96
hours
D. informing the client that this type of catheter allows for total freedom in the
bath and shower
3. The nurse is caring for a client who developed a cardiac rhythm indicated
below. Which of the following findings are commonly associated with this
rhythm? “sinus bradycardia → rhythm strip” 4 beeps on it
a. lower metabolic needs (slow metabolism = slow heart
b. side effects of atropine
c. high metabolic demand
d. physiological stress
,4.The nurse is reviewing newly written prescriptions for a client admitted with sinus
tachycardia. which of the following prescriptions requires immediate follow up with
a primary health care provider. (which is the wrong answer?)
a. Amiodarone
B. Procainamide
c. atropine (raises BP)
d. Sotalol
7:53
5. The nurse is caring for a client with a history of cardiomyopathy and valvular heart
disease. The client is being treated for proarrhythmic medications that have a
cardiac rhythm as seen below (V-fib). Which of the following actions should the nurse
take? “rhythm strip looks like v-fib”
a. have the client perform the vagal maneuver
b. administer the prescribed cardiac medication
c. begin CPR & prepare for early defibrillation
d. Elevate the clients head of the bed
, 6. The nurse is caring for a client who has developed torsades de point, by
focusing on correcting underlying electrolyte imbalances. Which of the following IV
made should the nurse expect to also be ordered for this client?
A. IV Isoproterenol
B. IV Ciprofloxacin
C. IV bolus of epinephrine
D.IV bolus of adenosine
7. The nurses caring for a client who develops a cardiac rhythm below. The nurse
should identify this rhythm as a: (Ventricular Tachycardia)
a. a ventricular tachycardia → requiring an emergent response.
b. A stable sinus tachycardia requiring monitoring
c. A stable ventricular fibrillation requiring monitoring
d. A supraventricular tachycardia requiring a non emergency response
8. The nurses teaching is scheduled to have a pacemaker placement, which of the
following statements indicates a need for further teaching. WHICH IS WRONG?
a. the handheld scanning devices at airport security checkpoints may cause
interference.
b. The metal in my pacemaker generator may trigger store attacked us devices
c. I will need to avoid using microwave ovens and other electronic household tools.
d. I will need to start placing my digital cellular phone in my chest pocket after this
9. The nurse is providing instructions to a client who has been prescribed a
wearable automated cardio Berger defibrillator ICD vest. While awaiting placement
Answers Graded A+ Assured Success
1. The nurse is attending to a client who has orders for central venous pressure
monitoring. The nurse understands the catheter attached to a pressure monitoring
system will be placed in the:
a. Left to right ventricle
b. Vena cava or L. atrium
c. Vena cava or R. atrium
d. Pulmonary artery or vein.
2. The nurse preceptor is observing a newly hired nurse care for a client who has
hemodynamic monitoring catheter in place. Which of the following actions by the
newly hired nurse requires immediate intervention by the nurse preceptor? (which is
the wrong answer?)
a. Refusing to use topical antibiotic ointment & creams on the insertion sites
b. Using alcohol based hand rub before and after each contact with the
catheter
C. replacing transducer tubing, continuous flush devices and solution every 96
hours
D. informing the client that this type of catheter allows for total freedom in the
bath and shower
3. The nurse is caring for a client who developed a cardiac rhythm indicated
below. Which of the following findings are commonly associated with this
rhythm? “sinus bradycardia → rhythm strip” 4 beeps on it
a. lower metabolic needs (slow metabolism = slow heart
b. side effects of atropine
c. high metabolic demand
d. physiological stress
,4.The nurse is reviewing newly written prescriptions for a client admitted with sinus
tachycardia. which of the following prescriptions requires immediate follow up with
a primary health care provider. (which is the wrong answer?)
a. Amiodarone
B. Procainamide
c. atropine (raises BP)
d. Sotalol
7:53
5. The nurse is caring for a client with a history of cardiomyopathy and valvular heart
disease. The client is being treated for proarrhythmic medications that have a
cardiac rhythm as seen below (V-fib). Which of the following actions should the nurse
take? “rhythm strip looks like v-fib”
a. have the client perform the vagal maneuver
b. administer the prescribed cardiac medication
c. begin CPR & prepare for early defibrillation
d. Elevate the clients head of the bed
, 6. The nurse is caring for a client who has developed torsades de point, by
focusing on correcting underlying electrolyte imbalances. Which of the following IV
made should the nurse expect to also be ordered for this client?
A. IV Isoproterenol
B. IV Ciprofloxacin
C. IV bolus of epinephrine
D.IV bolus of adenosine
7. The nurses caring for a client who develops a cardiac rhythm below. The nurse
should identify this rhythm as a: (Ventricular Tachycardia)
a. a ventricular tachycardia → requiring an emergent response.
b. A stable sinus tachycardia requiring monitoring
c. A stable ventricular fibrillation requiring monitoring
d. A supraventricular tachycardia requiring a non emergency response
8. The nurses teaching is scheduled to have a pacemaker placement, which of the
following statements indicates a need for further teaching. WHICH IS WRONG?
a. the handheld scanning devices at airport security checkpoints may cause
interference.
b. The metal in my pacemaker generator may trigger store attacked us devices
c. I will need to avoid using microwave ovens and other electronic household tools.
d. I will need to start placing my digital cellular phone in my chest pocket after this
9. The nurse is providing instructions to a client who has been prescribed a
wearable automated cardio Berger defibrillator ICD vest. While awaiting placement
