Vsim Health Assessment Case: Jared
Griffin Exam Questions And Answers
The life partner of a patient diagnosed with atrial fibrillation (AF)
demonstrates a need for instruction when asking the nurse, "Can
you tell me why this is a problem?" What is the nurse's best
response? - - - correct answer ✅The abnormal heartbeat results in
poor blood flow to the heart.
Rationale:The result of the irregular, rapid heartbeats is impaired
blood flow that can result in a stroke, thromboembolism, and heart
failure. Physical findings include hypotension, and laboratory
findings can reveal hyperthyroidism. AF is most common in patients
older than 60 but affects only approximately 5% of this age group.
The medical record states that the patient's pulse is "small and
weak." Which characteristic will the nurse expect to detect when
performing a cardiovascular assessment on this patient? (Select all
that apply.) - - - correct answer ✅-Diminished pulse pressure
-A prolonged systolic peak
-Slow upstroke
Rationale:Pulse characteristics of a small, weak pulse would include
slow upstroke, diminished pulse pressure, and a prolonged systolic
peak. Bounding on palpation and a rapid rise and fall of the systolic
peak are associated with large, bounding pulses.
, Vsim Health Assessment Case: Jared
Griffin Exam Questions And Answers
Preparing for an electrocardiogram (ECG) is a priority nursing
intervention for which patient?
(Select all that apply.) - - - correct answer ✅A patient newly
diagnosed with mild hypokalemia, A patient who just had a
pacemaker placed, A patient reporting, "I feel like my heart is
skipping beats", A patient experiencing diaphoresis and arm pain
Rationale:
The ECG is used to identify conduction abnormalities, cardiac
arrhythmias (associated with hypokalemia), and myocardial
infarctions. It is also used to document pacemaker performance. It
is reasonable to expect that the patient recovering from the MI will
be prescribed an ECG to monitor ongoing status of heart
conduction, but this does not take priority over identifying the
acute presence of cardiac dysfunction presented by the correct
options.
The nurse is providing care for a patient whose partner says, "We're
told that he occasionally has an irregular heartbeat. Is that bad?"
Which response should the nurse make to best address the
partner's concern? - - - correct answer ✅It's normal to experience
occasional premature beats.
Rationale:
Griffin Exam Questions And Answers
The life partner of a patient diagnosed with atrial fibrillation (AF)
demonstrates a need for instruction when asking the nurse, "Can
you tell me why this is a problem?" What is the nurse's best
response? - - - correct answer ✅The abnormal heartbeat results in
poor blood flow to the heart.
Rationale:The result of the irregular, rapid heartbeats is impaired
blood flow that can result in a stroke, thromboembolism, and heart
failure. Physical findings include hypotension, and laboratory
findings can reveal hyperthyroidism. AF is most common in patients
older than 60 but affects only approximately 5% of this age group.
The medical record states that the patient's pulse is "small and
weak." Which characteristic will the nurse expect to detect when
performing a cardiovascular assessment on this patient? (Select all
that apply.) - - - correct answer ✅-Diminished pulse pressure
-A prolonged systolic peak
-Slow upstroke
Rationale:Pulse characteristics of a small, weak pulse would include
slow upstroke, diminished pulse pressure, and a prolonged systolic
peak. Bounding on palpation and a rapid rise and fall of the systolic
peak are associated with large, bounding pulses.
, Vsim Health Assessment Case: Jared
Griffin Exam Questions And Answers
Preparing for an electrocardiogram (ECG) is a priority nursing
intervention for which patient?
(Select all that apply.) - - - correct answer ✅A patient newly
diagnosed with mild hypokalemia, A patient who just had a
pacemaker placed, A patient reporting, "I feel like my heart is
skipping beats", A patient experiencing diaphoresis and arm pain
Rationale:
The ECG is used to identify conduction abnormalities, cardiac
arrhythmias (associated with hypokalemia), and myocardial
infarctions. It is also used to document pacemaker performance. It
is reasonable to expect that the patient recovering from the MI will
be prescribed an ECG to monitor ongoing status of heart
conduction, but this does not take priority over identifying the
acute presence of cardiac dysfunction presented by the correct
options.
The nurse is providing care for a patient whose partner says, "We're
told that he occasionally has an irregular heartbeat. Is that bad?"
Which response should the nurse make to best address the
partner's concern? - - - correct answer ✅It's normal to experience
occasional premature beats.
Rationale:
