Qualifying Exam 3rd Year Pointers (Final) Practice Questions and Answers

Qualifying Exam 3rd Year Pointers (Final) Practice Questions and Answers 1. Identify the regularity of the ECG rhythm shown above. 1/1 B. Regular C. The ECG strip misses out important information. D. None of the above A. Irregular - ANSWER-A. Irregular 2. What is the heart rate of the patient? (refer to the figure above) 1/1 C. 90 B. 80 D. 10 A. 70 - ANSWER-B. 80 3. Appearance of the P waves. (refer to figure above) 1/1 Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright ©Stuvia International BV Page 2/59 B. Abnormal A. Normal - ANSWER-B. Abnormal 4. A nurse is preparing a patient for ECG. She holds on the first ECG lead wire labeled as V1. This lead wire should be placed on: C. 5th ICS MCL A. 4th ICS RSB D. 5th ICS MAL B. 4th ICS LSB - ANSWER-A. 4th ICS RSB 5. The nurse now holds the limb leads with a label "N". This lead wire will be placed on the: 1/1 B. Left Wrist D. Left Foot A. Right Wrist C. Right Foot - ANSWER-C. Right Foot 6. A nurse is assessing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats per minute. The nurse assesses the cardiac rhythm as: 1/1 Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright ©Stuvia International BV Page 3/59 B. Sinus Bradycardia A. Normal Sinus Rhythm C. Sinus Tachycardia D. None of the above - ANSWER-A. Normal Sinus Rhythm- Rationale: Normal sinus rhythm is generally defined as between 60 beats and 99 beats per minute. 7. Diagnostic imaging reveals that the quantity of fluid in a client's pericardial sac is dangerously increased. The nurse should collaborate with the other members of the care team to prevent the development of what complication? 1/1 D. Pericarditis C. Cardiac Tamponade A. Pulmonary Edema B. Pericardiocentesis - ANSWER-C. Cardiac Tamponade- Rationale: compression of the heart due to fluid buildup in the sac surrounding the heart 8. The nurse is performing an initial assessment of a client diagnosed with Heart Failure (HF). The nurse also assesses the patient's sensorium and LOC. Why is the assessment of the patient's sensorium and LOC important in patients with HF? D. The most significant adverse effect of medications used for Heart Failure treatment is altered Level of Consciousness. Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright ©Stuvia International BV Page 4/59 A. HF ultimately affects oxygen transportation to the brain. B. Patients with HF are susceptible to overstimulation of the sympathetic nervous system. C. Patients with HF are susceptible to overstimulation of the sympathetic nervous system. - ANSWER- A. HF ultimately affects oxygen transportation to the brain. 9. An older adult patient with Heart Failure is being discharged home on an ACE (angiotensin-converting enzyme) inhibitor and a loop diuretic. The patient's most recent vital signs prior to discharge include oxygen saturation of 93% on room air, heart rate of 81 beats per minute, and blood pressure of 94/59 mm Hg. When planning this patient's subsequent care, what nursing diagnosis should be identified? D. Risk for falls related to hypotension C. Risk for ineffective breathing pattern related to hypoxia A. Risk for increased tissue perfusion related to dysrhythmia B. Risk for fluid volume excess related to medication regimen - ANSWER-D. Risk for falls related to hypotension 10. A patient with Heart Failure met his primary care provider and began treatment with an ACE inhibitor. When the patient begins treatment, the nurse should prioritize what assessment? D. Oxygen Saturation B. Level of Consciousness A. Blood Pressure Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright ©Stuvia International BV Page 5/59 C. Assessment for Nausea - ANSWER-A. Blood Pressure-ACE relaxes veins & arteries to lower BP FOR QUESTIONS 11-12 Carlo, a 64-year-old retired secretary, is admitted to the medical-surgical area for management of chest pain caused by angina pectoris. Question 11. The nurse knows that the basic cause of angina pectoris is believed to be: 1/1 D. Spasms of vessel walls owing to excessive secretion of epinephrine. B. insufficient coronary blood flow. A. dysrhythmias triggered by stress. C. Minute emboli discharged through the narrowed lumens of the coronary vessels - ANSWER-B. insufficient coronary blood flow. 12. The medical record lists a probable diagnosis of chronic stable angina. The nurse knows that Carlo's pain: C. Is relieved by rest and is predictable A. Has increased progressively in frequency and durati