NSG 4100 (AH III) EXAM 3 STUDY SET WITH
QUESTIONS AND CORRECT ANSWERS 100%
VERIFIED 2025-2026!!
The client is in multifocal premature ventricular contractions. Which anti-dysrhythmic
medication does the nurse expect the healthcare provider to order for the client?
a. amiodarone
b. atropine
c. digoxin
d. adenosine - ANSWER>>A
The client is in sinus bradycardia and is reporting syncope and weakness with a BP of
98/60. What collaborative treatment does the nurse expect to be initiated?
a. thrombolytic medication is administered
b. assess the client's cardiovascular status
c. prepare for pacemaker insertion
d. obtain a permit for synchronized cardioversion - ANSWER>>C
For the client in ventricular fibrillation, which intervention should the nurse perform
when defibrillating?
a. defibrillate the client at 50, 100, and 200 joules
b. do not remove oxygen source during defibrillation
c. place petroleum jelly on defibrillation pad
d. shout "all clear" prior to defibrillating the client - ANSWER>>D
The client is in ventricular tachycardia. Which interventions should the nurse perform
,first?
a. administer amiodarone, an antidysrhythmic IVP
b. prepare to defibrillate the client
c. assess the client apical pulse and BP
d. start CPR - ANSWER>>C
the nurse should report which assessment finding to the primary health care provider
before initiating thrombolytic therapy in a client with pulmonary embolism?
a. adventitious breath sounds
b. temp of 99.4 orally
c. BP 198/100 mm Hg
d. respiratory rate 28 breaths/min - ANSWER>>C
The ED is evaluating a pt who has suffered a blunt chest wall injury. Which of the
following was indicative of a pneumothorax in this patient?
a. a decreased respiratory rate
b. decreased breath sounds
c. presence of a barrel chest
d. a sucking sound at the site of injury - ANSWER>>B
Fractures have caused a flail chest for a client with an injury of the chest. The nurse
assesses the client for what most distinctive sign of flail chest?
a. cyanosis
b. hypotension
c. paradoxical chest movement
d. dyspnea, especially on exhalation - ANS>>C
A 56-year-old male patient has been admitted into the cardiac unit with exacerbations of
HF symptoms. The nurse has identified a nursing diagnosis for this patient as decreased
,cardiac output related to heart failure as manifested by poor ejection fraction,
weakness, edema, and decreased urine output. Based on this information, which is the
most appropriate nursing intervention among the following? a. stool softeners as
ordered b. IV fluid boluses as ordered to increase urine output
c. maintain pt in Trendelenburg position when in bed
d. increase activity by encouraging ambulation - ANSWER>>C
An adult pt w/ 3rd-degree AV block is admitted to the cardiac care unit and placed on
continuous cardiac monitoring. What rhythm characteristic will the ECG most likely
show?
a. PP interval and RR interval are irregular
b. PP interval is equal to RR interval
c. fewer QRS complexes than P waves
d. PR interval is constant - ANSWER>>C
The Nurs is waiting a plan of care for a pt w/ a cardiac dysrhythmia what would be the
most appropriate goal for the pt?
a. maintain a resting HR below 70 bpm
b. maintainability adequate control of CP
c. maintain adequate cardiac output
d. maintain normal cardiac structure - ANSWER>>C
A pt has been admitted to the cardiac care unit following the implantation of a
permanent pacemaker. For which of the following possible complications would the
nurse most carefully monitor this pt?
a. chest pain
b. bleeding at implantation site
c. malignant hyperthermia
d. bradycardia - ANSWER>>B
, The nurse is caring for an adult pt who has developed ventricular fibrillation. When
preparing to defibrillate the pt, what should the nurse do?
a. keep paddles in firm contact with pt's skin
b. place a layer of water between the paddles and skin as a conducting agent
c. yell "all clear" before firing the defibrillator
d. set the defibrillator to be in sync mode - ANSWER>>A
An ICD candidate asks the nurse to explain the purpose of such a device. What is the
nurse's best response?
a. to detect and treat dysrhythmias such as ventricular fibrillation and ventricular
tachycardia
b. to detect and treat bradycardia, which is an excessively slowHR
c. to detect and treat atrial fibrillation, in which your heart beats too quickly and
inefficiently
d. to shock your heart if you have a heart attack at home - ANSWER>>A
The nurse is caring for a pt who has just had an implantable cardioverter defibrillator
placed. What is the priority area for the nurses assessment?
a. assess the pt's activity level
b. facilitate trans thoracic echocardiography
c. vigilant monitoring of the pt's ECG
d. close monitoring of the pt's peripheral perfusion - ANSWER>>C
During a pt's care conference, the team is discussing whether the pt is a candidate for
cardiac conduction surgery. What would be the most important criterion for a pt to have
this surgery?
a. angina pectoris not responsive to other treatments
b. decreased activity tolerance r/t decreased cardiac output
c. atrial and ventricular tachycardias not responsible to other tx
d. ventricular fibrillation not responsive to other tx - ANSWER>>C
QUESTIONS AND CORRECT ANSWERS 100%
VERIFIED 2025-2026!!
The client is in multifocal premature ventricular contractions. Which anti-dysrhythmic
medication does the nurse expect the healthcare provider to order for the client?
a. amiodarone
b. atropine
c. digoxin
d. adenosine - ANSWER>>A
The client is in sinus bradycardia and is reporting syncope and weakness with a BP of
98/60. What collaborative treatment does the nurse expect to be initiated?
a. thrombolytic medication is administered
b. assess the client's cardiovascular status
c. prepare for pacemaker insertion
d. obtain a permit for synchronized cardioversion - ANSWER>>C
For the client in ventricular fibrillation, which intervention should the nurse perform
when defibrillating?
a. defibrillate the client at 50, 100, and 200 joules
b. do not remove oxygen source during defibrillation
c. place petroleum jelly on defibrillation pad
d. shout "all clear" prior to defibrillating the client - ANSWER>>D
The client is in ventricular tachycardia. Which interventions should the nurse perform
,first?
a. administer amiodarone, an antidysrhythmic IVP
b. prepare to defibrillate the client
c. assess the client apical pulse and BP
d. start CPR - ANSWER>>C
the nurse should report which assessment finding to the primary health care provider
before initiating thrombolytic therapy in a client with pulmonary embolism?
a. adventitious breath sounds
b. temp of 99.4 orally
c. BP 198/100 mm Hg
d. respiratory rate 28 breaths/min - ANSWER>>C
The ED is evaluating a pt who has suffered a blunt chest wall injury. Which of the
following was indicative of a pneumothorax in this patient?
a. a decreased respiratory rate
b. decreased breath sounds
c. presence of a barrel chest
d. a sucking sound at the site of injury - ANSWER>>B
Fractures have caused a flail chest for a client with an injury of the chest. The nurse
assesses the client for what most distinctive sign of flail chest?
a. cyanosis
b. hypotension
c. paradoxical chest movement
d. dyspnea, especially on exhalation - ANS>>C
A 56-year-old male patient has been admitted into the cardiac unit with exacerbations of
HF symptoms. The nurse has identified a nursing diagnosis for this patient as decreased
,cardiac output related to heart failure as manifested by poor ejection fraction,
weakness, edema, and decreased urine output. Based on this information, which is the
most appropriate nursing intervention among the following? a. stool softeners as
ordered b. IV fluid boluses as ordered to increase urine output
c. maintain pt in Trendelenburg position when in bed
d. increase activity by encouraging ambulation - ANSWER>>C
An adult pt w/ 3rd-degree AV block is admitted to the cardiac care unit and placed on
continuous cardiac monitoring. What rhythm characteristic will the ECG most likely
show?
a. PP interval and RR interval are irregular
b. PP interval is equal to RR interval
c. fewer QRS complexes than P waves
d. PR interval is constant - ANSWER>>C
The Nurs is waiting a plan of care for a pt w/ a cardiac dysrhythmia what would be the
most appropriate goal for the pt?
a. maintain a resting HR below 70 bpm
b. maintainability adequate control of CP
c. maintain adequate cardiac output
d. maintain normal cardiac structure - ANSWER>>C
A pt has been admitted to the cardiac care unit following the implantation of a
permanent pacemaker. For which of the following possible complications would the
nurse most carefully monitor this pt?
a. chest pain
b. bleeding at implantation site
c. malignant hyperthermia
d. bradycardia - ANSWER>>B
, The nurse is caring for an adult pt who has developed ventricular fibrillation. When
preparing to defibrillate the pt, what should the nurse do?
a. keep paddles in firm contact with pt's skin
b. place a layer of water between the paddles and skin as a conducting agent
c. yell "all clear" before firing the defibrillator
d. set the defibrillator to be in sync mode - ANSWER>>A
An ICD candidate asks the nurse to explain the purpose of such a device. What is the
nurse's best response?
a. to detect and treat dysrhythmias such as ventricular fibrillation and ventricular
tachycardia
b. to detect and treat bradycardia, which is an excessively slowHR
c. to detect and treat atrial fibrillation, in which your heart beats too quickly and
inefficiently
d. to shock your heart if you have a heart attack at home - ANSWER>>A
The nurse is caring for a pt who has just had an implantable cardioverter defibrillator
placed. What is the priority area for the nurses assessment?
a. assess the pt's activity level
b. facilitate trans thoracic echocardiography
c. vigilant monitoring of the pt's ECG
d. close monitoring of the pt's peripheral perfusion - ANSWER>>C
During a pt's care conference, the team is discussing whether the pt is a candidate for
cardiac conduction surgery. What would be the most important criterion for a pt to have
this surgery?
a. angina pectoris not responsive to other treatments
b. decreased activity tolerance r/t decreased cardiac output
c. atrial and ventricular tachycardias not responsible to other tx
d. ventricular fibrillation not responsive to other tx - ANSWER>>C
