Rasmussen Final MDC3 exam with answers
What does A Fib ECG look like? - CORRECT ANSWERS ✔✔-impulse rate of
350-600 times per minute
-no P waves
-no atrial contractions
-loss of atrial kick
-irregular ventricular response
How often do you assess vital signs on a patient with a dysrhythmia
(gray box) - CORRECT ANSWERS ✔✔at least every 4 hours
Nursing Safety Priority for Sinus tachycardia what to assess
(gray box) - CORRECT ANSWERS ✔✔-fatigue, weakness, SOB, orthopnea,
decreased O2, increased HR, decreased BP, angina, palpitations
-ECG: T wave inversion or ST elevation/depression
-decreased cerebral perfusion may occur. Symptoms: restlessness and anxiety
-impaired renal function may occur symptoms: decreased urine output.
The nurse is assessing the client's cardiac rhythm and notes the following: HR
64, regular rhythm, PR interval 0.20; QRS 0.10. How will the nurse document
this rhythm interpretation in the electronic health record?
A. Sinus tachycardia
,B. Sinus bradycardia
C. Normal sinus rhythm
D. Sinus arrhythmia - CORRECT ANSWERS ✔✔C
NURSING SAFETY PRIORITY
patient education with permanent pacemakers include - CORRECT ANSWERS
✔✔-Avoid strong electromagnetic fields (magnets and telecommunication
transmitters)
-carry pacemaker identification card
-medical alert bracelet
A fib may lead to - CORRECT ANSWERS ✔✔-DVT or PE due to blood pooling
-HF
A fib signs and symptoms - CORRECT ANSWERS ✔✔-symptoms depend on
ventricular rate*
-some patients are asymptomatic*
irregular pulse, poor perfusion, fatigue, weakness, SOB, dizziness, anxiety,
syncope, palpitations, chest pain/discomfort, and hypotension
Nursing intervention for a PE - CORRECT ANSWERS ✔✔-stay with patient
-monitor for SOB, chest pain, and hypotension
-initiate a rapid
-notify the provider
,T/F patients on anticoagulation should report bleeding gums to their provider
immediately - CORRECT ANSWERS ✔✔T
NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient -
CORRECT ANSWERS ✔✔Oxygen
what does the nurse assess for in a patient with a dysrthymia? - CORRECT
ANSWERS ✔✔Angina, hypotension, HF, decreased cerebral profusion, and
decreased renal profusion.
How to decrease/prevent dysthymias - CORRECT ANSWERS ✔✔-avoid vagus
nerve stimulation
-take medications
-stop smoking
-avoid caffeine
-alcohol in moderation
-manage stress
The nurse is caring for client who is experiencing occasional premature
ventricular contractions. What assessment data are most concerning to the
nurse?
A. Potassium 4.8 mEq/L
B. Magnesium 2 mEq/L
, C. Heart rate 90
D. History of smoking - CORRECT ANSWERS ✔✔D
Nursing Safety Priority
1. V tach stable nursing intervention:
2. V tach unstable nursing intervention: - CORRECT ANSWERS ✔✔1.
administer O2 and confirm with 12 lead ECG (possible amiodarone/lidocaine
administration)
2. may case cardiac arrest, assess ABCs, LOC, and O2
T/F ventricular asystole is shockable rythm. - CORRECT ANSWERS
✔✔FALSE
no electrical impulses are present to disrupt
T/F
V tach and V fib are shockable rhythms. - CORRECT ANSWERS ✔✔True
disrupt chaotic rhythm allowing SA node signals to restart
Upon entering a client's room, the nurse finds the client unresponsive. In what
order will the nurse provide care?
A. Begin chest compressions
B. Check carotid pulse
C. Notify the Rapid Response Team
D. Get the crash cart/AED
What does A Fib ECG look like? - CORRECT ANSWERS ✔✔-impulse rate of
350-600 times per minute
-no P waves
-no atrial contractions
-loss of atrial kick
-irregular ventricular response
How often do you assess vital signs on a patient with a dysrhythmia
(gray box) - CORRECT ANSWERS ✔✔at least every 4 hours
Nursing Safety Priority for Sinus tachycardia what to assess
(gray box) - CORRECT ANSWERS ✔✔-fatigue, weakness, SOB, orthopnea,
decreased O2, increased HR, decreased BP, angina, palpitations
-ECG: T wave inversion or ST elevation/depression
-decreased cerebral perfusion may occur. Symptoms: restlessness and anxiety
-impaired renal function may occur symptoms: decreased urine output.
The nurse is assessing the client's cardiac rhythm and notes the following: HR
64, regular rhythm, PR interval 0.20; QRS 0.10. How will the nurse document
this rhythm interpretation in the electronic health record?
A. Sinus tachycardia
,B. Sinus bradycardia
C. Normal sinus rhythm
D. Sinus arrhythmia - CORRECT ANSWERS ✔✔C
NURSING SAFETY PRIORITY
patient education with permanent pacemakers include - CORRECT ANSWERS
✔✔-Avoid strong electromagnetic fields (magnets and telecommunication
transmitters)
-carry pacemaker identification card
-medical alert bracelet
A fib may lead to - CORRECT ANSWERS ✔✔-DVT or PE due to blood pooling
-HF
A fib signs and symptoms - CORRECT ANSWERS ✔✔-symptoms depend on
ventricular rate*
-some patients are asymptomatic*
irregular pulse, poor perfusion, fatigue, weakness, SOB, dizziness, anxiety,
syncope, palpitations, chest pain/discomfort, and hypotension
Nursing intervention for a PE - CORRECT ANSWERS ✔✔-stay with patient
-monitor for SOB, chest pain, and hypotension
-initiate a rapid
-notify the provider
,T/F patients on anticoagulation should report bleeding gums to their provider
immediately - CORRECT ANSWERS ✔✔T
NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient -
CORRECT ANSWERS ✔✔Oxygen
what does the nurse assess for in a patient with a dysrthymia? - CORRECT
ANSWERS ✔✔Angina, hypotension, HF, decreased cerebral profusion, and
decreased renal profusion.
How to decrease/prevent dysthymias - CORRECT ANSWERS ✔✔-avoid vagus
nerve stimulation
-take medications
-stop smoking
-avoid caffeine
-alcohol in moderation
-manage stress
The nurse is caring for client who is experiencing occasional premature
ventricular contractions. What assessment data are most concerning to the
nurse?
A. Potassium 4.8 mEq/L
B. Magnesium 2 mEq/L
, C. Heart rate 90
D. History of smoking - CORRECT ANSWERS ✔✔D
Nursing Safety Priority
1. V tach stable nursing intervention:
2. V tach unstable nursing intervention: - CORRECT ANSWERS ✔✔1.
administer O2 and confirm with 12 lead ECG (possible amiodarone/lidocaine
administration)
2. may case cardiac arrest, assess ABCs, LOC, and O2
T/F ventricular asystole is shockable rythm. - CORRECT ANSWERS
✔✔FALSE
no electrical impulses are present to disrupt
T/F
V tach and V fib are shockable rhythms. - CORRECT ANSWERS ✔✔True
disrupt chaotic rhythm allowing SA node signals to restart
Upon entering a client's room, the nurse finds the client unresponsive. In what
order will the nurse provide care?
A. Begin chest compressions
B. Check carotid pulse
C. Notify the Rapid Response Team
D. Get the crash cart/AED
