HESI:l NSG223/l NSGl 223l (NEWl 2025/l
2026l Update)l Medical-Surgicall Nursingl IIl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l
Herzing
QUESTION
Whatl isl cardioversion?
Answer:
Cardioversionl isl al procedurel thatl restoresl al normall heartbeatl whenl it'sl irregularl orl tool
fast.l It'sl oftenl usedl tol treatl atriall fibrillation,l thel mostl commonl typel ofl irregular
QUESTION
clientl arrivedl atl thel Emergencyl Rooml complainingl ofl heavinessl inl thel chestl forl thel
pastl hour.
Thel nursel interpretsl thel findingl asl abnormall accordingl tol thel followingl ECGl
characteristics:
Answer:
STl segmentl elevationl isl present
ST-elevationl inl thel ECGl stripl alongl withl complaintsl ofl heavinessl inl thel chestl forl thel
pastl hourl isl calledl ST-elevationl myocardiall infarctionl (STEMI).l Identificationl ofl thisl
life-threateningl ECGl rhythml isl essentiall andl shouldl bel reportedl immediatelyl tol thel
healthcarel provider.
Identifyingl anl acutel myocardiall infarctionl isl importantl inl ECGl interpretationl andl shouldl
bel reportedl immediatelyl tol thel healthcarel provider.l
,STl segmentl elevationl alongl withl symptomaticl complaintsl ofl chestl painl isl alsol calledl
ST-Elevationl Myocardiall Infarctionl (STEMl)l andl occursl whenl onel orl morel cardiacl
arteriesl arel blocked.l
Thel blockagel willl haltl supplyl ofl oxygenl richl bloodl tol thel affectedl areal inl thel heart,l
whichl mayl causel permanentl injuryl andl evenl death.
QUESTION
Thel nursel isl caringl forl al clientl whenl thel belowl rhythml isl seenl onl thel ECGl monitor.l
Thel clientl becomesl shortl ofl breathl andl beginsl sweating.l Whichl interventionsl andl inl
whichl orderl doesl thel nursel followl forl treatmentl ofl this?
Answer:
Bearingl downl action,l adenosine,l synchronizedl cardioversion
Supraventricularl tachycardial (SVT)l canl causel al heartl ratel asl highl asl 300l bpm.
Treatmentl forl SVTl includesl stimulationl ofl thel vagusl nervel (e.g.,l carotidl massage,l
bearingl down,l applicationl ofl icel tol thel bridgel ofl thel nose).
Supraventricularl tachycardial (SVT)l isl anl extremel tachyarrhythmial oftenl causedl whenl
electricall impulsesl thatl arel abovel thel AVl nodel arel outl ofl sync.l Thel AVl nodel isl thel
partl ofl thel electricall systeml ofl thel heartl thatl controlsl thel ratel ofl thel heart.l SVTl canl
causel al heartl ratel asl highl asl 300l bpm.l Thel initiall treatmentl forl SVTl isl stimulationl ofl
thel vagusl nerve.l Thel goall ofl stimulationl ofl thel vagusl nervel isl tol decreasel thel client'sl
heartl ratel andl decreasel symptoms.l Anotherl treatmentl usedl ifl vagall nervel stimulationl isl
unsuccessfull andl thel clientl isl symptomaticl isl administrationl ofl adenosine.l Ifl
administrationl ofl adenosinel doesl notl workl andl thel clientl isl symptomatic,l thenl thel
clientl mustl havel synchronizedl
Dol notl getl amiodaronel mixedl upl withl adenosine.l Adenosinel isl al uniquel interventionl
appliedl tol SVTl sol dol notl getl itl mixedl upl withl amiodarone,l anl antiarrhythmic
ne,l anl antiarrhythmicl ention
medication.
QUESTION
Whatl isl thel initiall treatmentl forl supraventricularl tachycardia
, Answer:
bearl downl (vagall maneuver)
Carotidl massagel
Applicationl ofl icel tol thel bridgel ofl thel nosel
Coughl
Blowl inl al syring
QUESTION
myasthenisl gravis
Answer:
autoimmunel diseasel inl whichl antibodiesl blockl orl destroyl somel acetylcholinel receptorl
sites.l Autoimmunel
characterizedl byl musclel weaknessl andl rapidl fatigue.l Itl isl causedl byl antibodiesl thatl
blockl orl destroyl nicotinicl acetylcholinel receptorsl atl thel neuromuscularl junction.l MGl
primarilyl affectsl thel voluntaryl musclesl responsiblel forl movement,l talking,l andl
swallowing,l resultingl inl dysphagia,l diplopia,l andl ptosis.l MGl causesl fluctuatingl musclel
weakness;l thel hallmarkl sign
QUESTION
myasthenial gravisl characteristics
Answer:
-Muscularl weaknessl andl fatigue
-Respiratoryl musclel paralysis,l
ptosis,l difficultyl chewingl andl swallowing
Dysphagial
Diplopial
Ptosis
QUESTION
2026l Update)l Medical-Surgicall Nursingl IIl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l
Herzing
QUESTION
Whatl isl cardioversion?
Answer:
Cardioversionl isl al procedurel thatl restoresl al normall heartbeatl whenl it'sl irregularl orl tool
fast.l It'sl oftenl usedl tol treatl atriall fibrillation,l thel mostl commonl typel ofl irregular
QUESTION
clientl arrivedl atl thel Emergencyl Rooml complainingl ofl heavinessl inl thel chestl forl thel
pastl hour.
Thel nursel interpretsl thel findingl asl abnormall accordingl tol thel followingl ECGl
characteristics:
Answer:
STl segmentl elevationl isl present
ST-elevationl inl thel ECGl stripl alongl withl complaintsl ofl heavinessl inl thel chestl forl thel
pastl hourl isl calledl ST-elevationl myocardiall infarctionl (STEMI).l Identificationl ofl thisl
life-threateningl ECGl rhythml isl essentiall andl shouldl bel reportedl immediatelyl tol thel
healthcarel provider.
Identifyingl anl acutel myocardiall infarctionl isl importantl inl ECGl interpretationl andl shouldl
bel reportedl immediatelyl tol thel healthcarel provider.l
,STl segmentl elevationl alongl withl symptomaticl complaintsl ofl chestl painl isl alsol calledl
ST-Elevationl Myocardiall Infarctionl (STEMl)l andl occursl whenl onel orl morel cardiacl
arteriesl arel blocked.l
Thel blockagel willl haltl supplyl ofl oxygenl richl bloodl tol thel affectedl areal inl thel heart,l
whichl mayl causel permanentl injuryl andl evenl death.
QUESTION
Thel nursel isl caringl forl al clientl whenl thel belowl rhythml isl seenl onl thel ECGl monitor.l
Thel clientl becomesl shortl ofl breathl andl beginsl sweating.l Whichl interventionsl andl inl
whichl orderl doesl thel nursel followl forl treatmentl ofl this?
Answer:
Bearingl downl action,l adenosine,l synchronizedl cardioversion
Supraventricularl tachycardial (SVT)l canl causel al heartl ratel asl highl asl 300l bpm.
Treatmentl forl SVTl includesl stimulationl ofl thel vagusl nervel (e.g.,l carotidl massage,l
bearingl down,l applicationl ofl icel tol thel bridgel ofl thel nose).
Supraventricularl tachycardial (SVT)l isl anl extremel tachyarrhythmial oftenl causedl whenl
electricall impulsesl thatl arel abovel thel AVl nodel arel outl ofl sync.l Thel AVl nodel isl thel
partl ofl thel electricall systeml ofl thel heartl thatl controlsl thel ratel ofl thel heart.l SVTl canl
causel al heartl ratel asl highl asl 300l bpm.l Thel initiall treatmentl forl SVTl isl stimulationl ofl
thel vagusl nerve.l Thel goall ofl stimulationl ofl thel vagusl nervel isl tol decreasel thel client'sl
heartl ratel andl decreasel symptoms.l Anotherl treatmentl usedl ifl vagall nervel stimulationl isl
unsuccessfull andl thel clientl isl symptomaticl isl administrationl ofl adenosine.l Ifl
administrationl ofl adenosinel doesl notl workl andl thel clientl isl symptomatic,l thenl thel
clientl mustl havel synchronizedl
Dol notl getl amiodaronel mixedl upl withl adenosine.l Adenosinel isl al uniquel interventionl
appliedl tol SVTl sol dol notl getl itl mixedl upl withl amiodarone,l anl antiarrhythmic
ne,l anl antiarrhythmicl ention
medication.
QUESTION
Whatl isl thel initiall treatmentl forl supraventricularl tachycardia
, Answer:
bearl downl (vagall maneuver)
Carotidl massagel
Applicationl ofl icel tol thel bridgel ofl thel nosel
Coughl
Blowl inl al syring
QUESTION
myasthenisl gravis
Answer:
autoimmunel diseasel inl whichl antibodiesl blockl orl destroyl somel acetylcholinel receptorl
sites.l Autoimmunel
characterizedl byl musclel weaknessl andl rapidl fatigue.l Itl isl causedl byl antibodiesl thatl
blockl orl destroyl nicotinicl acetylcholinel receptorsl atl thel neuromuscularl junction.l MGl
primarilyl affectsl thel voluntaryl musclesl responsiblel forl movement,l talking,l andl
swallowing,l resultingl inl dysphagia,l diplopia,l andl ptosis.l MGl causesl fluctuatingl musclel
weakness;l thel hallmarkl sign
QUESTION
myasthenial gravisl characteristics
Answer:
-Muscularl weaknessl andl fatigue
-Respiratoryl musclel paralysis,l
ptosis,l difficultyl chewingl andl swallowing
Dysphagial
Diplopial
Ptosis
QUESTION
