NSG 554 Primary Care
NSG 554 Primary Care Newest
2025/2026 With Complete Questions
And Correct Answers |Already Graded
A+||Brand New Version!||Wilkes
A 80 y/o man was at church and briefly blacked out. He has recently had several episodes of
dizziness and near syncope. A 24 hour holter monitor has recorded the following (Sick sinus
syndrome). Of the following what would be the most appropriate treatment?
A. Give digoxin
B. Consult for a pacemaker
C. Perform cardioversion
D. Give atropine
E. Give Lidocaine
- Correct Answer :Answer B
Consult for a Pacemaker
A 66 y/o female with a history of CAD presents with a new onset of dizziness and fatigue for two
weeks. She recalls nearly passing out on one occasion. Examination is unremarkable except for
bradycardia. EKG rhythm strip is seen below (Mobitz II with LBBB).
Which of the following interventions is the therapy of choice?
A. Permanent pacemaker
B. Radio-frequency ablation
C. Maze procedure
D. Automatic Implantable Cardioverter Defibrillator(AICD)
- Correct Answer :Answer A
Permanent Pacemaker
A 75-year-old presents with a history of dizziness and syncopal episodes. EKG is below (3rd
degree AV block). Which of the following is the treatment of choice for this patient?
A+ TEST BANK 1
, NSG 554 Primary Care
A. Oral beta blocker
B. Pacemaker placement
C. Radiofrequency ablation
D. Implantable cardioverter defibrillator
- Correct Answer :Answer B
Pacemaker placement
A patient has been in the CCU with an acute AWMI. He develops the abnormal rhythm shown
below (3rd degree AV block) that does not resolve after revascularization.
Which of the following is the best option?
A. Give digoxin
B. Implant a temporary pacemaker
C. Perform cardioversion
D. Give propranolol
E. Give lidocaine
- Correct Answer :Answer B
Implant a temporary pacemaker
A 62-year-old male survives an episode of VF. There is no evidence of a AMI although the patient
has had one previous MI, 3 years ago. EF on echocardiogram is 45%. What is the recommended
Rx for this patient?
A. Digoxin
B. Permanent pacemaker
C. Procainamide
D. Propranolol
E. Implantable cardioverter-
defibrillator(ICD) - Correct Answer :Answer E
Implantable cardioverter-defibrillator (ICD)
A 68 year-old patient presents after a syncopal episode. PMH of CAD and ischemic
cardiomyopathy.
Echocardiogram shows an EF of 20%. Electrophysiology study reveals inducible sustained VT
from the LV. Which of the following is the best intervention?
A+ TEST BANK 2
, NSG 554 Primary Care
A. Implantable cardiac defibrillator(ICD)
B. Radiofrequency ablation
C. Over-drive pacing
D. Beta blocker therapy
- Correct Answer :Answer A
Implantable cardiac defibrillator (ICD)
A 50 y/o man is admitted to the hospital CCU after sustaining a IWMI. Eight hours after this
event his BP is 70/50 HR is 110/min. His 12 lead EKG is seen above (SVT). Which of the following
is the best intervention now?
A. Immediate synchronized cardioversion 100J (biphasic)
B. Administer dobutamine
C. Administer a beta-blocker
D. Insert a temporary transvenous pacemaker
E. Perform cardiac Catherization
- Correct Answer :Answer A
Immediate synchronized cardioversion 100J (biphasic)
A 22 year-old man collapses on the baseball field after he is hit in the chest by a fastball. He is
unresponsive and does not have a pulse. CPR is initiated, EMS arrives quickly, & a rhythm strip
shows (VF).
Which of the following is the best intervention now?
A. Immediate synchronized cardioversion 100J (biphasic)
B. Amiodarone 300mg IV bolus
C. Immediate unsynchronized cardioversion 200J (biphasic)/defibrillation
D. Adenosine 5mg rapid IV push
- Correct Answer :Answer C
Immediate unsynchronized cardioversion 200J (biphasic)/defibrillation
You are working in the cardiac ICU and are called to deal with a cardiac arrest. The patient is a
36-y/o female who was admitted with dehydration in the setting of a GI illness.
She has had profound vomiting and diarrhea for the last 4 days with 10 recorded stools. In
addition, the patient is known to be an alcoholic who drinks a pint of vodka daily.
A+ TEST BANK 3
, NSG 554 Primary Care
On arrival, the patient is in full cardiac arrest without a pulse, and the nursing staff has initiated
basic cardiopulmonary life support. The patient has been intubated. The patient's rhythm is
shown below (Torsade de Pointes). Which of the following drugs would be most helpful in
correcting this rhythm?
A. Magnesium sulfate
B. Amiodarone
C. Sodium bicarbonate
D. Calcium chloride
E. Lidocaine
- Correct Answer :Answer A
Magnesium sulfate
A 24 y/o white male comes to the ER due to a sensation of tachycardia, slight dizziness, and
vague chest fullness. BP 110/70.
The following EKG was obtained (SVT). The initial pharmacological therapy of choice in the above
stable patient is
A. Adenosine 6 mg rapid IV bolus
B. Verapamil 2.5 to 5 mg IV over 1 to 2 minutes
C. Digoxin 0.5 mg IV slowly
D. Electrical cardioversion at 50J
E. Lidocaine 1.5 mg/kg IV bolus
- Correct Answer :Answer A
Adenosine 6mg rapid IV bolus
A 29-year-old female has a long history of SVT , for which she has been treated with long-term
flecanide, as well as prior therapy with verapamil. She continues to have repeated episodes,
sometimes two to three times a week, along with SOB and at times hypotension that has been
recorded. What is the next best therapy for this patient?
A. Synchronized cardioversion
B. Cardiac catheterization
C. Ablation therapy
D. Pacemaker insertion
E. Long-term telemetry monitoring
- Correct Answer :Answer C
A+ TEST BANK 4
NSG 554 Primary Care Newest
2025/2026 With Complete Questions
And Correct Answers |Already Graded
A+||Brand New Version!||Wilkes
A 80 y/o man was at church and briefly blacked out. He has recently had several episodes of
dizziness and near syncope. A 24 hour holter monitor has recorded the following (Sick sinus
syndrome). Of the following what would be the most appropriate treatment?
A. Give digoxin
B. Consult for a pacemaker
C. Perform cardioversion
D. Give atropine
E. Give Lidocaine
- Correct Answer :Answer B
Consult for a Pacemaker
A 66 y/o female with a history of CAD presents with a new onset of dizziness and fatigue for two
weeks. She recalls nearly passing out on one occasion. Examination is unremarkable except for
bradycardia. EKG rhythm strip is seen below (Mobitz II with LBBB).
Which of the following interventions is the therapy of choice?
A. Permanent pacemaker
B. Radio-frequency ablation
C. Maze procedure
D. Automatic Implantable Cardioverter Defibrillator(AICD)
- Correct Answer :Answer A
Permanent Pacemaker
A 75-year-old presents with a history of dizziness and syncopal episodes. EKG is below (3rd
degree AV block). Which of the following is the treatment of choice for this patient?
A+ TEST BANK 1
, NSG 554 Primary Care
A. Oral beta blocker
B. Pacemaker placement
C. Radiofrequency ablation
D. Implantable cardioverter defibrillator
- Correct Answer :Answer B
Pacemaker placement
A patient has been in the CCU with an acute AWMI. He develops the abnormal rhythm shown
below (3rd degree AV block) that does not resolve after revascularization.
Which of the following is the best option?
A. Give digoxin
B. Implant a temporary pacemaker
C. Perform cardioversion
D. Give propranolol
E. Give lidocaine
- Correct Answer :Answer B
Implant a temporary pacemaker
A 62-year-old male survives an episode of VF. There is no evidence of a AMI although the patient
has had one previous MI, 3 years ago. EF on echocardiogram is 45%. What is the recommended
Rx for this patient?
A. Digoxin
B. Permanent pacemaker
C. Procainamide
D. Propranolol
E. Implantable cardioverter-
defibrillator(ICD) - Correct Answer :Answer E
Implantable cardioverter-defibrillator (ICD)
A 68 year-old patient presents after a syncopal episode. PMH of CAD and ischemic
cardiomyopathy.
Echocardiogram shows an EF of 20%. Electrophysiology study reveals inducible sustained VT
from the LV. Which of the following is the best intervention?
A+ TEST BANK 2
, NSG 554 Primary Care
A. Implantable cardiac defibrillator(ICD)
B. Radiofrequency ablation
C. Over-drive pacing
D. Beta blocker therapy
- Correct Answer :Answer A
Implantable cardiac defibrillator (ICD)
A 50 y/o man is admitted to the hospital CCU after sustaining a IWMI. Eight hours after this
event his BP is 70/50 HR is 110/min. His 12 lead EKG is seen above (SVT). Which of the following
is the best intervention now?
A. Immediate synchronized cardioversion 100J (biphasic)
B. Administer dobutamine
C. Administer a beta-blocker
D. Insert a temporary transvenous pacemaker
E. Perform cardiac Catherization
- Correct Answer :Answer A
Immediate synchronized cardioversion 100J (biphasic)
A 22 year-old man collapses on the baseball field after he is hit in the chest by a fastball. He is
unresponsive and does not have a pulse. CPR is initiated, EMS arrives quickly, & a rhythm strip
shows (VF).
Which of the following is the best intervention now?
A. Immediate synchronized cardioversion 100J (biphasic)
B. Amiodarone 300mg IV bolus
C. Immediate unsynchronized cardioversion 200J (biphasic)/defibrillation
D. Adenosine 5mg rapid IV push
- Correct Answer :Answer C
Immediate unsynchronized cardioversion 200J (biphasic)/defibrillation
You are working in the cardiac ICU and are called to deal with a cardiac arrest. The patient is a
36-y/o female who was admitted with dehydration in the setting of a GI illness.
She has had profound vomiting and diarrhea for the last 4 days with 10 recorded stools. In
addition, the patient is known to be an alcoholic who drinks a pint of vodka daily.
A+ TEST BANK 3
, NSG 554 Primary Care
On arrival, the patient is in full cardiac arrest without a pulse, and the nursing staff has initiated
basic cardiopulmonary life support. The patient has been intubated. The patient's rhythm is
shown below (Torsade de Pointes). Which of the following drugs would be most helpful in
correcting this rhythm?
A. Magnesium sulfate
B. Amiodarone
C. Sodium bicarbonate
D. Calcium chloride
E. Lidocaine
- Correct Answer :Answer A
Magnesium sulfate
A 24 y/o white male comes to the ER due to a sensation of tachycardia, slight dizziness, and
vague chest fullness. BP 110/70.
The following EKG was obtained (SVT). The initial pharmacological therapy of choice in the above
stable patient is
A. Adenosine 6 mg rapid IV bolus
B. Verapamil 2.5 to 5 mg IV over 1 to 2 minutes
C. Digoxin 0.5 mg IV slowly
D. Electrical cardioversion at 50J
E. Lidocaine 1.5 mg/kg IV bolus
- Correct Answer :Answer A
Adenosine 6mg rapid IV bolus
A 29-year-old female has a long history of SVT , for which she has been treated with long-term
flecanide, as well as prior therapy with verapamil. She continues to have repeated episodes,
sometimes two to three times a week, along with SOB and at times hypotension that has been
recorded. What is the next best therapy for this patient?
A. Synchronized cardioversion
B. Cardiac catheterization
C. Ablation therapy
D. Pacemaker insertion
E. Long-term telemetry monitoring
- Correct Answer :Answer C
A+ TEST BANK 4
