Page 1 of 56
NR 341 Complex Adult Health Exam 1 (WEEK1-
WEEK3) Exam NEWEST VERSION WTH COMPLETE
QUESTIONS AND WELL ELABORATED ANSWERS
LATEST UPDATE THIS YEAR
Which patient statement indicates that discharge teaching about the management of a new
permanent pacemaker was effective?
"I won't lift the arm on the incision side until I see the health care provider."
Which action by a nurse caring for a patient after an implantable cardioverter-defibrillator
(ICD) insertion indicates a need for more teaching about the care of patients with ICDs?
The nurse encourages the patient to do active range-of-motion exercises for all extremities.
A patient with supraventricular tachycardia who is alert and has a blood pressure of 110/66
mm Hg is being prepared for cardioversion. Which action should the nurse expect to take?
Give a sedative before cardioversion is implemented.
1
SUCCESS!
,Page 2 of 56
A 20-yr-old patient has a mandatory electrocardiogram (ECG) before participating on a college
soccer team. The patient is found to have sinus bradycardia, rate 52 and blood pressure (BP)
114/54 mm Hg. The student denies any health problems. Which action would the nurse take?
Approve the student to participate on the soccer team.
Which finding from a newly admitted adult patient's electrocardiogram (ECG) requires further
investigation by the nurse?
QRS interval of 0.14 second
Which laboratory result for a patient with multifocal premature ventricular contractions
(PVCs) is most important for the nurse to communicate to the health care provider?
Serum potassium of 2.9 mEq/L
A patient's heart monitor shows a pattern of undulations of varying contours and amplitude
with no measurable ECG pattern. The patient is unconscious, apneic, and pulseless. Which
action would the nurse take first?
Perform immediate defibrillation.
2
SUCCESS!
,Page 3 of 56
A patient's heart monitor shows sinus rhythm, rate 64. The PR interval is 0.18 seconds at 1:00
AM, 0.22 seconds at 2:30 PM, and 0.28 seconds at 4:00 PM. Which action would the nurse
take first?
Hold the scheduled metoprolol (Lopressor) and call the health care provider.
A patient develops sinus bradycardia at a rate of 32 beats/min, has a blood pressure (BP) of
80/42 mm Hg, and reports feeling faint. Which action would the nurse take?
Apply the transcutaneous pacemaker (TCP) pads.
A 19-year-old student comes to the student health center at the end of the semester stating,
"My heart is skipping beats." An electrocardiogram (ECG) shows occasional unifocal
premature ventricular contractions (PVCs). What action would the nurse take next?
Ask the patient about current stress level and caffeine use.
The nurse has received change-of-shift report about the following patients on the progressive
care unit. Which patient would the nurse see first?
A patient whose implantable cardioverter-defibrillator (ICD) fired twice today and has a dose of
amiodarone due
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SUCCESS!
, Page 4 of 56
A patient on the telemetry unit develops atrial flutter, rate 150, with associated dyspnea and
chest pain. Which action in the agency dysrhythmia protocol would the nurse take first?
Give supplemental O at 2 to 3 L/min via nasal cannula.
A patient is apneic and has no palpable pulses. The heart monitor shows sinus tachycardia,
rate 132. Which action would the nurse take next?
Start cardiopulmonary resuscitation (CPR).
Which action will the nurse include in the plan of care for a patient who was admitted with
syncopal episodes of unknown origin?
Instruct the patient to call for help before getting out of bed.
Which nursing action can the registered nurse (RN) delegate to experienced assistive
personnel (AP) working as telemetry technicians on the cardiac care unit?
Observe heart rhythms for multiple patients who have telemetry monitoring.
Which action by a registered nurse (RN) who is orienting to the telemetry unit indicates a
good understanding of the treatment of heart dysrhythmias?
Injects IV adenosine (Adenocard) over 2 seconds for a patient with supraventricular tachycardia.
4
SUCCESS!
NR 341 Complex Adult Health Exam 1 (WEEK1-
WEEK3) Exam NEWEST VERSION WTH COMPLETE
QUESTIONS AND WELL ELABORATED ANSWERS
LATEST UPDATE THIS YEAR
Which patient statement indicates that discharge teaching about the management of a new
permanent pacemaker was effective?
"I won't lift the arm on the incision side until I see the health care provider."
Which action by a nurse caring for a patient after an implantable cardioverter-defibrillator
(ICD) insertion indicates a need for more teaching about the care of patients with ICDs?
The nurse encourages the patient to do active range-of-motion exercises for all extremities.
A patient with supraventricular tachycardia who is alert and has a blood pressure of 110/66
mm Hg is being prepared for cardioversion. Which action should the nurse expect to take?
Give a sedative before cardioversion is implemented.
1
SUCCESS!
,Page 2 of 56
A 20-yr-old patient has a mandatory electrocardiogram (ECG) before participating on a college
soccer team. The patient is found to have sinus bradycardia, rate 52 and blood pressure (BP)
114/54 mm Hg. The student denies any health problems. Which action would the nurse take?
Approve the student to participate on the soccer team.
Which finding from a newly admitted adult patient's electrocardiogram (ECG) requires further
investigation by the nurse?
QRS interval of 0.14 second
Which laboratory result for a patient with multifocal premature ventricular contractions
(PVCs) is most important for the nurse to communicate to the health care provider?
Serum potassium of 2.9 mEq/L
A patient's heart monitor shows a pattern of undulations of varying contours and amplitude
with no measurable ECG pattern. The patient is unconscious, apneic, and pulseless. Which
action would the nurse take first?
Perform immediate defibrillation.
2
SUCCESS!
,Page 3 of 56
A patient's heart monitor shows sinus rhythm, rate 64. The PR interval is 0.18 seconds at 1:00
AM, 0.22 seconds at 2:30 PM, and 0.28 seconds at 4:00 PM. Which action would the nurse
take first?
Hold the scheduled metoprolol (Lopressor) and call the health care provider.
A patient develops sinus bradycardia at a rate of 32 beats/min, has a blood pressure (BP) of
80/42 mm Hg, and reports feeling faint. Which action would the nurse take?
Apply the transcutaneous pacemaker (TCP) pads.
A 19-year-old student comes to the student health center at the end of the semester stating,
"My heart is skipping beats." An electrocardiogram (ECG) shows occasional unifocal
premature ventricular contractions (PVCs). What action would the nurse take next?
Ask the patient about current stress level and caffeine use.
The nurse has received change-of-shift report about the following patients on the progressive
care unit. Which patient would the nurse see first?
A patient whose implantable cardioverter-defibrillator (ICD) fired twice today and has a dose of
amiodarone due
3
SUCCESS!
, Page 4 of 56
A patient on the telemetry unit develops atrial flutter, rate 150, with associated dyspnea and
chest pain. Which action in the agency dysrhythmia protocol would the nurse take first?
Give supplemental O at 2 to 3 L/min via nasal cannula.
A patient is apneic and has no palpable pulses. The heart monitor shows sinus tachycardia,
rate 132. Which action would the nurse take next?
Start cardiopulmonary resuscitation (CPR).
Which action will the nurse include in the plan of care for a patient who was admitted with
syncopal episodes of unknown origin?
Instruct the patient to call for help before getting out of bed.
Which nursing action can the registered nurse (RN) delegate to experienced assistive
personnel (AP) working as telemetry technicians on the cardiac care unit?
Observe heart rhythms for multiple patients who have telemetry monitoring.
Which action by a registered nurse (RN) who is orienting to the telemetry unit indicates a
good understanding of the treatment of heart dysrhythmias?
Injects IV adenosine (Adenocard) over 2 seconds for a patient with supraventricular tachycardia.
4
SUCCESS!
