NUR 376 EXAM #2 ACTUAL EXAM
QUESTIONS WITH CORRECT
ANSWERS 100% VERIFIED GRADED
A+
Whichmnursingminterventionmmustmamnursemperformmwhenmadministeringmprescribedmvasopresso
rsmtomamclientmwithmamcardiacmdysrhythmia?m-
mCORRECTmANSWERmMonitormvitalmsignsmandmcardiacmrhythm
WhichmECGmwaveformmcharacterizesmconductionmofmanmelectricalmimpulsemthroughmthemleftmventr
icle?m-mCORRECTmANSWERmQRSmcomplex
Whichmismnotmlikelymoriginationmpointmformcardiacmdysrhythmias?m-
mCORRECTmANSWERmBundlemofmHis
ThemnursemismteachingmambeginningmEKGmclassmtomstaffmnurses.mAsmthemnursembeginsmtomdiscussmth
empartsmofmthemEKGmcomplex,monemofmthemstudentsmasksmwhatmthemnormalmordermofmconductionmt
hroughmthemheartmis.mWhatmordermdoesmthemnursemdescribe?m-
mCORRECTmANSWERmSinoatrialm(SA)mnode,matrioventricularm(AV)mnode,mbundlemofmHis,mrightmandm
leftmbundlembranches,mandmthemPurkinjemfibers
Am28-year-
oldmclientmpresentsmtomthememergencymdepartment,mstatingmseveremrestlessnessmandmanxiety.mUp
onmassessment,mthemclient'smheartmratemism118mbpmmandmregular,mthemclient'smpupilsmaremdilated,m
andmthemclientmappearsmexcitable.mWhichmactionmshouldmthemnursemtakemnext?m-
mCORRECTmANSWERmQuestionmthemclientmaboutmalcoholmandmillicitmdrugmuse.
Ampatientmwhomhadmammyocardialminfarctionmismexperiencingmseveremchestmpainmandmalertsmthemn
urse.mThemnursembeginsmthemassessmentmbutmsuddenlymthempatientmbecomesmunresponsive,mnom
,pulse,mwithmthemmonitormshowingmamrapid,mdisorganizedmventricularmrhythm.mWhatmdoesmthemnur
seminterpretmthismrhythmmtombe?m-mCORRECTmANSWERmventricularmfibrillation
Amhealthymadultmclientmismseeingmamhealthmcaremprovidermformanmannualmphysicalmexamination.mW
hilemthemnursemismtakingmthemclient'smvitalmsigns,mthemclientmstates,m"Occasionally,mmymheartmskipsm
ambeat."mThemnursembelievesmthatmthemclientmismexperiencingmwhatmcondition?m-
mCORRECTmANSWERmprematurematrialmcomplexm(PAC)
AmnursingminstructormismreviewingmthempartsmofmanmEKGmstripmwithmamgroupmofmstudents.mOnemstu
dentmasksmaboutmthemnamesmofmallmthemEKGmcardiacmcomplexmparts.mWhichmofmthemfollowingmite
msmaremconsideredmampartmofmthemcardiacmcomplexmonmanmEKGmstrip?mChoosemallmthatmapply.m-
mCORRECTmANSWERmP-RmInterval
Pmwave
Tmwave
Themnursemdocumentsmthatmamclientmismhavingmamnormalmsinusmrhythm.mWhatmcharacteristicsmofmt
hismrhythmmhasmthemnursemassessed?m-
mCORRECTmANSWERmThemsinoatrialm(SA)mnodeminitiatesmthemimpulse.
Themlicensedmpracticalmnursemismsettingmupmthemroommformamclientmarrivingmatmthememergencymdep
artmentmwithmventricularmarrhythmias.mThemnursemismmostmcorrectmtomplacemwhichmofmthemfollowi
ngminmthemroommformtreatment?m-mCORRECTmANSWERmAmdefibrillator
Themnursemismworkingmonmammonitoredmunitmassessingmthemcardiacmmonitormrhythms.mWhichmwav
eformmpatternmneedsmattentionmfirst?m-mCORRECTmANSWERmventricularmfibrillation
***Ventricularmfibrillationmismcalledmthemrhythmmofmamdyingmheart.mItmismthemrhythmmthatmneedsma
ttentionmfirstmbecausemtheremismnomcardiacmoutput,mandmitmismanmindicationmformCPRmandmimmedia
temdefibrillation.mSustainedmasystolemeithermismfrommdeath,mormthemclientmismoffmofmthemcardiacmm
onitor.mSupraventricularmtachycardiamandmatrialmfibrillationmismmonitoredmandmreportedmtomthemp
hysicianmbutmismnotmaddressedmfirst.
, Themnursemandmstudentmnursemaremobservingmamcardioversionmprocedure.mThemnursemismcorrectmt
omtellmthemstudentmthatmelectricalmcurrentmwillmbeminitiatedmatmwhichmtime?m-
mCORRECTmANSWERmDuringmventricularmdepolarization
Amnursemismcaringmformamclientmwithmatrialmfibrillation.mWhatmproceduremwouldmthemnursemeducate
mthempatientmaboutmformterminationmofmthemdysrhythmia?m-
mCORRECTmANSWERmElectivemcardioversion
***PacemakersmaremimplantedmformSinusmBradycardia.
Whenmthemnursemobservesmanmelectrocardiogramm(ECG)mtracingmonmamcardiacmmonitormwithmampa
tternminmleadmIImandmobservesmambizarre,mabnormalmshapemtomthemQRSmcomplex,mthemnursemhasmli
kelymobservedmwhichmofmthemfollowingmventricularmdysrhythmias?m-
mCORRECTmANSWERmPrematuremventricularmcontractionm(PVC)
Themnursemidentifiesmwhichmofmthemfollowingmasmampotentialmcausemofmprematuremventricularmco
mplexesm(PVCs)?m-mCORRECTmANSWERmhypokalemia
***PVCsmcanmbemcausedmbymcardiacmischemiamorminfarction,mincreasedmworkloadmonmthemheartm(e
.g.,mexercise,mfever,mhypervolemia,mheartmfailure,mtachycardia),mdigitalismtoxicity,macidosis,mormelec
trolytemimbalances,mespeciallymhypokalemia.
Themnursemismcaringmformamclientmwithmatrialmfibrillation.mWhatmproceduremwouldmbemrecommend
edmifmdrugmtherapiesmdidmnotmcontrolmthemdysrhythmia?m-
mCORRECTmANSWERmElectivemcardioversion
Amclientmwithmdilatedmcardiomyopathymismhavingmfrequentmepisodesmofmventricularmfibrillation.mW
hatmmedicalmtreatmentmdoesmthemnursemanticipatemthemclientmwillmhavemtomterminatemthemepisod
emofmventricularmfibrillation?m-mCORRECTmANSWERminternalmcardiovertermdefibrillatorminsertion
QUESTIONS WITH CORRECT
ANSWERS 100% VERIFIED GRADED
A+
Whichmnursingminterventionmmustmamnursemperformmwhenmadministeringmprescribedmvasopresso
rsmtomamclientmwithmamcardiacmdysrhythmia?m-
mCORRECTmANSWERmMonitormvitalmsignsmandmcardiacmrhythm
WhichmECGmwaveformmcharacterizesmconductionmofmanmelectricalmimpulsemthroughmthemleftmventr
icle?m-mCORRECTmANSWERmQRSmcomplex
Whichmismnotmlikelymoriginationmpointmformcardiacmdysrhythmias?m-
mCORRECTmANSWERmBundlemofmHis
ThemnursemismteachingmambeginningmEKGmclassmtomstaffmnurses.mAsmthemnursembeginsmtomdiscussmth
empartsmofmthemEKGmcomplex,monemofmthemstudentsmasksmwhatmthemnormalmordermofmconductionmt
hroughmthemheartmis.mWhatmordermdoesmthemnursemdescribe?m-
mCORRECTmANSWERmSinoatrialm(SA)mnode,matrioventricularm(AV)mnode,mbundlemofmHis,mrightmandm
leftmbundlembranches,mandmthemPurkinjemfibers
Am28-year-
oldmclientmpresentsmtomthememergencymdepartment,mstatingmseveremrestlessnessmandmanxiety.mUp
onmassessment,mthemclient'smheartmratemism118mbpmmandmregular,mthemclient'smpupilsmaremdilated,m
andmthemclientmappearsmexcitable.mWhichmactionmshouldmthemnursemtakemnext?m-
mCORRECTmANSWERmQuestionmthemclientmaboutmalcoholmandmillicitmdrugmuse.
Ampatientmwhomhadmammyocardialminfarctionmismexperiencingmseveremchestmpainmandmalertsmthemn
urse.mThemnursembeginsmthemassessmentmbutmsuddenlymthempatientmbecomesmunresponsive,mnom
,pulse,mwithmthemmonitormshowingmamrapid,mdisorganizedmventricularmrhythm.mWhatmdoesmthemnur
seminterpretmthismrhythmmtombe?m-mCORRECTmANSWERmventricularmfibrillation
Amhealthymadultmclientmismseeingmamhealthmcaremprovidermformanmannualmphysicalmexamination.mW
hilemthemnursemismtakingmthemclient'smvitalmsigns,mthemclientmstates,m"Occasionally,mmymheartmskipsm
ambeat."mThemnursembelievesmthatmthemclientmismexperiencingmwhatmcondition?m-
mCORRECTmANSWERmprematurematrialmcomplexm(PAC)
AmnursingminstructormismreviewingmthempartsmofmanmEKGmstripmwithmamgroupmofmstudents.mOnemstu
dentmasksmaboutmthemnamesmofmallmthemEKGmcardiacmcomplexmparts.mWhichmofmthemfollowingmite
msmaremconsideredmampartmofmthemcardiacmcomplexmonmanmEKGmstrip?mChoosemallmthatmapply.m-
mCORRECTmANSWERmP-RmInterval
Pmwave
Tmwave
Themnursemdocumentsmthatmamclientmismhavingmamnormalmsinusmrhythm.mWhatmcharacteristicsmofmt
hismrhythmmhasmthemnursemassessed?m-
mCORRECTmANSWERmThemsinoatrialm(SA)mnodeminitiatesmthemimpulse.
Themlicensedmpracticalmnursemismsettingmupmthemroommformamclientmarrivingmatmthememergencymdep
artmentmwithmventricularmarrhythmias.mThemnursemismmostmcorrectmtomplacemwhichmofmthemfollowi
ngminmthemroommformtreatment?m-mCORRECTmANSWERmAmdefibrillator
Themnursemismworkingmonmammonitoredmunitmassessingmthemcardiacmmonitormrhythms.mWhichmwav
eformmpatternmneedsmattentionmfirst?m-mCORRECTmANSWERmventricularmfibrillation
***Ventricularmfibrillationmismcalledmthemrhythmmofmamdyingmheart.mItmismthemrhythmmthatmneedsma
ttentionmfirstmbecausemtheremismnomcardiacmoutput,mandmitmismanmindicationmformCPRmandmimmedia
temdefibrillation.mSustainedmasystolemeithermismfrommdeath,mormthemclientmismoffmofmthemcardiacmm
onitor.mSupraventricularmtachycardiamandmatrialmfibrillationmismmonitoredmandmreportedmtomthemp
hysicianmbutmismnotmaddressedmfirst.
, Themnursemandmstudentmnursemaremobservingmamcardioversionmprocedure.mThemnursemismcorrectmt
omtellmthemstudentmthatmelectricalmcurrentmwillmbeminitiatedmatmwhichmtime?m-
mCORRECTmANSWERmDuringmventricularmdepolarization
Amnursemismcaringmformamclientmwithmatrialmfibrillation.mWhatmproceduremwouldmthemnursemeducate
mthempatientmaboutmformterminationmofmthemdysrhythmia?m-
mCORRECTmANSWERmElectivemcardioversion
***PacemakersmaremimplantedmformSinusmBradycardia.
Whenmthemnursemobservesmanmelectrocardiogramm(ECG)mtracingmonmamcardiacmmonitormwithmampa
tternminmleadmIImandmobservesmambizarre,mabnormalmshapemtomthemQRSmcomplex,mthemnursemhasmli
kelymobservedmwhichmofmthemfollowingmventricularmdysrhythmias?m-
mCORRECTmANSWERmPrematuremventricularmcontractionm(PVC)
Themnursemidentifiesmwhichmofmthemfollowingmasmampotentialmcausemofmprematuremventricularmco
mplexesm(PVCs)?m-mCORRECTmANSWERmhypokalemia
***PVCsmcanmbemcausedmbymcardiacmischemiamorminfarction,mincreasedmworkloadmonmthemheartm(e
.g.,mexercise,mfever,mhypervolemia,mheartmfailure,mtachycardia),mdigitalismtoxicity,macidosis,mormelec
trolytemimbalances,mespeciallymhypokalemia.
Themnursemismcaringmformamclientmwithmatrialmfibrillation.mWhatmproceduremwouldmbemrecommend
edmifmdrugmtherapiesmdidmnotmcontrolmthemdysrhythmia?m-
mCORRECTmANSWERmElectivemcardioversion
Amclientmwithmdilatedmcardiomyopathymismhavingmfrequentmepisodesmofmventricularmfibrillation.mW
hatmmedicalmtreatmentmdoesmthemnursemanticipatemthemclientmwillmhavemtomterminatemthemepisod
emofmventricularmfibrillation?m-mCORRECTmANSWERminternalmcardiovertermdefibrillatorminsertion
