NUR 4590 CBE FINAL PAPER PRACTICE
QUESTIONS WITH VERIFIED ANSWERS
PACKAGE
●● what is the first line treakment for unstable atrial fibulation with
rapid ventricular response
Answer: sychronized cardio version
●● what rhythm is most likely to cause sawtooth flutter waves on ecg
Answer: atrial flutter
●● adenosine is primarily used to treat which arrhythmia
Answer: av nodal reentrant tachy (SVT)
●● which stateent is true about v fib
Answer: it is life threatening and requires immediate cpr and
defibulation
●● which type of cardioversion is used for unstable ventricular
tachycardia with a pulse
Answer: synchronized cardioversion
,●● what is the main difference between defibulation and synchronized
cardioversion
Answer: cardioversion is synchronized to the r wave and deibulation is
not
●● which medication is first line for v fib during cardiac arrest
Answer: epinephrine
●● which rythm is described as irregularly irregular with no distinct p
waves
Answer: atrial fibulation
●● which of the following is a common complication of pacemaker
insertion
Answer: lead displacment
●● what is the first action for a patient found pulsless and unresponsive
with v fib on the monitor
Answer: start cpr and defibulation immediately y
●● a patient with HFrEF develops sudden weigjt gain of 3 kg in 2 days
increasded dyspnea and mild ankle edema whcih nursing action is
priority
Answer: notify the proviser and asses lung sounds
, ●● a patient on bed rest after hip replacment develops unilateral calf
swelling warmth and tenderness which intervention is priority
Answer: obtain a doppler ultrasound and notify the provider
●● w patient with malignancy has recurrent pericardial effusions the
provider plans a pericardial window what is the main rational for this
procedure
Answer: continuous drainage to prevent recurrence
●● a patient develops hypotension jvd muffuled heart sounds an dpulsus
paradoxus which intervention tion is most urgent
Answer: prepare for emergent pericardiocentesis
●● a patient with acute pulmonary edema from left sided hf presents
with pink frothy sputum and spo2 82 % which nursing action is priority
Answer: elevate the head of the bed and apply high flow oxygen
●● during pericardiocentesis the patient suddenly bceomes hypotensive
and dyspneic which is the priority nursing action
Answer: stop the procedure and call for emergency support
QUESTIONS WITH VERIFIED ANSWERS
PACKAGE
●● what is the first line treakment for unstable atrial fibulation with
rapid ventricular response
Answer: sychronized cardio version
●● what rhythm is most likely to cause sawtooth flutter waves on ecg
Answer: atrial flutter
●● adenosine is primarily used to treat which arrhythmia
Answer: av nodal reentrant tachy (SVT)
●● which stateent is true about v fib
Answer: it is life threatening and requires immediate cpr and
defibulation
●● which type of cardioversion is used for unstable ventricular
tachycardia with a pulse
Answer: synchronized cardioversion
,●● what is the main difference between defibulation and synchronized
cardioversion
Answer: cardioversion is synchronized to the r wave and deibulation is
not
●● which medication is first line for v fib during cardiac arrest
Answer: epinephrine
●● which rythm is described as irregularly irregular with no distinct p
waves
Answer: atrial fibulation
●● which of the following is a common complication of pacemaker
insertion
Answer: lead displacment
●● what is the first action for a patient found pulsless and unresponsive
with v fib on the monitor
Answer: start cpr and defibulation immediately y
●● a patient with HFrEF develops sudden weigjt gain of 3 kg in 2 days
increasded dyspnea and mild ankle edema whcih nursing action is
priority
Answer: notify the proviser and asses lung sounds
, ●● a patient on bed rest after hip replacment develops unilateral calf
swelling warmth and tenderness which intervention is priority
Answer: obtain a doppler ultrasound and notify the provider
●● w patient with malignancy has recurrent pericardial effusions the
provider plans a pericardial window what is the main rational for this
procedure
Answer: continuous drainage to prevent recurrence
●● a patient develops hypotension jvd muffuled heart sounds an dpulsus
paradoxus which intervention tion is most urgent
Answer: prepare for emergent pericardiocentesis
●● a patient with acute pulmonary edema from left sided hf presents
with pink frothy sputum and spo2 82 % which nursing action is priority
Answer: elevate the head of the bed and apply high flow oxygen
●● during pericardiocentesis the patient suddenly bceomes hypotensive
and dyspneic which is the priority nursing action
Answer: stop the procedure and call for emergency support
