Page 1 of 100
NUR 430: EXAM 1 LATEST VERSION THIS YEAR WITH
COMPLETE 350 QUESTIONS AND CORRECT
ANSWERS UPDATED RECENTLY
Question: You obtain an ECG on a patient and the rhythm is sinus bradycardia with a rate of 52
bpm. Your NEXT nursing action is to?
a. Prepare to administer Atropine IV push
b. Set-up for transcutaneous pacing
c. Assess the patient
d. Call a rapid response - CORRECT ANSWER✔✔c. Assess the patient
Assess the patient. When discovering sinus bradycardia, the nurse should determine if the
patient is having symptoms. Not all cases of this rhythm require medical treatment.
Question: Your patient is experiencing extreme fatigue, hypotension, palpations, and shortness
of breath. You obtain an ECG and discover a rhythm of sinus bradycardia with a rate of 40 bpm.
What finding below could be causing this condition?
, Page 2 of 100
a. Potassium level of 3.9 meq/L
b. Lisinopril 10 mg BID PO
c. Blood glucose 84
d. Digoxin 0.125 mg PO daily - CORRECT ANSWER✔✔d. Digoxin 0.125 mg PO daily
Digoxin slows down the heart rate and can lead to bradycardia.
Question: Which of the following is NOT a treatment for symptomatic sinus bradycardia?
a. Dopamine
b. Atropine
c. Synchronized cardioversion
d. Transcutaneous pacing - CORRECT ANSWER✔✔c. Synchronized cardioversion
Question: A patient is experiencing sinus bradycardia with a rate of 34 bpm and blood pressure
of 78/42. The patient reports symptoms of chest pain, has cool and clammy skin, dyspnea, and
feels like they may faint. The nurse prepares to administer Atropine per a standing physician's
order for the patient's symptomatic bradycardia. How will the nurse administer this medication?
a. 3 mg IV push every 3-5 minutes, max dose of 5 mg
, Page 3 of 100
b. 2 mg IV push every 1-2 minutes, max dose of 3 mg
c. 3-5 mg IV push every 1 minute, max dose 10 mg
d. 1 mg IV push every 3-5 minutes, max dose of 3 mg - CORRECT ANSWER✔✔d. 1 mg IV push
every 3-5 minutes, max dose of 3 mg
Atropine for symptomatic bradycardia should be given as 0.5-1 mg IV push every 3-5 minutes,
max dose of 3 mg.
Question: Referring back to the previous question (6), Atropine was ineffective for treating the
bradycardia. The patient is still symptomatic with a rate 35 bpm. What other options could be
considered for the patient? Select all that apply:
a. Transcutaneous pacing
b. Amiodarone Infusion
c. Dopamine Infusion
d. Epinephrine Infusion - CORRECT ANSWER✔✔a. Transcutaneous pacing
c. Dopamine Infusion
d. Epinephrine Infusion
Question: Which medication below should not be used for the treatment of sinus bradycardia
in a patient with a transplanted heart?
, Page 4 of 100
a. Isoproterenol
b. Atropine
c. Epinephrine
d. Glucagon - CORRECT ANSWER✔✔b. Atropine
Question: A 20-year-old has a mandatory electrocardiogram (ECG) before participating on a
college soccer team and is found to have sinus bradycardia, rate 52. Blood pressure (BP) is
114/54, and the student denies any health problems. What action by the nurse is most
appropriate?
a. Allow the student to participate on the soccer team.
b. Refer the student to a cardiologist for further diagnostic testing.
c. Tell the student to stop playing immediately if any dyspnea occurs.
d. Obtain more detailed information about the students family health history. - CORRECT
ANSWER✔✔a. Allow the student to participate on the soccer team.
In an aerobically trained individual, sinus bradycardia is normal. The students normal BP and
negative health history indicate that there is no need for a cardiology referral or for more
detailed information about the family's health history. Dyspnea during an aerobic activity such
as soccer is normal.
NUR 430: EXAM 1 LATEST VERSION THIS YEAR WITH
COMPLETE 350 QUESTIONS AND CORRECT
ANSWERS UPDATED RECENTLY
Question: You obtain an ECG on a patient and the rhythm is sinus bradycardia with a rate of 52
bpm. Your NEXT nursing action is to?
a. Prepare to administer Atropine IV push
b. Set-up for transcutaneous pacing
c. Assess the patient
d. Call a rapid response - CORRECT ANSWER✔✔c. Assess the patient
Assess the patient. When discovering sinus bradycardia, the nurse should determine if the
patient is having symptoms. Not all cases of this rhythm require medical treatment.
Question: Your patient is experiencing extreme fatigue, hypotension, palpations, and shortness
of breath. You obtain an ECG and discover a rhythm of sinus bradycardia with a rate of 40 bpm.
What finding below could be causing this condition?
, Page 2 of 100
a. Potassium level of 3.9 meq/L
b. Lisinopril 10 mg BID PO
c. Blood glucose 84
d. Digoxin 0.125 mg PO daily - CORRECT ANSWER✔✔d. Digoxin 0.125 mg PO daily
Digoxin slows down the heart rate and can lead to bradycardia.
Question: Which of the following is NOT a treatment for symptomatic sinus bradycardia?
a. Dopamine
b. Atropine
c. Synchronized cardioversion
d. Transcutaneous pacing - CORRECT ANSWER✔✔c. Synchronized cardioversion
Question: A patient is experiencing sinus bradycardia with a rate of 34 bpm and blood pressure
of 78/42. The patient reports symptoms of chest pain, has cool and clammy skin, dyspnea, and
feels like they may faint. The nurse prepares to administer Atropine per a standing physician's
order for the patient's symptomatic bradycardia. How will the nurse administer this medication?
a. 3 mg IV push every 3-5 minutes, max dose of 5 mg
, Page 3 of 100
b. 2 mg IV push every 1-2 minutes, max dose of 3 mg
c. 3-5 mg IV push every 1 minute, max dose 10 mg
d. 1 mg IV push every 3-5 minutes, max dose of 3 mg - CORRECT ANSWER✔✔d. 1 mg IV push
every 3-5 minutes, max dose of 3 mg
Atropine for symptomatic bradycardia should be given as 0.5-1 mg IV push every 3-5 minutes,
max dose of 3 mg.
Question: Referring back to the previous question (6), Atropine was ineffective for treating the
bradycardia. The patient is still symptomatic with a rate 35 bpm. What other options could be
considered for the patient? Select all that apply:
a. Transcutaneous pacing
b. Amiodarone Infusion
c. Dopamine Infusion
d. Epinephrine Infusion - CORRECT ANSWER✔✔a. Transcutaneous pacing
c. Dopamine Infusion
d. Epinephrine Infusion
Question: Which medication below should not be used for the treatment of sinus bradycardia
in a patient with a transplanted heart?
, Page 4 of 100
a. Isoproterenol
b. Atropine
c. Epinephrine
d. Glucagon - CORRECT ANSWER✔✔b. Atropine
Question: A 20-year-old has a mandatory electrocardiogram (ECG) before participating on a
college soccer team and is found to have sinus bradycardia, rate 52. Blood pressure (BP) is
114/54, and the student denies any health problems. What action by the nurse is most
appropriate?
a. Allow the student to participate on the soccer team.
b. Refer the student to a cardiologist for further diagnostic testing.
c. Tell the student to stop playing immediately if any dyspnea occurs.
d. Obtain more detailed information about the students family health history. - CORRECT
ANSWER✔✔a. Allow the student to participate on the soccer team.
In an aerobically trained individual, sinus bradycardia is normal. The students normal BP and
negative health history indicate that there is no need for a cardiology referral or for more
detailed information about the family's health history. Dyspnea during an aerobic activity such
as soccer is normal.
