DYSRHYTHMIAS PRACTICE QUESTIONS &
DETAILED COMPLETE SOLUTIONS 100%
CORRECT
1. You are the nurse working Answer: D
on the telemetry unit and
you have finally gotten to A pulse would be assessed for first. Then the patient
sit down will be
to work on some charting. Sud- defibrillized and chest compressions will begin
immediately.
denly the heart monitors at
the station start beeping. Pa-
tient in room 18 is showing
this rhythm on the monitor.
The medical team advances
to- gether into the room and
finds them unconscious.
What is pri- ority action by
the nurse?
A) Prepare to
administer adenosine
to the patient
B) Begin chest compressions
C)Prepare for defibrillation
D) Check for a pulse
2. The patient who has D) Administer adenosine
recently been experiencing
runs of ven- tricular
tachycardia suddenly loses
consciousness. The pa- tient
is defibrillated, and the rate
returns as the following.
What should the nurse do
first?
A) Begin compressions
B)Shock the client again
imme- diately
C)Prepare for intubation
,DYSRHYTHMIAS PRACTICE QUESTIONS &
DETAILED COMPLETE SOLUTIONS 100%
CORRECT
Answer: A
Following defibrillation, CPR is immediately
initiated if a per- fusable rhythm is not
initiated. The client may need to be
shocked again, but chest compressions
must begin first.
,DYSRHYTHMIAS PRACTICE QUESTIONS &
DETAILED COMPLETE SOLUTIONS 100%
CORRECT
3. The patient with a history of Answer: B
hypertension and diabetes has
the following rhythm strip. The Atrial flutter places the client at high risk for
development of
patient's vitals are as clot formation in the atria. Because the client is stable
follows: BP 145/89, HR 90,
SpO2 95%, at this time, cardioversion or adenosine would not be
RR 19. Which of the performed at this time. Before cardioversion can occur
following does the nurse in a patient, antico- agulant therapy should be begun
expect to do at this time?
at least 48 hours beforehand if possible.
a) Prepare the client for
car- dioversion STAT
b) Begin administering
antico- agulants
c) Grab the crash cart for
ad- ministration of
adenosine
d) Teach the client about
possi- bility of pacemaker
installation
4. The nurse is preparing to
ad- minister adenosine to Answer: A, B, and D
the pa-
tient with the following rhythm Adenosine is administered as a very quick IV push.
The physi-
which is symptomatic. What 5. The nurse has just adminis- tered
should the nurse plan on adenosine via IV push
hav- ing in the patient
room? Select All That Apply:
a) Physician
b) Crash cart
c)IV pump
d) EKG monitor
e) Lidocaine
, DYSRHYTHMIAS PRACTICE QUESTIONS &
DETAILED COMPLETE SOLUTIONS 100%
CORRECT
cian must be present in the room and the
crash cart must be on hand. An ekg monitor
should be in the room to monitor the
ettectiveness of the medication.
Answer: B
DETAILED COMPLETE SOLUTIONS 100%
CORRECT
1. You are the nurse working Answer: D
on the telemetry unit and
you have finally gotten to A pulse would be assessed for first. Then the patient
sit down will be
to work on some charting. Sud- defibrillized and chest compressions will begin
immediately.
denly the heart monitors at
the station start beeping. Pa-
tient in room 18 is showing
this rhythm on the monitor.
The medical team advances
to- gether into the room and
finds them unconscious.
What is pri- ority action by
the nurse?
A) Prepare to
administer adenosine
to the patient
B) Begin chest compressions
C)Prepare for defibrillation
D) Check for a pulse
2. The patient who has D) Administer adenosine
recently been experiencing
runs of ven- tricular
tachycardia suddenly loses
consciousness. The pa- tient
is defibrillated, and the rate
returns as the following.
What should the nurse do
first?
A) Begin compressions
B)Shock the client again
imme- diately
C)Prepare for intubation
,DYSRHYTHMIAS PRACTICE QUESTIONS &
DETAILED COMPLETE SOLUTIONS 100%
CORRECT
Answer: A
Following defibrillation, CPR is immediately
initiated if a per- fusable rhythm is not
initiated. The client may need to be
shocked again, but chest compressions
must begin first.
,DYSRHYTHMIAS PRACTICE QUESTIONS &
DETAILED COMPLETE SOLUTIONS 100%
CORRECT
3. The patient with a history of Answer: B
hypertension and diabetes has
the following rhythm strip. The Atrial flutter places the client at high risk for
development of
patient's vitals are as clot formation in the atria. Because the client is stable
follows: BP 145/89, HR 90,
SpO2 95%, at this time, cardioversion or adenosine would not be
RR 19. Which of the performed at this time. Before cardioversion can occur
following does the nurse in a patient, antico- agulant therapy should be begun
expect to do at this time?
at least 48 hours beforehand if possible.
a) Prepare the client for
car- dioversion STAT
b) Begin administering
antico- agulants
c) Grab the crash cart for
ad- ministration of
adenosine
d) Teach the client about
possi- bility of pacemaker
installation
4. The nurse is preparing to
ad- minister adenosine to Answer: A, B, and D
the pa-
tient with the following rhythm Adenosine is administered as a very quick IV push.
The physi-
which is symptomatic. What 5. The nurse has just adminis- tered
should the nurse plan on adenosine via IV push
hav- ing in the patient
room? Select All That Apply:
a) Physician
b) Crash cart
c)IV pump
d) EKG monitor
e) Lidocaine
, DYSRHYTHMIAS PRACTICE QUESTIONS &
DETAILED COMPLETE SOLUTIONS 100%
CORRECT
cian must be present in the room and the
crash cart must be on hand. An ekg monitor
should be in the room to monitor the
ettectiveness of the medication.
Answer: B
