ECCO PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+<RECENT VERSION>

ECCO PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+&lt;RECENT VERSION&gt; 1) A patient has a transcutaneous pacemaker. Which action should the nurse implement when a pacemaker spike occurs but is not followed by ventricular complex? Assess the heart rate Increase the mA Increase the mV Assess the ECG lead placement - ANSWER Increase the mA 2) A patient has a transvenous temporary pacemaker in place. Pacemaker spikes are noted on the ECG, but they are not followed by a P wave or QRS complex. Which is initially indicated? Reposition patient on the right side Increase the sensitivity (set mV to a lower number). Check the connections. Decrease the mS (output) - ANSWER Check the connections. 3) A patient has a epicardial temporary pacemaker in place at a rate of 70 and mA of 6. The patient's rhythm is junctional with a rate of 55. No pacemaker spikes are noted on the ECG. Which is initially indicated. Increase the mV on the sensitivity dial Change the batteries Increase the pacemaker rate Increase the mA (output) - ANSWER Change the batteries 4) A patient's ICD defibrillates and the nurse assesses the patient's rhythm and vital signs. What should be the nurse's next step? Watch to see whether the ICD terminated the dysrhythmia Place a magnet over the ICD Turn off the ICD, and insert a new battery Change the ICD to standby mode - ANSWER Watch to see whether the ICD terminated the dysrhythmia 5) A nurse notes bradycardia in a patient admitted with subarachnoid hemorrhage and vomiting. What medications may increase the patient's risk of sudden cardiac death due to long QT syndrome? Anticholinergics or phosphodiesterase inhibitors Acetaminophen or calcium channel blockers ACE inhibitors or anticonvulsants Antibiotics or antidysrhythmics - ANSWER Antibiotics or antidysrhythmics 6) Which patient is at greatest risk for development of torsades de pointes? A patient with a... QTc of 0.40 with hypercalcemia QTc of 0.52 with hypokalemia QTc of 0.44 with hyperphosphatemia QTc of 0.36 with hyponatremia - ANSWER QTc of 0.52 with hypokalemia 7) A patient has indication for synchronized cardioversion? A patient with: Ventricular tachycardia with BP 100/60 (73) Supraventricular tachycardia with chest pain Atrial fibrillation with a history of VTE Sinus bradycardia with mental status changes - ANSWER Supraventricular tachycardia with chest pain 8) A nurse finds a patient unresponsive and without a palpable pulse. Which of the following assessments is an indication for defibrillation? Ventricular fibrillation Cyanosis Pulse oximeter below 80 Asystole - ANSWER Ventricular fibrillation 9) Which should the nurse include in preparing a patient for an electrophysiology study? "You'll see yourself in v tach on the screen" "The study calls for dye to be places in your IV" "You will be sedated for the procedure" "Since you will be awake, you can eat a light breakfast" - ANSWER "You will be sedated for the procedure" 10) A patient with a history of cocaine use reports headache, blurred vision, severe chest pain, nausea, and vomiting. Vital signs are: BP 214/136, HR 106, RR 24. Which priority is initially indicated? Emergent ophthalmology consult Implement a chest pain protocol Initiation of anti-emetic therapy Administration of an antihypertensive - ANSWER Administration of an antihypertensive 11) A patient reports sudden onset of chest pain, and dyspnea. Which 3 assessment findings would differentiate whether the cause is ACS or pericarditis? Pericarditis pain often accompanied by severe headache ACS pain is not usually accompanied by fever Pericarditis chest pain increases with inspiration ACS chest pain doesn't alter when patient changes position - ANSWER ACS pain is not usually accompanied by fever Pericarditis chest pain increases with inspiration ACS chest pain doesn't alter when patient changes position 12) A patient with a recent MI reports stabbing chest pain that increases with deep breathing and is relieved by leaning forward. SpO2 is 94%. Which should the nurse initially anticipate? Corticosteroids NSAIDs/ASA Pericardiocentesis Nitroglycerin - ANSWER NSAIDs/ASA 13) A nurse observes a patient's jugular venous distention, tachycardia, and hypotension {BP 72/50 (57)}. ECHO identifies a large pericardial effusion and onset of atrial collapse. What intervention should the nurse initially anticipate? Administer vasopressor Prepare for intubation and mechanical ventilation Prepare for pericardiocentesis Administer morphine IV push - ANSWER Prepare for pericardiocentesis 14) A patient with a stab wound to the chest has VS: BP 80/40 (53), HR 112, and RR 24. Diminished heart sounds, dizziness, JVD, and weak pulses are noted. Which should the nurse anticipate? Administer fluid bolus Infuse dopamine Position patient in High Fowler's Prepare for pericardiocentesis - ANSWER Administer fluid bolus Prepare for pericardiocentesis 15) A patient has the following ABG results: pH 7.25, PaCO2 43, PaO2 80, SaO2 91%, and HCO3- 18. What is the most likely underlying cause? Acute kidney injury COPD exacerbation Overconsumption of antacids Respiratory failure - ANSWER Acute kidney injury 16) Which ABG result requires provider be notified immediately? pH greater than 7.4 HCO3 greater than 25 pH less than 7.2 PaCO2 less than 40 - ANSWER pH less than 7.2 17) Which patient in the immediate postoperative period should be given a a NC or simple face mask? A patient requiring: FiO2 of 0.75 - 0.95 FiO2 of 0.4 or less Oxygen of greater than 15 L/min FiO2 of 0.55 - 0.90 - ANSWER FiO2 of 0.4 or less 18) Which patient most likely to have indication for non-rebreather mask? A patient: Who is postoperative lobectomy With COPD With carbon monoxide poisoning With asthma exacerbation - ANSWER With carbon monoxide poisoning 19) Which patient has an indication for ventilatory replacement? A patient with ABG results of : pH 7.32, PaO2 68, PaCO2 44, HCO3 19, SaO2 90 pH 7.35, PaO2 80, PaCO2 45, HCO3 22, SaO2 93 pH 7.20, PaO2 58, PaCO2 55, HCO3 24, SaO2 88 pH 7.50, PaO2 75, PaCO2 43, HCO3 29, SaO2 92 - ANSWER pH 7.20, PaO2 58, PaCO2 55, HCO3 24, SaO2 88 20) A nurse checks that a patient can remove the NIPPV mask in the event of emesis. What are other nursing care priorities for patients using NIPPV? Assess respiratory rate and depth, and changes in LOC Examine skin for breakdown across nasal bridge or any pressure points. Ensure that mask leakage is within manufacturer's limits Check for dryness or irritation of eyes, nasal passages, and upper airway - ANSWER Assess respiratory rate and depth, and changes in LOC 21) Examine skin for breakdown across nasal bridge or any pressure points.Check for dryness or irritation of eyes, nasal passages, and upper airway