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Rasmussen Final MDC3
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Rasmussen Final MDC3
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Rasmussen Final EXAM WITHQUESTIONS AND CORRECT
ANSWERS
What does A Fib ECG look like? - ANSWER>>>>>-impulse
rate of 350-600 times per minute
-no P waves
-no atrial contractions
-loss of atrial kick
-irregular ventricular response
How often do you assess vital signs on a patient with a
dysrhythmia
(gray box) - ANSWER>>>>>at least every 4 hours
Nursing Safety Priority for Sinus tachycardia what to assess
(gray box) - ANSWER>>>>>-fatigue, weakness, SOB,
orthopnea, decreased O2, increased HR, decreased BP,
angina, palpitations
-ECG: T wave inversion or ST elevation/depression
-decreased cerebral perfusion may occur. Symptoms:
restlessness and anxiety
-impaired renal function may occur symptoms: decreased urine
output.
The nurse is assessing the client's cardiac rhythm and notes
the following: HR 64, regular rhythm, PR interval 0.20; QRS
0.10. How will the nurse document this rhythm interpretation in
the electronic health record?
A. Sinus tachycardia
B. Sinus bradycardia
C. Normal sinus rhythm
D. Sinus arrhythmia - ANSWER>>>>>C
NURSING SAFETY PRIORITY
, Rasmussen Final EXAM WITH
QUESTIONS AND CORRECT
ANSWERS
patient education with permanent pacemakers include -
ANSWER>>>>>-Avoid strong electromagnetic fields (magnets
and telecommunication transmitters)
-carry pacemaker identification card
-medical alert bracelet
A fib may lead to - ANSWER>>>>>-DVT or PE due to blood
pooling
-HF
A fib signs and symptoms - ANSWER>>>>>-symptoms depend
on ventricular rate*
-some patients are asymptomatic*
irregular pulse, poor perfusion, fatigue, weakness, SOB,
dizziness, anxiety, syncope, palpitations, chest pain/discomfort,
and hypotension
Nursing intervention for a PE - ANSWER>>>>>-stay with
patient
-monitor for SOB, chest pain, and hypotension
-initiate a rapid
-notify the provider
T/F patients on anticoagulation should report bleeding gums to
their provider immediately - ANSWER>>>>>T
NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and
removed from patient - ANSWER>>>>>Oxygen
what does the nurse assess for in a patient with a dysrthymia? -
ANSWER>>>>>Angina, hypotension, HF, decreased cerebral
profusion, and decreased renal profusion.
, Rasmussen Final EXAM WITH
QUESTIONS AND CORRECT
ANSWERS
How to decrease/prevent dysthymias - ANSWER>>>>>-avoid
vagus nerve stimulation
-take medications
-stop smoking
-avoid caffeine
-alcohol in moderation
-manage stress
The nurse is caring for client who is experiencing occasional
premature ventricular contractions. What assessment data are
most concerning to the nurse?
A. Potassium 4.8 mEq/L
B. Magnesium 2 mEq/L
C. Heart rate 90
D. History of smoking - ANSWER>>>>>D
Nursing Safety Priority
1. V tach stable nursing intervention:
2. V tach unstable nursing intervention: - ANSWER>>>>>1.
administer O2 and confirm with 12 lead ECG (possible
amiodarone/lidocaine administration)
2. may case cardiac arrest, assess ABCs, LOC, and O2
T/F ventricular asystole is shockable rythm. -
ANSWER>>>>>FALSE
no electrical impulses are present to disrupt
T/F
V tach and V fib are shockable rhythms. - ANSWER>>>>>True
disrupt chaotic rhythm allowing SA node signals to restart
, Rasmussen Final EXAM WITH
QUESTIONS AND CORRECT
ANSWERS
Upon entering a client's room, the nurse finds the client
unresponsive. In what order will the nurse provide care?
A. Begin chest compressions
B. Check carotid pulse
C. Notify the Rapid Response Team
D. Get the crash cart/AED
E. Provide rescue breaths - ANSWER>>>>>C,D,B,A,E
2. A client in the telemetry unit is on a cardiac monitor. The
monitor technician alerts the nurse that there are no ECG
complexes, and the alarm is sounding. What is the first action
by the nurse?
A. Suspend the alarm.
B. Call the emergency response team.
C. Press the record button to get an ECG strip.
D. Assess the client and check lead placement. -
ANSWER>>>>>D
3. The primary health care provider prescribes warfarin for a
client with atrial fibrillation. Which client statement indicates that
additional education is needed?
A. "I need to go to the clinic once a week to have my blood
level checked."
B. "If my stools turn black, I will be sure to call my primary
health care provider."
C. "I'm glad I don't need to change my diet. Salads are my
favorite food."
D. "I need to stop taking my herbal supplement." -
ANSWER>>>>>C
Female CAD symptoms - ANSWER>>>>>fatigue, malaise,
anxiety, SOB
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