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Saunders NCLEX questions Cardio Exam Practice Questions and Answers

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Saunders NCLEX questions Cardio Exam Practice Questions and Answers The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats/minute. Which would ...

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  • October 30, 2024
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Saunders NCLEX questions Cardio Exam

Practice Questions and Answers


The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular.

The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64

beats/minute. Which would be a correct interpretation based on these characteristics?




1.


Sinus bradycardia




2.


Sick sinus syndrome




3.


Normal sinus rhythm

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4.


First-degree heart block - ANSWER✔✔-3




Normal sinus rhythm is defined as a regular rhythm, with an overall rate of 60 to 100 beats/minute. The

PR and QRS measurements are normal, measuring 0.12 to 0.20 second and 0.04 to 0.10 second,

respectively.


A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no

electrocardiographic complexes on the screen. Which is the priority action of the nurse?




1.


Call a code.




2.


Call the health care provider.




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3.


Check the client's status and lead placement.




4.


Press the recorder button on the electrocardiogram console. - ANSWER✔✔-3




Sudden loss of electrocardiographic complexes indicates ventricular asystole or possibly electrode

displacement. Accurate assessment of the client and equipment is necessary to determine the cause and

identify the appropriate intervention. The remaining options are secondary to client assessment.


A client is having frequent premature ventricular contractions. The nurse should place priority on

assessment of which item?




1.


Sensation of palpitations




2.
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Causative factors, such as caffeine




3.


Precipitating factors, such as infection




4.


Blood pressure and oxygen saturation - ANSWER✔✔-4




Premature ventricular contractions can cause hemodynamic compromise. Therefore, the priority is to

monitor the blood pressure and oxygen saturation. The shortened ventricular filling time can lead to

decreased cardiac output. The client may be asymptomatic or may feel palpitations. Premature

ventricular contractions can be caused by cardiac disorders, states of hypoxemia, or by any number of

physiological stressors, such as infection, illness, surgery, or trauma, and by intake of caffeine, nicotine,

or alcohol.


The nurse is evaluating a client's response to cardioversion. Which observation would be of highest

priority to the nurse?




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