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2024 NCLEX GERIATRICS PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NCLEX GERIATRICS PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NCLEX GERIATRICSPRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS
A patient with a diagnosis of Wolff-Parkinson-White syndrome is undergoing
a catheter ablation procedure. When caring for the patient after the
procedure, which is the priority intervention?
a) Assist the patient to the bathroom to void
b) Auscultate apical pulse for a full minute every hour
c) Monitor insertion site and distal pulses
d) Assess level of consciousness - CORRECT-ANSWERSc) Monitor insertion
site and distal pulses
The extremity where the catheter was inserted will be immobilized initially,
so the patient will not be allowed out of bed to use the bathroom.
The patient will be on a cardiac monitor so auscultation of the apical pulse
for one minute is not a priority.
Because the catheter may cause trauma to the vessels, the healthcare
provider will monitor for hematoma formation and interference of circulation
distal to the insertion site.
The healthcare provider is teaching a student about the cardiac cycle and
how it relates to the electrocardiogram (EKG). What will the healthcare
provider tell the student about the cardiac events that occur during the
waveform contained in the shaded area of the EKG?
T/F "Ventricular depolarization and atrial repolarization occur during this
time." - CORRECT-ANSWERSTrue
This is called the QRS complex
The atrial repolarization occurs stimultaneously and is masked by the
Ventricular depolarization
, The healthcare provider is examining the electrocardiogram (EKG) of a
patient and notes the PR interval is 6 small boxes in length. What is the
significance of this finding?
a) Stress is causing increased sympathetic stimulation
b) This should be documented as an expected finding.
c) There may be some scar tissue in one of the ventricles.
d) There may be a delay in the conduction through the AV node. - CORRECT-
ANSWERSd) There may be a delay in the conduction through the AV node.
The PR interval reflects the time it takes for the atria to depolarize and for
the action potential to travel through the AV node and to His-Purkinje
system.
Each small box on the EKG graph paper equals 0.04 seconds.
The normal PR interval is 0.12 - 0.20, point, 20 seconds, which is 3 to 5 small
boxes.
This patient's PR interval is longer than normal, which is an indication of a
delay in impulse conduction through the AV node.
When caring for a patient with a cardiac dysrhythmia, which laboratory value
is a priority for the healthcare provider to monitor?
a) BUN and creatinine
b) Sodium, potassium, and calcium
c) Hemoglobin and hematocrit
d) PT and INR - CORRECT-ANSWERSb) Sodium, potassium, and calcium
BUN and creatinine levels are always important to monitor when giving any
drug, not only antidysrhythmia drugs.
The PT and INR will be important for patients who are on warfarin
(Coumadin).
Because abnormalities in sodium, potassium and calcium levels are likely to
affect depolarization and repolarization of cardiac cells, it is most important
for the healthcare provider to monitor these laboratory values.
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