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ECCO EXAM | 221 QUESTIONS | WITH SOLVED ANSWERS GRADED A+
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ECCO EXAM | 221 QUESTIONS | WITH SOLVED ANSWERS GRADED A+
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ECCO EXAM | 221QUESTIONS | WITH
SOLVED ANSWERS
GRADED A+
ECCO
Evatee 9/1/24 ECCO
,ECCO EXAM | 221 QUESTIONS | WITH
SOLVED ANSWERS GRADED A+
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
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.
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
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
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
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
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
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
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"
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