Qualifying Exam 3rd Year Pointers (Final) UPDATED ACTUAL Exam Questions and CORRECT Answers
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Qualifying
Qualifying Exam 3rd Year Pointers (Final)
UPDATED ACTUAL Exam Questions and
CORRECT Answers
1. Identify the regularity of the ECG rhythm shown above.
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B. Regular
C. The ECG strip misses out important information.
D. None of the above
A. Irregular - CORRECT ANSWER- A. Irregular
Qualifying Exam 3rd Year Pointers (Final)
UPDATED ACTUAL Exam Questions and
CORRECT Answers
1. Identify the regularity of the ECG rhythm shown above.
1/1
B. Regular
C. The ECG strip misses out important information.
D. None of the above
A. Irregular - CORRECT ANSWER- ✔✔A. Irregular
2. What is the heart rate of the patient? (refer to the figure above)
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C. 90
B. 80
D. 10
A. 70 - CORRECT ANSWER- ✔✔B. 80
3. Appearance of the P waves. (refer to figure above)
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B. Abnormal
A. Normal - CORRECT ANSWER- ✔✔B. Abnormal
4. A nurse is preparing a patient for ECG. She holds on the first ECG lead wire labeled as V1.
This lead wire should be placed on:
5. The nurse now holds the limb leads with a label "N". This lead wire will be placed on the:
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B. Left Wrist
D. Left Foot
A. Right Wrist
C. Right Foot - CORRECT ANSWER- ✔✔C. Right Foot
6. A nurse is assessing 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 per minute. The nurse assesses the cardiac rhythm as:
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B. Sinus Bradycardia
A. Normal Sinus Rhythm
C. Sinus Tachycardia
D. None of the above - CORRECT ANSWER- ✔✔A. Normal Sinus Rhythm- Rationale:
Normal sinus rhythm is generally defined as between 60 beats and 99 beats per minute.
7. Diagnostic imaging reveals that the quantity of fluid in a client's pericardial sac is
dangerously increased. The nurse should collaborate with the other members of the care team
to prevent the development of what complication?
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D. Pericarditis
C. Cardiac Tamponade
A. Pulmonary Edema
B. Pericardiocentesis - CORRECT ANSWER- ✔✔C. Cardiac Tamponade- Rationale:
compression of the heart due to fluid buildup in the sac surrounding the heart
8. The nurse is performing an initial assessment of a client diagnosed with Heart Failure
(HF). The nurse also assesses the patient's sensorium and LOC. Why is the assessment of the
patient's sensorium and LOC important in patients with HF?
,D. The most significant adverse effect of medications used for Heart Failure treatment is
altered Level of Consciousness.
A. HF ultimately affects oxygen transportation to the brain.
B. Patients with HF are susceptible to overstimulation of the sympathetic nervous system.
C. Patients with HF are susceptible to overstimulation of the sympathetic nervous system. -
CORRECT ANSWER- ✔✔A. HF ultimately affects oxygen transportation to the brain.
9. An older adult patient with Heart Failure is being discharged home on an ACE
(angiotensin-converting enzyme) inhibitor and a loop diuretic. The patient's most recent vital
signs prior to discharge include oxygen saturation of 93% on room air, heart rate of 81 beats
per minute, and blood pressure of 94/59 mm Hg. When planning this patient's subsequent
care, what nursing diagnosis should be identified?
D. Risk for falls related to hypotension
C. Risk for ineffective breathing pattern related to hypoxia
A. Risk for increased tissue perfusion related to dysrhythmia
B. Risk for fluid volume excess related to medication regimen - CORRECT ANSWER-
✔✔D. Risk for falls related to hypotension
10. A patient with Heart Failure met his primary care provider and began treatment with an
ACE inhibitor. When the patient begins treatment, the nurse should prioritize what
assessment?
D. Oxygen Saturation
B. Level of Consciousness
A. Blood Pressure
C. Assessment for Nausea - CORRECT ANSWER- ✔✔A. Blood Pressure-ACE relaxes veins
& arteries to lower BP
FOR QUESTIONS 11-12 Carlo, a 64-year-old retired secretary, is admitted to the medical-
surgical area for management of chest pain caused by angina pectoris. Question 11. The nurse
knows that the basic cause of angina pectoris is believed to be:
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D. Spasms of vessel walls owing to excessive secretion of epinephrine.
, B. insufficient coronary blood flow.
A. dysrhythmias triggered by stress.
C. Minute emboli discharged through the narrowed lumens of the coronary vessels -
CORRECT ANSWER- ✔✔B. insufficient coronary blood flow.
12. The medical record lists a probable diagnosis of chronic stable angina. The nurse knows
that Carlo's pain:
C. Is relieved by rest and is predictable
A. Has increased progressively in frequency and duration
D. Usually occurs at night and may be relieved by sitting upright
B. Is incapacitating - CORRECT ANSWER- ✔✔C. Is relieved by rest and is predictable
FOR QUESTION 13-15Mika, a 46-year-old farmer, is brought to the emergency department
by ambulance with a suspected diagnosis of myocardial infarction. He appears ashen, is
diaphoretic and tachycardic, and has severe chest pain. The nursing diagnosis is decreased
cardiac output, related to decreased myocardial tissue perfusion. Question 13. The nurse
knows that the most critical time period for his diagnosis is:
C. within the first 48 hours after the attack.
A. the first hour after symptoms begin.
B. within 24 hours after the onset of symptoms.
D. between the third and fifth day after the attack. - CORRECT ANSWER- ✔✔A. the first
hour after symptoms begin.
14. Because the area of infarction develops over minutes to hours, the nurse knows to
interpret the following ECG results as indicative of initial myocardial injury:
A. Presence of P waves
B. Enlarged T wave
C. Absent T wave
D. ST segment depression - CORRECT ANSWER- ✔✔B. Enlarged T wave
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