Dysrhythmia NCLEX Quizs With Verified Answers

Dysrhythmia NCLEX Quizs With Verified Answers

The telemetry nurse is unable to read the telemetry monitor at the nurse's station.Which intervention should the telemetry nurse implement first?

• Go to the client's room to check the client.
• Instruct the primary nurse to assess the client.
• Contact the client on the client call system.
• Request the nursing assistant to take the crash cart to the client's room. - ANSWER 3.

easiest intervention should be first, if client doesn't respond then should could have another nurse go check

The client shows ventricular fibrillation on the telemetry at the nurse's station.Which action should the telemetry nurse implement first?

• Administer epinephrine IVP.
• Prepare to defibrillate the client.
• Call a STAT code.
• Start cardiopulmonary resuscitation. - ANSWER 3. activate team arrival and code care

being brought

The client is experiencing multifocal premature ventricular contractions. Which antidysrhythmic medication would the nurse expect the health-care provider to order for this client?

• Lidocaine.
• Atropine.
• Digoxin.

• Adenosine. - ANSWER 1. Drug of choice for dysrhythmias

The client is exhibiting sinus bradycardia, is complaining of syncope and weakness, and has a BP of 98/60. Which collaborative treatment should the nurse anticipate being implemented?

• Administer a thrombolytic medication.
• Assess the client's cardiovascular status.
• Prepare for insertion of a pacemaker.
• Obtain a permit for synchronized cardioversion. - ANSWER 3. Patient is symptomatic,

prepare for pacemaker

Which intervention should the nurse implement when defibrillating a client who is in ventricular fibrillation?

• Defibrillate the client at 50, 100, and 200 joules.
• Do not remove the oxygen source during defibrillation.
• Place petroleum jelly on the defibrillator pads.
• Shout "all clear" prior to defibrillating the client. - ANSWER 4. prevent team members

from possible shock

The client has chronic atrial fibrillation. Which discharge teaching should the nurse discuss with the client?

• Instruct the client to use a soft-bristle toothbrush.
• Discuss the importance of getting a monthly partial thromboplastin time (PTT).
• Teach the client about signs of pacemaker malfunction.
• Explain to the client the procedure for synchronized cardioversion. - ANSWER 1.

chronic A-fib treated with anticoagulant, places patient at risk for bleeding

The client is exhibiting ventricular tachycardia. Which intervention should the nurse implement first?

• Administer lidocaine, an antidysrhythmic, IVP.
• Prepare to defibrillate the client.
• Assess the client's apical pulse and blood pressure.
• Start basic cardiopulmonary resuscitation. - ANSWER 3. determine if the client is in

cardiac arrest and then treat as v fib. If heart is beating, nurse would then administer lidocaine

The client is in complete heart block. Which intervention should the nurse implement first?

• Prepare to insert a pacemaker.
• Administer atropine, an antidysrhythmic.
• Obtain a STAT electrocardiogram (ECG).
• Notify the health-care provider. - ANSWER 2. will decrease vagal stimulation and

increase the heart rate. Therefore, it is the first intervention

The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply.

• Start cardiopulmonary resuscitation.
• Prepare to administer the antidysrhythmic adenosine IVP.
• Prepare to defibrillate the client.
• Bring the crash cart to the bedside.
• Prepare to administer the antidysrhythmic amiodarone IVP. - ANSWER 1,3,4,5

The client who is one (1) day postoperative coronary artery bypass surgery is exhibiting sinus tachycardia. Which intervention should the nurse implement?

• Assess the apical heart rate for one (1) full minute.
• Notify the client's cardiac surgeon.
• Prepare the client for synchronized cardioversion.
• Determine if the client is having pain. - ANSWER 4. there is no set treatment for

tachycardia, determine cause-most likely pain in this case

The client's telemetry reading shows a P wave before each QRS complex and the rate is 78. Which action should the nurse implement?

• Document this as normal sinus rhythm.
• Request a 12-lead electrocardiogram.
• Prepare to administer the cardiotonic digoxin PO.
• Assess the client's cardiac enzymes. - ANSWER 1. this describes normal sinus rhythm

Which client problem has priority for the client with a cardiac dysrhythmia?

• Alteration in comfort.
• Decreased cardiac output.
• Impaired gas exchange.
• Activity intolerance. - ANSWER 2