FREE NURSING AND STUDY GAMES ABOUT WEEK 10 CON

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FREE NURSING AND STUDY GAMES ABOUT WEEK 10 CON

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -18 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: Ms. Keim reports increasing dyspnea, nausea and chest pressure. The nurse notes a thready, irregular radial pulse and diaphoresis. Which nursing action is a priority?

Answer:

Repeat ECG Question 2: patient with a history of hypertension presents with chest tightness and discomfort, dyspnea, and dizziness. The ECG is shown. Which process is the primary goal when treating this patient?

Answer:

Increase AV block

Question 3: Match the type of atrial dysrhythmia with its ECG characteristics.

Answer:

Atrial flutter - Premature atrial contraction - Atrial fibrillation Question 4: A patient who is otherwise healthy is experiencing premature atrial contractions (PACs). The patient asks what could be causing the PACs. Which is the best response by the nurse?

Answer:

"Your coffee and cigarette use."

Question 5: Causes of PAC in the healthy heart:

Answer:

Emotional stress - Physical fatigue - Caffeine, tobacco, alcohol use

Question 6: Which nursing intervention is a priority for Ms. Keim?

Answer:

Recommend less coffee and stress relief

Question 7: Atrial flutter

Answer:

is an atrial tachydysrhythmia identified by recurring, regular, sawtooth-shaped flutter waves that originate from a single ectopic focus in the right atrium or, less commonly, the left atrium.Question 8: Medical conditions that are associated with PAC:

Answer:

Hypoxia - Electrolyte imbalances - Disease states (hyperthyroidism, chronic obstructive pulmonary disease [COPD], and heart disease, including CAD and valvular disease)

Question 9: Ectopic signal

Answer:

starts in the left or right atrium and travels across the atria by an abnormal pathway.Question 10: Medical conditions that cause atrial flutter:

Answer:

Coronary artery disease - Hypertension - Mitral valve disorders - Pulmonary embolus - Chronic lung disease - Cor pulmonale - Cardiomyopathy - Hyperthyroidism -

Question 11: Why might a patient with atrial flutter be prescribed warfarin?

Answer:

To decrease stroke risk Question 12: A patient is diagnosed with atrial fibrillation. Which ECG findings does the nurse expect?

Answer:

Atrial rate of 580 bpm/variable and irregular ventricular rate Question 13: A patient reports feeling palpitations and chest heaviness after several days of gastroenteritis. The nurse notes a serum potassium level of 3.1, and the The nurse expects the health care provider to order which medication class for this patient?

Answer:

Calcium channel blocker Question 14: The nurse is working with a patient who has a atrial rate of 500 beats per minute (bpm). The nurse expects which characteristic ECG abnormality?

Answer:

Fibrillatory P wave Question 15: A patient with a history of chronic obstructive pulmonary disease (COPD) presents with chest pain and signs of atrial flutter. The patient's vital signs are blood pressure 65/40, temperature 99.0 °F, heart rate 135 beats per minute, and

Answer:

• Administer warfarin according to orders - Prepare the patient for an electrical cardioversion -

Administer a dose of IV narcotic pain medication Question 16: Which statement describes a patient who has an ECG reading with a ventricular rate of 120 and loss of the atrial kick?

Answer:

The patient experiences a decrease in cardiac output because of ineffective atrial contractions.Question 17: Causes of Atrial flutter in the normal heart:

Answer:

Atrial flutter rarely occurs in a healthy heart.May be associated with use of drugs such as digoxin, quinidine, and epinephrine

Question 18: The nurse is caring for a patient with shortness of breath, dizziness, and chest pressure. The nurse notes a thready, irregular pulse, and an ECG that indicates atrial fibrillation.Which action would the nurse take first?

Answer:

Administer a dose of warfarin