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EKG #24

Total questions: 15

Worksheet time: 9mins

Name
Class
Date
1.
A male patient is admitted with a diagnosis of rapid atrial fibrillation. Assessment findings include: Ventricular heart rate of 160, BP 150/72 and diaphoresis.  The patient states he feels his heart beating rapidly.  The patient has an allergy to beta blockers medications. The nurse can anticipate that the doctor will most likely order which medication? 
a)
 Diltiazem (Cardizem®)
b)
 Lidocaine
c)
Propranolol (Inderol®)
d)
Atropine sulfate  
2.
A nurse is caring for a patient with sinus tachycardia who is experiencing diaphoresis, dyspnea, lightheadedness, and hypertension.  The first medication that the nurse is most likely to prepare for rate control would be which medication? 
a)
Metoprolol  (Lopressor® )
b)
Atropine sulfate
c)
Lidocaine
d)
Amiodarone (Cordorone®)
3.
The nurse analyzing EKGs recognizes that which finding is abnormal?
a)
PR = 0.24
b)
QRS =0.10
c)
HR = 68
d)
Rhythm = regular
4.
The nurse notes that an alert patient has a stat order to initiate an amiodarone (Cordorone®) IV infusion.  In reviewing data about the patient, the nurse recognizes that the patient is most likely currently experiencing which rhythm? 
a)
Atrial fibrillation
b)
Sinus bradycardia
c)
Unifocal infrequent PVCs     
d)
First degree AV Block
5.
When analyzing an EKG  rhythm strip, the nurse notes the following: Ventricular HR = 120 Rhythm = regular PR = 0.20 QRS = 0.16 QT = .32 Which rhythm interpretation by the nurse is correct?
a)
Atrial flutter with rapid ventricular response
b)
Atrial fibrillation with rapid ventricular response
c)
Sinus tachycardia with bundle branch block
d)
Sinus rhythm with first degree AV block
6.
An adult patient is experiencing sinus bradycardia with a heart rate of 40 bpm, dyspnea, diaphoresis, and dizziness.  Which action should the nurse take first?  
a)
Administer atropine sulfate
b)
Initiate a code blue
c)
Apply oxygen
d)
Call the doctor
7.
The nurse administered diltiazem (Cardizem®) IVP to a patient experiencing atrial fibrillation with rapid ventricular response (ventricular HR = 160 bpm).  The nurse evaluates that the medication is effective when which finding is noted? 
a)
The EKG shows a prolonged PR interval
b)
The patient's blood pressure is 100/76
c)
The monitor shows less premature ventricular contractions (PVCs)
d)
The patient has a decrease in heart rate
8.
A nurse is caring for a patient with sinus bradycardia who is experiencing syncope, lightheadedness and hypotension.  The nurse should prepare to administer which medication: 
a)
Atenolol (Tenormin®)
b)
Atropine sulfate
c)
Nadolol (Corgard®)
d)
Nifedipine (Procardia®)
9.
When analyzing an EKG  rhythm strip, the nurse notes the following: Ventricular HR = 120 Rhythm = regular with four P sawtooth waves before each QRS PR = unable to analyze QRS = 0.10 QT = unable to discern P waves from T waves Which rhythm interpretation is correct?
a)
Atrial flutter
b)
Atrial fibrillation with bundle branch block
c)
Ventricular flutter
d)
Sinus Tachycardia with PACs
10.
Two nurses are performing CPR for a patient who recently coded. One nurse is performing compressions and another nurse is doing rescue breathing with a mask. The nurse performing compressions has just finished with the 30th compression. Which action should be performed next? 
a)
The nurse performing compressions should immediately perform a compression and restart counting compressions at number 1
b)
The nurse working with the defibrillator should charge the defibrillator and prepare to shock the patient.
c)
The nurse doing rescue breathing should give 2 breaths
d)
The nurse performing compressions should continue giving compressions and continue counting the 31st compression.
11.
A patient’s monitor is alarming asystole. Which action should the nurse take first?  
a)
Call a code
b)
Check the patient
c)
Apply the AED and analyze the rhythm
d)
Initiate CPR
12.
What is this rhythm?
a)
Afib with PVCs
b)
Afib with PACs
c)
Aflutter with PVCs
d)
SR with PACs
13.
What is this rhythm? 
a)
Afib
b)
Aflutter
c)
Vfib
d)
ST
14.
What is this rhythm? 
a)
Aflutter
b)
ST
c)
VT
d)
Afib
15.
What is this rhythm?
a)
Atrial flutter
b)
Afib
c)
ST
d)
SR