Worksheetscardiac
Total questions: 15
Worksheet time: 23mins
The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes areregular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics?
Sinus bradycardia
Sick sinus syndrome
Normal sinus rhythm
First-degree heart block
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees noelectrocardiographic complexes on the screen. Which is the priority action of the nurse?
Call a code
Call the health care provider
Check the client's status and lead placement
Press the recorder button on the electrocardiogram console
A client is having frequent premature ventricular contractions. The nurse should place priority onassessment of which item?
Sensation of palpitations
Causative factors, such as caffeine
precipitating factors, such as infection
Blood pressure and oxygen saturation
The nurse is evaluating a client's response to cardioversion. Which observation would be of highestpriority to the nurse?
Blood pressure
Status of airway
Oxygen flow rate
Level of consciousness
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PRinterval is 0.14 second, the QRS complex measures 0.08 second, and the PP and RR intervals areregular. How should the nurse correctly interpret this rhythm
Sinus dysrhythmia
Sinus tachycardia
Sinus bradycardia
Normal sinus rhythm
The nurse in the medical unit is reviewing the laboratory test results for a client who has beentransferred from the intensive care unit. The nurse notes that a cardiac troponin T level assay wasperformed while the client was in the intensive care unit. The nurse determines that this test wasperformed to assist in diagnosing which condition?
Heart failure
Atrial fibrillation
Myocardial infarction
Ventricular tachycardia
The nurse is performing an assessment on a client with a diagnosis of left-sided heart failure. Whichassessment component would elicit specific information regarding the client's left-sided heart
function?
Listening to lung sounds
Monitoring for organomegaly
Assessing for jugular vein distention
Assessing for peripheral and sacral edema
A client with a first-degree heart block has an electrocardiogram (ECG) taken during an episode ofchest pain. The nurse knows that which ECG finding would be an indication of first-degree heart
block?
Presence of Q waves
Tall, peaked T waves
Prolonged PR interval
Widened QRS complex
The nurse working in a long-term care facility is assessing a client who is experiencing chest pain.The nurse should interpret that the pain is most likely caused by myocardial infarction (MI) on the basis of what assessment findings?
The client is not experiencing dyspnea
The client is not experiencing nausea or vomiting
The pain has not been relieved by rest and nitroglycerin tablets
The client says the pain began while she was trying to open a stuck dresser drawe
A client has experienced an episode of pulmonary edema. The nurse determines that the client's respiratory status is improving after this episode if which breath sounds are noted
Rhonch
Wheezes
Crackles in the bases
Crackles throughout the lung fields
A client who has had a myocardial infarction asks the nurse why she should not bear down or strain to ensure having a bowel movement. The nurse's responsem incorporates the information that bearing down or straining would trigger which physical response?
Vagus nerve stimulation, causing a decrease in heart rate and cardiac contractility
Vagus nerve stimulation, causing an increase in heart rate and cardiac contractility
Sympathetic nerve stimulation, causing an increase in heart rate and cardiac contractility
Sympathetic nerve stimulation, causing a decrease in heart rate and cardiac contractility
The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. No P waves or QRS complexes are seen; instead, the monitor screen shows an irregular wavy line. The nurse interprets that the client is experiencing which rhythm?
Sinus tachycardia
Ventricular fibrillation
Ventricular tachycardia
Premature ventricular contractions (PVCs)
The nurse notes that a client's cardiac rhythm shows absent P waves and no PR interval. How should the nurse interpret this rhythm?
Bradycardia
Tachycardia
Atrial fibrillation
Normal sinus rhythm (NSR)
A client is attached to a cardiac monitor, and the nurse notes the presence of this cardiac rhythm
on the monitor. The nurse quickly assesses the client, knowing that this rhythm is indicative of
which rhythm?
Atrial fibrillation
Ventricular fibrillation (VF)
Ventricular tachycardia (VT
Premature ventricular complexes
Spironolactone (Aldactone) is prescribed for a client with heart failure. In providing dietary instructions to the client, the nurse identifies the need to avoid foods that are high in which electrolyte
Calcium
Potassium
Magnesium
Phosphorus
