Question: Which of the following EKG findings indicates a normal sinus rhythm?

Answer Choices:
Regular R-R intervals

Absence of P waves

Inverted T waves

Wide QRS complexes

Answer: Regular R-R intervals

Question: A nurse admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?

Answer Choices:
Mannitol

Phenytoin

Dopamine

Nicardipine

Answer: Mannitol

Question: Which of the following is a common risk factor for valvular heart disease?

Answer Choices:
Diabetes

Hypertension

Osteoporosis

High cholesterol

Answer: Hypertension

Question: Which of the following statements accurately describes the role of the heart in circulation?

Answer Choices:
The heart exchanges oxygen and carbon dioxide in the coronary arteries.

The heart regulates blood pressure by controlling the volume of blood in circulation.

The heart pumps oxygenated blood to the lungs for exchange of carbon dioxide.

The heart receives deoxygenated blood from the body and pumps it to the lungs for oxygenation.

Answer: The heart receives deoxygenated blood from the body and pumps it to the lungs for oxygenation

Question: A nurse is caring for an older adult client in the emergency department who sustained a head injury due to a fall. Which of the following are common reasons for head injuries in older adults?

Answer Choices:
Decreased visual acuity

Motor vehicle crashes

Polypharmacy

Weakness

Chronic hypertension

Previous military experience

Answer: Decreased visual acuity, Polypharmacy, Weakness

Question: A nurse is providing teaching about potential complications to a client who has a spinal cord injury. Which of the following should the nurse include in the teaching as a common complication of spinal cord injuries?

Answer Choices:
Temperature sensitivity

Contractures

Sexual dysfunction

Disc degeneration

Urinary tract infections

Answer: Contractures, Sexual dysfunction, Urinary tract infections

Question: What does the P-wave represent on an EKG?

Answer Choices:
Ventricular repolarization

Ventricular depolarization

Atrial repolarization

Atrial depolarization

Answer: D. Atrial depolarization

Question: What are the steps in the cardiac electrical pathway?

Answer Choices:
Atrioventricular node

Bundle of His

Sinoatrial node

Electrocardiogram (ECG)

Purkinje fibers

Left bundle branch

Supraventricular tachycardia

Pulmonary emboli

Ischemia

Answer: Sinoatrial node, Atrioventricular node, Bundle of His, Left bundle branch, Purkinje fibers

Question: Which of the following statements accurately describes the role of the heart in circulation?

Answer Choices:
The heart exchanges oxygen and carbon dioxide in the coronary arteries.

The heart regulates blood pressure by controlling the volume of blood in circulation.

The heart pumps oxygenated blood to the lungs for exchange of carbon dioxide.

The heart receives deoxygenated blood from the body and pumps it to the lungs for oxygenation.

Answer: D. The heart receives deoxygenated blood from the body and pumps it to the lungs for oxygenation.

Question: What vital sign is important to assess before administering Digoxin to a patient?

Answer Choices:
Temperature

Respiratory rate

Blood pressure

Heart rate

Answer: Heart rate

Question: What vital sign is important to assess before administering Digoxin to a patient?

Answer Choices:
Temperature

Respiratory rate

Blood pressure

Heart rate

Answer: D. Heart rate

Question: Which of the following EKG findings indicates a normal sinus rhythm?

Answer Choices:
Regular R-R intervals

Absence of P waves

Inverted T waves

Wide QRS complexes

Answer: A. Regular R-R intervals

Question: A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client is at risk for experiencing autonomic dysreflexia?

Answer Choices:
The client states having nasal congestion.

The client’s bladder becomes distended.

The client states having a severe headache.

The client’s blood pressure becomes elevated.

Answer: B. The client’s bladder becomes distended

Question: A nurse is caring for a client who has a spinal cord injury at the fourth cervical level. Which of the following mobility options should the nurse anticipate for this client?

Answer Choices:
Manual wheelchair

Sip-and-puff device

Drive-adapted wheelchair

Ultra-light wheelchairs

Answer: B. Sip-and-puff device

Question: Which of the following findings should the nurse identify as requiring immediate follow-up?

Answer Choices:
Pedal pulses of right leg 3+

Capillary refill less than 3 seconds in right great toe

Warmth on right leg

4+ edema to right leg

Inflammation and irritation on right calf

Answer: 4+ edema to right leg, Inflammation and irritation on right calf, Warmth on right leg

Question: A nurse admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?

Answer Choices:
Mannitol

Phenytoin

Dopamine

Nicardipine

Answer: A. Mannitol