Question: A nurse teaches a patient diagnosed with occasional premature atrial contractions (PACs) that resolve spontaneously without treatment. Which statement would the nurse include in this patient’s teaching?
Answer Choices:
Take amiodarone (Cordarone) daily to prevent PACs
\nUse your oxygen when you experience PACs
\nMinimize or abstain from caffeine
\nLie on your side until the attack subsides
Answer: Minimize or abstain from caffeine
Question: Left-sided heart failure nursing diagnosis
Answer Choices:
1. Activity Intolerance
\n2. Impaired Tissue Perfusion
\n3. Impaired Oxygenation
\n4. Deficient Knowledge
Answer: 3. Impaired Oxygenation
Question: Carotid endarterectomy patient with BP 90/48
Answer Choices:
1. Place head in neutral position
\n2. Lower the head of the bed
\n3. Raise the head of the bed
\n4. Assess cranial nerve function
Answer: 2. Lower the head of the bed
Question: A nurse assesses a patient with tachycardia. Which clinical manifestation requires immediate intervention by the nurse?
Answer Choices:
Midsternal chest pain
\nP wave next to the T wave
\nIncreased urine output
\nMild orthostatic hypotension
Answer: Midsternal chest pain
Question: A telemetry nurse assesses a patient whose rhythm changes from normal sinus rhythm to wide QRS complexes at a rate of 35 complexes/min on the cardiac monitor. Which of the following assessments should the nurse complete first?
Answer Choices:
Mobility and gait stability
\nCheck blood pressure
\nCheck for pulse
\nPulmonary auscultation
Answer: Check for pulse
Question: A patient’s heart rate is 46 beats per minute. The nurse correlates this rate to which part of the heart’s conduction system?
Answer Choices:
SA node
\nPurkinje fibers
\nBundle of His
\nAV node
Answer: AV node
Question: A nurse supervises an unlicensed assistive personnel (UAP) applying electrocardiographic monitoring. Which statement would the nurse provide to the UAP related to this procedure?
Answer Choices:
Turn off oxygen prior to monitoring the patient
\nAdd gel to the electrodes prior to applying them
\nPlace the electrodes on the posterior chest
\nClean the skin and clip hairs if needed
Answer: Clean the skin and clip hairs if needed
Question: Mechanical valve replacement surgery understanding
Answer Choices:
1. “I may need to be on antiarrhythmic medications”
\n2. “I will need to take antibiotics for 4 to 6 weeks”
\n3. “I will be receiving diuretics for the long term”
\n4. “I will need to be on anticoagulant therapy for life”
Answer: 4. “I will need to be on anticoagulant therapy for life”
Question: The nurse is providing a patient education on premature ventricular contractions. Which topics would be most appropriate for the nurse to include?
Answer Choices:
Stress reduction and management
\nFoods high in vitamin K
\nAdverse effects of prescribed and over the counter medications
\nVaping cessation
\nAvoiding vagal stimulation
Answer: Stress reduction and management
\nAdverse effects of prescribed and over the counter medications
\nVaping cessation
Question: Lung cancer teaching effectiveness statements
Answer Choices:
1. “I will eat three large meals a day”
\n2. “I will pace myself when doing things with my family”
\n3. “Controlled breathing reduces shortness of breath”
\n4. “A reclining position allows full lung expansion”
\n5. “Pain medication administered around the clock will improve my comfort”
Answer: 2, 3, and 5
Question: ACE inhibitor mechanism of action
Answer Choices:
1. Control sympathetic nervous system response
\n2. Reduce afterload
\n3. Increase contractility
\n4. Decrease preload
Answer: 2. Reduce afterload
Question: A nurse assesses a patient’s electrocardiograph tracing and observes that not all QRS complexes are preceded by a P wave. Which of the following statements best describes this observation?
Answer Choices:
The patient is experiencing trigeminy
\nThe patient is experiencing myocardial infarction
\nVentricular and atrial depolarizations are initiating from different sites and not coordinated
\nThe patient has hyperkalemia causing irregular QRS complexes
Answer: Ventricular and atrial depolarizations are initiating from different sites and not coordinated