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NCLEX® Review



This activity contains 10 questions.

Question 1.

A 65-year-old female patient comes to the Emergency Department with complaints of chest pain and shortness of breath. Her BP is 87/60. After being placed on the monitor, the following rhythm is seen. The most appropriate action for the nurse to take for this patient is:

CH04_q1.jpg

 
End of Question 1


Question 2.
The nurse observes the following rhythm on the monitor. Further assessment reveals the patient is pulseless and apneic. The nurse should immediately:
CH04_q2.jpg

 
End of Question 2


Question 3.

A 38-year-old female is brought to the Emergency Department with complaints of her “heart beating out of her chest”. She is diaphoretic, tachypneic and her BP is 70/40. The cardiac monitor shows supraventricular tachycardia. Valsalva maneuvers and three doses of Adenosine have not been successful. The nurse should immediately:
 
End of Question 3


Question 4.
A patient found pulseless and unconscious is placed on the monitor that shows the following rhythm. What should the nurse do next?

CH04_q4.jpg

 
End of Question 4


Question 5.
A patient is to have synchronized cardioversion for treatment of atrial flutter. He has received Heparin 500 units subcutaneously. Which of the following interventions should now be performed?

 
End of Question 5


Question 6.
Prior to discharge from the Emergency Department, the nurse prints a rhythm strip on a patient and notices that the P wave cannot be detected and the QRS complex is 0.24 seconds. This is a change in the patient’s condition. What is the best action for the nurse to take?

 
End of Question 6


Question 7.
A 21-year-old female is seen in the Emergency Department for vomiting and diarrhea for 3 days. Her BP is 94/64 and her EKG rhythm is as follows. The best action for the nurse to take initially is to:
CH04_q7.jpg

 
End of Question 7


Question 8.
When a patient has long-term atrial fibrillation, the nurse would expect to include which drug in the plan of care to minimize the greatest risk that is commonly associated with atrial fibrillation?

 
End of Question 8


Question 9.
The nurse should understand that which of the following treatments for Second Degree Type II AV Block would be appropriate? (Select all that apply)

 
End of Question 9


Question 10.
The nurse would expect which of the following to be the first choice to treat a stable patient with ventricular tachycardia?

 
End of Question 10





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