Updated Dysrhythmia 2024 Final Exam
Review Questions with Answers and
Rationale 100% Pass | Graded A+
Administrator [Date] [Course title]
,1. You are the nurse working on Answer: D
the telemetry unit and you
have finally gotten to sit down A pulse would be assessed for first.
to work on some charting. Then the patient will be defibrillized
Suddenly the heart monitors and chest compressions will begin
at the station start beeping.
immediately.
Patient in room 18 is show-
ing this rhythm on the
monitor. The medical team
advances together into the
room and finds them
unconscious. What is priority
action by the nurse?
A) Prepare to administer
adenosine to the patient
B) Begin chest compressions
C) Prepare for defibrillation
D) Check for a pulse
2. The patient who has recent-
ly been experiencing runs of Answer: A
ventricular tachycardia sud-
denly loses consciousness. Following defibrillation, CPR is
The patient is defibrillated, immediately initiated if a perfusable
and the rate returns as the rhythm is not initi- ated. The client may
follow- ing. What should the need to be shocked again, but chest
nurse do first? compressions must begin first.
A) Begin compressions
B) Shock the client again
im- mediately
C) Prepare for intubation
D) Administer adenosine
3. The patient with a history
of hypertension and diabetes Answer: B
has the following rhythm strip. Atrial flutter places the client at high
risk for
The patient's vitals are as fol- SpO2
lows: BP 145/89, HR 90, 95%, RR 19. Which of the fol- lowing
,does the nurse expect development of clot formation in the
atria. Because the client is stable at
this time, cardioversion or adenosine
would not be performed at this time.
Before cardioversion
, to do at this time? can occur in a patient, anticoagulant
a) Prepare the client for therapy should be begun at least 48
car- dioversion STAT hours before- hand if possible.
b) Begin administering
antico- agulants
c) Grab the crash cart for ad-
ministration of adenosine
d) Teach the client about
pos- sibility of pacemaker
installa- tion
4. The nurse is preparing to ad- Answer: A, B, and D
minister adenosine to the pa-
tient with the following Adenosine is administered as a very
rhythm which is quick IV push. The physician must be
symptomatic. What should present in the room and the crash cart
the nurse plan on hav- ing in must be on hand. An ekg monitor
the patient room? Select All should be in the room to monitor the
That Apply: effectiveness of the medica- tion.
a) Physician
b) Crash cart
c) IV pump
d) EKG monitor
e) Lidocaine
Answer: B
5. The nurse has just adminis-
tered adenosine via IV push This finding would be expected upon
and sees the following admin- istration of adenosine. The
rhythm on the monitor. What rhythm should then begin again in
is the nurse's priority some other rhythm, hopefully normal
intervention? sinus rhythm. It would be important to
a) Apply conductive gel and
document the exact time of this
defibrillate the patient
change and continue to monitor the
b) Document the findings and
change back to NSR. If this change
continue to monitor
does not occur, or if another rhythm is
c) Administer another mg of
produced, appropri- ate action would
the medication
then be taken based on the result.
d) Begin chest compressions
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