China
Espionage
vietnam
Thailand
laos
100
The telemetry monitor alerts the nurse that a client in the cardiac step-down unit has suddenly entered a wide-complex ventricular tachycardia at a rate of 170 beats/min. The nurse immediately enters the room, finds the client unresponsive, and notes the absence of a carotid pulse and spontaneous respirations. After calling for the emergency response team and initiating chest compressions, what is the nurse’s next priority action?
What is Defibrillator?
100
This type of heart failure can present with a preserved (normal) ejection fraction but restricted ventricular filling — summed up by the phrase '60% of 0 is still 0.'
What is diastolic heart failure?
100
A patient presents with sharp, pleuritic substernal chest pain that worsens when coughing or lying flat and improves when sitting upright and leaning forward. The nurse auscultates a high-pitched friction sound at the lower left sternal border. Which condition does the nurse suspect?
What is Pericarditis?
100
The telemetry monitor displays pacing spikes that are not followed by QRS complexes on a patient with a transvenous ventricular pacemaker. Which complication does the nurse recognize?
What is failure to capture?
100
A patient receiving digoxin presents with nausea, vomiting, and complains of seeing halos around lights. The nurse identifies this electrolyte imbalance as the most common trigger that potentiates this toxicity.
What is Hypokalemia?
200
A patient with restrictive cardiomyopathy presents with severe exertional dyspnea and lower extremity swelling. Which underlying pathophysiological defect accounts for these findings?
What is Stiff LV causing impaired diastolic filling?
200
The client has had biomarkers tested after reporting chest pain. Which diagnostic marker of myocardial infarction remains elevated for as long as 2 weeks?
What is Troponin?
200
The nurse knows which heart rhythm occurs when the atrial and ventricular rhythms are both regular, but independent of each other?
What is
Third-degree atrioventricular (AV) heart block
200
The mean arterial pressure calculated for a patient presenting with a blood pressure of 160/60 mmHg
What is 93.3?
200
A patient is scheduled for an elective cardiac catheterization via the right femoral artery. Which home medication must be discontinued at the time of the procedure to prevent acute renal failure and lactic acidosis?
What is metformin?
300
The structural cardiomyopathy characterized by marked dilation of all four cardiac chambers and a severely diminished left ventricular ejection fraction.
What is Dilated Cardiomyopathy?
300
A patient with an acute inferior wall STEMI has a blood pressure of 86/52 mmHg, clear lung fields, and jugular venous distention, raising suspicion for right ventricular involvement. Which routine medication is contraindicated?
Heparin
Normal Saline
Aspirin
Nitroglycerin
What is Nitroglycerin?
Nitroglycerin causes venodilation and sudden preload reduction which can precipitate shock in right ventricular infarctions that depends heavily on preload
300
The 12-lead ECG of a patient with suspected acute pericarditis is obtained. Which hallmark finding should the nurse expect to see?
What is ST Segment elevation across multiple leads with PR segment depression?
300
The nurse measures an adult patient's PR interval on an ECG strip and documents 0.28 seconds. How should the nurse interpret this finding?
What is First Degree AV Block?
300
What medication do you push fast ?
What is Adenosine ?
400
A patient with a transvenous pacemaker presents with pacing spikes firing without corresponding QRS complexes, alongside dizziness and a heart rate of 42 bpm. The nurse identifies this specific pacemaker complication.
What is failure to capture?
400
New hiccups after pacemaker insertion may signal that an atrial or left-ventricular lead is stimulating this nerve, requiring immediate provider notification.
What is Phrenic Nerve?
400
A patient suddenly loses consciousness, has no palpable carotid pulse, and the monitor displays sustained ventricular tachycardia. The immediate electrical intervention indicated
What is Unsynchronized Defibrillation
400
The nurse is providing discharge instructions to a client after a permanent pacemaker insertion. Which safety precaution will the nurse communicate to the client?
Never engage in activities that require vigorous arm and shoulder movement.
Avoid Airport Metal Detectors
Avoid undergoing magnetic resonance imaging(MRI)
What is Avoid undergoing magnetic resonance imaging (MRI).
400
Which is the only medication that can be administered through endotracheal tube ?
What is Epinephrine?
500
What is failure to sense?
500
The nurse is caring for a client diagnosed with pericarditis. What serious complication should this client be monitored for?
What is cardiac tamponade?
500
Heard in early diastole, this extra heart sound is associated with fluid overload and heart failure.
What is S3?
500
Which heart block is treated by permanent pacemaker, atropine or pacer(even if it doesn't usually work)?
What is 3rd Degree AV Block?
500
PR = 0.28 seconds
QRS = 0.08 seconds
QT = 0.38 seconds
Rate = 68 beats/min, Regular
P-wave: Present, upright (1:1) ratio
What is first degree Av Block?