Anatomy
What is cardiac tamponade?
A) Pain in the chest due to ischemia that is worse with exertion and better with rest
B) A loud, systolic murmur heard best over the 5th left intercostal space
C) A potentially life-threatening arrhythmia arising from improper ventricular electrical activity
D) Accumulation of fluid in the pericardium that puts pressure on the heart
D) Accumulation of fluid in the pericardium that puts pressure on the heart
An EKG of your patient shows peaked T-waves. This finding correlates to which electrolyte abnormally?
A) High calcium
B) Low potassium
C) Low sodium
D) High sodium
E) High Potassium
E) High Potassium
A client with newly diagnosed heart failure after myocardial infarction calls that clinic to ask about his new medications. Which of the following statements made by the patient concerns the triage nurse?
A) "I take hydrochlorothiazide in the morning with breakfast."
B) "I do not like to take my digoxin because it makes me nauseous."
C) "I keep nitroglycerin spray with me at all times."
D) "I get out of bed very slowly in the morning."
E) "I do not take metoprolol tartrate with food."
B) "I do not like to take my digoxin because it makes me nauseous."
The nurse works in the emergency department and assesses a patient who is complaining of mid-sternal chest pain. What is the nurse's first action?
A) Obtain a complete history
B) Notify the physician
C) Examine the patient's chest and auscultate
D) Assess the patient's vital signs
E) Order an electrocardiogram
D) Assess the patient's vital signs
Which part of the heart is most susceptible to infective endocarditis?
A) The Myocardium
B) The chordae tendinae
C) The valves
D) The endocardium
C) The valves
What is the most common EKG finding in a patient with a pulmonary embolism?
A) ST depression
B) Sinus bradycardia
C) ST elevation
D) Sinus tachycardia
D) Sinus tachycardia
The nurse instructs the client to do which of the following to prevent dislodgment of the pacing catheter after insertion of a permanent demand pacemaker via the right subclavian vein had been made?
A) Limit movement and abduction of right arm
B) Do active range- of- motion exercises with right arm
C) Limit movement and abduction of left arm
D) Ask for help in getting out of bed and use walker to ambulate
A) Limit movement and abduction of right arm
Which EKG lead localizes to the base of the heart?
A) V5
B) V1
C) aVF
D) V6
E) I
C) aVF
The nurse recognizes the following as a client's successful response to defibrillation:
A) Non-arousable, supraventricular tachycardia, BP 122/60mmHg
B) Arousable, sinus rhythm, BP 116/72mmHg
C) Non-arousable, sinus rhythm, BP 88/60mmHg
D)Arousable, marked bradycardia, BP 86/54mmHg
B) Arousable, sinus rhythm, BP 116/72mmHg
You are taking care of an elderly patient who is hospitalized for sudden onset of severe, diffuse abdominal pain out of proportion to the patient's abdominal physical exam that is also accompanied by rectal bleeding and palpitations. You obtain an EKG and notice a tachycardic, irregularly irregular rhythem without any distinct P waves. Which of the following is the most likely cardiac rhythm seen on this patient's EKG?
A) Atrial Fibrillation (A-fib)
B) First-degree heart block
C) Sick sinus syndrome
D) Complete heart block
E) Atrial flutter
A) Atrial Fibrillation (A-fib)