You are observing the cardiac rhythms for patients

Question 1 of 9

You are observing the cardiac rhythms for patients in the coronary care unit. Which of these patients will need immediate intervention?

A. A patient admitted with heart failure who has atrial fibrillation with a rate of 88 while at rest. B. A patient with a newly implanted demand ventricular pacemaker, who has occasional periods of sinus rhythm, rate 90 to 100. C. A patient who has just arrived on the unit with an acute MI and has sinus rhythm, rate 76, with frequent premature ventricular contractions. D. A patient who recently started taking atenolol (Tenormin) and has a first-degree heart block, rate 58.

Correct Answer: C

Rationale: Frequent PVCs in a patient with acute MI can lead to more serious arrhythmias and require immediate attention.

Question 2 of 9

The average heart beat of a transplanted heart is about how many beats/minute?

A. 50-60 B. 60-70 C. 70-80 D. 80-90

Correct Answer: C

Rationale: The average heart rate of a transplanted heart is around 70-80 beats per minute.

Question 3 of 9

PFT (Pulmonary Function Test).

A. Spirometry B. Diffusion capacity C. Both A and B D. None of the above

Correct Answer: C

Rationale: PFTs assess lung function using spirometry and diffusion tests.

Question 4 of 9

Why must unstable angina be identified and rapidly treated?

A. The pain may be severe and disabling B. ECG changes and dysrhythmias may occur during an attack C. Atherosclerotic plaque deterioration may cause complete thrombus of the vessel lumen D. Spasm of a major coronary artery may cause total occlusion of the vessel with progression to MI

Correct Answer: C

Rationale: Plaque rupture increases MI risk.

Question 5 of 9

What is the rationale for using docusate sodium (Colace) for a patient after an MI?

A. Controls ventricular dysrhythmias B. Relieves anxiety and cardiac workload C. Minimizes bradycardia from vagal stimulation D. Prevents the binding of fibrinogen to platelets

Correct Answer: B

Rationale: Docusate prevents constipation-induced straining.

Question 6 of 9

Which is appropriate for Mr. Brown, discharged after an anterior-wall myocardial infarction?

A. Returning to work in 1 week B. Starting a jogging program in 2 weeks C. Abstinence from sexual relations for 3 more months D. Making life-style changes

Correct Answer: D

Rationale: Long-term lifestyle changes support recovery.

Question 7 of 9

A major priority in caring for Mrs. Payer with an acute myocardial infarction (MI) is

A. serving a bland, soft diet B. pain relief C. administering IV fluids D. administering mild sedation

Correct Answer: B

Rationale: Effective pain relief is critical in MI management.

Question 8 of 9

Causes of secondary hypertension include

A. emotional disturbances B. kidney stones C. coarctation of the aorta D. pregnancy

Correct Answer: C

Rationale: Coarctation of the aorta can lead to secondary hypertension.

Question 9 of 9

Which patient symptom is not a usual reaction to pain following open-heart surgery?

A. Bradycardia B. Increased respiratory rate C. Muscle rigidity D. Dilated pupils

Correct Answer: A

Rationale: Bradycardia is not typically associated with pain response.

You are observing the cardiac rhythms for patients in the coronary care unit. Which of these patients will need immediate intervention?

Nurselytic

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ATI Med-Surg Cardiovascular Test Bank Questions

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