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Exam & Evaluation (Cardiac Case Studies)
 
Questions: Please respond to following statements.

Questions 1 - 5 relate to the case of Mr. G, which is Case Study I. Please return to Case Study I (http://www.rnceus.com/case/caseone.htm) for background to answer these questions.
1 Identify the dysrhythmia:
  Atrial fibrillation
  PSVT
  Torsade de Pointes
  3rd Degree Heart Block
2 What could have caused the above dysrhythmia?
  Food poisoning
  Hypokalemia
  Hypercalcemia
  Stopping his quinidine
3 What are the treatments for this dysrhythmia?
  IV KCl to correct his potassium deficiency.
  IV lidocaine to stop the dysrhythmia.
  CPR
  IV procainamide
4 What is the mechanism that starts the dysrhythmia?
  Prolonged PR interval
  Shortened QRS
  Prolonged QT interval
  Elevated ST segment
5 What is the prognosis for Mr. G?
  Good, once his hypokalemia is corrected.
  Poor, this is a lethal dysrhythmia.
  Good, after he has an ablative procedure.
  Poor, his flu weakened him too much to recover.
Questions 6-10 refer to the case of J. D., which is Case Study II. Please refer back to Case Study II (http://www.rnceus.com/case/casetwo.htm) for background to answer these questions.
6 Identify the dysrhythmia:
  Atrial flutter
  Ventricular fibrillation
  Sinus arrest
  Atrial fibrillation
7 What might be an appropriate treatment for J.D.?
  IV digoxin and lasix
  Defibrillation
  Temporary pacing
  Magnesium sulfate
8 Which are appropriate nursing interventions?
  Teach J.D. the importance of taking her medications as prescribed.
  Describe the actions of J.D.s medications to her.
  Encourage J. D. to continue her diet and exercise routine.
  All of the above.
9 The "hallmark" of the dysrhythmia is:
  Regularity
  Sawtooth baseline
  Wide, bizarre QRS complexes
  Irregularly irregular rhythm.
10 The PR interval in the dysrhythmia is:
  Prolonged
  Normal
  Not measurable
  Shortened
Questions 11-15 refer to the case of Ms. M. M. which is Case Study III. Please refer back to Case Study III (http://www.rnceus.com/case/case3.htm) for background to answer the following questions.
11 The rhythm on Ms. M. M.ís EKG is:
  Sinus rhythm with PVCs
  Sinus rhythm with PACs
  Wandering atrial pacemaker
  Junctional escape rhythm.
12 The cause of this rhythm might be which of the following?
  Caffeine
  Tobacco
  Herbal diet pills
  All of the above
13 The treatment for this rhythm is:
  Cardioversion
  Epinephrine
  Correct the underlying cause
  Lidocaine
14 The seriousness of this rhythm is:
  Lethal
  Very serious
  It is normal
  Continued assessment is warranted.
15 Nursing care for Ms. M. M. includes:
  Counsel Ms. M.M. about the benefits of smoking cessation
  Diet and exercise counseling
  Stress reduction
  All of the above
Questions 16 - 20 refer to the case of Mr. T, which is Case Study IV. Please refer to Case Study IV (http://www.rnceus.com/case/case4.htm) for background to answer the following questions.
16 What is the above rhythm?
  1 degree AV block
  2nd degree AV block type I
  2nd degree AV block type II
  3rd degree AV block
17 Treatment for Mr. T. might include:
  Emergent pacemaker
  Lidocaine
  Nitroglycerine
  None of the above
18 This rhythm is caused by which of the following?
  Some impulses do not induce a ventricular response.
  All atrial impulses are blocked.
  The heart canít repolarize.
  The ventricles arenít fully contracting.
19 This rhythm:
  Is always fatal
  Is normal
  Often accompanies an inferior MI
  Requires a pacemaker.
20 Nursing care for Mr. T includes:
  EKG monitoring
  Treating his chest pain
  Relieving his anxiety
  All of the above
Questions 21-25 refer to the case of Mr. V.W., which is Case Study V. Please refer back to Case Study V (http://www.rnceus.com/case/case5.htm) for background to answer the following questions.
21 The rhythm Mr. V.W. is experiencing is:
  Sinus Rhythm with PAC
  2nd degree AV block type II
  Ventricular bigeminy
  Atrial flutter
22 The cause of this rhythm could be:
  Too much exercise
  Electrolyte imbalance
  Stroke
  Nerve damage
23 Treatment for the above rhythm might include:
  Oxygen
  Correction of the electrolyte imbalance
  Lidocaine
  All of the above
24 The premature beats in the rhythm occur:
  In the atria
  In the SA node
  In the AV node
  In the ventricles
25 Other causes of the above rhythm (not including Mr. V. W.ís problem) are:
  Myocardial ischemia
  Digitalis toxicity
  Increase in circulating catecholamines
  All of the above.
Questions 26 to 30 refer to James, which is Case Study VI. Please refer back to Case Study VI (http://www.rnceus.com/case/case6.htm) for background to answer the following questions.
26 What is the rhythm depicted in Case VI?
  Ventricular tachycardia
  PSVT aka PAT
  Normal sinus rhythm
  Atrial fibrillation
27 Which would be an appropriate treatment for this dysrhythmia?
  Atropine
  Lidocaine
  Adenosine
  Vasopressin
28 This dysrhythmia is more common in children and young adults.
True     False
29 Nursing care for James should include
  Frequent CV assessment
  Pyschosocial support
  Education for James and his family
  All of the above
30 An interventional technique to eliminate this dysrhythmia is
  Ablation
  Cardiac stenting
  Thrombolysis
  Coronary Artery Bypass Grafts
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