Cardiac dysrhythmias involve irregularities in the heartbeat, where the rhythm may be uneven or the heart rate abnormally fast or slow. While some dysrhythmias are harmless, others can be life-threatening and require immediate nursing intervention. This quiz focuses on nursing actions and care strategies essential for managing patients with various cardiac dysrhythmias.
Use this quiz to review critical interventions, recognize warning signs, and reinforce your clinical knowledge. It’s an ideal tool to refresh your understanding and boost confidence ahead of nursing exams and real-world practice. Test your skills now and ensure you’re prepared to provide effective care for patients experiencing cardiac rhythm disturbances.
Slow the heart rate down; call the doctor right away, there is nothing a nurse can do to help the patient.
Relax the patient; encourage him/her to lay down, give medications to promote sleep
Slow the heart rate; encourage the patient to rest, give ordered medications for heart rate and pain, and provide O2 if indicated
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30 seconds and multiply it by two
1 minute
2 minutes and divide it by two
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A patient who just walked up 4 flights of stairs and has a HR of 190
A sleeping patient with a HR of 55
A sleeping patient with a HR of 190
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True
False
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True
False
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Print off a strip and put it in the chart with a note for the doctor.
Note the underlying rhythm
Note whether the PACs are frequent, rare, or occasional.
All of the above
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Atrial fibrillation
Myocardial infarction
Ventricular tachycardia
Bradycardia
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Decreased BP, SOB, decreased O2, decreased HR, mentation changes
Diaphoresis, angina, SOB, "crackles" in lungs, dizziness
Orthostatic hypotension, increased HR, increased temp, and SOB
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True
False
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No changes because the patient is lying in bed. He is probably just relaxing.
Go in and take his pulse by hand to be sure it is not just equipment/positioning issue, then call the doctor with the results and ask for atropine to raise the heart rate
Go in and take his pulse by hand, then monitor the rhythm, and check his vitals every 15 minutes for the next hour, then call the doctor and request a lower dose of the Beta blocker. Encourage the patient to stay in bed.
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Tolerate it; need a pacemaker
Need a pacemaker; tolerate it
Respond well to meds; need electrocardioconversion
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True
False
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Potassium channel blockers may prolong the PR interval and you may have to lower the dose.
Digoxen and Calcium channel blockers may prolong the PR interval and you may have to lower the dose.
Potassium and Calcium channel blockers may shorten the PR interval and you may have to increase the dose.
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SA node; AV node
Ventricles; SA node
AV node; SA node
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Diaphoresis
Chest pain
Unaware it is happening
None of the above
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Tolerate it; need a pacemaker
Need a pacemaker; tolerate it
Respond well to meds; need electrocardioconversion
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Nothing unless the patient is not tolerating it; if not tolerating, go with option B or C.
Chemical cardioversion with digoxen, Ca channel blockers, or diltiazem
Electrocardioversion with a defibrillator set on synchronise
Both b and c
All of the above
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Pacemaker
Cardioconversion
All of the above
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Put a strip in his chart and make a note for the doctor to look at it.
Call the physician right away and notify him.
Do nothing if patient is tolerating it except monitor for a decline in condition.
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