NCLEX Preparation Examination: Cardiology
This is a exam called the Hesi Test, and it is a preparation for people taking the NCLEX to become a nurse at the Tallahassee Memorial Hospital or Capital Regional Medical Center in Tallahassee, Florida. The NCLEX stands for Nursing Cardiology Last Examination. For people who pass the NCLEX with a 75% or better, earn their ID badge to one of the two hospitals. That doesn't mean the job starts right then. There are 3 parts to this test. One is Different Heart Rhythms, Two is Describing what causes the certain rhythm, and Three is How to treat it. Good luck! The better you do on this exam, the better you will do on the NCLEX!
- 1.Which rhythm is the most normal?
- A.
Atrial Flutter
- B.
Sinus Bradycardia
- C.
Sinus Rhythm
- D.
Sinus Tachycardia
- E.
Atrial Fibrilation
- 2.What is a rhythm called if it is over 100 beats per minute?
- A.
Fibrilation
- B.
Tachycardia
- C.
Bradycardia
- D.
Flutter
- E.
Pacemaker
- 3.What is the sinus rhythm called if it is under 60 beats per minute?
- A.
Tachycardia
- B.
Flutter
- C.
Fibrilation
- D.
Pacemaker
- E.
Bradycardia
- 4.What is the most deadly rhythm called?
- A.
Asystole
- B.
Fine Ventricular Fibrillation
- C.
Coarse Ventricular Fibrillation
- D.
Atrial Fibrilation
- E.
Sinus Bradycardia
- 5.What is the rhythm called when there is one fulgi firing rapidly in the atrium?
- A.
Atrial Flutter
- B.
Atrial Fibrilation
- C.
Ventricular Tachycardia
- D.
Ventricular Flutter
- E.
Ventricular Fibrilation
- 6.What is the rhythm called when there are multiple fulgi firing rapidly in the atrium?
- A.
Ventricular Flutter
- B.
Ventricular Fibrillation
- C.
Atrial Fibrilation
- D.
Atrial Flutter
- E.
Sinus with PACs
- 7.Ventricular Standstill rhythms are regular. True or False?
- A.
True
- B.
False
- 8.Atrial Fibrilation is irregular. True or False?
- A.
True
- B.
False
- 9.What are rhythms when the QRSs are wider?
- A.
Atrial
- B.
Ventricular
- C.
Pacers
- D.
Flutters
- E.
Fibrillations
- 10.Many people have different rhythms. For example, my grandmother had asystole, so she now has a pacemaker and is doing fine. Tick all of the irregular rhythms. There are 7 correct answers.
- A.
Normal Sinus Rhythm
- B.
Sinus Bradycardia
- C.
Sinus Tachycardia
- D.
Torsades de Pointes
- E.
Atrial Flutter
- F.
Atrial Fibrillation
- G.
Sinus Rhythm with PVCs
- H.
Sinus Rhythm with PACs
- I.
Sinus Rhythm with Couplet
- J.
V-Fib
- K.
PVST
- L.
SVT
- M.
VT
- 11.SECTION 2: How to treat these heart rhythms How do you treat a Sinus Tachycardia of 140?
- A.
Small dose of epi
- B.
Small dose of adenosine
- C.
Small dose of daltism
- D.
Kilograms of atropine
- E.
8 mgs of sever
- 12.What is the first thing you do if you see a patient with a pulseless V-tach?
- A.
Immediately administer adenosine and atropine
- B.
Defibrilation at 200J
- C.
Defibrilation at 300J
- D.
Defibrilation at 360J
- E.
Synchronized Cardioversion at 100J
- 13.What do you do with a stable V-Tach?
- A.
Use medications
- B.
Use medications and synchronized cardioversion
- C.
Use epi
- D.
Use atropine
- E.
Use unsynchronized shock
- 14.Explain in 2 paragraphs what a stable heart rhythm is and what an unstable rhythm is.
- 15.What is an agonal rhythm?
- A.
Dieng heart
- B.
Asystole
- C.
V-Fib Coarse
- D.
V-Fib Fine
- E.
All
- 16.Explain how you can treat agonal rhythms. Use 3 paragraphs (at least try to)
- 17.What does V-Tach convert to?
- A.
Asystole
- B.
V-Flutter
- C.
A-Flutter
- D.
V-Fib
- E.
Pacer
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