Description

1. Question: What is the most accurate diagnostic test in identifying cardiac tamponade? Chest X-ray EKG
2. Question: The nurse practitioner is called to the ICU for a patient with bradycardia. The patient had a pacemaker inserted yesterday and was doing well until he ambulated to the bathroom and fell due to a syncopal episode. His current HR is 44, and he is confused. The EKG shows a sinus bradycardia along with several spikes occurring regularly on the EKG What do you suspect is the problem?
3. Question: A 50-year-old male is post-appendectomy and being monitored in the post-anesthesia care The cardiac monitor alarms, and the nurse recognizes that he is experiencing a supraventricular tachycardia. The NP elects to try carotid sinus massage in the patient. Which of the following is correct related to carotid sinus massage?
4. Question: The nurse practitioner is preparing to cannulate the radial artery of a 24-year-old trauma What test should be performed prior to insertion of the arterial line?
5. Question: A 66-year-old male is admitted with syncope and The nurse practitioner analyzes his EKG pattern and identifies atrial fibrillation with a rapid ventricular response. What medication should the NP order to control this patient’s cardiac rate?
6. Question: The nurse practitioner would suspect an inferior STEMI in a patient with at least 1 mm elevation of the ST segment in which of the following leads?
7. Question: A 66-year-old female is undergoing cardioversion for her symptomatic atrial She weighs 193 pounds. What dose of midazolam should she receive prior to the cardioversion?
8. Question: What is the most direct and preferred site for central venous catheterization when inserting a transvenous pacemaker?
9. Question: A 19-year-old male has sustained a spinal cord injury following a diving accident. His heart rate has been in the 50s since injury, and he has been alert and The ICU nurse notes that the patient’s HR has been slowly declining to the 40s. The patient is less alert and his oxygen saturation is in the high 80s. The NP orders a dose of IV atropine, which results in no change in the patient’s HR. What is the next step in treating his bradycardia?
10. Question: What is your interpretation of this EKG rhythm strip?