Cardiac Rhythms Challenge

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Identify rhythms, causes, and interventions in cardiac care.

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Maurice Kendricks

United States

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Cardiac Rhythms Challenge


Cardiac Rhythms ChallengeOnline version Identify rhythms, causes, and interventions in cardiac care. by Maurice Kendricks 1 Which rhythm is described as chaotic atrial activity with an irregular ventricular response? a SVT b Atrial fibrillation c Sinus tachycardia d Atrial flutter 2 A client on metoprolol has a heart rate of 48/min and dizziness. Which rhythm is most likely? a First-degree AV block b Atrial flutter c Sinus bradycardia d SVT 3 What is the most common cause of sinus tachycardia? a Physiologic stress (fever, pain, hypovolemia) b Electrolyte suppression c Structural heart disease d SA node failure 4 Which electrolyte abnormality most commonly triggers PVCs? a Hypocalcemia b Hypokalemia c Hyperphosphatemia d Hypernatremia 5 Which assessment finding is most concerning in untreated atrial fibrillation? a Palpitations b Irregular apical pulse c Fatigue d Sudden unilateral weakness 6 A pulse deficit is most likely noted in which rhythm? a Sinus bradycardia b Sinus tachycardia c Atrial fibrillation d First-degree AV block 7 Which rhythm is most likely when sudden onset palpitations start and stop abruptly? a Ventricular fibrillation b Sinus tachycardia c Atrial fibrillation d SVT (PSVT) 8 The nurse identifies unstable SVT. What is the PRIORITY intervention? a Beta-blocker infusion b IV adenosine c Vagal maneuvers d Synchronized cardioversion 9 Which client requires immediate administration of atropine? a HR 98/min with anxiety b HR 110/min after exercise c HR 58/min, asymptomatic d HR 40/min with hypotension and syncope 10 Which instruction is most important for a client prescribed warfarin for A-fib? a Increase leafy greens b Take with grapefruit juice c Maintain consistent vitamin K intake d Skip doses if bruising occurs 11 Which valvular disorder causes obstruction of left ventricular outflow? a Mitral regurgitation b Mitral stenosis c Aortic stenosis d Tricuspid regurgitation 12 A client has bounding pulses and wide pulse pressure. Which valve disorder is likely? a Tricuspid stenosis b Mitral stenosis c Aortic stenosis d Aortic regurgitation 13 Which assessment finding is classic for mitral stenosis? a Opening snap with diastolic rumble at apex b Harsh systolic murmur radiating to carotids c Bounding peripheral pulses d Holosystolic murmur at LSB 14 Right-sided heart failure signs (JVD, edema, hepatomegaly) are most consistent with: a Aortic stenosis b Aortic regurgitation c Tricuspid regurgitation d Mitral regurgitation 15 The MOST important diagnostic test for evaluating valve function is: a Cardiac enzymes b Echocardiogram c ECG d Chest x-ray 16 Which medication classification is used to reduce fluid overload in valvular disease? a Diuretics b Beta blockers c ACE inhibitors d Anticoagulants 17 Which surgical procedure widens a narrowed valve without replacing it? a Valve replacement b Repair with prosthetic ring c Cardiac catheterization d Balloon valvuloplasty 18 Chest pain that improves when sitting upright and leaning forward suggests: a Pericarditis b Aortic dissection c Pulmonary embolism d Myocardial infarction 19 Which ECG finding is expected in acute pericarditis? a ST depression b QT prolongation c Peaked T waves d ST elevation with PR depression 20 First-line treatment for uncomplicated acute pericarditis includes: a Antibiotics b Thrombolytics c Anticoagulants d NSAIDs and colchicine 21 What is the primary pathophysiologic problem in pericardial effusion? a Decreased ventricular filling b Valve destruction c Electrical conduction failure d Increased myocardial contractility 22 Which assessment finding suggests progressing cardiac tamponade? a Muffled heart sounds and hypotension b Hypertension c Bounding pulses d Bradycardia 23 Which ECG change may be seen with a large pericardial effusion? a Electrical alternans b Delta waves c Tall T waves d ST depression 24 Priority intervention for a hemodynamically unstable client with pericardial effusion: a Administer NSAIDs b Prepare for pericardiocentesis c Place patient supine d Start beta blockers 25 Which client requires the MOST urgent nursing intervention? a Chronic A-fib on anticoagulation b PACs with no symptoms c Pericardial effusion with hypotension and tachycardia d New murmur with exertional dyspnea 26 Which nursing action is contraindicated in symptomatic severe aortic stenosis? a Telemetry monitoring b Echocardiography c Exercise stress testing d Oxygen therapy 27 A client with pericarditis asks why they must avoid strenuous exercise. The best response is: a To prevent infection. b It reduces cardiac workload and inflammation. c It reduces heart rate permanently. d It prevents valve damage. 28 A client receiving adenosine suddenly reports flushing and chest pressure. What is the nurse's best response? a Administer atropine b Stop the infusion immediately c Prepare for intubation d Reassure the client effects are short-lived 29 Which manifestation most strongly suggests embolic stroke in atrial fibrillation? a Palpitations b Sudden aphasia c Fatigue d Orthopnea 30 Which rhythm requires immediate defibrillation? a Sinus tachycardia b Ventricular fibrillation c SVT d A-fib with RVR Feedback 1 Atrial fibrillation features irregular irregular ventricular response due to chaotic atrial activity. 2 Bradycardia from beta-blockers commonly causes dizziness with slow HR. 3 Physiologic stress increases heart rate; structural disease is a less common cause for sinus tachycardia. 4 Low potassium increases ectopic beats and PVCs risk. 5 Sudden unilateral weakness signals possible stroke from embolism. 6 AF can have a pulse deficit due to irregular ventricular response. 7 PSVT typically begins and ends abruptly with abrupt palpitations. 8 Unstable SVT requires immediate synchronized cardioversion to restore rhythm. 9 Atropine is indicated for symptomatic bradycardia with hemodynamic compromise. 10 Consistent vitamin K intake helps keep anticoagulation effect stable. 11 Aortic stenosis narrows the outflow from the left ventricle. 12 Bounding pulses and wide pulse pressure suggest aortic regurgitation. 13 MS shows opening snap and diastolic rumble at the apex. 14 RSHF signs align with tricuspid regurgitation affecting right heart. 15 Echocardiography visualizes valve structure and function best. 16 Diuretics help diuresis and reduce volume overload. 17 Balloon valvuloplasty widens the valve opening without replacement. 18 Positional chest pain is characteristic of pericarditis. 19 Acute pericarditis shows diffuse ST elevation with PR depression. 20 NSAIDs plus colchicine are standard initial therapy for pericarditis. 21 Fluid accumulation impairs filling and reduces stroke volume. 22 Beck's triad signs: muffled sounds and hypotension imply tamponade. 23 Electrical alternans reflects swinging motion of heart in large effusion. 24 Unstable effusion requires emergent pericardiocentesis. 25 Acute new murmur with dyspnea may indicate acute valvular disease needing urgent care. 26 Stress testing can precipitate ischemia in severe AS. 27 Rest reduces workload and inflammation during pericarditis. 28 Adenosine can cause brief flushing and chest tightness; brief and expected. 29 Acute focal neuro deficit like aphasia signals embolic event from AF. 30 Ventricular fibrillation is a life-threatening rhythm needing immediate defibrillation.

Cardiac Rhythms Challenge

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Cardiac Rhythms ChallengeOnline version

by Maurice Kendricks

Which rhythm is described as chaotic atrial activity with an irregular ventricular response?

A client on metoprolol has a heart rate of 48/min and dizziness. Which rhythm is most likely?

What is the most common cause of sinus tachycardia?

Which electrolyte abnormality most commonly triggers PVCs?

Which assessment finding is most concerning in untreated atrial fibrillation?

A pulse deficit is most likely noted in which rhythm?

Which rhythm is most likely when sudden onset palpitations start and stop abruptly?

The nurse identifies unstable SVT. What is the PRIORITY intervention?

Which client requires immediate administration of atropine?

Which instruction is most important for a client prescribed warfarin for A-fib?

Which valvular disorder causes obstruction of left ventricular outflow?

A client has bounding pulses and wide pulse pressure. Which valve disorder is likely?

Which assessment finding is classic for mitral stenosis?

Right-sided heart failure signs (JVD, edema, hepatomegaly) are most consistent with:

The MOST important diagnostic test for evaluating valve function is:

Which medication classification is used to reduce fluid overload in valvular disease?

Which surgical procedure widens a narrowed valve without replacing it?

Chest pain that improves when sitting upright and leaning forward suggests:

Which ECG finding is expected in acute pericarditis?

First-line treatment for uncomplicated acute pericarditis includes:

What is the primary pathophysiologic problem in pericardial effusion?

Which assessment finding suggests progressing cardiac tamponade?

Which ECG change may be seen with a large pericardial effusion?

Priority intervention for a hemodynamically unstable client with pericardial effusion:

Which client requires the MOST urgent nursing intervention?

Which nursing action is contraindicated in symptomatic severe aortic stenosis?

A client with pericarditis asks why they must avoid strenuous exercise. The best response is:

A client receiving adenosine suddenly reports flushing and chest pressure. What is the nurse's best response?

Which manifestation most strongly suggests embolic stroke in atrial fibrillation?

Which rhythm requires immediate defibrillation?