True or false: Atrial fibrillation increases stroke risk, but it does not mean a stroke will inevitably occur.
4 Cardiac Complications of Dysrhythmias Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Cardiac Complications of Dysrhythmias, test your knowledge, and prepare for your next test or exam.
In which heart chambers may blood pool during atrial fibrillation, increasing the chance of clot formation?
Dysrhythmias can reduce cardiac output when the heart beats , , or .
A patient with a heart rate of 38 beats/min is pale, dizzy, and nearly faints when sitting up. Which interpretation is most appropriate?
- A
The low rate requires no action unless the patient loses consciousness.
- B
The symptoms may indicate reduced blood flow to the brain from a poorly tolerated slow rhythm.
- C
Dizziness cannot be related to cardiac output while the patient is awake.
- D
Wait until the next scheduled vital-sign check.
Which new finding in a patient with a dysrhythmia should prompt urgent evaluation?
- A
A brief skipped-beat sensation without other symptoms.
- B
New chest pressure with shortness of breath and sweating.
- C
A stable rhythm variation during sleep.
- D
An unchanged, longstanding irregular pulse with no symptoms.
True or false: A rhythm change is most concerning when it interferes with perfusion.
- A
True
- B
False
What clinical term describes a state in which circulation is unstable, as may be suggested by falling blood pressure, weak pulses, or altered mental status?
Which findings may indicate that a dysrhythmia is impairing perfusion? Select all that apply.
- A
Falling blood pressure
- B
Weak pulses
- C
An irregular monitor rhythm with no symptoms
- D
New confusion
- E
Fainting
A monitor alarms for a very rapid rhythm, but the patient is talking and appears comfortable. What should the nurse do first?
- A
Assume the alarm is artifact and silence it.
- B
Assess the patient and verify the rhythm using the monitor tracing and a pulse check.
- C
Begin chest compressions immediately.
- D
Leave the room to find the provider before checking the patient.
Ventricular fibrillation prevents of blood.
A patient collapses, is unresponsive, has no detectable pulse, and the monitor shows a chaotic ventricular rhythm. Which actions are part of the priority response? Select all that apply.
- A
Call for emergency help.
- B
Begin CPR.
- C
Recheck the rhythm in five minutes before acting.
- D
Use an AED or defibrillator as soon as available, following the resuscitation protocol.
A patient with a persistent fast rhythm develops worsening shortness of breath, crackles, and new leg swelling. Which complication should the nurse consider?
- A
Reduced pumping effectiveness with possible heart-failure congestion.
- B
Improved cardiac output caused by the faster rate.
- C
An isolated skin problem unrelated to circulation.
- D
A normal response that requires no follow-up.
Which change is the strongest warning sign of worsening cerebral perfusion in a patient with a new dysrhythmia?
- A
New confusion and decreased level of consciousness.
- B
Mild awareness of the heartbeat.
- C
A stable, irregular pulse with no symptoms.
- D
A brief increase in heart rate after activity.
When a rhythm changes, explain how a clinician should determine whether the patient is tolerating it and what should guide escalation of care.
True or false: A dysrhythmia can reduce cardiac output if the heart beats too fast, too slowly, or ineffectively.
- A
True
- B
False
What symptom involving a brief loss of consciousness is listed as a possible warning sign of poor perfusion?
In atrial fibrillation, blood may pool in the atria and contribute to clot formation. What major complication can such a clot cause?
A patient develops a new rapid rhythm. Which finding most strongly suggests that the rhythm is impairing perfusion?
- A
Brief palpitations while the patient remains comfortable
- B
Falling blood pressure, a weak pulse, and new confusion
- C
An irregular monitor rhythm with no symptoms
- D
A slight heart-rate increase while walking
Which finding most strongly suggests that a dysrhythmia is reducing cardiac output?
- A
Brief palpitations while the patient remains comfortable
- B
Falling blood pressure, a weak pulse, and new confusion
- C
An irregular monitor rhythm without patient symptoms
- D
A slight heart-rate increase while walking
Why is atrial fibrillation associated with an increased risk of embolic stroke?
- A
It directly blocks blood flow through the carotid arteries
- B
Blood may pool in the atria, increasing the chance of clot formation and embolic stroke
- C
It always causes a stroke within hours
- D
It increases stroke risk only when the ventricular rate is slow
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