Free Practice Quiz Question List

5 Nursing Responses to Abnormal ECG Findings Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Nursing Responses to Abnormal ECG Findings, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: A displayed ECG rhythm by itself proves that the patient has effective circulation.

A
True
B
False

Written response

1 point

What structured handoff tool can a nurse use to communicate a patient's condition and a request across the care team?

Fill in the blank

1 point

For time-stamped documentation, record the time the monitor change was identified and the observed. Also record the patient's symptoms, responsiveness, pulse, vital signs, oxygenation, and findings.

True or false

1 point

True or false: AHA adult algorithms base urgent treatment on the rhythm and the patient's clinical compromise.

A
True
B
False

Choose one

1 point

A telemetry alarm reports a heart rate of 190/min in an awake patient who denies symptoms. The tracing is noisy, and a chest electrode is partly detached. What is the best initial response?

A
Silence the alarm remotely because the patient reports feeling well.
B
Assess the patient and pulse, check vital signs and perfusion, correct the electrode, and compare the displayed rate with the palpable pulse.
C
Treat the displayed rate as confirmed and independently administer a rate-control medication.
D
Obtain a 12-lead ECG before checking the patient or correcting the electrode.

Written response

1 point

A patient reports new pressure-like chest discomfort and nausea, and the monitor appears to show a new ST-segment change. What ECG should be obtained promptly if available and within protocol?

Choose one

1 point

A patient with a previously regular rhythm now has frequent premature ventricular beats that persist on repeat assessment. The patient denies symptoms, has a palpable pulse, and has stable vital signs. What is the best response?

A
Take no further action because the patient has no symptoms.
B
Activate the code response immediately based only on the presence of premature ventricular beats.
C
Assess the patient and signal, report the persistent new finding to the responsible clinician, and continue monitoring.
D
Select and administer an antiarrhythmic medication without an order.

Choose all

1 point

Select all findings identified as warning signs of clinical compromise in a patient with bradycardia or tachyarrhythmia.

A
Hypotension
B
Altered mental status
C
A high heart-rate number without other concerning findings
D
Shock
E
A noisy tracing by itself
F
Ischemic discomfort
G
A detached electrode without patient symptoms or abnormal vital signs
H
Acute heart failure

Fill in the blank

1 point

A monitor displays a rapid wide-complex rhythm, and the patient is unresponsive with no definite pulse. Activate the immediately, begin high-quality , and apply the defibrillator or AED.

Choose one

1 point

A patient's heart rate falls to 38/min, the patient becomes confused and pale, and blood pressure is 78/46 mm Hg. What is the most appropriate nursing response?

A
Continue routine observation because the patient has a slow rhythm.
B
Call for immediate assistance and activate the rapid-response or emergency response according to policy while assessing and supporting the patient.
C
Wait for a 12-lead ECG before calling for help.
D
Independently select and administer medication before notifying the response team.

Choose all

1 point

A patient's monitor shows a new irregular narrow-complex rhythm at approximately 150/min. The patient reports palpitations and mild lightheadedness, and blood pressure is lower than the prior reading, but the patient is alert. Select all appropriate nursing actions.

A
Assess airway, breathing, pulse, blood pressure, oxygenation, mental status, chest discomfort, and perfusion.
B
Treat the heart-rate number alone as the deciding factor for urgency.
C
Stay with the patient and promptly notify the responsible clinician.
D
Independently select rate-control medication outside orders and scope.
E
Obtain a 12-lead ECG if directed or permitted by protocol.
F
Continue monitoring and reassess after interventions.

Open ended

1 point

A patient develops a new irregular narrow-complex rhythm at approximately 150/min, reports palpitations and mild lightheadedness, and has a lower blood pressure than before but remains alert. Describe the immediate nursing assessment, communication and escalation, actions within scope, reassessment, and documentation.

True or false

1 point

True or false: A nurse should dismiss a concerning ECG alarm as artifact without checking the patient.

A
True
B
False

Written response

1 point

What may be used to confirm critical instructions when appropriate? Enter the term.

Written response

1 point

What style of language should a nurse use to document an ECG finding, the patient's condition, and actions taken?

Choose one

1 point

A patient is unresponsive, has no definite pulse, and the monitor displays a rapid wide-complex rhythm. What is the immediate response?

A
Activate the code response, begin high-quality CPR, and apply the defibrillator or AED.
B
Obtain a 12-lead ECG before starting any resuscitation actions.
C
Wait for another rhythm check before calling for help or beginning CPR.
D
Notify the responsible clinician and continue routine monitoring without starting resuscitation.

Choose one

1 point

When giving an SBAR handoff about a new rhythm concern, which approach best supports clear communication?

A
Give only the monitor's rhythm label and omit the patient's symptoms and vital signs.
B
Report the patient's background and baseline but omit the current assessment and request.
C
State the rhythm concern, give relevant background and baseline, report the assessment and vital-sign trend, and make a clear request with urgency.
D
List every intervention that might be considered, without stating the concern or what response is needed.

Choose one

1 point

A nurse is handing off a new rhythm concern to the responsible clinician. Which communication best follows the structured handoff approach?

A
Report only the rhythm label and ask the receiving clinician to review the chart later.
B
State the rhythm concern, give relevant background and baseline, report the assessment and vital-sign trend, and make a clear request with the needed urgency.
C
Give the patient's background and wait for the clinician to decide what assessment was performed.
D
Describe the monitor finding but omit the patient's condition to avoid interpretation.

Choose one

1 point

A patient reports new pressure-like chest discomfort and nausea, and the monitor appears to show a new ST-segment change. What should the nurse do?

A
Assess symptoms and vital signs, stay with the patient, promptly notify the clinician or activate the emergency pathway, and obtain a 12-lead ECG according to protocol.
B
Use the single telemetry lead to confirm or exclude ischemia, then notify the clinician only if the tracing remains abnormal.
C
Wait to assess the patient until a second monitor lead shows the same change.
D
Document the monitor change and defer further assessment because the patient is already being monitored.

Choose one

1 point

A patient has a new irregular narrow-complex rhythm at approximately 150/min, palpitations, mild lightheadedness, and a lower blood pressure than before, but remains alert. What is the best response?

A
Choose and administer rate-control medication before notifying the responsible clinician.
B
Treat the heart-rate value alone as proof of instability and immediately begin emergency treatment.
C
Assess airway, breathing, pulse, blood pressure, oxygenation, mental status, and perfusion; stay with the patient and notify the responsible clinician promptly.
D
Wait for the patient to become confused before communicating the new rhythm.

5 Nursing Responses to Abnormal ECG Findings Online Quiz Questions

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