Get started on NCLEX Heart Questions. If you’re on-the-go, perfect for commuters – listen to the Podcast!
Question 1: A 53-year-old female was admitted to the hospital earlier today, complaining of lightheadedness. She denied chest pain. Her troponin is normal, and her heart rate is 49 bpm. Which of the following is a common symptom of bradycardia?
a) Rapid heart rate
b) Chest pain
c) Shortness of breath
d) Fatigue
e) Headache
f) Pain radiating to the left arm
LISTEN to the answer and explanation for Question 1. Click below.
Question 2: A patient has a heart rate of 50 beats per minute. What is the appropriate nursing intervention for this patient?
a) Administer atropine
b) Administer digoxin
c) Monitor the patient closely
d) Prepare the patient for cardioversion
e) Obtain a stat troponin level
f) Begin CPR
g) Assess the other vital signs
LISTEN to the answer and explanation for Question 2. Click below.
Question 3: A 72-year-old patient with a history of hypertension and heart failure presents to the emergency department with complaints of palpitations and shortness of breath. An electrocardiogram reveals atrial fibrillation with a rapid ventricular response. What medication does the nurse anticipate will be administered?
a) Diltiazem
b) Digoxin
c) Amiodarone
d) Warfarin
e) Nitroglycerin
LISTEN to the answer and explanation for Question 3. Click below.
Question 4: A 65-year-old patient with a history of atrial fibrillation is admitted to the hospital for an elective procedure. The nurse should be aware that the patient is at risk for which complication?
a) Hypertension
b) Bradycardia
c) Thromboembolism
d) Hyperglycemia
e) CVA
f) GI bleed
LISTEN to the answer and explanation for Question 4. Click below.
Question 5: A 55-year-old patient with a history of ischemic heart disease is admitted to the cardiac intensive care unit with an episode of ventricular tachycardia. The patient is hemodynamically stable and responsive. The nurse should anticipate which medication to be administered?
a) Adenosine
b) Lidocaine
c) Epinephrine
d) Atropine
e) Dobutamine
f) Norepinephrine
LISTEN to the answer and explanation for Question 5. Click below.
Question 6: A 62-year-old patient with a history of hypertension and diabetes mellitus presents to the emergency department with complaints of chest pain and palpitations. An electrocardiogram reveals sustained ventricular tachycardia. The nurse should prioritize which intervention?
a) Administering oxygen therapy
b) Initiating cardiopulmonary resuscitation (CPR)
c) Administering intravenous adenosine
d) Preparing for synchronized cardioversion
e) Early ambulation
LISTEN to the answer and explanation for Question 6. Click below.
Question 7: A 50-year-old patient with a history of coronary artery disease presents to the emergency department pulseless. An electrocardiogram confirms ventricular tachycardia. The nurse should anticipate which initial intervention for this patient?
a) Defibrillation
b) Administration of epinephrine
c) Administration of amiodarone
d) Administration of atropine
LISTEN to the answer and explanation for Question 7. Click below.
Question 8: A 60-year-old patient with a history of hypertension and heart failure is admitted to the hospital for shortness of breath. An electrocardiogram reveals frequent episodes of nonsustained ventricular tachycardia. The nurse should anticipate which medication to be prescribed for this patient?
a) Furosemide
b) Lisinopril
c) Metoprolol
d) Amiodarone
LISTEN to the answer and explanation for Question 8. Click below.
Question 9: A patient with ventricular tachycardia is unresponsive to lidocaine. What is the next appropriate step in management?
a) Administer amiodarone
b) Cardiovert with synchronized shock
c) Administer magnesium sulfate
d) Administer atropine
LISTEN to the answer and explanation for Question 9. Click below.
Question 10: Which of the following findings on an electrocardiogram is characteristic of ventricular tachycardia?
a) Wide QRS complexes with a regular rhythm
b) Narrow QRS complexes with a regular rhythm
c) Wide QRS complexes with an irregular rhythm
d) Narrow QRS complexes with an irregular rhythm
LISTEN to the answer and explanation for Question 10. Click below.
