EKG practice exam 100 question Quizlet

The number of American households that were unbanked last year dropped to its lowest level since 2009, a dip due in part to people opening accounts to receive financial assistance during the pandemic, a new report says.  

Roughly 4.5% of U.S. households – or 5.9 million – didn't have a checking or savings account with a bank or credit union in 2021, a record low, according to the Federal Deposit Insurance Corporation's most recent survey of unbanked and underbanked households. 

Roughly 45% of households that received a stimulus payment, jobless benefits or other government assistance after the start of the pandemic in March, 2020 said those funds helped compel them to open an account, according to the biennial report which has been conducted since 2009.

"Safe and affordable bank accounts provide a way to bring more Americans into the banking system and will continue to play an important role in advancing economic inclusion for all Americans,'' FDIC acting chairman Martin J. Gruenberg said in a statement.  

A lack of banking options delayed some households from getting federal payments aimed at helping the country weather the economic fallout from the COVID-19 health crisis.

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Checks arrived late for some of the unbanked:For 'unbanked' Americans, pandemic stimulus checks arrived slowly and with higher fees. But that could change.

The FDIC initiated an educational campaign to get more Americans to open an account to enable the direct deposit of those funds. And banks such as Capital One and Ally Financial ended  overdraft and other fees that have been a key barrier to some Americans accessing the banking system. 

What does it mean to be unbanked?

A household is deemed unbanked when no one in the home has an account with a bank or credit union. That share of households has dropped by nearly half since 2009. And since 2011, when 8% of U.S. households were unbanked, the highest since the start of the survey, and the record low reached in 2021, roughly half of the drop was due to a shift in the financial circumstances of American households the FDIC says.

Who are the underbanked?

A bank manager helps a woman open up a new account.

Those who have a checking or savings account, but also use financial alternatives like check cashing services are considered underbanked. The underbanked represented 14% of U.S. households, or 18.7 million, last year.   

Why are people unbanked or underbanked?

Many of those who are unbanked say they can't afford to have an account because of the fees for insufficient funds and overdrafts that are tacked on when account balances fall short. Roughly 29% said fees or not having the required minimum balance were the primary reasons they didn't have a checking or savings account, as compared to 38% who cited those obstacles in 2019.

Are some groups more likely to be unbanked? 

The numbers of the unbanked were greater among households that included those who were working age and disabled, lower income, included a single mother, or were Black or Hispanic. Among white households for instance, 2% didn't have a bank account last year as compared to 11% and 9% of their Black and Hispanic counterparts.

Meanwhile, nearly 15% of households with a working age member who had a disability were unbanked compared to almost 4% of other households. And  nearly 16% of households with a single mother were unbanked as compared to about 2% of married couples who lacked an account. 

 "These gaps attest there's still a lot of opportunity to expand participation across the population in the banking system,'' Keith Ernst, Associate Director of Consumer Research and Examination Analytics at the FDIC, said during a media call about the report.            

Will the number of unbanked rise if the U.S. has a recession? 

Perhaps.

"During the last recession unbanked rates did indeed go up,'' Karyen Chu, chief of the Banking Research Section at the Center for Financial Research, said during the call. 

Additionally, last year, homes where the head of household was out of work were nearly five times more likely to not have a bank account as compared to those where the household head was employed.

Recession predictions 2023:Is a recession inevitable in 2023? Here's what experts are saying.

"To the extent that income goes down ... that has generally been associated with increases in unbanked rates,’’ Chu said. 

Welcome to your NCLEX reviewer and practice questions quiz for cardiovascular system disorders. This NCLEX nursing test bank tests your competence in the nursing care and management of patients with dysrhythmias, hematological disorders, hypertension, coronary artery disease, myocardial infarction, heart failure, and peripheral vascular diseases.

Cardiac Disorders Nursing Test Bank

Here are the NCLEX practice questions for cardiovascular system disorders. This nursing test bank set includes 220 NCLEX-style practice questions that cover topics like dysrhythmias, EKG interpretation, heart failure, myocardial infarction, hematologic disorders, and more. Use these questions to help you review for cardiovascular system disorders and as an alternative to Quizlet.

All questions on this set are updated to give you the most challenging questions, along with insightful rationales to reinforce learning.

Quizzes included in this guide are:

  1. Dysrhythmias & EKG Interpretation NCLEX Practice | Quiz #1: 20 Questions
  2. Hematologic Disorders and Anemia NCLEX Practice | Quiz #2: 50 Questions
  3. Hypertension & Coronary Artery Disease NCLEX Practice | Quiz #3: 50 Questions
  4. Heart Failure & Valvular Diseases NCLEX Practice | Quiz #4: 50 Questions
  5. Myocardial Infarction & Peripheral Vascular Diseases NCLEX Practice | Quiz #5: 50 Questions

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1. Dysrhythmias & EKG Interpretation NCLEX Practice | Quiz #1: 20 Questions

  • 1. Dysrhythmias & EKG Interpretation NCLEX Practice | Quiz #1: 20 Questions
  • 2. Hematologic Disorders and Anemia NCLEX Practice | Quiz #2: 50 Questions
  • 3. Hypertension & Coronary Artery Disease NCLEX Practice | Quiz #3: 50 Questions
  • 4. Heart Failure & Valvular Diseases NCLEX Practice | Quiz #4: 50 Questions
  • 5. Myocardial Infarction & Peripheral Vascular Diseases NCLEX Practice | Quiz #5: 50 Questions

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Dysrhythmias & EKG Interpretation NCLEX Practice | Quiz #1: 20 Questions

All NCLEX practice questions in this set are related to dysrhythmias and EKG interpretation, including questions related to cardiovascular surgery.

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  1. Question 1 of 20

    1. Question

    A nurse is assessing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats per minute. The nurse assesses the cardiac rhythm as:

    • A. Normal sinus rhythm
    • B. Sinus bradycardia
    • C. Sick sinus syndrome
    • D. First-degree heart block

    Correct

    Incorrect

  2. Question 2 of 20

    2. Question

    A nurse notices frequent artifacts on the ECG monitor for a client whose leads are connected by cable to a console at the bedside. The nurse examines the client to determine the cause. Which of the following items is unlikely to be responsible for the artifact?

    • A. Frequent movement of the client.
    • B. Tightly secured cable connections.
    • C. Leads applied over hairy areas.
    • D. Leads applied to the limbs.

    Correct

    Incorrect

  3. Question 3 of 20

    3. Question

    A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but over 100. The nurse determines that the client is experiencing:

    • A. Premature ventricular contractions
    • B. Ventricular tachycardia
    • C. Ventricular fibrillation
    • D. Sinus tachycardia

    Correct

    Incorrect

  4. Question 4 of 20

    4. Question

    A nurse is viewing the cardiac monitor in a client’s room and notes that the client has just gone into ventricular tachycardia. The client is awake and alert and has good skin color. The nurse would prepare to do which of the following?

    • A. Immediately defibrillate.
    • B. Prepare for pacemaker insertion.
    • C. Administer amiodarone (Cordarone) intravenously.
    • D. Administer epinephrine (Adrenaline) intravenously.

    Correct

    Incorrect

  5. Question 5 of 20

    5. Question

    A nurse is caring for a client with unstable ventricular tachycardia. The nurse instructs the client to do which of the following, if prescribed, during an episode of ventricular tachycardia?

    • A. Breathe deeply, regularly, and easily.
    • B. Inhale deeply and cough forcefully every 1 to 3 seconds.
    • C. Lie down flat in bed.
    • D. Remove any metal jewelry.

    Correct

    Incorrect

  6. Question 6 of 20

    6. Question

    A client is having frequent premature ventricular contractions. A nurse would place a priority on the assessment of which of the following items?

    • A. Blood pressure and peripheral perfusion.
    • B. Sensation of palpitations.
    • C. Causative factors such as caffeine.
    • D. Precipitating factors such as infection.

    Correct

    Incorrect

  7. Question 7 of 20

    7. Question

    A client has developed atrial fibrillation, which has a ventricular rate of 150 beats per minute. A nurse assesses the client for:

    • A. Hypotension and dizziness
    • B. Nausea and vomiting
    • C. Hypertension and headache
    • D. Flat neck veins

    Correct

    Incorrect

  8. Question 8 of 20

    8. Question

    A nurse is watching the cardiac monitor, and a client’s rhythm suddenly changes. There are no P waves; instead, there are wavy lines. The QRS complexes measure 0.08 second, but they are irregular, with a rate of 120 beats a minute. The nurse interprets this rhythm as:

    • A. Sinus tachycardia
    • B. Atrial fibrillation
    • C. Ventricular tachycardia
    • D. Ventricular fibrillation

    Correct

    Incorrect

  9. Question 9 of 20

    9. Question

    A client with rapid rate atrial fibrillation asks a nurse why the physician is going to perform carotid massage. The nurse responds that this procedure may stimulate the:

    • A. Vagus nerve to slow the heart rate.
    • B. Vagus nerve to increase the heart rate; overdriving the rhythm.
    • C. Diaphragmatic nerve to slow the heart rate.
    • D. Diaphragmatic nerve to overdrive the rhythm.

    Correct

    Incorrect

  10. Question 10 of 20

    10. Question

    A nurse notes that a client with sinus rhythm has a premature ventricular contraction that falls on the T wave of the preceding beat. The client’s rhythm suddenly changes to one with no P waves or definable QRS complexes. Instead, there are coarse wavy lines of varying amplitude. The nurse assesses this rhythm to be:

    • A. Ventricular tachycardia
    • B. Ventricular fibrillation
    • C. Atrial fibrillation
    • D. Asystole

    Correct

    Incorrect

  11. Question 11 of 20

    11. Question

    While caring for a client who has sustained an MI, the nurse notes eight PVCs in one minute on the cardiac monitor. The client is receiving an IV infusion of D5W and oxygen at 2 L/minute. The nurse’s first course of action should be to:

    • A. Increase the IV infusion rate.
    • B. Notify the physician promptly.
    • C. Increase the oxygen concentration.
    • D. Administer a prescribed analgesic.

    Correct

    Incorrect

  12. Question 12 of 20

    12. Question

    The adaptations of a client with complete heart block would most likely include:

    • A. Nausea and vertigo
    • B. Flushing and slurred speech
    • C. Cephalalgia and blurred vision
    • D. Syncope and slow ventricular rate

    Correct

    Incorrect

  13. Question 13 of 20

    13. Question

    A client with a bundle branch block is on a cardiac monitor. The nurse should expect to observe:

    • A. Sagging ST segments.
    • B. Absence of P wave configurations.
    • C. Inverted T waves following each QRS complex.
    • D. Widening of QRS complexes to 0.12 second or greater.

    Correct

    Incorrect

  14. Question 14 of 20

    14. Question

    When ventricular fibrillation occurs in a CCU, the first person reaching the client should:

    • A. Administer oxygen.
    • B. Defibrillate the client.
    • C. Initiate CPR.
    • D. Administer sodium bicarbonate intravenously.

    Correct

    Incorrect

  15. Question 15 of 20

    15. Question

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor? Select all that apply.

    • A. The RR intervals are relatively consistent.
    • B. One P wave precedes each QRS complex.
    • C. Four to eight complexes occur in a 6-second strip.
    • D. The ST segment is higher than the PR interval.
    • E. The QRS complex ranges from 0.12 to 0.20 second.

    Correct

    Incorrect

  16. Question 16 of 20

    16. Question

    When auscultating the apical pulse of a client who has atrial fibrillation, the nurse would expect to hear a rhythm that is characterized by:

    • A. The presence of occasional coupled beats.
    • B. Long pauses in an otherwise regular rhythm.
    • C. A continuous and totally unpredictable irregularity.
    • D. Slow but strong and regular beats.

    Correct

    Incorrect

  17. Question 17 of 20

    17. Question

    Atherosclerosis impedes coronary blood flow by which of the following mechanisms?

    • A. Plaques obstruct the vein.
    • B. Plaques obstruct the artery.
    • C. Blood clots form outside the vessel wall.
    • D. Hardened vessels dilate to allow blood to flow through.

    Correct

    Incorrect

  18. Question 18 of 20

    18. Question

    A paradoxical pulse occurs in a client who had a coronary artery bypass graft (CABG) surgery two (2) days ago. Which of the following surgical complications should the nurse suspect?

    • A. Left-sided heart failure
    • B. Aortic regurgitation
    • C. Complete heart block
    • D. Pericardial tamponade

    Correct

    Incorrect

  19. Question 19 of 20

    19. Question

    After cardiac surgery, a client’s blood pressure measures 126/80. The nurse determines that the mean arterial pressure (MAP) is which of the following?

    • A. 46 mm Hg
    • B. 80 mm Hg
    • C. 95 mm Hg
    • D. 90 mm Hg

    Correct

    Incorrect

  20. Question 20 of 20

    20. Question

    A woman with severe mitral stenosis and mitral regurgitation has a pulmonary artery catheter inserted. The physician orders pulmonary artery pressure monitoring, including pulmonary capillary wedge pressures. The purpose of this is to help assess the:

    • A. Degree of coronary artery stenosis.
    • B. Peripheral arterial pressure.
    • C. Pressure from fluid within the left ventricle.
    • D. Oxygen and carbon dioxide concentration is the blood.

    Correct

    Incorrect

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1. Dysrhythmias & EKG Interpretation NCLEX Practice | Quiz #1: 20 Questions

  • 1. Dysrhythmias & EKG Interpretation NCLEX Practice | Quiz #1: 20 Questions
  • 2. Hematologic Disorders and Anemia NCLEX Practice | Quiz #2: 50 Questions
  • 3. Hypertension & Coronary Artery Disease NCLEX Practice | Quiz #3: 50 Questions
  • 4. Heart Failure & Valvular Diseases NCLEX Practice | Quiz #4: 50 Questions
  • 5. Myocardial Infarction & Peripheral Vascular Diseases NCLEX Practice | Quiz #5: 50 Questions

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Next Hematologic Disorders and Anemia NCLEX Practice | Quiz #2: 50 Questions

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