{"id":1925,"date":"2022-03-23T14:47:00","date_gmt":"2022-03-23T14:47:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=1925"},"modified":"2026-03-20T13:51:44","modified_gmt":"2026-03-20T21:51:44","slug":"nclex-question-of-the-day-ecg-strip","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-ecg-strip","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Electrocardiogram (ECG) strip"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-ecg-strip\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-ecg-strip\/#Ready_to_put_your_nursing_knowledge_to_the_test\" >Ready to put your nursing knowledge to the test?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-ecg-strip\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-ecg-strip\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-ecg-strip\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today&#8217;s NCLEX-RN\u00ae question of the day<\/strong> focuses on a <strong>nurse making a decision based on a client&#8217;s ECG strip characteristics.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A client\u2019s <strong>ECG strip<\/strong> has the following characteristics:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Regular rhythm<\/strong><\/li>\n\n\n\n<li><strong>P wave precedes each normal QRS complex<\/strong><\/li>\n\n\n\n<li><strong>PR interval = 0.20<\/strong><\/li>\n\n\n\n<li><strong>Rate = 50 beats\/minute<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The client is <strong>dyspneic<\/strong> and complains of <strong>chest pain<\/strong>. Based on these findings, what is the <strong>first intervention<\/strong> the nurse should anticipate?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Vagal maneuvers<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Administer epinephrine<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Administer atropine<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. External pacing<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"NEW Resources for Nursing Students!\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/npr5bg20_78?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/nclex-rn\" target=\"_blank\" rel=\"noreferrer noopener\"><u>Check out our<\/u><strong><u>\u00a0NCLEX-RN Study Plan Guide!<\/u><\/strong><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Administer atropine<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale: <a href=\"https:\/\/www.osmosis.org\/learn\/Mydriatics_and_cycloplegics:_Nursing_Pharmacology\" target=\"_blank\" rel=\"noreferrer noopener\">Atropine\u00a0<\/a><\/strong>is\u00a0<strong><a href=\"https:\/\/www.osmosis.org\/learn\/Bronchodilators:_Nursing_Pharmacology\" target=\"_blank\" rel=\"noreferrer noopener\">anticholinergic<\/a><\/strong>\u00a0and the <strong>medication of choice<\/strong> for treating <strong>symptomatic bradycardia<\/strong>. <strong>External pacing<\/strong> may be implemented if the <strong>atropine<\/strong> is not effective. <strong>Epinephrine<\/strong> may be implemented if <strong>atropine<\/strong> and <strong>external pacing<\/strong> are not effective.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ready_to_put_your_nursing_knowledge_to_the_test\"><\/span><em>Ready to put your nursing knowledge to the test?<\/em><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Explore the <strong><a href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-smarter-prep-better-results\" target=\"_blank\" rel=\"noreferrer noopener\">NCLEX\u00ae Question of the Day: Smarter Prep, Better Results<\/a><\/strong> page to practice with <strong>NCLEX-style questions<\/strong> and <strong>boost your confidence<\/strong> before exam day.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Atropine <\/strong>is\u00a0<strong><a href=\"https:\/\/www.osmosis.org\/learn\/Bronchodilators:_Nursing_Pharmacology\" target=\"_blank\" rel=\"noreferrer noopener\">anticholinergic<\/a>\u00a0<\/strong>and the <strong>medication of choice<\/strong> for treating <strong>symptomatic bradycardia.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Vagal maneuvers<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>: <strong>Vagal maneuvers<\/strong> (Valsalva, coughing, carotid massage) are strategies used for arrhythmias such as\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Supraventricular_arrhythmias:_Pathology_review\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>supraventricular tachycardia<\/strong><\/a>, but this would <strong>decrease the heart rate<\/strong> and <strong>increase the severity<\/strong> of the client\u2019s symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Administer epinephrine<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>:\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Sympathomimetic_medications:_Nursing_Pharmacology\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Epinephrine<\/strong><\/a> may be implemented if <strong>atropine<\/strong> and <strong>external pacing<\/strong> are not effective.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. External pacing<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>: <strong>External pacing<\/strong> may be implemented if the <strong>atropine<\/strong> is not effective.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>References<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lewis, S. L., Dirksen, S. R., Heitkemper, M. M. &amp; Bucher, L. (2017).\u00a0<a href=\"https:\/\/evolve.elsevier.com\/cs\/product\/9780323551496?role=student\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Medical-surgical nursing: Assessment and management of clinical problems\u00a0<\/em>(11th ed.)<em>.<\/em><\/a><em>\u00a0<\/em>St. Louis, MO: Elsevier Mosby.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T090955.071.png\" alt=\"Learn &amp; master essential concepts for your career in nursing with osmosis sign up now.\" class=\"wp-image-1941\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T090955.071.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T090955.071.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><figcaption class=\"wp-element-caption\">NCLEX-RN\u00ae and NCLEX-PN\u00ae are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN\u00ae). Osmosis is not affiliated with NCSBN.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A patient with a slow, regular heart rhythm presents with chest pain and dyspnea. Which nursing intervention should be anticipated first?<\/p>\n","protected":false},"author":279,"featured_media":1940,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20,29,1367,32],"tags":[1854,1856,1857,306,318,1858,1470,244,1029,1855],"class_list":["post-1925","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing","tag-atropine","tag-chest-pain","tag-dyspnea","tag-ecg","tag-epinephrine","tag-external-pacing","tag-heart-rate","tag-nclex-rn","tag-nursing-care","tag-vagal-maneuvers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Electrocardiogram (ECG) strip - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-ecg-strip\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Electrocardiogram (ECG) strip - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"A patient with a slow, regular heart rhythm presents with chest pain and dyspnea. 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