Emergency Nurse Practitioner (ENP) Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

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What does a heart rate below 60 bpm typically indicate in adults?

Hypertension

Possible bradycardia that may need investigation

A heart rate below 60 beats per minute (bpm) in adults is generally classified as bradycardia, which can suggest a need for further evaluation. In certain contexts, such as in well-conditioned athletes, a lower heart rate may not be a cause for concern; however, in the general population, it often requires investigation to determine the underlying cause.

Possible causes of bradycardia include pathological conditions such as heart block, exposure to certain medications (like beta-blockers), or abnormalities in the cardiovascular system that may need to be addressed. Identifying the cause of bradycardia is crucial because, depending on the patient's symptoms and the context, it can lead to significant clinical implications, including the risk of decreased cardiac output or impaired perfusion to vital organs.

Considering the other options, hypertension would not be indicated by a low heart rate, as hypertension is characterized by elevated blood pressure. Tachycardia, which refers to an elevated heart rate, clearly contrasts with bradycardia. A normal physiological response is context-dependent and typically applies to scenarios where a low heart rate is expected, such as during sleep or in trained athletes, but it does not encompass the general situation in adults where further investigation may be warranted. Therefore

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Tachycardia

Normal physiological response

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