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The BSMH Advanced Arrhythmia Course Exam, offered through Bon Secours Mercy Health’s Nursing Education program, evaluates nurses’ understanding of complex cardiac rhythms, ECG interpretation, and advanced cardiac monitoring. Strengthen your arrhythmia recognition skills and clinical decision-making for safe, effective cardiac care.
Typology: Exams
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P Wave - CORRECT ANSWER- atrial depolarization
PR Interval - CORRECT ANSWER- time it takes for the impulse to get from atrial to ventricles 0.12 - 0.20 seconds
QRS Interval - CORRECT ANSWER- ventricular depolarization < 0.12 seconds
ST Segment - CORRECT ANSWER- early depolarization of ventricles depression = myocardial infarction elevation = myocardial injury
T Wave - CORRECT ANSWER- repolarization of ventricles Blood flow through the heart - CORRECT ANSWER- SVC --> Rt atria --> Tricuspid --> Rt ventricle --> Pulmonic valve --> Lungs --> Lt atria --> Mitral valve --> Lt ventricle --> aortic valve --> aorta --> Body
EKG Times - CORRECT ANSWER- 6 second strip 1 small block = 0.04 secs 1 big block = 5 small boxes = 0.20 secs 15 big blocks = 3 seconds
Heart blocks - CORRECT ANSWER- No changes in PR Interval
Changes in PR Interval
Conduction pathway - CORRECT ANSWER- Sinus node - inerarterial tracts - atrium - intermodal tracts - AV node - bundle of HIS - bundle branches - purkinje fibers - ventricles
Inherent rates - CORRECT ANSWER- SA node = 60- AV node = 40- Ventricle = 20-
Atrial flutter - CORRECT ANSWER- Sawtooth pattern
Atrial fibrillation - CORRECT ANSWER- Waves between QRS
Idioventricular - CORRECT ANSWER- Rate 20- T wave opposite QRS, no P wave, wide QRS
Accelerated Idioventricular - CORRECT ANSWER- Rate 40- T wave opposite QRS, no P wave, wide QRS
Asystole - CORRECT ANSWER- Flat line
First degree heart block - CORRECT ANSWER- Prolonged P wave > 0. "If R is far from P, then you have a 1st degree"
Pacemaker Failure to Sense - CORRECT ANSWER- Pacemaker spike occurs in middle of QRS complex, T wave, or ST segment