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RELIAS DYSRHYTHMIA BASIC B TEST EXAM|| LATELY
UPDATED QUESTIONS AND 100% CORRECT ANSWERS
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1. WhichofthefollowingisNOTfoundintherhythmPulselessElectricalActivi ty (PEA)? (Required) A. Organizatio n B.Pulse C. Pwaves D. QRScomplexes 2. The nurse observes the rhythm above on the cardiac monitor. The nurse assessesthepatientandfindsthatthepatientisunresponsiveandhasnopulse. The nurse calls a code blue and starts CPR. Arhythm checked is performed and the same rhythm is noted with no pulse. What is an INCORRECT action by the codeteam for treatment of this rhythm? (Required) A. ContinueCPR B. AdministerEpinephri ne C.Defibrillation D.Supporttheairway 3. TrueorFalse:PEA(PulselessElectricalActivity)canhavemanypresentations onthe ECG and can sometimes appear as a complete flat line. (Required) True Fals e 4. WhichmedicationbelowcanbeusedduringacodetotreatPEA(Pulsele ss Electrical Activity)? (Required) A. Atropine B. Amiodarone C. Lidocaine D. Epinephrine
4. The patient is experiencing the rhythm above. You assess the patient and find thepatientishavingnosymptomsandapulseispresent.Whattypeoftreatment do youanticipate will be ordered for this patient? (Required) A. CPR B. Defibrillation C. AmiodaroneIV D. DigoxinIV 5. The patient is experiencing the rhythm above. The patient is presenting with a bloodpressureof70/42,mentalstatuschanges,andisclammyandpale. Apulse is present. The nurse preps the patient for? (Required) A. CPR B. Synchronizedcardioversion C. Defibrillation D. AtropineIV 6. Apatientisexperiencingventriculartachycardiaandisunresponsivewithno pulse. After activating the emergency response system, the nurse would immediately? (Required) A. Prepthepatientfordefibrillation B. AdministerIVepinephrine C. Securetheairway D. Startchestcompressions
7. Thefollowingrhythmisnotedinyourpatient.Thepatientisunresponsiveand hasno pulse. What order below would the nurse ask for clarification if received? (Required) A. IVAmiodarone B. IVMagnesiumSulfate C. Defibrillation D. IVepinephrine
VentricularFibrillation(V-fib)ECGHeartRhythmQuizQuestions
1. Selecttheoptionsbelowthatdescribetherhythm above: (Required) A. Irregularatrialrate B. Regularventricularrate C. Finefibrillatorywaves D.Coarsefibrillatorywaves E.TorsadesdePointes G.Asystole H.Ventriculartachycardia I.Ventricularfibrillation 2. TRUEorFALSE:Ventricularfibrillation(V-fib)isalethalrhythmthatresultsin the quivering of the ventricles which leads to a rapid fall in cardiac output. (Required) True
1. Selecttheoptionsbelowthatdescribetherhythm above: (Required) A. Atrialrate<60bpm B. Regularatrialrate C. Irregularventricularr ate D.Ventricularrate>100b pm E. QRScomplexabsent F. Fibrillarywavespresent G. AtrialFlutter H.AtrialFibrillatio n I.SinusTachycardi a 2. ThenurseisassessinganECGstrip.WhichfindingontheECGstripisNOT a characteristic present in atrial fibrillation (a-fib)? (Required) A. fibrillarywaves B. unmeasurableatrialr ate C.saw-tooth waves D.irregularventricularra te Thepatient'sECGshowstherhythmabove.Thepatientissymptomatic and Experiencing shortness of breath and chest pain. The patient's blood pressure increases
80/44withtheheartratefluctuatingbetween130-150s.Thenursecallsarapid responseand prepares the patient for? (Required) A.Ablation B.Synchronizedcardioversio n C.Defibrillation D.Pacemakerimplantation
3. Whichstatementsbelowbestdescribedatransesophagealechocardiogram (TEE) used in the treatment of atrial fibrillation? Select all that apply: (Required) A. Itcanbeperformedbeforeacardioversiontoassessforbloodclotsintheheart. B. Thisproceduredestroyselectricalpathwaysinthehearttohelpreturnapatient’shear t rhythm to normal. C. Duringthisprocedure,anultrasoundprobeisinsertedinthepatient’smouthdownthr oug h the esophagus where it takes ultrasound pictures of the heart. D. Duringtheprocedure,atransducerisplacedonthechestthatsendsultrasoundwave s through the skin so pictures can be obtained of the heart’s blood flow. 4. Whatcomplicationscandevelopfromuncontrolledatrialfibrillationthatthe nurse should monitor for? Select all that apply: (Required) A.Hypertension B.Stroke C.Heartfailure D.Hyperglycemia 5. True or False: If a patient has been in atrial fibrillation for more than 48 hours, anticoagulationisneededpriortoacardioversionduetobloodclotrisks. (Required) True Fals e
6. Whichrhythmaboveisatrial fibrillation? (Required)
A. Rhythm B. Rhythm C. Rhythm D. Rhythm 4
AtrialFlutter(A-Flutter)ECG/EKGQuizQuestions
1. Selecttheoptionsbelowthatdescribetherhythm above: (Required) A. P-wavespresent B. Fibrillarywavespresent C. Flutterwavespresent D. Atrialrate<100bpm E. QRScomplexlessthan0.12seconds F. PRinterval<0.20seconds G. Atrialfibrillation H. Atrialflutter I. Normalsinusrhythm 2. Whichstatementiscorrectaboutatrialflutter? (Required) A. Theventricularratewillalwaysbeirregular. B. P-waveswillbepresent. C.Thisrhythmhasasaw- toothappearance. D.ThePRintervalwillbe>0.20second s. 3. TrueorFalse:Atropineisthefirst-linetreatmenttohelpcontroltherateina patientwith atrial flutter. (Required) True False 4. Yourpatient'sECGshowsatrialflutter.Whatcomplicationcanarisefromthis typeof rhythm? (Required) A. Pericarditis B. Stroke
D. Endocarditis
5. TrueorFalse:Treatmentforunstableatrialflutterissynchronize d cardioversion. (Required) True Fals e 6. Fill-in-the-blank:Rhythm1is ,andRhythm2is . (Required) A. atrialfibrillation;atrialflutter B. first-degreeheartblock;atrialflutter C. atrialflutter;atrialfibrillation D. atrialflutter;sinusbradycardia
Third-DegreeHeartBlock(Complete)ECGQuizQuestions
1. Selectalltheoptionsbelowthatdescribetheheartrhythm above: (Required) A. PRIntervalprogressivelyprolon ged B.Ventricularrhythmregular C.IndependentPwavesandQRScomplexes D.Regularatrialrhythm E.Slowerventricularratethanatrial rate F.Atrialrateslowerthanventricular rate G.Equalatrialandventricularrate H.Second-DegreetypeII(MobitzII) I.Third-DegreeHeartBlock(complete) J.SecondDegreetypeI(MobitzIorWenckebach) 2. TRUEorFALSE:AThird-DegreeHeartBlockisunlikelytocausesymptomsin a patient and usually requires no treatment. (Required) True Fals e 3. Whichoptionbelowbestdescribesthefindingsanursewouldfindina Third- Degree Heart Block (complete heart block)? (Required) A. NormalpwaveswithprogressivelyprolongedPRintervalandmissingQRScomplexes B. NormalpwaveswithconstantPRintervalsandintermittentmissingQRScomplexes C. NormalpwaveseachwithaQRScomplexbutprolongedPRintervalsre gularly throughout the rhythm D. NormalpwavesandQRScomplexesthatareindependentofeachotherbuthasregular atrial and ventricular rhythm
4. Whichrhythmabove isaThird-DegreeHeartBlock? (Required) A. Rhythm B. Rhythm C. Rhythm D. Rhythm 4 5. Yourpatientisexperiencingabloodpressureof70/42,weakpulse,chestpain, and ispale. The patient is confused and anxious. An ECG is obtained and a Third- DegreeHeartBlockisnoted.Whattreatmentshouldthenursebeprepping for? Select all that apply: (Required) A. AmiodaroneIV B. Defibrillation C. Temporarypacing D. SynchronizedDefibrillation 6. SelectbelowallthecausesofaThird-DegreeHeartblock: (Required) A. Congenitalheartdisea se B.DigoxinToxicity C. BloodGlucose50mg/dL D. Potassium4.2mEq/L E. Heartvalvedamage
First-DegreeAVHeartBlockQuizQuestions
1. Selectallthecorrectoptionsbelowthatdescribetherhythm above: (Required) A. RegularPWaves B. PRInterval<0.20seconds C. RegularVentricularRhythm D.First-DegreeHeartBlock E.Second-DegreeTypeIHeartBlock(MobitztypeI) F.PRInterval>0.20seconds
1. Selectalltheoptionsbelowthatdescribetheheartrhythm above: (Required) A. PRInterval<0.20secondsthroughouttherhythm B. Atrialandventricularrhythmregular C. Atrialrateisfasterthantheventricularrate D.Normalpwaves E.GraduallylengtheningPRIntervals F.DroppedQRScomplexes G.QRS<0.12seconds H. Second-DegreetypeII(MobitzII) I. SecondDegreetypeI(MobitzIorWenckebach) 2. True or False: A hallmark finding in a Second-Degree type I (Mobitz I or Wenckebach)heartblockisthatthePRintervalwillremainconstantthroughout therhythm but there will be a dropped QRS complex after a p wave. (Required) True False 3. InSecond- DegreetypeI(MobitzIorWenckebach)heartblockwhyisthe ventricular rate slower than the atrial rate? (Required)
A. TheatrialrateisfasterthantheventricularratebecauseoftheshortenPRintervals.
