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RELIAS DYSRHYTHMIA BASIC TEST 35
QUESTIONS AND ANSWERS (BASIC A
DYSRHYTHMIA) UPDATED BY EXPERTS|
GRADED A+ BRAND NEW!!
● DYSRHYTHMIAS
PEA
1. WhichofthefollowingisNOTfoundintherhythmPulselessElectricalActivity (PEA)? (Required) A. Organization 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 code team for treatment of this rhythm? (Required) A. ContinueCPR B. AdministerEpinephrine C.Defibrillation D.Supporttheairway 3. TrueorFalse:PEA(PulselessElectricalActivity)canhavemanypresentations on the ECG and can sometimes appear as a complete flat line. (Required)
True False
4. WhichmedicationbelowcanbeusedduringacodetotreatPEA(Pulseless Electrical Activity)? (Required) A. Atropine B. Amiodarone C. Lidocaine D. Epinephrine
C. Rhythm D. Rhythm
VentricularTachycardia(V-tach)ECGHeartRhythmQuizQuestions
1. Selecttheoptionsbelowthatdescribetherhythm above: (Required) A. Monomorphic B.Regularatrialrhythm C.QRScomplex>0.12seconds D.Irregularventricularrhythm E.Regularventricularrhythm F.Ventricularrate>100bpm G.Atrialrate>80bpm H. Polymorphic I.Ventriculartachycardia J.Ventricularfibrillation 2. TRUEorFALSE:Torsadesdepointesisknownasatypeofmonomorphic ventricular tachycardia. (Required) True False 3. YourpatientisunresponsiveandthecardiacmonitorshowsTorsadesdePointes asthepatient'srhythm. Asthecodeteamisattemptingtoresuscitatethepatient, you look through the patient's electronic health record to try to determine a potential cause for this rhythm. What found in the patient's record is a cause of this rhythm? (Required) A. Magnesiumlevel2mg/dL B. Amiodarone C. Potassium5mEq/L D. Glyburide
ANSWERS
4. The patient is experiencing the rhythm above. You assess the patient and find thepatientishavingnosymptomsandapulseispresent.Whattypeoftreatment do you anticipate 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
ANSWERS
3. TRUEorFALSE:Apatientexperiencingfineventricularfibrillationhasabetter chance of being revived than a patient in coarse ventricular fibrillation. (Required) True False 4. ThenurseseestherhythmaboveontheECG.Thepatientisunresponsiveand has no pulse. The nurse calls a code blue and takes what step next? (Required) A. Preparefordefibrillation B. AdministerEpinephrine C.Starthigh-qualityCPR D.Notifythephysician 5. What other medications can be administered to a patient experiencing Ventricularfibrillation(V-fib)duringacoderesuscitationattempt?Selectallthat apply: (Required) A. Atropine B. Epinephrine C. Amiodarone D.Lidocaine 6. Your patient is in ventricular fibrillation (v-fib). You’ve started CPR and the airwayis supported. A rhythm checked in is performed and shows the patient is stillinventricularfibrillation.TheNEXTactionthecodeteamwilltakeinaddition to performing high-quality CPR is to? (Required) A. AdministerAtropine B.Defibrillate z D.Synchronizedcardiovert cardiovert
AtrialFibrillation(A-Fib)ECGHeartRhythmQuizQuestions
ANSWERS
1. Selecttheoptionsbelowthatdescribetherhythm above: (Required) A. Atrialrate<60bpm B. Regularatrialrate C. Irregularventricularrate D.Ventricularrate>100bpm E. QRScomplexabsent F. Fibrillarywavespresent G. AtrialFlutter H.AtrialFibrillation I.SinusTachycardia 2. ThenurseisassessinganECGstrip.WhichfindingontheECGstripisNOTa characteristic present in atrial fibrillation (a-fib)? (Required) A. fibrillarywaves B. unmeasurableatrialrate C.saw-tooth waves D.irregularventricularrate 3. Thepatient'sECGshowstherhythmabove.Thepatientissymptomatic and experiencingshortnessofbreathandchestpain.Thepatient'sbloodpressurein
ANSWERS
7. Whichrhythmaboveisatrial fibrillation? (Required)
ANSWERS A. Rhythm1 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>0.20seconds. 3. TrueorFalse:Atropineisthefirst-linetreatmenttohelpcontroltherateina patient with atrial flutter. (Required) True False 4. Yourpatient'sECGshowsatrialflutter.Whatcomplicationcanarisefromthis type of rhythm? (Required) A. Pericarditis B. Stroke
ANSWERS D. Endocarditis
5. TrueorFalse:Treatmentforunstableatrialflutterissynchronized cardioversion. (Required) D. atrialflutter;sinusbradycardia
Third-DegreeHeartBlock(Complete)ECGQuizQuestions
B. first-degreeheartblock;atrialflutter C. atrialflutter;atrialfibrillation True False
6. Fill-in-the-blank:Rhythm1is ,andRhythm2is . (Required) A. atrialfibrillation;atrialflutter
ANSWERS
1. Selectalltheoptionsbelowthatdescribetheheartrhythm above: (Required) A. PRIntervalprogressivelyprolonged B.Ventricularrhythmregular C.IndependentPwavesandQRScomplexes D.Regularatrialrhythm E.Slowerventricularratethanatrialrate F.Atrialrateslowerthanventricularrate 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 False 3. Whichoptionbelowbestdescribesthefindingsanursewouldfindina Third- Degree Heart Block (complete heart block)? (Required) A. NormalpwaveswithprogressivelyprolongedPRintervalandmissingQRScomplex es B. NormalpwaveswithconstantPRintervalsandintermittentmissingQRScomplexes C. NormalpwaveseachwithaQRScomplexbutprolongedPRintervalsregularly throughout the rhythm D. NormalpwavesandQRScomplexesthatareindependentofeachotherbuthasregularatrial and ventricular rhythm
ANSWERS
4. Whichrhythmabove isaThird-DegreeHeartBlock? (Required) A. Rhythm B. Rhythm C. Rhythm3 D.Rhythm 4 5. Yourpatientisexperiencingabloodpressureof70/42,weakpulse,chestpain, and is pale. 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. Congenitalheartdisease 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
ANSWERS
2. TrueorFalse:InaFirst-DegreeHeartBlock,theatrialrhythmisregularandthe QRS complex will measure less than 0.12 seconds. (Required) True False 3. YourpatientisfoundtohaveaFirst-DegreeHeartBlockafterobtainingan ECG. The patient is asymptomatic. The nurse prepares to? Select all that apply: (Required) A. Activatetheemergencyresponseteam B. Obtainatropineandtemporarypacing pads C. Continuetomonitor D. StartCPR E. Assessthepatient’scurrentmedications 4. WhatmedicationbelowcouldcauseaFirst-DegreeHeart Block? (Required) A. Lisinopril B. Diltiazem C. Furosemide D. Clopidogrel 5. Ahallmarkfinding ina First-DegreeHeartBlockis? (Required) A.agraduallylengtheningPRintervalwitharandomdroppedQRScomplex B.aPRinterval>0.20seconds C.aconstantPRintervalwithrandomdroppedQRScomplexes D.independentpwavesandQRScomplexes 6. Whichstatementbelow bestdescribeswhyaFirst-DegreeHeartBlock occurs? (Required) A. TheSAnodeisfiringtoorapidlytotheAVnode. B. ThesignaltravelingfromtheAVnodetothePurkinjefibersisblockedintherightand left bundle branches. C. TheelectricalsignalismovingslowlythroughtheAVnode. D. TheAVnodeiscompletelyunabletofireduringtheelectricalconductioncyclewhich create a delay in ventricular contraction.
Second-DegreeTypeI(MobitzIWenckebach)HeartBlockQuiz
ANSWERS A. TheatrialrateisfasterthantheventricularratebecauseoftheshortenPRintervals.
ANSWERS B. TheconstantPRintervalsdecreasetherateofconductiontotheAVnodewhichslows down the ventricular rate. C. Theventricularrateisslowerthantheatrialratebecauseattimestheelectricalsignalisn’t able to travel down from the atria to the ventricles, which leads to a dropped QRScomplex. D. TheSAnodeisfiringtooslowlyandthisaffectshowtheAVnodestimulatesthe ventricles to contract.
4. WhichrhythmaboveillustratesaSecond-DegreetypeI(MobitzIor Wenckebach) heart block? (Required)
