Relias Dysrhythmia Basic Test: Questions and Answers, Exams of Nursing

A comprehensive overview of basic dysrhythmias, including their definitions, characteristics, and key features. It presents a series of questions and answers related to different types of heart rhythms, covering topics such as normal sinus rhythm, sinus arrhythmia, sinus bradycardia, sinus tachycardia, premature atrial contractions, atrial fibrillation, atrial flutter, junctional rhythm, junctional tachycardia, premature junctional contractions, supraventricular tachycardia, first-degree heart block, second-degree heart block (wenkebach and mobitz ii), third-degree heart block, premature ventricular contractions, ventricular tachycardia, torsades de pointes, ventricular fibrillation, idioventricular rhythm, accelerated idioventricular rhythm, asystole, and pacemaker-related rhythms. This resource is valuable for students and professionals seeking to understand and identify various dysrhythmias.

Typology: Exams

2024/2025

Available from 02/17/2025

Emma_Johnson
Emma_Johnson 🇬🇧

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RELIAS DYSRHYTHMIA BASIC TEST
QUESTIONS AND ANSWERS
normal sinus rhythm - ANSWER-heart rhythm originating in the sinoatrial
node with a rate in patients at rest of 60 to 100 beats per minute
Sinus Arrhythmia - ANSWER-Appearance is ALMOST NORMAL:
Respiratory - Circulatory interaction
Rate INCREASES with INSPIRATION (IN=IN)
Sinus Bradycardia - ANSWER-<60
normal sinus rhythm
Sinus Tachycardia - ANSWER->100 (100-150)
normal sinus rhythm
Premature Atrial Contraction (PAC) - ANSWER-Heart Rate: Depends on
underlying rhythm
Regularity: Interrupts the regularity of underlying rhythm
P-Wave: can be flattened, notched, or unusual. May be hidden within the T
wave
PRI: measures between .12-.20 seconds and can be prolonged; can be
different from other complexes
QRS: <.12 seconds
Sinus Arrest/Pause - ANSWER-- SA node doesn't fire
- notice absence of P-wave for a complete cycle (a missed cycle)
length of pause ≠ multiple of normal rate (block)
Atrial Fibrillation (A-Fib) - ANSWER-an irregular and often very fast heart
rate originating from abnormal conduction in the atria
Atrial Flutter - ANSWER-irregular beating of the atria; often described as
"a-flutter with 2 to 1 block or 3 to 1 block"
Junctional Rhythm - ANSWER-40-60 Regular!
-impulse from AV node w/ retro/antegrade transmission
- P wave often inverted/buried/follow QRS
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RELIAS DYSRHYTHMIA BASIC TEST

QUESTIONS AND ANSWERS

normal sinus rhythm - ANSWER -heart rhythm originating in the sinoatrial node with a rate in patients at rest of 60 to 100 beats per minute Sinus Arrhythmia - ANSWER -Appearance is ALMOST NORMAL: Respiratory - Circulatory interaction Rate INCREASES with INSPIRATION (IN=IN) Sinus Bradycardia - ANSWER -< normal sinus rhythm Sinus Tachycardia - ANSWER ->100 (100-150) normal sinus rhythm Premature Atrial Contraction (PAC) - ANSWER -Heart Rate: Depends on underlying rhythm Regularity: Interrupts the regularity of underlying rhythm P-Wave: can be flattened, notched, or unusual. May be hidden within the T wave PRI: measures between .12-.20 seconds and can be prolonged; can be different from other complexes QRS: <.12 seconds Sinus Arrest/Pause - ANSWER -- SA node doesn't fire

  • notice absence of P-wave for a complete cycle (a missed cycle) length of pause ≠ multiple of normal rate (block) Atrial Fibrillation (A-Fib) - ANSWER -an irregular and often very fast heart rate originating from abnormal conduction in the atria Atrial Flutter - ANSWER -irregular beating of the atria; often described as "a-flutter with 2 to 1 block or 3 to 1 block" Junctional Rhythm - ANSWER -40-60 Regular! -impulse from AV node w/ retro/antegrade transmission
  • P wave often inverted/buried/follow QRS
  • slow rate
  • narrow QRS (not wide like ventricular) Junctional Tachycardia - ANSWER ->60 bpm (ms. K; 150-250)
  • KEY: will be regular (consistent)
  • AV junction produces a rapid sequence of QRS-T cycles
  • p-wave often inverted/buried/follow QRS Premature Junctional Contraction - ANSWER -Inverted p wave or hidden p wave PRI<0.12 or none Normal QRS Supraventricular Tachycardia (SVT) - ANSWER -an abnormal heart rhythm arising from aberrant electrical activity in the heart; originates at or above the AV node First degree heart block - ANSWER -atrioventricular (AV) block in which the atrial electrical impulses are delayed by a fraction of a second before being conducted to the ventricles 2nd degree heart block type 1 (Wenkebach) - ANSWER -Progressively longer PR interval until the P wave is not followed by a QPR 2nd Degree Heart Block (Mobitz II) - ANSWER -Rare, but more serious Sudden appearance of a nonconducted P-wave P-waves are nl, but some aren't followed by a QRS complex PR & RR intervals are constant 3rd degree heart block - ANSWER -no obvious correlation between p and qrs, need pace maker premature ventricular contraction (PVC) - ANSWER -a ventricular contraction preceding the normal impulse initiated by the SA node (pacemaker) Bigeminy PVC - ANSWER -every other beat is a PVC PVC couplets - ANSWER -PVC occurring in pairs, no adequate C.O. when this occurs

Ventricular paced rhythm - ANSWER -ventricular contractions which occur in cases of complete heart block.