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● 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
WITH 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
WITH ANSWERS
False
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
WITH 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
WITH ANSWERS
80/44withtheheartratefluctuatingbetween130-150s.Thenursecallsarapid response and prepares the patient for? (Required) A.Ablation B.Synchronizedcardioversion C.Defibrillation D.Pacemakerimplantation
4. Whichstatementsbelowbestdescribedatransesophagealechocardiogram (TEE) used in the treatment of atrial fibrillation? Select all that apply: (Required) A. Itcanbeperformedbeforeacardioversiontoassessforbloodclotsintheheart. B. Thisproceduredestroyselectricalpathwaysinthehearttohelpreturnapatient’sheart rhythm to normal. C. Duringthisprocedure,anultrasoundprobeisinsertedinthepatient’smouthdownthroug h the esophagus where it takes ultrasound pictures of the heart. D. Duringtheprocedure,atransducerisplacedonthechestthatsendsultrasoundwaves through the skin so pictures can be obtained of the heart’s blood flow. 5. Whatcomplicationscandevelopfromuncontrolledatrialfibrillationthatthe nurse should monitor for? Select all that apply: (Required) A. Hypertension B.Stroke C.Heartfailure D.Hyperglycemia 6. True or False: If a patient has been in atrial fibrillation for more than 48 hours, anticoagulationisneededpriortoacardioversionduetobloodclotrisks. (Required) True False
WITH ANSWERS
WITH ANSWERS
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>0.20seconds. 3. TrueorFalse:Atropineisthefirst-linetreatmenttohelpcontroltherateina patient with atrial flutter. (Required) True False 4. Yourpatient'sECGshowsatrialflutter.Whatcomplicationcanarisefromthis type of rhythm? (Required) A. Pericarditis B. Stroke
WITH ANSWERS
C. Hypoglycemia
WITH 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. NormalpwaveswithprogressivelyprolongedPRintervalandmissingQRScomplexes B. NormalpwaveswithconstantPRintervalsandintermittentmissingQRScomplexes C. NormalpwaveseachwithaQRScomplexbutprolongedPRintervalsregularly throughout the rhythm D. NormalpwavesandQRScomplexesthatareindependentofeachotherbuthasregularatrial and ventricular rhythm
WITH ANSWERS
WITH ANSWERS
4. Whichrhythmabove isaThird-DegreeHeartBlock? (Required) A. Rhythm B. Rhythm C. Rhythm 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
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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
