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RELIAS DYSRHYTHMIA BASIC TESTBANK ANSWERS 2024
DYSRHYTHMIA – BASIC B (A+ GRADED), Exams of Nursing
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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
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RELIAS DYSRHYTHMIA BASIC TESTBANK ANSWERS 2024
DYSRHYTHMIA – BASIC B (A+ GRADED), Exams of Nursing
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C. Potassium5mEq/L D. Glyburide
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RELIAS DYSRHYTHMIA BASIC TESTBANK ANSWERS 2024
DYSRHYTHMIA – BASIC B (A+ GRADED), Exams of Nursing
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RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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7. Thefollowingrhythmisnotedinyourpatient.Thepatientisunresponsiveand has no 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
RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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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
RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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experiencingshortnessofbreathandchestpain.Thepatient'sbloodpressurein
RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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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
RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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7. Whichrhythmaboveisatrial fibrillation? (Required)
RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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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
RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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D. Endocarditis
5. TrueorFalse:Treatmentforunstableatrialflutterissynchronized cardioversion. (Required) True False 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
RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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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
RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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RELIAS DYSRHYTHMIA BASIC B 35 QUESTIONS
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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
