Annual Rhythm Interpretation Examination-part 1

25 Questions | Total Attempts: 541

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Annual Rhythm Interpretation Examination-part 1

Annual Rhythmn Interpretation Examination for RN's, LPN'S, and Telemetry Technicians.


Questions and Answers
  • 1. 
    Identify the cardiac rhythm.
    • A. 

      Sinus Brady with 1st Degree AV Block

    • B. 

      Normal Sinus Rhythm

    • C. 

      2nd Dregree AV Block Type 1

    • D. 

      Sinus Bradycardia

  • 2. 
    Identify the cardiac rhythm.
    • A. 

      Ventricular Tachycardia

    • B. 

      Normal Sinus Rhythm

    • C. 

      Sinus Tachycardia

    • D. 

      SupraVentricular Tachycardia (SVT)

  • 3. 
    Identify the cardiac rhythm.
    • A. 

      Sinus Tachycardia

    • B. 

      Normal Sinus Rhythm

    • C. 

      Ventricual Fibrillation

    • D. 

      Supraventricular Tachycardia (SVT)

  • 4. 
    Identify the cardiac rhythm.
    • A. 

      Normal Sinus Rhythm

    • B. 

      Atrial Fibrillation

    • C. 

      Atrial Flutter

    • D. 

      Sinus Bradycardia

  • 5. 
    Identify the cardiac rhythm.
    • A. 

      Sinus Bradycardia

    • B. 

      Junctional

    • C. 

      3rd Degree AV Heart Block

    • D. 

      2nd Degree Heart Block Type 1

  • 6. 
    Identify the cardiac rhythm.
    • A. 

      Sinus Bradycardia

    • B. 

      2nd Degree Type 1 AV Heart Block (Wenckebach)

    • C. 

      Normal Sinus Rhythm

    • D. 

      1st Degree AV Block

  • 7. 
    Identify the cardiac rhythm.
    • A. 

      Normal Sinus Rhythm with ST elevation

    • B. 

      3rd Degree Heart Block

    • C. 

      Junctional

    • D. 

      1st Degree AV Block with ST elevation

  • 8. 
    Identify the cardiac rhythm.
    • A. 

      Monomorphic Ventricular Tachycardia

    • B. 

      Ventricular Fibrillation

    • C. 

      Torsades De Pointes

    • D. 

      Asystole

  • 9. 
    Identify the cardiac rhythm.
    • A. 

      Normal Sinus Rhythm

    • B. 

      100% Vent Paced and Captured

    • C. 

      3rd Degree Heart Block

    • D. 

      Ventricular Tachycardia

  • 10. 
    A patient in a 1st degree AV Block will present in a REGULAR rhythm
    • A. 

      True

    • B. 

      False

  • 11. 
    A patient in 2nd Degree Type 1 Heart Block will present in a IRREGULAR ventricular rhythm.
    • A. 

      True

    • B. 

      False

  • 12. 
    A patient in Ventricular Tachycardia will present in a REGULAR  rhythm.
    • A. 

      True

    • B. 

      False

  • 13. 
    False alarms can lead to rhythm misinterpretation. The following are way to decrease/troubleshoot false alarms. Check all that apply.
    • A. 

      Skin-Prep prior to placement of electrodes

    • B. 

      Ensure lead placement is correct

    • C. 

      Use surgical scrub on entire chest

    • D. 

      Adjust alarms appropriately for the patient

  • 14. 
    When should the nurse obtain an apical pulse and NOT rely upon the vital sign machine for heart rate. Check all that apply.
    • A. 

      Irregular Heart Rhythm

    • B. 

      Normal Sinus Rhythm

    • C. 

      Atrial Fibrillation

    • D. 

      Prior to administration of cardiac medications

  • 15. 
    You notify the MD that the patient has a rhythm change; s/he asks if the patient is symptomatic; what does symptomatic mean? Check all that apply.
    • A. 

      Decreased Blood Pressure

    • B. 

      Altered Mental Status

    • C. 

      Increased Appetite

    • D. 

      Increased Heart Rate

  • 16. 
    What are the signs and symptoms of hypoxia?  Check all that apply.
    • A. 

      Altered Mental Status

    • B. 

      Decreased O2 Level

    • C. 

      Cyanosis

    • D. 

      Clubbing of fingernails

  • 17. 
    List appropriate interventions for a patient who is hypoxic. Check all that apply.
    • A. 

      Sit in upright position

    • B. 

      Place patient in prone position

    • C. 

      Administer hand held nebulizer if ordered PRN or due soon

    • D. 

      Cough and Deep Breath

  • 18. 
    After admitting a patient and placing them on telemetry you interpret the rhythm as Sinus Bradycardia with a 1st Degree AV Block. Your intial nurisng actions are to...
    • A. 

      Initiate CPR

    • B. 

      Call a Rapid Response

    • C. 

      Check the patient, find cause, and determine if this is patients baseline.

    • D. 

      Notify MD immediately.

  • 19. 
    The telemetry technicians notifies you of your patients rhythm changing from Normal Sinus in the 80's to Sinus Tachycardia in the 150's. Your initial nursing action is to....
    • A. 

      Check the patient, find and eliminate the cause, notify the MD.

    • B. 

      Continue to monitor the patient

    • C. 

      Administer Adenosine while waiting for the rapid response team

    • D. 

      Remove the telemetry monitor to avoid the disruptive calls from telemetry

  • 20. 
    While administering morning medications your patients heart rate increases to 210 beats per minute. His normal rate in 80 beats per minute. Telemetry notifies you the current rhythm is supraventricular tachycardia. Your initial nursing action is to...
    • A. 

      Finish administering the scheduled morning medications.

    • B. 

      Check the current apical pulse and blood pressure, manually.

    • C. 

      Insert a foley catheter.

    • D. 

      Call a Dr. Heart.

  • 21. 
    Your patient is taking warfarin (coumadin) for treatment of Atrial Fibrillation. His rhythm on the cardiac monitor reads Atrial Fibrillation, Heart Rate 85. Your initial nursing action is to...
    • A. 

      Notify MD

    • B. 

      Call a Rapid Response

    • C. 

      Instruct patient to vagal down and prepare for mechanical or chemical cardioversion

    • D. 

      Check Vital signs including an apical pulse and continue to monitor

  • 22. 
    Your patient who has a known history of 2nd Degree AV Heart Block Type 2 and is complaining of feeling weak and "not feeling right". After placing him on telemetry you identify the rhythm as a 3rd Degree Heart Block; his heart rate is 30 beats per minute. Your initial nursing action is to...
    • A. 

      Check rectal temperature for accuracy

    • B. 

      Stay with the patient, call a Rapid Response, and prepare to pace

    • C. 

      Prepare to administer adenosine

    • D. 

      Notify MD

  • 23. 
    After assessing your patients you then call telemetry for a recent report. The telemetry technician notifies you your patient has had no changes and is in Normal Sinus Rhythm. When you go into the patients room you find him unconscious and pulseless. This patient is experiencing Pulseless Electrical Activity and your immediate nursing action is to...
    • A. 

      Call telemetry to confirm their reading.

    • B. 

      Initiate CPR and call a Dr. Heart

    • C. 

      Attempt to awaken patient with a sternal rub or ammonia capsule

    • D. 

      Leave the patient to call for help

  • 24. 
    Your patient who is post-op day 2 for a ventral hernia repair begins complaining of chest pain. You begin the chest pain protocol and after obtaining an EKG you and the resident physician notice ST elevation present in V1-V6 leads. Your initial nursing action is to...
    • A. 

      Flush IV to make sure it is patent

    • B. 

      Instruct patient to vagal down

    • C. 

      Start a heparin gtt

    • D. 

      Ensure EKG is read by MD ASAP (within 10 minutes per policy) and prepare for cath lab.

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