Fy2015 - Annual Rhythm Tele-tech Examination

30 Questions | Total Attempts: 60

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Fy2015 - Annual Rhythm Tele-tech Examination

Annual Rhythmn Examination for telemetry technitions - those who sit and monitor telemetry.


Questions and Answers
  • 1. 
    What is the PR interval?
    • A. 

      0.24

    • B. 

      0.44

  • 2. 
     Your actions for a patient in first degree AV heart block include -
    • A. 

      Call 7911 - this is a lethal rhythm

    • B. 

      Notify the nurse

    • C. 

      Panic and anticipate that this patient is going to be unstable

  • 3. 
    Identify the cardiac rhythm.
    • A. 

      Ventricular Tachycardia

    • B. 

      Normal Sinus Rhythm

    • C. 

      Sinus Tachycardia

    • D. 

      SupraVentricular Tachycardia (SVT)

  • 4. 
    Identify the cardiac rhythm.
    • A. 

      Sinus Tachycardia

    • B. 

      Normal Sinus Rhythm

    • C. 

      Ventricual Fibrillation

    • D. 

      Supraventricular Tachycardia (SVT)

  • 5. 
    Identify the cardiac rhythm.
    • A. 

      Normal Sinus Rhythm

    • B. 

      Atrial Fibrillation

    • C. 

      Atrial Flutter

    • D. 

      Sinus Bradycardia

  • 6. 
    Identify this cardiac rhythm.
    • A. 

      Sinus brady

    • B. 

      Third degree AV heart block (complete heart block)

    • C. 

      Second degree AV heart block, type 1 (Wenckebach)

    • D. 

      Second degree AV heart block, type 2

  • 7. 
    Identify this rhythm
    • A. 

      Normal sinus rhythm

    • B. 

      Second degree AV heart block, type 1 (Wenckebach)

    • C. 

      Second degree AV heart block, type 2

    • D. 

      Third degree AV heart block (complete heart block)

  • 8. 
    This is a NEW onset rthythm for your patient. What do you do?[CHECK ALL THAT APPLY]
    • A. 

      Nothing, this is a normal sinus rhythm

    • B. 

      Notify the nurse ASAP

    • C. 

      Offer to assist the nurse to notifiy the MD - this is an emergent rhythm

    • D. 

      Call anesthesia to intubate this patienit

  • 9. 
    Identify this rhythm
    • A. 

      Atrial fibrillation

    • B. 

      Atrial flutter

    • C. 

      Torsades de pointes

    • D. 

      Supra ventricular tachycardia

  • 10. 
    Identify this rhythm:
    • A. 

      100 % A-V paced and caputred

    • B. 

      100 % V - paced and captured

    • C. 

      Idioventricular

    • D. 

      Failed sensing and capturing

  • 11. 
    A patient in a junctional rhythm will be unstable
    • A. 

      True

    • B. 

      False

  • 12. 
    Interpret this rhythm:
    • A. 

      Second degree AV heart block, type 2

    • B. 

      Second degree AV heart block, type 1

  • 13. 
    Interpret this rhythm:
    • A. 

      Ventricular tachycardia

    • B. 

      SVT

  • 14. 
    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. 

      Change the battery when a 'low signal' pops up on th screen

    • D. 

      Adjust alarms appropriately for the patient

  • 15. 
    What interval do you measure to  differentiate between second degree AV  heart block Types I and II?
    • A. 

      Nothing, they are the same

    • B. 

      The PR interval

    • C. 

      The R to R interval

    • D. 

      The QT interval

  • 16. 
    How can you differentiate between second and third degree AV  heart blocks?
    • A. 

      Don't need to differentiate, they are the same

    • B. 

      The PR interval is constant in 3rd degree

    • C. 

      The R to R interval is constant in 3rd degree

    • D. 

      The QT interval is shorten in 2rd degree

  • 17. 
    How does one differentiate between between first and second degree AV  heart blocks?
    • A. 

      PR interval is consistantly greater than 0.20 seconds in 1st degree

    • B. 

      R to R interval is constant in 2 degree

    • C. 

      There is no difference unless the ST segment is elevated

    • D. 

      The QT interval is shortened in 1st degree

  • 18. 
    How do the P waves present in junctional rhythm[CHECK ALL THAT APPLY]?
    • A. 

      P waves can absent

    • B. 

      P waves can be upside down before the QRS complex

    • C. 

      P waves can be after the QRS (but before the T)

    • D. 

      P waves occur upright after the QT interval

    • E. 

      Junctional rhythms are only for a cardiologist to diagnose

  • 19. 
    SVT and VT can be differentiated by -
    • A. 

      They are the same

    • B. 

      The PR interval

    • C. 

      The QRS complex

    • D. 

      The QT interval

  • 20. 
    A nurse calls  you and complains that you gave the charge nurse the wrong report! The patient in Bed 1 was not in SR, but rather was found pulsessless and apneic. What is your reply?[CHECK ALL THAT APPLY]
    • A. 

      Hang up and write her up for being stupid

    • B. 

      Explain that telemetry interprets the electrical conduction of the heart, not the mechanical contraction of the ventricles.

    • C. 

      Explain that TELE is not a substitute for making rounds on patients

    • D. 

      Laugh in her face - and tell her you are getting back at her for not changing the battery on your patient yesterday.

  • 21. 
    How does one differentiate between atrial fibrillation and ventricular fibrillation? both looks so wavy
    • A. 

      PR interval is constant in A fib

    • B. 

      QRS complex is present in A-fib, but not V-fib

    • C. 

      The QT interval is constant in V-fib

    • D. 

      There is no difference

  • 22. 
    Atrial fibrillation
    • A. 

      Lethal

    • B. 

      Non- lethal

  • 23. 
    Ventricular fibrillation
    • A. 

      Lethal

    • B. 

      Non-lethal

  • 24. 
    Second degree AV heart block, type 2 (Mobitz 2)
    • A. 

      Lethal

    • B. 

      Non-lethal

  • 25. 
    Supra ventricular tachycardia
    • A. 

      Lethal

    • B. 

      Non-lethal

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