Post Test - Rhythms

1. When evaluating a patient with sinus arrest, count the number of boxes between the P waves, and multiply that
number by
A. 0.01
B. 0.02
C. 0.04

D. 0.05
Incorrect

2. A patient is identified as having an uncontrolled ventricular rate when atrial flutter is accompanied by a
ventricular rate of greater than _______.
A. 60 beats per minute
B. 100 beats per minute
C. 150 beats per minute
D. 250 beats per minute
Correct

3. A normal sinus rhythm has a rate of  ________.

A. 35-50 beats per minute

B. 40-60 beats per minute

C. 50-80 beats per minute
D. 60-100 beats per minute
Correct

4. What wave might not be visible if the patient presents with sinus tachycardia (ST)?
A. P wave

B. QRS complex
C. T wave
D. U wave
Incorrect

5. Which of the following arrhythmias are you likely to see with patients on ventilators, infants and children, and
with the elderly?
A. Sinus arrhythmia
B. Sinus bradycardia
C. Sinus tachycardia
D. Supraventricular tachycardia
 Correct

6. Atrial flutter is caused by rapidly firing circuits in the atria that are depolarizing at a rate greater than ________.
A. 100 beats per minute

B. 150 beats per minute

C. 200 beats per minute
D. 250 beats per minute
Correct

7. What is the key identifier for a premature atrial complex (PAC)?

A. Early P wave

B. Early QRS interval

C. Early ST segment
D. Early T wave
Correct

8. Which of the following statements is incorrect about premature atrial complexes (PACs)?

A. A PAC is not a rhythm; it is a beat.
B. The PAC needs to be counted in the underlying rhythm.
C. PACs are not uncommon.
D. Infrequent occurrence of PACs may not require treatment intervention.
Correct

9. Any ectopy should be cause for concern in healthy people.

True
False
Correct

10. Atrial fibrillation can be a chronic condition and well tolerated.

True
False
Correct

11. What is the one ECG characteristic where sinus arrhythmia differs from normal sinus rhythm?
A. The atrial and ventricular rate
B. The distance between the Ps and Rs
C. The duration of the PR interval
D. The duration of the QRS complex
Correct
12. What is the name of the rhythm with an atrial rate of 250 beats per minute, a non-measurable PR interval, and a
ventricular rate of 120?
A. Atrial fibrillation with controlled ventricular rate
B. Atrial fibrillation with uncontrolled ventricular rate
C. Atrial flutter with uncontrolled ventricular rate
D. Atrial flutter with controlled ventricular rate
Incorrect

13. When deciding if or how to intervene when a patient is experiencing sinus bradycardia, it is critical to focus
primarily on readings from the ECG monitor.
True
False
Correct

14. When atropine is ineffective for symptomatic sinus bradycardia, what would be your next intervention?
A. Adenosine
B. Procainamide
C. Transcutaneous pacing
D. Synchronized cardioversion
Correct

15. A dysrhythmia is defined as a(n)

A. Abnormal cardiac rhythm
B. Abnormal electrical rhythm
C. Cardiac recovery phase
D. Cardiac ready state
Correct

16. What is a single ectopic beat that occurs as the result of an irritable focus in the atria called?
A. Premature atrial complex (PAC)

B. Premature junctional complex (PJC)

C. Premature ventricular complex (PVC)
D. Ventricular fibrillation (VF)
Incorrect

17. A way to determine if you are looking at a junctional or atrial arrhythmia is to look at the ECG characteristics of
the ________.
A. Heart rate
B. PR interval
C. P wave
 D. QRS complex
Incorrect

18. What is one of the primary concerns for a patient presenting with atrial fibrillation?
A. Atrial rate

B. Atrial rhythm
C. Ventricular rate
D. Ventricular rhythm
Correct

19. In sinus arrhythmia, which of the following intervals remains regular?

A. P-to-P interval

B. R-to-R interval
C. PR interval
D. QRS complex
Correct

20. The purpose of cardioversion is to shock the heart and get it back to a stable rhythm.
True
False
Correct

21. What is the appropriate treatment for an unstable patient with atrial flutter and an uncontrolled ventricular
response; HR >150 beats per minute?
A. Advanced airway
B. Chest compressions
C. Defibrillation
D. Synchronized cardioversion
Correct

22. Which of the following conditions/situations may cause bradycardia?

A. Anxiety

B. Hypoxia
C. Hyperthermia
D. Hyperthyroidism
Correct

23. ________, ________, and ________ are examples of supraventricular tachycardia (SVT)?
A. Accelerated junctional
 B. Atrial fibrillation
C. Atrial flutter
D. Junctional tachycardia
Correct

24. Which of the following drugs should be administered quickly to effectively treat sinus bradycardia?
A. Amiodarone
B. Atropine

C. Dopamine
D. Epinephrine
Incorrect

25. A sinus pause occurs with which of the following?

A. The SA node fails to discharge an impulse

B. The impulse is delivered by a secondary pacemaker

C. The cardiac rhythm decreases below 60 beats per minute
D. Cardiac arrest occurs
Correct

26. A premature junctional complex (PJC) would not display which ECG characteristics?
A. An inverted P wave
B. An immeasurable PRI
C. A wide QRS measuring >0.10
D. A regular underlying rhythm
Correct

27. The term for a sinus rhythm with a rate less than 60 beats per minute is
A. Atrial
B. Sinus Bradycardia
C. Dysrhythmia
D. Tachycardia
Correct

28. When you have a regular atrial and ventricular rhythm with a normal QRS and PRI, and the atrial and ventricular
rate is between 100-150 bpm, this rhythm would be identified as a
A. Normal sinus rhythm
B. Sinus arrhythmia
C. Sinus bradycardia
 D. Sinus tachycardia
Correct

29. The initial step in treating stable sinus tachycardia is

A. Administer adenosine
B. Synchronized cardioversion
C. Treat the underlying cause
D. Vagal maneuvers
Incorrect

30. Select the possible treatment option(s) for a stable, symptomatic patient with junctional tachycardia. (Select all
that apply.)
A. Administer adenosine
B. Administer digitalis
C. Administer oxygen
D. Obtain IV access
Correct

31. What rhythm shows a normal rate, normal QRS and PRI durations, and an absent beat or beats?
A. Ectopic beat
B. Junctional
C. Sinus pause
D. Sinus arrhythmia
Correct

32. Sinus tachycardia is defined as a sinus rhythm at a rate of ___________.

A. 40-65 beats per minute
B. 60-100 beats per minute
C. 80-100 beats per minute
D. 100-150 beats per minute

Correct

33. What is the heart's electrical activity dominated by?

A. AV junction
B. Bundle of His

C. Purkinje fibers
D. SA node
Correct

34. Which medication therapy is first-line treatment for stable supraventricular tachycardia (SVT)?
 A. Amiodarone
B. Adenosine
C. Procainamide
D. Digoxin
Correct

35. What rhythm is initiated by the SA node and transmitted through the atria, AV junction, bundle branches, and
Purkinje fibers?
A. Atrial

B. Junctional
C. Sinus
D. Ventricular
Correct

36. What is the heart's secondary pacemaker?

A. AV junction

B. Bundle of His
C. Purkinje fibers
D. SA node
Correct

37. You would not see a ________________ on an ECG strip with supraventricular tachycardia.
A. Normal PR Interval
B. QRS between 0.04-0.10 seconds
C. Regular rhythm
D. Ventricular rate > 150 beats per minute
Correct

38. What is the most common type of rhythm in supraventricular tachycardia (SVT)?
A. Atrial fibrillation

B. Atrial tachycardia
C. Junctional tachycardia
D. Paroxysmal supraventricular tachycardia
Correct

39. Ectopic beats that appear before the next expected beat may originate from which source(s)? (Select all that
apply)
A. Atria
 B. AV junction
C. SA node
D. Ventricles
Correct

40. Which of the following conditions may cause sinus tachycardia?

A. Dehydration
B. Heart block
C. Hypothermia
D. Hypothyroidism
Correct

41. Which of the following drugs may cause sinus bradycardia?

A. Atropine

B. Digoxin
C. Dopamine
D. Ephinephrine
Correct

42. Caffeine, alcohol, and fatigue can be likely causes for (Select all that apply.)
A. Atrial flutter
B. Sinus pause
C. Atrial fibrillation
D. Ventricular tachycardia
Incorrect

43. From what pacemaker site do junctional rhythms originate?

A. AV node
B. AV junction
C. SA node
D. Bundle branches
Incorrect

44. Dysrhythmias do not follow the normal path of conduction and can be caused by drugs, electrolyte disturbances,
or medical procedures.
True
False
Correct

45. Which of the following is an accurate statement about sinus bradycardia?

A. Atrial and ventricular rhythm is irregular
 B. Atrial and ventricular rate is 40-60 beats per minute
C. The duration of the QRS is greater than 1.10 seconds
D. Ventricular rate is 60-100 beats per minute
Correct

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