Ekg Plain and Simple 4th Edition Ellis Test Bank

EKG Plain and Simple 4th Edition Ellis
Test Bank
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EKG Plain and Simple, 4e (Ellis)
Chapter 7 Rhythms Originating in the Sinus Node
7.1 Multiple Choice Questions
1) The rhythm in Figure 3 is
A) sinus tachycardia.
B) sinus rhythm.
C) sinus bradycardia.
D) sinus arrhythmia.
Answer: B
LO: 7.2: Using the five steps, correctly interpret a variety of sinus rhythms on single- and
double-lead strips.
2) Which of the following is TRUE about sinus rhythm?

A) It is regular.
B) It has an irregularly irregular pattern of QRS complexes.
C) It has multiple shapes of P waves.
D) It has wide QRS complexes without preceding P waves.
Answer: C
LO: 7.1: State the criteria for each of the sinus rhythms.
3) Which of the following has a heart rate less than 60?

A) Sinus rhythm
B) Sinus bradycardia
C) Sinus tachycardia
D) Atrial tachycardia
Answer: B
4) The sinus rhythm that has a heart rate greater than 100 is
A) sinus rhythm.
B) sinus bradycardia.
C) sinus tachycardia.
D) sinus arrhythmia.
Answer: C
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5) Sinus arrhythmia is
A) a regular rhythm.
B) an irregular rhythm.
C) a rhythm that originates in the atria.
D) a rhythm that originates in the AV junction.
Answer: B
6) The heart rate in Figure 4 is closest to

A) 100.
B) 70.
C) 150.
D) 50.
Answer: B
double-lead strips.
7) The rhythm in Figure 4 is

A) sinus rhythm.
C) sinus rhythm with sinus arrest.
D) sinus tachycardia.
Answer: A
double-lead strips.
8) PR interval in Figure 4 is closest to

A) 0.12 seconds.
B) 0.28 seconds.
C) 0.04 seconds.
D) 0.40 seconds.
Answer: A
double-lead strips.
2
9) QRS interval in Figure 4 is closest to
A) 0.42 seconds.
B) 0.10 seconds.
C) 0.28 seconds.
D) 0.30 seconds.
Answer: B
double-lead strips.
10) The T wave in Figure 4 is

A) inverted.
B) upright.
C) indicative of sinus control of the ventricles.
D) indicative of ventricular depolarization.
Answer: B
double-lead strips.
11) Sinus rhythms all have

A) uniform shape P waves preceding the QRS complexes.
B) multiple shapes of P waves preceding the QRS complexes.
C) a wavy baseline without P waves or QRS complexes.
D) inverted P waves in Lead II.
Answer: A
12) Possible causes of sinus tachycardia include which of the following?

A) Fever
B) Anxiety
C) Congestive heart failure
D) All of the above
Answer: D
13) In sinus block

A) the pause is a multiple of the R-R intervals.
B) there are P waves inside the pause.
C) all R-R intervals are constant.
D) the heart rate varies from 100 to 160.
Answer: A
3
14) In sinus rhythm, the heart rate is
A) 60—100.
B) greater than 100.
C) less than 60.
D) greater than 170.
Answer: A
15) Sinus tachycardia's heart rate is

A) 60—100.
C) less than 60.
Answer: B
16) Sinus bradycardia's heart rate is

A) 60—100.
C) less than 60.
Answer: C
17) Treatment for sinus tachycardia associated with a high fever would be to
A) give atropine.
B) start CPR.
C) give acetaminophen or ibuprofen to get the temperature down.
D) give beta-blockers.
Answer: C
LO: 7.4: State the possible treatment for the sinus rhythms.
18) Which of the following sinus rhythms would be expected with stimulation of the sympathetic
nervous system?
A) Sinus rhythm rate 68
B) Sinus bradycardia rate 45
C) Sinus arrhythmia rate 45—73
D) Sinus tachycardia rate 125
Answer: D
4
19) A pause that occurs when the sinus node's impulse is not conducted out of the sinus node
itself is
A) sinus arrest.
B) sinus arrhythmia.
C) sinus bradycardia.
D) sinus block.
Answer: D
20) In Figure 5, the rhythm shown is

A) sinus rhythm.
C) sinus tachycardia.
D) sinus block.
Answer: B
double-lead strips.
21) In Figure 5, the heart rate is closest to

A) 100.
B) 40.
C) 75.
D) 55.
Answer: B
double-lead strips.
22) All sinus rhythms have

A) upright, matching P waves.
B) wide, bizarre QRS complexes.
C) multiple P waves of varying configurations.
D) heart rates between 40 and 100.
Answer: A
5
23) Atropine is a medication that would be appropriate for symptomatic
A) sinus tachycardia.
C) sinus rhythm.
D) none of the above.
Answer: B
24) Atropine's mode of action is to

A) speed up the rate of sinus node firing and speed conduction through the AV node.
B) speed impulse conduction through the bundle branches and AV node.
C) slow the rate of conduction through the AV node and slow sinus node firing.
D) speed sinus node firing and slow AV node conduction.
Answer: A
25) Thyrotoxicosis is a condition associated with which rhythm?

A) Sinus block
B) Sinus arrest
D) Sinus bradycardia
Answer: C
26) Which of the following is an irregular rhythm originating in the sinus node?
A) Sinus arrhythmia
B) Sinus rhythm
D) Sinus bradycardia
Answer: A
27) Which is TRUE about sinus arrest and sinus exit block?
A) Sinus exit block is an irregular rhythm; sinus arrest is regular.
B) Sinus arrest always ends in an escape beat; sinus exit block doesn't.
C) Sinus arrest and sinus exit block can both result in decreased cardiac output.
D) The pause in both sinus exit block and sinus arrest is a multiple of the R-R intervals.
Answer: B
28) In which rhythm is an escape beat sometimes seen?

A) Sinus rhythm
B) Sinus bradycardia
C) Sinus arrhythmia
D) Sinus arrest
Answer: D
6
29) Sinus arrhythmia has a pattern that often corresponds with the
A) PR intervals.
B) breathing pattern.
C) P-P intervals.
D) patient's age.
Answer: B
30) In sinus arrhythmia, the heart rate

A) speeds up during inspiration and expiration.
B) speeds up during inspiration, slows during expiration.
C) slows during inspiration and expiration.
D) slows during inspiration, speeds up during expiration.
Answer: B
7.2 True/False Questions
1) The heart rate during sinus rhythm is 60—100.

Answer: TRUE
2) The heart rate during sinus bradycardia is greater than 100.

Answer: FALSE
3) The heart rate during sinus tachycardia is less than 60.

Answer: FALSE
4) High fever can cause sinus tachycardia.

Answer: TRUE
5) High fever is a common cause of sinus arrest.

Answer: FALSE
6) A pacemaker is usually needed to treat sinus bradycardia.

Answer: FALSE
7) Atropine is the drug of choice to treat sinus tachycardia.

Answer: FALSE
7
8) Oxygen can help return an abnormal heart rhythm to normal.
Answer: TRUE
9) Atropine speeds conduction through the bundle branches.

Answer: FALSE
10) The only difference in interpretation criteria between sinus rhythm, sinus bradycardia, and
sinus tachycardia is the heart rate.
Answer: TRUE
11) Diaphoresis is a cold sweat.

Answer: TRUE
LO: 7.3: State the adverse effects for each of the sinus rhythms.
12) Some signs of decreased cardiac output are pallor, hypotension, and dizziness.
Answer: TRUE
13) An artificial pacemaker can be used to treat sinus bradycardia.

Answer: TRUE
14) Patients with a heart rate of 45 always show symptoms of decreased cardiac output.
Answer: FALSE
15) Sinus bradycardia is common among well-conditioned athletes.

Answer: TRUE
16) Sinus block can occur at any heart rate.

Answer: TRUE
17) Sinus arrest can occur at any heart rate.

Answer: TRUE
18) Sinus arrest is best treated by anti-anxiety medication.

Answer: FALSE
8
19) The most crucial criterion to identifying sinus rhythms is the upright matching P waves in
Lead II.
Answer: TRUE
20) All sinus rhythms have a P-QRS-T configuration.

Answer: TRUE
7.3 Short Answer Questions
1) ________ is the only normal heart rhythm.

Answer: Sinus rhythm
2) ________ is a rhythm with a heart rate greater than 100.

Answer: Sinus tachycardia
3) A rhythm with a heart rate less than 60 is ________.

Answer: Sinus bradycardia
4) The primary treatment of sinus tachycardia in a patient with a temperature of 103 degrees
would be to ________.
Answer: Give medication to treat the fever
5) A condition in which the thyroid gland overproduces thyroid hormones and causes the heart
rate, temperature, and blood pressure to rise to dangerous levels is called ________.
Answer: Thyrotoxicosis
6) In sinus rhythms, P waves are found ________ the QRS complexes.

Answer: Preceding
7) In sinus rhythms, the QRS complexes should have an interval of ________.

Answer: <0.12 seconds
8) The PR interval in sinus rhythms should be ________ from beat to beat.

Answer: Constant
9
9) Sinus node impulses result in a P wave that is ________ in Lead II.
Answer: Upright, matching
10) In a sinus arrest, the sinus node________ firing for a time.

Answer: Stops
10

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EKG Plain and Simple 4th Edition Ellis

7.1 Multiple Choice Questions

1) The rhythm in Figure 3 is

2) Which of the following is TRUE about sinus rhythm?

3) Which of the following has a heart rate less than 60?

6) The heart rate in Figure 4 is closest to

7) The rhythm in Figure 4 is

8) PR interval in Figure 4 is closest to

10) The T wave in Figure 4 is

11) Sinus rhythms all have

12) Possible causes of sinus tachycardia include which of the following?

13) In sinus block

15) Sinus tachycardia's heart rate is

16) Sinus bradycardia's heart rate is

20) In Figure 5, the rhythm shown is

21) In Figure 5, the heart rate is closest to

22) All sinus rhythms have

24) Atropine's mode of action is to

25) Thyrotoxicosis is a condition associated with which rhythm?

28) In which rhythm is an escape beat sometimes seen?

30) In sinus arrhythmia, the heart rate

7.2 True/False Questions

1) The heart rate during sinus rhythm is 60—100.

2) The heart rate during sinus bradycardia is greater than 100.

3) The heart rate during sinus tachycardia is less than 60.

4) High fever can cause sinus tachycardia.

5) High fever is a common cause of sinus arrest.

6) A pacemaker is usually needed to treat sinus bradycardia.

7) Atropine is the drug of choice to treat sinus tachycardia.

9) Atropine speeds conduction through the bundle branches.

11) Diaphoresis is a cold sweat.

13) An artificial pacemaker can be used to treat sinus bradycardia.

15) Sinus bradycardia is common among well-conditioned athletes.

16) Sinus block can occur at any heart rate.

17) Sinus arrest can occur at any heart rate.

18) Sinus arrest is best treated by anti-anxiety medication.

20) All sinus rhythms have a P-QRS-T configuration.

7.3 Short Answer Questions

1) ________ is the only normal heart rhythm.

2) ________ is a rhythm with a heart rate greater than 100.

3) A rhythm with a heart rate less than 60 is ________.

6) In sinus rhythms, P waves are found ________ the QRS complexes.

7) In sinus rhythms, the QRS complexes should have an interval of ________.

8) The PR interval in sinus rhythms should be ________ from beat to beat.

10) In a sinus arrest, the sinus node________ firing for a time.

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