<div><strong>Critical Nursing Arrhythmias Quiz Part 1</strong></div> <div><strong>By:Mohamed Mamdouh</strong></div>

Your patient is unresponsive and the cardiac monitor shows Torsades de Pointes as the patient’s rhythm. As the code team is attempting to resuscitate the patient, you look through the patient’s electronic health record to try to determine a potential cause for this rhythm. What found in the patient’s record is a cause of this rhythm?

A. Magnesium level 2 mg/dL

B. Amiodarone

C. Potassium 5 mEq/L

D. Glyburide

The patient is experiencing the rhythm above. You assess the patient and find the patient is having no symptoms and a pulse is present. What type of treatment do you anticipate will be ordered for this patient?

CPR

Defibrillation

Amiodarone IV

Digoxin IV

The patient is experiencing the rhythm above. The patient is presenting with a blood pressure of 70/42, mental status changes, and is clammy and pale. A pulse is present. The nurse preps the patient for?

CPR

Synchronized cardioversion

Defibrillation

Atropine IV

A patient is experiencing ventricular tachycardia and is unresponsive with no pulse. After activating the emergency response system, the nurse would immediately?

Prep the patient for defibrillation

Administer IV epinephrine

Secure the airway

Start chest compressions

The following rhythm is noted in your patient. The patient is unresponsive and has no pulse. What order below the nurse should NOT use in this rhythm?

IV Amiodarone

IV Magnesium Sulfate

Defibrillation

IV epinephrine

Select the options below that describe the rhythm above:

TRUE or FALSE: Ventricular fibrillation (V-fib) is a lethal rhythm that results in the quivering of the ventricles which leads to a rapid fall in cardiac output.

True

False

TRUE or FALSE: A patient experiencing fine ventricular fibrillation has a better chance of being revived than a patient in coarse ventricular fibrillation.

True

False

The nurse sees the rhythm above on the ECG. The patient is unresponsive and has no pulse. The nurse calls a code blue and takes what step next?

Prepare for defibrillation

Administer Epinephrine

Start high-quality CPR

Notify the physician

What other medications can be administered to a patient experiencing Ventricular fibrillation (V-fib) during a code resuscitation attempt? Select all that apply:

Atropine

Epinephrine

Amiodarone

Lidocaine

You’re patient is in ventricular fibrillation (v-fib). You’ve started CPR and the airway is supported. A rhythm checked in performed and shows the patient is still in ventricular fibrillation. The NEXT action the code team will take in addition to performing high-quality CPR is to?

Administer Atropine

Defibrillate

Administer Epinephrine

Synchronized cardiovert

Select the options below that describe the rhythm above

The cardiac monitor is showing asystole for the patient's rhythm. However, the patient is alert and oriented with a strong pulse when palpated. The nurse should perform what action next?

A. Press the code blue button

B. Start CPR

C. Check the monitor’s cable and electrode connection

D. Continue to monitor

The patient has the rhythm above displaying on the cardiac monitor. The patient is unresponsive and no pulse is present. The nurse calls a code blue and then should do what next

Prepare the patient for defibrillation

Check the H’s and T’s

Administer Atropine

Start CPR

The nurse observes the rhythm above on the cardiac monitor. The nurse assesses the patient and finds that the patient is unresponsive and has no pulse. The nurse calls a code blue and starts CPR. A rhythm 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?

Continue CPR

Administer Epinephrine

Defibrillation

Support the airway

True or False: PEA (Pulseless Electrical Activity) can have many presentations on the ECG and can sometimes appear as a complete flat line

True

False

Which medication below can be used during a code to treat PEA (Pulseless Electrical Activity)?

Atropine

Amiodarone

Lidocaine

Epinephrine

Your patient is coding and high-quality CPR is being performed. The last rhythm checked showed PEA (Pulseless Electrical Activity). The team is checking the potential causes of this situation by assessing the H's and T's. Select all the possible causes of this rhythm using this mnemonic

Select the options below that best describe the rhythm above

What should the PR Interval measure for Normal Sinus Rhythm?

A. 0.35-0.44 seconds

B. > 0.12 seconds

C. 0.12-0.20 seconds

D. > 0.20 seconds

Which statement below is FALSE regarding Normal Sinus Rhythm?

A. The QRS complex should measure <0.12 seconds.

B. The atrial rate should be 60-100 bpm

C. The ventricular rate should be 40-60 bpm

D. A p wave should accompany every QRS complex.

The nurse notes the rhythm above on the cardiac monitor. The nurse does a pulse check and a pulse is present. What next action by the nurse is most appropriate?

A. Continue to monitor

B. Prepare for the administration of Atropine

C. Start chest compressions

D. Activate the emergency response system

Sinus tachycardia originates from what part of the electrical conduction system?

A. Bundle of His

B. Bundle Branches

C. AV Node

D. SA Node

You're analyzing an ECG strip. In order for the rhythm to be identified as Sinus Tachycardia, what must be present in the rhythm? (Select all that apply):

A. One p wave present in front of every QRS complex

B. Atrial rate >100 bpm

C. Ventricular rate >100 bpm

D. Regular atrial rate and irregular ventricular rate

E. Regular atrial and ventricular rate

F. Atrial rate <60 bpm

G. QRS complex <0.12 seconds

H. PR interval 0.12-0.20 seconds

I. PR interval >0.20 seconds

You're providing care to a 55-year-old male. You note on the bedside monitor the patient has a heart rate of 116 bpm. You obtain an ECG and discover the patient rhythm is Sinus Tachycardia. You assess probable causes of this rhythm. Which finding below could be a cause of this patient's heart rhythm?

A. Digoxin therapy

B. Pain rating of 2 on 1-10 scale

C. Temperature 39.7C

D. Blood glucose of 86 mg/dL

Your patient is experiencing Sinus Tachycardia with a rate of 160 bpm. Which findings below demonstrate the patient is experiencing a decrease in cardiac output? Select all that apply:

Your patient develops Sinus Tachycardia with a heart rate of 136 bpm. The patient is post-op from hip surgery. The patient reports chest pain that is worst with each breath in and has shortness of breath. These findings can correlate with what serious condition?

A. Cardiogenic shock

B. Pulmonary embolism

C. Sick Sinus Syndrome

D. Hypovolemic shock

Which statement below best describes why Sinus Tachycardia could lead to decreased cardiac output?

A. “The atrial kick is decreased leading to inadequate atria emptying.”

B. “The ventricles don’t have enough time to fill completely so less blood is pumped out of the heart.”

C. “The rapid firing of the SA node leads to rapid atrial contraction and causes blood to pool in the atria.”

D. “The ventricles are unable to properly contract and push blood forward so less blood is pumped out of the heart

Select the options below that describe the rhythm above:

Which statement is correct about atrial flutter?

A. The ventricular rate will always be irregular.

B. P-waves will be present.

C. This rhythm has a saw-tooth appearance.

D. The PR interval will be >0.20 seconds.

Your patient's ECG shows atrial flutter. What complication can arise from this type of rhythm?

A. Pericarditis

B. Stroke

C. Hypoglycemia

D. Endocarditis

Fill-in-the-blank: Rhythm 1 is _________________ , and Rhythm 2 is _____________.

A. Atrial fibrillation; atrial flutter

B. first-degree heart block; atrial flutter

C. Atrial flutter; atrial fibrillation

D. Atrial flutter; sinus bradycardia

The nurse is assessing an ECG strip. Which finding on the ECG strip is NOT a characteristic present in atrial fibrillation (a-fib)?

A. Fibrillary waves

B. Unmeasureable atrial rate

C. saw-tooth waves

D. Irregular ventricular rate

The patient's ECG shows the rhythm above. The patient is symptomatic and experiencing shortness of breath and chest pain. The patient's blood pressure is 80/44 with the heart rate fluctuating between 130-150s. The nurse calls a rapid response and prepares the patient for?

A. Ablation

B. Synchronized cardioversion

C. Defibrillation

D. Pacemaker implantation

Which statements below best described a transesophageal echocardiogram (TEE) used in the treatment of atrial fibrillation? Select all that apply

A. It can be performed before a cardioversion to assess for blood clots in the heart.

B. This procedure destroys electrical pathways in the heart to help return a patient’s heart rhythm to normal.

C. During this procedure, an ultrasound probe is inserted in the patient’s mouth down through the esophagus where it takes ultrasound pictures of the heart.

D. During the procedure, a transducer is placed on the chest that sends ultrasound waves through the skin so pictures can be obtained of the heart’s blood flow.

What complications can develop from uncontrolled atrial fibrillation that the nurse should monitor for? Select all that apply

A. Hypertension

B. Stroke

C. Heart failure

D. Hyperglycemia

True or False: If a patient has been in atrial fibrillation for more than 48 hours, anticoagulation is needed prior to a cardioversion due to blood clot risks

True

False

Critical Nursing Arrhythmias Quiz Part 1

By:Mohamed Mamdouh

More Surveys

Critical Nursing Arrhythmias Quiz Part 1 By:Mohamed Mamdouh

More Surveys

Critical Nursing Arrhythmias Quiz Part 1

By:Mohamed Mamdouh