NUR 504 FINAL EXAM QUESTIONS AND VERIFIED
ANSWER; 100% CORRECT; 2026 UPDATE
1st degree AV block - correct answer- •P and QRS are getting
irritated with each other. While they still remain true to the
relationship, they are keeping their distance for now.
1st Degree Heart Block- PR interval with more than 5 small
boxes; >.20msec
just watch it.
2 degree heart block - correct answer- •P and QRS have
entered the viscous cycle of breaking up and getting back
together. They get together, they start fighting and keeping their
distance, and they break up again.
2nd Degree Type I "Wenckebach" Group beating
Progressively lengthen until it drops a beat- Transient
longer, longer then no p
2 degree heart block type 2 - correct answer- •P and QRS
have decided to get back together again. However, P is still quite
,disgruntled and has decided to go out every night or two and
not come home. You can probably imagine what comes next!
2nd Degree Type II PR intervals are CONSTANT
More P's than QRS-usually leads to Complete Heart Block- be
prepared to pace!
there is a p without QRS as well as them together
3rd degree heart block - correct answer- •As you probably
saw coming, QRS was tired of P not coming home and moved
out. They have filed for divorce and are completely separated.
•There is absolutely no relationship between P and QRS now.
3rd Degree Block/Complete Heart Block
•Below 40 will not last long! Be ready to pace.
•P's falling in, on, & during your QRS. March out the P's.
ps are the same distance but not with the QRS
Not an effective CO, emergency, needs a pace
,A Fib - correct answer- irregular, QRS is normal, there is no
Ps
Increased risk for clots, decreased CO
•Is it rate controlled? (60-100)
•If yes, anticoagulants, Amiodarone PO, B/P monitoring
•If no,
•Notify Provider
•EKG
•Medications- Amiodarone IV, metoprolol
•Cardioversion
•B/P monitoring
•Neurological exam (clots can go to brain)
•Labs
•Prepare for ablation
A Flutter - correct answer- r to r is normal (regular), QRS is
normal, p is abnormal
Check HR and BP (lower)
Doesn't correct on its own
, •Rate controlled if yes (between 60-100)
•Notify Provider
•EKG
•Medications- Metoprolol
If no,
•Notify Provider
•Cardioversion
•Medications- metoprolol
•Amiodarone
Prepare for ablation (go in and burn abnormal cells)
a perfusion assessment includes... - correct answer- ✤Level
of consciousness (LOC)
✤Heart rate (HR)
✤Heart Rhythm
✤Blood pressure (BP)
✤Peripheral pulses
✤Capillary refill time (CRT)
ANSWER; 100% CORRECT; 2026 UPDATE
1st degree AV block - correct answer- •P and QRS are getting
irritated with each other. While they still remain true to the
relationship, they are keeping their distance for now.
1st Degree Heart Block- PR interval with more than 5 small
boxes; >.20msec
just watch it.
2 degree heart block - correct answer- •P and QRS have
entered the viscous cycle of breaking up and getting back
together. They get together, they start fighting and keeping their
distance, and they break up again.
2nd Degree Type I "Wenckebach" Group beating
Progressively lengthen until it drops a beat- Transient
longer, longer then no p
2 degree heart block type 2 - correct answer- •P and QRS
have decided to get back together again. However, P is still quite
,disgruntled and has decided to go out every night or two and
not come home. You can probably imagine what comes next!
2nd Degree Type II PR intervals are CONSTANT
More P's than QRS-usually leads to Complete Heart Block- be
prepared to pace!
there is a p without QRS as well as them together
3rd degree heart block - correct answer- •As you probably
saw coming, QRS was tired of P not coming home and moved
out. They have filed for divorce and are completely separated.
•There is absolutely no relationship between P and QRS now.
3rd Degree Block/Complete Heart Block
•Below 40 will not last long! Be ready to pace.
•P's falling in, on, & during your QRS. March out the P's.
ps are the same distance but not with the QRS
Not an effective CO, emergency, needs a pace
,A Fib - correct answer- irregular, QRS is normal, there is no
Ps
Increased risk for clots, decreased CO
•Is it rate controlled? (60-100)
•If yes, anticoagulants, Amiodarone PO, B/P monitoring
•If no,
•Notify Provider
•EKG
•Medications- Amiodarone IV, metoprolol
•Cardioversion
•B/P monitoring
•Neurological exam (clots can go to brain)
•Labs
•Prepare for ablation
A Flutter - correct answer- r to r is normal (regular), QRS is
normal, p is abnormal
Check HR and BP (lower)
Doesn't correct on its own
, •Rate controlled if yes (between 60-100)
•Notify Provider
•EKG
•Medications- Metoprolol
If no,
•Notify Provider
•Cardioversion
•Medications- metoprolol
•Amiodarone
Prepare for ablation (go in and burn abnormal cells)
a perfusion assessment includes... - correct answer- ✤Level
of consciousness (LOC)
✤Heart rate (HR)
✤Heart Rhythm
✤Blood pressure (BP)
✤Peripheral pulses
✤Capillary refill time (CRT)
