QUESTIONS WITH CORRECT
ANSWERS
AfibQ-QCORRECTQANSWERS-TheQimpulseQoriginatesQinQtheQAtria
•QTheQAtrialQrateQisQ>Q300QandQunableQtoQmeasureQ[N/A]
•QNoQdiscernableQPQwavesQ-QPRIQ&QAtrialQrhythmQcannotQbeQmeasuredQ[N/A]
•QTheQVentricularQrhythmQisQirregular
•QQRSQwithinQnormalQlimits
•QIfQtheQVentricularQrateQisQ<100QtheQrhythmQisQcontrolledQA-fib;
ifQtheQVentricularQrateQisQ>Q100QtheQrhythmQisQuncontrolledQA-fib
•QThisQisQaQchronicQrhythmQforQsomeQpatientsQ
Treatment:QcontrolledQpatients:QanticoagulantsQandQantiarrythmics;QuncontrolledQbutQstableQpatients:QB
etaQblockers,QcalciumQchannelQblockers,QorQdigoxin;QUnstableQpatients:Qcardioversion
JunctionalQRhythmQ-QCORRECTQANSWERS-ImpulseQstartsQinQtheQAVQjunction
•QPQwavesQareQabsent,Qshort,QinvertedQorQretrograde
•QVentricularQRhythm:QRegular
•QVentricularQRate:Q40-60Qbpm
•QQRSQisQusuallyQwithinQnormalQlimits
AcceleratedQJunctionalQRhythmQ-QCORRECTQANSWERS-AcceleratedQJunctional
SameQcriteriaQasQJunctionalQRhythm,QexceptQtheQVentricularQrateQisQ60-100
ForQstableQpatients:QIVQaccess,QvagalQmaneuvers,Qadenosine,QO2,QBetaQblockers,QcalciumQchannelQblocke
rs
IdioventricularQRhythmQ(IVR)Q-QCORRECTQANSWERS-ImpulseQoriginatesQinQtheQventricles
▪QRhythm:QVentricularQisQusuallyQregular
▪QRate:QVentricularQbetweenQ20-40
▪QQRS:Q≥Q0.12
▪QAtrialQrate,Qrhythm,QandQPRI:QN/A
-QTreatment:QassessQpt,QcheckQforQDNRQinQchart,QtranscutaneousQpacing,Qatropine.QNEVERQGIVEQANTI-
ARRYTHMICSQMEDICATIONS
AcceleratedQIdioventricularQRhythmQ-QCORRECTQANSWERS-
FollowsQtheQsameQcriteriaQasQIVR,QexceptQVentricularQrateQisQ40-100.
•QIfQnoQinterventionQhappens,QtheQpatientQwillQdeteriorate.
-QTreatment:QassessQpt,Qatropine,QtranscutaneousQpacing.QNEVERQGIVEQANTI-
ARRHYTHMICQMEDICATIONS
VentricularQPacingQ-QCORRECTQANSWERS-•QTheQpacemakerQleadQisQplacedQinQtoQrightQventricle.
•QTheQpacemakerQgeneratorQfiresQanQimpulseQInitiatingQventricularQactivity.
•QTheQrightQventricleQwillQcontractQfirstQfollowedQbyQtheQleftQventricle.QThisQresultsQinQaQwideQQRS
•QAtrialQactivityQisQtypicallyQabsent.QTherefore,QAtrialQrhythm,Qrate,QandQPRIQareQnon-Qmeasurable
•QRhythm:QVentricularQregular
•QRate:QVentricularQwithinQsetQpacerQlimits.QMeasuredQfromQpacerQspikeQtoQpacerQspike
•QQRS:QWide;QPacerQspikeQseenQbeforeQeachQQRS.QMeasuredQfromQpacerQspikeQtoQend
ofQQRS
ThisQstudyQsourceQwasQdownloadedQbyQ100000900823938QfromQCourseHero.comQonQ01-26-
2026Q09:35:32QGMTQ-06:00
https://www.coursehero.com/file/219340629/MHA-705-Exam-2-actual-questions-and-answerspdf/
, Atrial-ventricularQPacingQ-QCORRECTQANSWERS-
OneQpacemakerQleadQisQplacedQintoQtheQrightQatriaQandQanotherQisQplacedQintoQtheQright
ventricle.
•QTheQpacemakerQgeneratorQfiresQanQimpulseQtoQtheQatriaQandQthenQtoQtheQventricleQsequentially
causingQatrialQthenQventricularQcontraction.
•QRhythm:QAtrialQandQVentricularQregular
•QRate:QAtrialQandQVentricularQsameQ&QwithinQsetQlimits
•QPQwaves:QPacerQspikeQseenQatQbeginningQofQatrialQactivityQPQwavesQmayQorQmayQnotQbeQseen
(leadQtypeQdependent)
•QPRI:QWNLQ-QMeasuredQfromQatrialQspikeQtoQventricularQspike
•QQRS:QWideQ-QMeasuredQfromQventricularQspikeQtoQendQofQQRS
FailureQtoQcaptureQ-QCORRECTQANSWERS-
AQpacerQspikeQnoteQfollowedQbyQtheQappropriateQatrialQorQventricularQresponse
•QCanQbeQaQpotentiallyQlethalQsituation!
FailureQtoQpaceQ-QCORRECTQANSWERS-
AbsenceQofQpacerQactivityQ(spikes)QwhenQtheQpacemakerQgeneratorQshouldQhaveQfiredQanQimpulse.
•QTypicallyQseenQwhenQtheQpatient'sQintrinsicQheartQrateQfallsQlessQthanQtheQpacemaker'sQlowQHRQlimitQan
d
theQpacerQfailsQtoQfire.
normalQsinusQrhythmQ(NSR)Q-QCORRECTQANSWERS-ImpulseQstartsQinQtheQSAQNode
•QRate:QAtrialQ&QVentricularQ60-100Q[WNL]
•QRhythm:QAtrialQandQVentricularQareQregular
•QPQwaves:QNormal;QeachQfollowedQbyQQRS
•QPRI:Q0.12Q-Q0.20Q[WNL]
•QQRS:Q0.04Q-Q0.10Q[WNL]
SinusQTachycardiaQ-QCORRECTQANSWERS-
TheseQrhythmsQfollowQallQtheQcriteriaQforQNSRQexceptQforQtheQrate.
•QRate:QAtrialQandQVentricularQ100-150
SinusQBradycardiaQ-QCORRECTQANSWERS-
TheseQrhythmsQfollowQallQtheQcriteriaQforQNSRQexceptQforQtheQrate.
•QRate:QAtrialQandQVentricularQ<Q60
SinusQArrythmiaQ-QCORRECTQANSWERS-
•QImpulseQstartsQinQtheQSAQNodeQbutQactivityQvariesQwithQrespirations
•QRate:QAtrialQandQVentricularQareQ60-100,QbutQvariesQ(slowerQorQfaster)
•QRhythm:QAtrialQandQVentricularQisQirregularQ(P-PQandQR-RQintervalsQareQirregular)
•QPQwaves:QNormalQandQeachQisQfollowedQbyQaQQRS
•QPRI:QconstantQandQwithinQnormalQlimits
•QQRS:QwithinQnormalQlimits
SinusQPause/ArrestQ-QCORRECTQANSWERS-
UnderlyingQrhythmQmeetsQcriteriaQforQaQsinusQrhythmQ[SR,QSB,QST]QexceptQforQtheQmissedQbeat(s)Qor
pause
•QUnderlyingQrhythmQmustQfirstQbeQidentified!
ThisQstudyQsourceQwasQdownloadedQbyQ100000900823938QfromQCourseHero.comQonQ01-26-
2026Q09:35:32QGMTQ-06:00
https://www.coursehero.com/file/219340629/MHA-705-Exam-2-actual-questions-and-answerspdf/