,Exam Blueprint: Comprehensive Final Review - All Dysrhythmias and
Clinical Judgment
1. Chapter 1: Atrial Fibrillation - Page 4
2. Chapter 2: Tachycardia - Page 8
3. Chapter 3: Electrolyte Effects - Page 12
4. Chapter 4: Atrial Fibrillation - Page 16
5. Chapter 5: Atrial Flutter - Page 20
6. Chapter 6: Ventricular Tachycardia - Page 24
7. Chapter 7: Electrolyte Effects - Page 28
8. Chapter 8: Atrial Flutter - Page 32
9. Chapter 9: 12-Lead ECG - Page 36
10. Chapter 10: Atrial Flutter - Page 40
11. Chapter 11: ACLS Protocols - Page 44
12. Chapter 12: Electrolyte Effects - Page 48
13. Chapter 13: Tachycardia - Page 52
14. Chapter 14: ACLS Protocols - Page 56
15. Chapter 15: Ventricular Fibrillation - Page 60
16. Chapter 16: 12-Lead ECG - Page 64
17. Chapter 17: 12-Lead ECG - Page 68
18. Chapter 18: Atrial Fibrillation - Page 72
19. Chapter 19: ACLS Protocols - Page 76
20. Chapter 20: ACLS Protocols - Page 80
21. Chapter 21: Tachycardia - Page 84
22. Chapter 22: ACLS Protocols - Page 88
23. Chapter 23: Heart Blocks - Page 92
24. Chapter 24: ACLS Protocols - Page 96
25. Chapter 25: Heart Blocks - Page 100
,1. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Fail to activate emergency response
B. Give adenosine for complete heart block
C. Ventricular fibrillation - initiate CPR and defibrillation per ACLS
D. Confuse SVT with atrial flutter
Answer: C
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: P wave analysis.
2. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Normal sinus rhythm - continue monitoring
B. Ignore lethal rhythm
C. Give adenosine for complete heart block
D. Sinus tachycardia with incorrect rate
Answer: A
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: P wave analysis.
3. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Normal sinus rhythm - continue monitoring
B. Ignore lethal rhythm
C. Defibrillate a stable sinus rhythm
D. Confuse SVT with atrial flutter
Answer: A
Rationale: This option reflects evidence-based ACLS and Relias competency standards for safe dysrhythmia
management. It prioritizes assessment, recognizes lethal rhythms, and implements correct emergency
response including oxygen, monitoring, medications, defibrillation, and provider notification. Distractors delay
care, use contraindicated drugs, or fail to recognize instability. Knowledge of causes, treatments, and
documentation is critical for passing and for patient safety in clinical practice. Focus: rate regularity.
, 4. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Atrial fibrillation with RVR - assess, notify provider, consider rate control
B. Fail to activate emergency response
C. Administer atropine for ventricular fibrillation
D. Confuse SVT with atrial flutter
Answer: A
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: P wave analysis.
5. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Fail to activate emergency response
B. Third-degree AV block - prepare for transcutaneous pacing
C. Give adenosine for complete heart block
D. Sinus tachycardia with incorrect rate
Answer: B
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: P wave analysis.
6. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Normal sinus rhythm - continue monitoring
B. Delay intervention and only document
C. Give adenosine for complete heart block
D. Confuse SVT with atrial flutter
Answer: A
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: QRS width.
Clinical Judgment
1. Chapter 1: Atrial Fibrillation - Page 4
2. Chapter 2: Tachycardia - Page 8
3. Chapter 3: Electrolyte Effects - Page 12
4. Chapter 4: Atrial Fibrillation - Page 16
5. Chapter 5: Atrial Flutter - Page 20
6. Chapter 6: Ventricular Tachycardia - Page 24
7. Chapter 7: Electrolyte Effects - Page 28
8. Chapter 8: Atrial Flutter - Page 32
9. Chapter 9: 12-Lead ECG - Page 36
10. Chapter 10: Atrial Flutter - Page 40
11. Chapter 11: ACLS Protocols - Page 44
12. Chapter 12: Electrolyte Effects - Page 48
13. Chapter 13: Tachycardia - Page 52
14. Chapter 14: ACLS Protocols - Page 56
15. Chapter 15: Ventricular Fibrillation - Page 60
16. Chapter 16: 12-Lead ECG - Page 64
17. Chapter 17: 12-Lead ECG - Page 68
18. Chapter 18: Atrial Fibrillation - Page 72
19. Chapter 19: ACLS Protocols - Page 76
20. Chapter 20: ACLS Protocols - Page 80
21. Chapter 21: Tachycardia - Page 84
22. Chapter 22: ACLS Protocols - Page 88
23. Chapter 23: Heart Blocks - Page 92
24. Chapter 24: ACLS Protocols - Page 96
25. Chapter 25: Heart Blocks - Page 100
,1. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Fail to activate emergency response
B. Give adenosine for complete heart block
C. Ventricular fibrillation - initiate CPR and defibrillation per ACLS
D. Confuse SVT with atrial flutter
Answer: C
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: P wave analysis.
2. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Normal sinus rhythm - continue monitoring
B. Ignore lethal rhythm
C. Give adenosine for complete heart block
D. Sinus tachycardia with incorrect rate
Answer: A
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: P wave analysis.
3. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Normal sinus rhythm - continue monitoring
B. Ignore lethal rhythm
C. Defibrillate a stable sinus rhythm
D. Confuse SVT with atrial flutter
Answer: A
Rationale: This option reflects evidence-based ACLS and Relias competency standards for safe dysrhythmia
management. It prioritizes assessment, recognizes lethal rhythms, and implements correct emergency
response including oxygen, monitoring, medications, defibrillation, and provider notification. Distractors delay
care, use contraindicated drugs, or fail to recognize instability. Knowledge of causes, treatments, and
documentation is critical for passing and for patient safety in clinical practice. Focus: rate regularity.
, 4. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Atrial fibrillation with RVR - assess, notify provider, consider rate control
B. Fail to activate emergency response
C. Administer atropine for ventricular fibrillation
D. Confuse SVT with atrial flutter
Answer: A
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: P wave analysis.
5. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Fail to activate emergency response
B. Third-degree AV block - prepare for transcutaneous pacing
C. Give adenosine for complete heart block
D. Sinus tachycardia with incorrect rate
Answer: B
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: P wave analysis.
6. Comprehensive dysrhythmia assessment: The patient has irregularly irregular rhythm, no
distinct P waves, HR 110. The nurse should The patient is on cardiac monitor, vital signs
stable/unstable. What is the most appropriate nursing identification and intervention per
Relias and AHA guidelines?
A. Normal sinus rhythm - continue monitoring
B. Delay intervention and only document
C. Give adenosine for complete heart block
D. Confuse SVT with atrial flutter
Answer: A
Rationale: Correct because it accurately identifies the dysrhythmia based on rate, regularity, P wave
morphology, PR interval, and QRS width per Relias and AHA ECG criteria. Understanding atrial vs ventricular
origin and conduction blocks is essential. Incorrect options misinterpret key measurements or confuse similar
rhythms. Mastery of 5-step ECG interpretation ensures accurate identification and timely intervention, which is
high-yield for Relias Dysrhythmia Basic Test success. Focus: QRS width.
