RHYTHMS & HEART BLOCKS EXAM
WITH CORRECT ANSWERS
Which of the following is NOT an example of a narrow complex
supraventricular tachycardia?
Accelerated junctional rhythm
Atrial fibrillation
AV nodal re-entry tachycardia
Atrial flutter - CORRECT ANSWERS-Accelerated junctional rhythm
On the patient's rhythm strip, you note there are pacemaker spikes that are
not followed by a P wave or a QRS. What type of pacemaker malfunction is
this called?
Failure to sense
Failure to capture
Oversensing
60 cycle interference - CORRECT ANSWERS-Failure to capture
A sinus pause occurs with which of the following?
The SA node fails to discharge an impulse
The impulse is delivered by a secondary pacemaker
The cardiac rhythm decreases below 60 beats per minute
Cardiac arrest occurs - CORRECT ANSWERS-The SA node fails to discharge an
impulse
Atrial fibrillation can be a chronic condition and well tolerated.
True
False - CORRECT ANSWERS-True
What is a single ectopic beat that occurs as the result of an irritable focus in
the atria called?
Premature atrial complex (PAC)
Premature junctional complex (PJC)
Premature ventricular complex (PVC)
Ventricular fibrillation (VF) - CORRECT ANSWERS-Premature atrial complex
(PAC)
Which three (3) are examples of supraventricular tachycardia (SVT)?
, Accelerated junctional
Atrial fibrillation
Atrial flutter
Junctional tachycardia - CORRECT ANSWERS-Atrial fibrillation
Atrial flutter
Junctional tachycardia
A patient whose ECG shows a rapid, chaotic rhythm and no discernible P
waves or QRS complexes is probably in what dysrhythmia?
Junctional rhythm
Idioventricular rhythm
Ventricular fibrillation
Ventricular tachycardia - CORRECT ANSWERS-Ventricular fibrillation
Select the possible treatment option(s) for a stable, symptomatic patient
with junctional tachycardia. (Select all that apply.)
Administer adenosine
Administer digitalis
Administer oxygen
Obtain IV access - CORRECT ANSWERS-Select the possible treatment
option(s) for a stable, symptomatic patient with junctional tachycardia.
(Select all that apply.)
Administer adenosine
Administer digitalis
Administer oxygen
Obtain IV access
Which of the following drugs slow or inhibit AV node conduction?
Epinephrine, digoxin, dopamine
Digoxin, adenosine, verapamil
Epinephrine, verapamil, atropine
Atropine, dopamine, adenosine - CORRECT ANSWERS-Digoxin, adenosine,
verapamil
Each of the following medications is used for ventricular dysrhythmias
EXCEPT
Lidocaine
Amiodarone
Verapamil
Procainamide - CORRECT ANSWERS-Verapamil
What property is the ability of a cardiac cell to initiate an electrical impulse?
Automaticity
Excitability
Conductivity
Contractility - CORRECT ANSWERS-Automaticity