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AACN ECG WRITTEN EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

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The AACN ECG Written Exam typically refers to an electrocardiogram (ECG) knowledge assessment associated with educational programs or certification preparation offered by the American Association of Critical-Care Nurses (AACN). While AACN does not offer a standalone national “ECG certification exam,” ECG interpretation is a critical component of many AACN certification exams such as CCRN and PCCN.

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AACN ECG WRITTEN EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS




The following characteristics describe which rhythm: Regular or irregular R-R
interval, atrial rate of 250-350 bpm, saw tooth pattern between QRS complexes,
normal QRS interval. - ANS -Atrial Flutter


Which of the following are indications for the use of a temporary pacemaker? -
ANS -Atrial fibrillation with a ventricular rate of 36


Second degree type II AV Block as a bridge to permanent pacemaker


It is important when cleaning the ECG cables and lead wires with disinfectant to: -
ANS -Wipe the cables and lead wires with the disinfectant and let them air dry; do
not wipe off the disinfectant.


Compared to the walls of the left ventricle, the walls of the right ventricle are
thin. - ANS -True


In a typical 5 lead configuration, where is the white electrode (RA) placed? - ANS -
The white electrode (RA) is placed at the infraclavicular fossa, close to the right
shoulder.


Which of the following are consequences of a patient with an inferior myocardial
infarction with a first-degree AV block with a PR interval of 0.24 seconds (240
music)? - ANS -The rhythm usually causes no clinical problems for the patient.

, Mr. Davis had cardio-thoracic surgery to replace his mitral valve three days ago.
His recovery has only been remarkable for a brief episode of atrial fibrillation
which converted with one dose of IV medication. You now note him to be in the
rhythm below.


Possible interventions would include the following: - ANS -All of the above.


Sinus bradycardia differs from sinus rhythm in which of the following ways: - ANS
-The rate of sinus bradycardia is slower than normal (less than 60 bpm)


A patient is having failure to capture. One of the troubleshooting actions should
include which of the following? - ANS -Increasing the mA


Atrial fibrillation is identified by all of the following except: - ANS -Normal P-P
interval


Today's ECG monitors are so advanced that there's really nothing left for the
clinician to do. - ANS -False


What is the amplitude of one small vertical box on the ECG paper? - ANS -1 mm


The primary goal in treating accelerated junctional rhythm is to: - ANS -Identify
and treat the cause


A patient in atrial fibrillation with a rapid ventricular response experiences the
following symptoms: shortness of breath, chest pain, and dizziness. You

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