Professional Nursing Skills 2 Final ECG/EKG Quiz
(Maye) QUESTIONS WITH WELL VERIFIED
ANSWERS
Explain the path of the conduction of the heart. - answer☑️✔️..SA node, AV node, bundle of
His, right and left bundle branches, Purkinje fibers
What is telemetry monitoring? - answer☑️✔️..Used to monitor patients with suspected or
confirmed cardiac abnormalities
How do we monitor patients needing telemetry? - answer☑️✔️..Electrodes are placed in
certain areas of the patient's chest in order to detect and transmit the electrical activity of the
heart which is converted by the cardiac monitor into an ECG tracing.
-Tracings are viewed by specially trained health care personnel & evaluated for cardiac rhythm
changes or abnormalities
Which settings may we find telemetry being used in nursing? - answer☑️✔️..Most commonly
utilized in acute care inpatient and outpatient clinical setting
Which staff members are appropriate to monitor and care for patients using telemetry? -
answer☑️✔️..Nurses, physicians and ECG technicians who have undergone training on ECG
interpretation may participate in the care of the patient undergoing telemetry monitoring,
however the assessment should NOT be delegated to non-licensed staff
What is the desired outcome with telemetry monitoring? - answer☑️✔️..That cardiac rhythm
changes or abnormalities will be promptly identified & treated in order to prevent
hemodynamic compromise or other adverse effects
,What is the nurses role in caring for clients undergoing telemetry monitoring? - answer☑️✔️..-
Nurses (or ECG technician) may be employed to watch cardiac monitors and promptly alert the
responsible nurse when an abnormality is seen
-The nurse caring for the patient is responsible for assessing the patient once they are either
notified or recognize themselves any cardiac abnormalities
Class 1 AHA guidelines for continuous cardiac monitoring needs explains what? -
answer☑️✔️..Used to describe patients who definitely require cardiac monitoring
Example: Patient with acute heart failure
Class 2 AHA guidelines for continuous cardiac monitoring needs explains what? -
answer☑️✔️..Describes individuals who may benefit from monitoring
Example: Patient recovering from an angiography
Class 3 AHA guidelines for continuous cardiac monitoring needs explains what? -
answer☑️✔️..Describes patients who are not candidates for monitoring because their risk for
a significant cardiac event is low
Example: patients with permanent, rate-controlled atrial fibriliation)
What are the indications for a need for telemetry monitoring? - answer☑️✔️..-Cardiac or
stroke signs/symptoms (chest pain, syncope, or new onset arrhythmia)
-Risk for life-threatening arrhythmia (V-tach, long QT interval)
-Intermediate or high-risk for acute coronary syndrome (ACS)
-Documented myocardial infarction (MI)
-Recent CPR
-Hemodynamic instability
-Moderate or severely imbalanced magnesium or potassium level
-Drug overdose (suspected or confirmed)
, -Bedside procedures requiring conscious sedation
-Continuous administration of vasoactive medications
-Post-cardiac surgery, intervention, or major thoracic surgery
Examples of Telemetry Monitoring Equipment - answer☑️✔️..Electrodes, Lead Wires, Portable
Transmission Device, Cardiac Monitor
Telemetry Monitoring Equipment: Electrodes - answer☑️✔️..Commonly available in the form
self-adhesive disk containing a conductive gel, which are attached to the patient's skin in
specific anatomic locations in order to detect cardiac voltage changes
Telemetry Monitoring Equipment: Lead Wires - answer☑️✔️..Connect to electrodes to the
transmission device. They are labeled and/or color-coded according to which electrode/lead
they should be attached
Telemetry Monitoring Equipment: Portable Transmission Device - answer☑️✔️..Amplifies and
transmits the heart's electrical impulses to the cardiac monitor
Telemetry Monitoring Equipment: Cardiac Monitor - answer☑️✔️..-Monitors are usually in a
centralized area and can either be on or off of the unit.
-They are equipped with alarms that will sound when the heart rate and/or rhythm deviate
from the boundaries set.
-They are equipped with recording capabilities to record ECG tracings at will and when the
monitor alarms.
What is a lead? - answer☑️✔️..-A lead is a tracing of the difference in electrical potential
(voltage) between a negative and a positive electrode.
-They depict both the magnitude and the direction of electrical current generated by myocardial
depolarization and repolarization.
(Maye) QUESTIONS WITH WELL VERIFIED
ANSWERS
Explain the path of the conduction of the heart. - answer☑️✔️..SA node, AV node, bundle of
His, right and left bundle branches, Purkinje fibers
What is telemetry monitoring? - answer☑️✔️..Used to monitor patients with suspected or
confirmed cardiac abnormalities
How do we monitor patients needing telemetry? - answer☑️✔️..Electrodes are placed in
certain areas of the patient's chest in order to detect and transmit the electrical activity of the
heart which is converted by the cardiac monitor into an ECG tracing.
-Tracings are viewed by specially trained health care personnel & evaluated for cardiac rhythm
changes or abnormalities
Which settings may we find telemetry being used in nursing? - answer☑️✔️..Most commonly
utilized in acute care inpatient and outpatient clinical setting
Which staff members are appropriate to monitor and care for patients using telemetry? -
answer☑️✔️..Nurses, physicians and ECG technicians who have undergone training on ECG
interpretation may participate in the care of the patient undergoing telemetry monitoring,
however the assessment should NOT be delegated to non-licensed staff
What is the desired outcome with telemetry monitoring? - answer☑️✔️..That cardiac rhythm
changes or abnormalities will be promptly identified & treated in order to prevent
hemodynamic compromise or other adverse effects
,What is the nurses role in caring for clients undergoing telemetry monitoring? - answer☑️✔️..-
Nurses (or ECG technician) may be employed to watch cardiac monitors and promptly alert the
responsible nurse when an abnormality is seen
-The nurse caring for the patient is responsible for assessing the patient once they are either
notified or recognize themselves any cardiac abnormalities
Class 1 AHA guidelines for continuous cardiac monitoring needs explains what? -
answer☑️✔️..Used to describe patients who definitely require cardiac monitoring
Example: Patient with acute heart failure
Class 2 AHA guidelines for continuous cardiac monitoring needs explains what? -
answer☑️✔️..Describes individuals who may benefit from monitoring
Example: Patient recovering from an angiography
Class 3 AHA guidelines for continuous cardiac monitoring needs explains what? -
answer☑️✔️..Describes patients who are not candidates for monitoring because their risk for
a significant cardiac event is low
Example: patients with permanent, rate-controlled atrial fibriliation)
What are the indications for a need for telemetry monitoring? - answer☑️✔️..-Cardiac or
stroke signs/symptoms (chest pain, syncope, or new onset arrhythmia)
-Risk for life-threatening arrhythmia (V-tach, long QT interval)
-Intermediate or high-risk for acute coronary syndrome (ACS)
-Documented myocardial infarction (MI)
-Recent CPR
-Hemodynamic instability
-Moderate or severely imbalanced magnesium or potassium level
-Drug overdose (suspected or confirmed)
, -Bedside procedures requiring conscious sedation
-Continuous administration of vasoactive medications
-Post-cardiac surgery, intervention, or major thoracic surgery
Examples of Telemetry Monitoring Equipment - answer☑️✔️..Electrodes, Lead Wires, Portable
Transmission Device, Cardiac Monitor
Telemetry Monitoring Equipment: Electrodes - answer☑️✔️..Commonly available in the form
self-adhesive disk containing a conductive gel, which are attached to the patient's skin in
specific anatomic locations in order to detect cardiac voltage changes
Telemetry Monitoring Equipment: Lead Wires - answer☑️✔️..Connect to electrodes to the
transmission device. They are labeled and/or color-coded according to which electrode/lead
they should be attached
Telemetry Monitoring Equipment: Portable Transmission Device - answer☑️✔️..Amplifies and
transmits the heart's electrical impulses to the cardiac monitor
Telemetry Monitoring Equipment: Cardiac Monitor - answer☑️✔️..-Monitors are usually in a
centralized area and can either be on or off of the unit.
-They are equipped with alarms that will sound when the heart rate and/or rhythm deviate
from the boundaries set.
-They are equipped with recording capabilities to record ECG tracings at will and when the
monitor alarms.
What is a lead? - answer☑️✔️..-A lead is a tracing of the difference in electrical potential
(voltage) between a negative and a positive electrode.
-They depict both the magnitude and the direction of electrical current generated by myocardial
depolarization and repolarization.
