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EKG Rhythms Q&A – Practice Questions, Answers & Study Guide

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This study guide provides a focused review of EKG rhythms through practice questions and answers for nursing students. It covers cardiac rhythm identification, EKG interpretation, common dysrhythmias, and essential concepts for nursing exams and clinical practice.

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EKG rhythms QA
EKG rhythms
Study online at https://quizlet.com/_2ldvns

1. Normal Sinus 60-100 bpm
Rhythm all complexes normal and evenly spaced (P, QRS, T)



2. Sinus Arrest - SA node doesn't fire
- notice absence of P-wave for a complete cycle (a missed cycle)



3. Sinus arrhythmia all complexes normal but rhythmically irreg
- normal finding (esp in young pts) that has to do with breathing (rate: inhale-in-
crease, exhale-decrease)




4. Sinus Bradycar- <60
dia normal sinus rhythm



5. Sinus Tachycar- >100 (100-150)
dia normal sinus rhythm



6. Wandering atrial Hint: try never to pick this
pacemaker - impulse originate from varying points in atria
- variation in P wave contour, PR-I, PP-I and thus RR-I



7. P wave vs T wave P generally smaller than T

8.
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, EKG rhythms QA
EKG rhythms
Study online at https://quizlet.com/_2ldvns

MAT (multifocal - impulse originates at diff places in atria so P waves diff and intervals might not
atrial tachy) be consistent
- assoc w/ severe pulm dz



9. Atrial Fibrillation A: 350-450 (atria quivering)
- irreg-irreg rhythm (R-RI=irreg)
**unsure/no P-wave (non-distinguishable)**
- irreg rhythm BUT reg QRS!
Danger: increase the risk of thromboemoblic events don't convert unless occurring
less than 48 hrs, if don't know pt need to be put on thrombolytics)



10. Atrial Flutter A: 250-350
- "saw tooth" p-waves
- a continuous rapid sequence of atrial complexes from a single rapid-firing atrial
focus
(hint: if see 2 P waves and QRS think A Flutter)



11. Junctional Escape retrograde atrial depolarization
beats P' is inverted




12. Junctional 40-60 Regular!
rhythm -impulse from AV node w/ retro/antegrade transmission
- P wave often inverted/buried/follow QRS
- slow rate
- narrow QRS (not wide like ventricular)
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