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EKG Atrial Rhythms and Sinus Rhythms – Practice Questions, Answers & Study Guide

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EKG Atrial Rhythms and Sinus Rhythms – Practice Questions, Answers & Study Guide

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EKG Atrial Rhythms Sinus Rhythms
EKG/Atrial Rhythms/Sinus Rhythms
Study online at https://quizlet.com/_jmlln3

1. Which assessment find- B) Sudden vision changes
ing by the nurse car- A-fib causes pooling of the blood in the atria, leading to atrial clots
ing for a client with and risk for stroke if clots are ejected from the left ventricle into the
new-onset atrial fibrilla- systemic circulation. A sudden onset change in vision may indicate a
tion would be the most stroke and would be immediately communicated to the HCP.
important to communi-
cate to the HCP?

A) Irregular apical pulse
B) Sudden Vison Change
C) Exertional dyspena
D) Lower extremity ede-
ma

2. What action is essential Taking the pulse apically for a full minute
for the nurse to include
in the plan of care for a Because the pulse with A-fib is irregularly irregular, there is a differ-
client with atrial fibrilla- ence between apical and radial pulse (pulse deficit) and the apical
tion? pulse is used for an accurate HR.

3. When the nurse needs The P wave represents atrial depolarization and the nurse would use
to determine atrial rate P waves to determine atrial rate and rhythm.
and rhythm, which com-
ponent of the electrocar-
diogram will be used?

4. For which client would A
the nurse anticipate that Diliazem is used to treat rapid atrial fibrillation.
diltiazem will be pre-
scribed by the HCP?

A) Pt with atrial fibrilla-
tion


, EKG Atrial Rhythms Sinus Rhythms
EKG/Atrial Rhythms/Sinus Rhythms
Study online at https://quizlet.com/_jmlln3

B) Pt with normal sinus
rhythm
C) Pt with ventricular
tachycardia
D) PT with sinus bradycar-
dia

5. What medication is indi- Atropine sulfate
cated to treat bradycar- Atropine blocks vaglal stimulation of the SA node, resuling in an in-
dia for a client whose creased HR.
heart rate drops to 38
beats/minute during a
procedure?

6. Which component of The QRS complex
the ECG strip will the
nurse observe to deter-
mine ventricular depolar-
ization?

7. P Wave Depolarization of atria in response to the SA node triggering

8. PR interval -delay of AV node to allow filling of ventricles
-beginning of the P wave to beginning of QRS
-0.12-.2 seconds (3-5 little boxes)

9. QRS Complex -Ventricular depolarization
-Less than .12 seconds (3 or less little boxes)

10. ST segment -End of S wave to beginning of T wave
-Normally isoelectric line

11. Decreased ST segment suggests heart ischemia

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