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VCE Lesson 13 - Atrial Fibrillation - NRSG2570-Multisystem Disorders

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VCE Lesson 13 - Atrial Fibrillation - NRSG2570-Multisystem DisordersVCE Lesson 13 - Atrial Fibrillation - NRSG2570-Multisystem DisordersVCE Lesson 13 - Atrial Fibrillation - NRSG2570-Multisystem Disorders

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Lesson 13 - Atrial Fibrillation : NRSG2570: Multisystem Disorders (1B-A_2020-02-24_Miramar) 4/21/20, 5)55 PM




Lesson 13 - Atrial Fibrillation
Due Apr 21 at 11:59pm Points 31 Questions 31
Available Mar 18 at 12am - Apr 21 at 11:59pm about 1 month Time Limit None




Attempt History
Attempt Time Score
LATEST Attempt 1 1,070 minutes 4.14 out of 31 *

* Some questions not yet graded



Score for this quiz: 4.14 out of 31 *
Submitted Apr 21 at 4:54pm
This attempt took 1,070 minutes.


Question 1 Not yet graded / 1 pts



Exercise 1 - Writing Activity

This exercise will take approximately 20 minutes to complete.

Exercise 1 - Question 1

Describe the normal conduction system of the heart.

Your Answer:

The cardiac conduction system is a group of specialized cardiac muscle
cells in the walls of the heart that send signals to the heart muscle
causing it to contract. The main components of the cardiac conduction
system are the SA node, AV node, bundle of His, bundle branches, and
Purkinje fibers


https://concorde.instructure.com/courses/27651/quizzes/132242 Page 1 of 27

,Lesson 13 - Atrial Fibrillation : NRSG2570: Multisystem Disorders (1B-A_2020-02-24_Miramar) 4/21/20, 5)55 PM




The conduction system begins with the sinoatrial (SA) node,
located close to the surface of the right atrium near its junction
with the superior vena cava. It is the heart’s primary pacemaker,
with an intrinsic rate of 60 to 100 beats per minute (bpm).
Impulses from the sinus node move directly through atrial
muscle and lead to atrial depolarization, reflected in a P wave on
the electrocardiogram (ECG). Atrial muscle contraction should
follow. The impulse travels via slow and fast conduction
pathways leading to the atrioventricular (AV) node, located just
beneath the right atrial endocardium, between the tricuspid valve
and the ostium of the coronary sinus. The impulse is delayed
here before proceeding to the ventricles. This delay is reflected
in the PR segment on the ECG. After the delay, the impulse
travels into the bundle of His, down the right and left bundle
branches and into the terminal Purkinje fibers. This leads to
ventricular depolarization and contraction.




Question 2 Not yet graded / 1 pts



Exercise 1 - Question 2

What is "atrial kick"? Why is this important?


Your Answer:

It occurs during the late inflow portion of the cardiac cycle where blood
is moving from the left atrium to the left ventricle. The purpose of the
atrial kick is to increase the pressure gradient across the mitral valve to
allow more blood to be present in the LV at the end of diastole




https://concorde.instructure.com/courses/27651/quizzes/132242 Page 2 of 27

, Lesson 13 - Atrial Fibrillation : NRSG2570: Multisystem Disorders (1B-A_2020-02-24_Miramar) 4/21/20, 5)55 PM




Atrial kick, facilitated by a short delay in impulse conduction in
the AV node, occurs when the atria contract before the
ventricles. The atrial contraction contributes additional blood
volume for a greater cardiac output.




Question 3 pts


Exercise 1 - Question 3

Identify the cardiac event represented by each of the waves and
measured intervals:

P wave: depolarization of the right and left atria


PR interval: electrical conduction through the atria and the delay of the electrical impulse in the atr


QRS complex: depolarization of the right and left ventricles


T wave: ventricular depolarization


U wave: final state of depolarization of the ventricles


QT interval: Measures ventricular depolarization and repolarization



Answer 1:

You Answered depolarization of the right and left atria


https://concorde.instructure.com/courses/27651/quizzes/132242 Page 3 of 27
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