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Exam (elaborations)

Relias Dysrhythmia Final Exam [100% Correct Answers]

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Relias Dysrhythmia Final Exam [100% Correct Answers] 2:1 Conduction *Ans* Every other P wave has no corresponding QRS and T wave Accelerated Idioventricular Rhythm *Ans* QRS is .12 seconds or greater R and T are oppositely reflected giving weird bizarre look Rate is between 40-100 Absence of P waves Accelerated Junctional Rhythm *Ans* Inverted, lost, or late P wave before each QRS and T wave Rate is between 61 and 100 beats per minute QRS is normal Rhythm is regular Asystole *Ans* Absence of ventricular activity Usually flat baseline but may have P waves Atrial Fibrillation (A Fib) *Ans* Wavy baseline No identifiable P waves R to R is irregularly irregular Atrial Flutter *Ans* Saw toothed flutter waves in place of P waves R to R may be regular or irregular Complete (Third Degree) AV Block *Ans* P to P map out but some may be hidden in the QRS wave R to R map out but there is no correlation to each other at all Failure to Capture *Ans* Pacer spikes present without corresponding waveforms Pacer spike with no P or QRS after it Failure to Pace *Ans* Absence of pacer spikes Failure to Sense (Undersensing) *Ans* Pacer spike too close behind QRS First Degree AV Block *Ans* Only one upright P per QRS and T PRI is .22 seconds or longer Junctional Bradycardia *Ans* Inverted, lost, or late P wave before QRS and T Rhythm is Regular Rate is less than 40 beats per minute Junctional Escape Beat *Ans* Inverted, lost, or late P wave after the next expected complex Junctional Rhythm *Ans* Inverted, lost, or late P wave before each QRS and T wave Rhythm is regular QRS is usually normal Junctional Tachycardia *Ans* Inverted, lost, or late P wave for each QRS and T wave Rhythm is regular Normal QRS Rate is above 100 beats per minute Mobitz Type 1 (Wenkebach) *Ans* Prolonging PRI until there is a P without a corresponding QRS Mobitz Type II *Ans* PRI is constant P maps out with P but one P wave will be missing a QRS and T wave QRS is wider Multifocal Atrial Tachycardia *Ans* One or no P wave (3 different looking P waves) QRS is normal Rhythm is irregular, Rate is 100 or greater Non-conducted PAC *Ans* Before next expected complex, upright P occurs, may be piggybacked in T wave No QRS Premature Atrial Complex *Ans* Before next complex, upright P occurs, may be piggybacked in T wave Normal QRS Premature Junctional Complex *Ans* Inverted, lost, or late P wave before next expected complex Premature Ventricular Complex *Ans* Before next expected complex, QRS is wide and often the R wave and the T wave are oppositely deflected making it look weird and bizarre QRS is greater than .12 Pulseless Electrical Activity (PEA) *Ans* any rhythm without a corresponding mechanical response exhibited by a pulse SA Block *Ans* Sinus rhythm with one complete P, QRS, a

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Relias Dysrhythmia Final Exam [100%
Correct Answers] 2024-2025
2:1 Conduction *Ans* ✔Every other P wave has no corresponding QRS and T wave



Accelerated Idioventricular Rhythm *Ans* ✔QRS is .12 seconds or greater

R and T are oppositely reflected giving weird bizarre look

Rate is between 40-100

Absence of P waves



Accelerated Junctional Rhythm *Ans* ✔Inverted, lost, or late P wave before each QRS and T wave

Rate is between 61 and 100 beats per minute

QRS is normal

Rhythm is regular



Asystole *Ans* ✔Absence of ventricular activity

Usually flat baseline but may have P waves



Atrial Fibrillation (A Fib) *Ans* ✔Wavy baseline

No identifiable P waves

R to R is irregularly irregular



Atrial Flutter *Ans* ✔Saw toothed flutter waves in place of P waves

R to R may be regular or irregular



Complete (Third Degree) AV Block *Ans* ✔P to P map out but some may be hidden in the QRS wave

R to R map out but there is no correlation to each other at all

, Failure to Capture *Ans* ✔Pacer spikes present without corresponding waveforms

Pacer spike with no P or QRS after it



Failure to Pace *Ans* ✔Absence of pacer spikes



Failure to Sense (Undersensing) *Ans* ✔Pacer spike too close behind QRS



First Degree AV Block *Ans* ✔Only one upright P per QRS and T

PRI is .22 seconds or longer



Junctional Bradycardia *Ans* ✔Inverted, lost, or late P wave before QRS and T

Rhythm is Regular

Rate is less than 40 beats per minute



Junctional Escape Beat *Ans* ✔Inverted, lost, or late P wave after the next expected complex



Junctional Rhythm *Ans* ✔Inverted, lost, or late P wave before each QRS and T wave

Rhythm is regular

QRS is usually normal



Junctional Tachycardia *Ans* ✔Inverted, lost, or late P wave for each QRS and T wave

Rhythm is regular

Normal QRS

Rate is above 100 beats per minute



Mobitz Type 1 (Wenkebach) *Ans* ✔Prolonging PRI until there is a P without a corresponding QRS



Mobitz Type II *Ans* ✔PRI is constant

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