KAISER TELE RHYTHMS LATEST EXAM WITH
COMPLETE 50 QUESTIONS AND CORRECT ANSWERS
QUESTION: Sinus Tachycardia - ANSWER-Action: Determine & Treat the cause - this is key
First Drug: None, watch for drugs that may be the cause
Possible causes: pain, fever, anxiety, exercise, hypoxia, caffeine, sympathetic stimulation.
QUESTION: Premature Atrial Contraction - PAC's - ANSWER-Action: no action needed; if
new or frequent notify MD
First Drug: None
Possible causes: caffeine, fatigue, tobacco, alcohol, stress, atrial enlargement
QUESTION: Atrial Flutter - ANSWER-Action: If new, notify MD, O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema post heart surgery, valve disease,
hyperthyroidism
QUESTION: Atrial Fibrillation - ANSWER-Action: If new, notify MD; O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema post heart surgery, valve disease,
hyperthyroidism
QUESTION: Premature Junctional Contraction - PJC's - ANSWER-Action: If frequent or new
notify MD
First Drug: None
, Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, stress, meds
QUESTION: Junctional Rhythm - ANSWER-Actions: If new notify MD, O2 if dyspneic,meds
(if extreme Brady, Call RRT) FirstDrug: Atropine(0.5mg)ifsymptomatic-BP
Possible causes: ischemia -SA node, SA node function due to meds - Digoxin tox.
Sinus Arrhythmia - ANSWER-Sinus Arrhythmia
Looks almost normal
Action: none, continue to monitor
First Drug: none
Possible cause: respiratory deviation, peds, aging heart
QUESTION: Sinus Bradycardia - ANSWER-Action: oxygen, notify MD - if symptomatic,
follow AHA guidelines. First Drug: Atropine if symptomatic - low BP
Possible cause: vagal-stimulation, athlete, sleep, ischemia to SA node, Meds, ↑ ICP
QUESTION: Accelerated Junctional - ANSWER-Actions: If new notify MD, O2 if dyspneic,
meds
First Drug: none
Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, stress, med toxicity -
esp. Dig Toxicity (check potassium)
QUESTION: Junctional Tachycardia - ANSWER-Actions: If new notify MD, O2 if dyspneic,
meds
First Drug: none
COMPLETE 50 QUESTIONS AND CORRECT ANSWERS
QUESTION: Sinus Tachycardia - ANSWER-Action: Determine & Treat the cause - this is key
First Drug: None, watch for drugs that may be the cause
Possible causes: pain, fever, anxiety, exercise, hypoxia, caffeine, sympathetic stimulation.
QUESTION: Premature Atrial Contraction - PAC's - ANSWER-Action: no action needed; if
new or frequent notify MD
First Drug: None
Possible causes: caffeine, fatigue, tobacco, alcohol, stress, atrial enlargement
QUESTION: Atrial Flutter - ANSWER-Action: If new, notify MD, O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema post heart surgery, valve disease,
hyperthyroidism
QUESTION: Atrial Fibrillation - ANSWER-Action: If new, notify MD; O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema post heart surgery, valve disease,
hyperthyroidism
QUESTION: Premature Junctional Contraction - PJC's - ANSWER-Action: If frequent or new
notify MD
First Drug: None
, Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, stress, meds
QUESTION: Junctional Rhythm - ANSWER-Actions: If new notify MD, O2 if dyspneic,meds
(if extreme Brady, Call RRT) FirstDrug: Atropine(0.5mg)ifsymptomatic-BP
Possible causes: ischemia -SA node, SA node function due to meds - Digoxin tox.
Sinus Arrhythmia - ANSWER-Sinus Arrhythmia
Looks almost normal
Action: none, continue to monitor
First Drug: none
Possible cause: respiratory deviation, peds, aging heart
QUESTION: Sinus Bradycardia - ANSWER-Action: oxygen, notify MD - if symptomatic,
follow AHA guidelines. First Drug: Atropine if symptomatic - low BP
Possible cause: vagal-stimulation, athlete, sleep, ischemia to SA node, Meds, ↑ ICP
QUESTION: Accelerated Junctional - ANSWER-Actions: If new notify MD, O2 if dyspneic,
meds
First Drug: none
Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, stress, med toxicity -
esp. Dig Toxicity (check potassium)
QUESTION: Junctional Tachycardia - ANSWER-Actions: If new notify MD, O2 if dyspneic,
meds
First Drug: none