CARDIAC DYSRHYTHMIA
COMPETENCY EXAM QUESTIONS WITH
CORRECT ANSWERS
P wave represents - Answer-atrial depolarization
QRS complex represents - Answer-ventricular depolarization & atrial reploarization
intervention for ST elevation - Answer-MONA
-morphine
-oxygen
-nitro
-aspirin
2 interventions for brady (slow) rhythms - Answer-atropine & TCP
possible cause for sinus arrhythmia - Answer-sleeping (inhalation and expiration)
how to identify sinus block - Answer-R-R interval will march out/still be on time after
block
how to identify sinus arrest - Answer-R-R interval will not march out after the pause
medication if HR/rhythm is too fast - Answer-adenosine
intervention for SVT - Answer-call rapid
bedrest
unstable: cardioversion
stable: blow thru straw, bear down
junctional rate - Answer-40-60 bpm
accelerated junctional rate - Answer-60-100 bpm
junctional tachy rate - Answer->100 bpm
what do you measure to determine AV block - Answer-PRI
if there's a notch on QRS complex, what finding is that - Answer-BBB (bundle branch
block)
, with second degree AV block type II, what drug to use with caution as it can worsen the
block? - Answer-atropine
intervention for 3rd degree AV block - Answer-call rapid/code blue
apply pads & monitor leads
tcp
atropine
vasopressors
how to identify a PVC - Answer-QRS and T are inverted
intervention for v tach - Answer-code blue/rapid
pulse: crash cart, leads & pads, O2, IV, synchronized cardioversion, amiodarone,
lidocaine
pulseless: CPR, crash card, analyze & defibrillate (D FOR DEAD)
intervention for v fib - Answer-VFIB = DEFIB
code blue, CPR, defibrillate, analyze on AED
intervention for asystole/ventricular standstill - Answer-code blue & CPR
do you shock PEA? - Answer-NO
call code blue, CPR, tx cause
cons of right ventricular pacing - Answer-atrial activity ignored
ventricles contract asynchronously
if there's a pacer spike before QRS, is it pacing atrium or ventricle? - Answer-ventricle
what is failure to pace? - Answer-When the pacer fails to fire a signal when it should
no pace spike when needed
what is failure to capture? - Answer-there's pacer spike and no waves are generated
goals for afib/aflutter - Answer--control the rate
-prevent clots
-convert the rhythm
interventions for PVCs/ventricular ectopics - Answer-amiodarone, lidocaine (anti-
arrhythmics)
ID and tx cause
don't always need tx
COMPETENCY EXAM QUESTIONS WITH
CORRECT ANSWERS
P wave represents - Answer-atrial depolarization
QRS complex represents - Answer-ventricular depolarization & atrial reploarization
intervention for ST elevation - Answer-MONA
-morphine
-oxygen
-nitro
-aspirin
2 interventions for brady (slow) rhythms - Answer-atropine & TCP
possible cause for sinus arrhythmia - Answer-sleeping (inhalation and expiration)
how to identify sinus block - Answer-R-R interval will march out/still be on time after
block
how to identify sinus arrest - Answer-R-R interval will not march out after the pause
medication if HR/rhythm is too fast - Answer-adenosine
intervention for SVT - Answer-call rapid
bedrest
unstable: cardioversion
stable: blow thru straw, bear down
junctional rate - Answer-40-60 bpm
accelerated junctional rate - Answer-60-100 bpm
junctional tachy rate - Answer->100 bpm
what do you measure to determine AV block - Answer-PRI
if there's a notch on QRS complex, what finding is that - Answer-BBB (bundle branch
block)
, with second degree AV block type II, what drug to use with caution as it can worsen the
block? - Answer-atropine
intervention for 3rd degree AV block - Answer-call rapid/code blue
apply pads & monitor leads
tcp
atropine
vasopressors
how to identify a PVC - Answer-QRS and T are inverted
intervention for v tach - Answer-code blue/rapid
pulse: crash cart, leads & pads, O2, IV, synchronized cardioversion, amiodarone,
lidocaine
pulseless: CPR, crash card, analyze & defibrillate (D FOR DEAD)
intervention for v fib - Answer-VFIB = DEFIB
code blue, CPR, defibrillate, analyze on AED
intervention for asystole/ventricular standstill - Answer-code blue & CPR
do you shock PEA? - Answer-NO
call code blue, CPR, tx cause
cons of right ventricular pacing - Answer-atrial activity ignored
ventricles contract asynchronously
if there's a pacer spike before QRS, is it pacing atrium or ventricle? - Answer-ventricle
what is failure to pace? - Answer-When the pacer fails to fire a signal when it should
no pace spike when needed
what is failure to capture? - Answer-there's pacer spike and no waves are generated
goals for afib/aflutter - Answer--control the rate
-prevent clots
-convert the rhythm
interventions for PVCs/ventricular ectopics - Answer-amiodarone, lidocaine (anti-
arrhythmics)
ID and tx cause
don't always need tx
