RELIAS DYSRHYTHMIA BASIC TESTBA
G G G
NK ANSWERS 2024 VERSION DYSRHYT
G G G G
HMIA – G
BASIC A&B (A+ GRADED), NURSING EX
G G G G G G
AM
2ndGDegreeGHeartGBlockG(MobitzGII)G–GansGRare,GbutGmoreGserious
SuddenGappearanceGofGaGnonconductedGP-wave
P-wavesGareGnl,GbutGsomeGaren'tGfollowedGbyGaGQRSGcomplex
PRG&GRRGintervalsGareGconstant
2ndGdegreeGheartGblockGtypeG1G(Wenkebach)G–
GansGprogressivelyGlongerGPRGintervalGuntilGtheGPGwaveGisGnotGfollowedGbyGaGQPR
3rdGdegreeGheartGblockG–
GansGnoGobviousGcorrelationGbetweenGpGandGqrs,GneedGpaceGmaker
AcceleratedGIdioventricularGRhythmG–GansGRate:G50G-G100GusuallyG(usuallyGslow)G
PGwave:GObscuredGbyGventricularGwavesG(occurGduringGventricularGcontraction)G-
GSAGnodeGslowerGthanGfasterGventricularGpacingGthanGshouldGbe
QRS:GWideGQRS
Conduction:GVentricularGonly
Rhythm:GRegular
-GBenignGrhythmGthatGisGsometimesGseenGduringGacuteGMIGorGearlyGafterGreperfusion.G-
GRarelyGsustained,GdoesGnotGprogressGtoGvfib,GrarelyGrequiresGtreatment
AsystoleG–GansGabsenceGofGcontractionsGofGtheGheart
AtrialGFibrillationG(A-Fib)G–
GansGanGirregularGandGoftenGveryGfastGheartGrateGoriginatingGfromGabnormalGconductionGin
GtheGatria
AtrialGFlutterG–GansGirregularGbeatingGofGtheGatria;GoftenGdescribedGasG"a-
flutterGwithG2GtoG1GblockGorG3GtoG1Gblock"
AtrialGpacedGrhythmG–GansGspikeGbeforeGPGwave
BigeminyGPVCG–GansGeveryGotherGbeatGisGaGPVC
FailureGtoGcaptureG(pacemaker)G-Gans
FailureGtoGsenseG(pacemaker)G-Gans
,RELIAS DYSRHYTHMIA BASIC TESTBA
G G G
NK ANSWERS 2024 VERSION DYSRHYT
G G G G
HMIA – G
BASIC A&B (A+ GRADED), NURSING EX
G G G G G G
AM
FirstGdegreeGheartGblockG–
GansGatrioventricularG(AV)GblockGinGwhichGtheGatrialGelectricalGimpulsesGareGdelayedGbyGaGf
ractionGofGaGsecondGbeforeGbeingGconductedGtoGtheGventricles
IdioventricularGRhythmG-Gans<40
*looksGlikeGvtachGbutGslow*
-GNoGPGwavesG(fromGventGfoci)
-GWideGQRS
(Serious,GdeathGlikeGrhythm)
-GcalledG"dyingGheart"Grhythm...occasionalGventricGbeatGb4GdeathG(asystole)
JunctionalGRhythmG-Gans40-60GRegular!
-impulseGfromGAVGnodeGw/Gretro/antegradeGtransmission
-GPGwaveGoftenGinverted/buried/followGQRS
-GSlowGrate
-GNarrowGQRSG(notGwideGlikeGventricular)
JunctionalGTachycardiaG–GansG>60GbpmG(ms.GK;G150-250)
-GKEY:GwillGbeGregularG(consistent)
-GAVGjunctionGproducesGaGrapidGsequenceGofGQRS-TGcycles
-GP-waveGoftenGinverted/buried/followGQRS
MonomorphicGventricularGtachycardiaG–
GansGpresentsGwithGwideGQRSGcomplexesGofGaGcommonGshape.
NormalGsinusGrhythmG–
GansGheartGrhythmGoriginatingGinGtheGsinoatrialGnodeGwithGaGrateGinGpatientsGatGrestGofG60Gt
oG100GbeatsGperGminute
PrematureGAtrialGContractionG(PAC)G–GansGHeartGRate:GDependsGonGunderlyingGrhythm
Regularity:GInterruptsGtheGregularityGofGunderlyingGrhythm
P-Wave:GcanGbeGflattened,Gnotched,GorGunusual.GMayGbeGhiddenGwithinGtheGTGwave
PRI:GmeasuresGbetweenG.12-
.20GsecondsGandGcanGbeGprolonged;GcanGbeGdifferentGfromGotherGcomplexes
QRS:G<.12Gseconds
,RELIAS DYSRHYTHMIA BASIC TESTBA
G G G
NK ANSWERS 2024 VERSION DYSRHYT
G G G G
HMIA – G
BASIC A&B (A+ GRADED), NURSING EX
G G G G G G
AM
PrematureGJunctionalGContractionG-GansInvertedGpGwaveGorGhiddenGpGwave
PRI<0.12GorGnone
NormalGQRS
prematureGventricularGcontractionG(PVC)G-
GansaGventricularGcontractionGprecedingGtheGnormalGimpulseGinitiatedGbyGtheGSAGnodeG(p
acemaker)
PVCGcoupletsG-GansPVCGoccurringGinGpairs,GnoGadequateGC.O.GwhenGthisGoccurs
SinusGArrest/PauseG-Gans-GSAGnodeGdoesn'tGfire
-GnoticeGabsenceGofGP-waveGforGaGcompleteGcycleG(aGmissedGcycle)
lengthGofGpauseG≠GmultipleGofGnormalGrateG(block)
SinusGArrhythmiaG-GansAppearanceGisGALMOSTGNORMAL:
RespiratoryG-GCirculatoryGinteraction
RateGINCREASESGwithGINSPIRATIONG(IN=IN)
SinusGBradycardiaG-Gans<60
normalGsinusGrhythm
SinusGTachycardiaG-Gans>100G(100-150)
normalGsinusGrhythm
SupraventricularGTachycardiaG(SVT)G-
GansanGabnormalGheartGrhythmGarisingGfromGaberrantGelectricalGactivityGinGtheGheart;Gorigi
natesGatGorGaboveGtheGAVGnode
TorsadesGdeGpointesG-GansRate:G120G-G200Gusually
PGwave:GObscuredGbyGventricularGwaves
QRS:GWideGQRSG-G"TwistingGofGtheGPoints"
Conduction:GVentricularGonly
Rhythm:GSlightlyGirregular
VentricularGfibrillationG(V-fib)G-
GansabnormalGheartGrhythmGwhichGresultsGinGquiveringGofGventricles
, RELIAS DYSRHYTHMIA BASIC TESTBA
G G G
NK ANSWERS 2024 VERSION DYSRHYT
G G G G
HMIA – G
BASIC A&B (A+ GRADED), NURSING EX
G G G G G G
AM
VentricularGpacedGrhythmG-
GansventricularGcontractionsGwhichGoccurGinGcasesGofGcompleteGheartGblock.
2ndGDegreeGHeartGBlockG(MobitzGII)G-GansRare,GbutGmoreGserious
SuddenGappearanceGofGaGnonconductedGP-wave
P-wavesGareGnl,GbutGsomeGaren'tGfollowedGbyGaGQRSGcomplex
PRG&GRRGintervalsGareGconstant
2ndGdegreeGheartGblockGtypeG1G(Wenkebach)G-
GansProgressivelyGlongerGPRGintervalGuntilGtheGPGwaveGisGnotGfollowedGbyGaGQPR
3rdGdegreeGheartGblockG-
GansnoGobviousGcorrelationGbetweenGpGandGqrs,GneedGpaceGmaker
AcceleratedGIdioventricularGRhythmG-GansRate:G50G-G100GusuallyG(usuallyGslow)G
PGwave:GObscuredGbyGventricularGwavesG(occurGduringGventricularGcontraction)G-
GSAGnodeGslowerGthanGfasterGventricularGpacingGthanGshouldGbe
QRS:GWideGQRS
Conduction:GVentricularGonly
Rhythm:GRegular
-GbenignGrhythmGthatGisGsometimesGseenGduringGacuteGMIGorGearlyGafterGreperfusion.G-
GRarelyGsustained,GdoesGnotGprogressGtoGvfib,GrarelyGrequiresGtreatment
asystoleG-GansabsenceGofGcontractionsGofGtheGheart
AtrialGFibrillationG(A-Fib)G-
GansanGirregularGandGoftenGveryGfastGheartGrateGoriginatingGfromGabnormalGconductionGinG
theGatria
AtrialGFlutterG-GansirregularGbeatingGofGtheGatria;GoftenGdescribedGasG"a-
flutterGwithG2GtoG1GblockGorG3GtoG1Gblock"
AtrialGpacedGrhythmG-GansspikeGbeforeGPGwave
BigeminyGPVCG-GanseveryGotherGbeatGisGaGPVC
G G G
NK ANSWERS 2024 VERSION DYSRHYT
G G G G
HMIA – G
BASIC A&B (A+ GRADED), NURSING EX
G G G G G G
AM
2ndGDegreeGHeartGBlockG(MobitzGII)G–GansGRare,GbutGmoreGserious
SuddenGappearanceGofGaGnonconductedGP-wave
P-wavesGareGnl,GbutGsomeGaren'tGfollowedGbyGaGQRSGcomplex
PRG&GRRGintervalsGareGconstant
2ndGdegreeGheartGblockGtypeG1G(Wenkebach)G–
GansGprogressivelyGlongerGPRGintervalGuntilGtheGPGwaveGisGnotGfollowedGbyGaGQPR
3rdGdegreeGheartGblockG–
GansGnoGobviousGcorrelationGbetweenGpGandGqrs,GneedGpaceGmaker
AcceleratedGIdioventricularGRhythmG–GansGRate:G50G-G100GusuallyG(usuallyGslow)G
PGwave:GObscuredGbyGventricularGwavesG(occurGduringGventricularGcontraction)G-
GSAGnodeGslowerGthanGfasterGventricularGpacingGthanGshouldGbe
QRS:GWideGQRS
Conduction:GVentricularGonly
Rhythm:GRegular
-GBenignGrhythmGthatGisGsometimesGseenGduringGacuteGMIGorGearlyGafterGreperfusion.G-
GRarelyGsustained,GdoesGnotGprogressGtoGvfib,GrarelyGrequiresGtreatment
AsystoleG–GansGabsenceGofGcontractionsGofGtheGheart
AtrialGFibrillationG(A-Fib)G–
GansGanGirregularGandGoftenGveryGfastGheartGrateGoriginatingGfromGabnormalGconductionGin
GtheGatria
AtrialGFlutterG–GansGirregularGbeatingGofGtheGatria;GoftenGdescribedGasG"a-
flutterGwithG2GtoG1GblockGorG3GtoG1Gblock"
AtrialGpacedGrhythmG–GansGspikeGbeforeGPGwave
BigeminyGPVCG–GansGeveryGotherGbeatGisGaGPVC
FailureGtoGcaptureG(pacemaker)G-Gans
FailureGtoGsenseG(pacemaker)G-Gans
,RELIAS DYSRHYTHMIA BASIC TESTBA
G G G
NK ANSWERS 2024 VERSION DYSRHYT
G G G G
HMIA – G
BASIC A&B (A+ GRADED), NURSING EX
G G G G G G
AM
FirstGdegreeGheartGblockG–
GansGatrioventricularG(AV)GblockGinGwhichGtheGatrialGelectricalGimpulsesGareGdelayedGbyGaGf
ractionGofGaGsecondGbeforeGbeingGconductedGtoGtheGventricles
IdioventricularGRhythmG-Gans<40
*looksGlikeGvtachGbutGslow*
-GNoGPGwavesG(fromGventGfoci)
-GWideGQRS
(Serious,GdeathGlikeGrhythm)
-GcalledG"dyingGheart"Grhythm...occasionalGventricGbeatGb4GdeathG(asystole)
JunctionalGRhythmG-Gans40-60GRegular!
-impulseGfromGAVGnodeGw/Gretro/antegradeGtransmission
-GPGwaveGoftenGinverted/buried/followGQRS
-GSlowGrate
-GNarrowGQRSG(notGwideGlikeGventricular)
JunctionalGTachycardiaG–GansG>60GbpmG(ms.GK;G150-250)
-GKEY:GwillGbeGregularG(consistent)
-GAVGjunctionGproducesGaGrapidGsequenceGofGQRS-TGcycles
-GP-waveGoftenGinverted/buried/followGQRS
MonomorphicGventricularGtachycardiaG–
GansGpresentsGwithGwideGQRSGcomplexesGofGaGcommonGshape.
NormalGsinusGrhythmG–
GansGheartGrhythmGoriginatingGinGtheGsinoatrialGnodeGwithGaGrateGinGpatientsGatGrestGofG60Gt
oG100GbeatsGperGminute
PrematureGAtrialGContractionG(PAC)G–GansGHeartGRate:GDependsGonGunderlyingGrhythm
Regularity:GInterruptsGtheGregularityGofGunderlyingGrhythm
P-Wave:GcanGbeGflattened,Gnotched,GorGunusual.GMayGbeGhiddenGwithinGtheGTGwave
PRI:GmeasuresGbetweenG.12-
.20GsecondsGandGcanGbeGprolonged;GcanGbeGdifferentGfromGotherGcomplexes
QRS:G<.12Gseconds
,RELIAS DYSRHYTHMIA BASIC TESTBA
G G G
NK ANSWERS 2024 VERSION DYSRHYT
G G G G
HMIA – G
BASIC A&B (A+ GRADED), NURSING EX
G G G G G G
AM
PrematureGJunctionalGContractionG-GansInvertedGpGwaveGorGhiddenGpGwave
PRI<0.12GorGnone
NormalGQRS
prematureGventricularGcontractionG(PVC)G-
GansaGventricularGcontractionGprecedingGtheGnormalGimpulseGinitiatedGbyGtheGSAGnodeG(p
acemaker)
PVCGcoupletsG-GansPVCGoccurringGinGpairs,GnoGadequateGC.O.GwhenGthisGoccurs
SinusGArrest/PauseG-Gans-GSAGnodeGdoesn'tGfire
-GnoticeGabsenceGofGP-waveGforGaGcompleteGcycleG(aGmissedGcycle)
lengthGofGpauseG≠GmultipleGofGnormalGrateG(block)
SinusGArrhythmiaG-GansAppearanceGisGALMOSTGNORMAL:
RespiratoryG-GCirculatoryGinteraction
RateGINCREASESGwithGINSPIRATIONG(IN=IN)
SinusGBradycardiaG-Gans<60
normalGsinusGrhythm
SinusGTachycardiaG-Gans>100G(100-150)
normalGsinusGrhythm
SupraventricularGTachycardiaG(SVT)G-
GansanGabnormalGheartGrhythmGarisingGfromGaberrantGelectricalGactivityGinGtheGheart;Gorigi
natesGatGorGaboveGtheGAVGnode
TorsadesGdeGpointesG-GansRate:G120G-G200Gusually
PGwave:GObscuredGbyGventricularGwaves
QRS:GWideGQRSG-G"TwistingGofGtheGPoints"
Conduction:GVentricularGonly
Rhythm:GSlightlyGirregular
VentricularGfibrillationG(V-fib)G-
GansabnormalGheartGrhythmGwhichGresultsGinGquiveringGofGventricles
, RELIAS DYSRHYTHMIA BASIC TESTBA
G G G
NK ANSWERS 2024 VERSION DYSRHYT
G G G G
HMIA – G
BASIC A&B (A+ GRADED), NURSING EX
G G G G G G
AM
VentricularGpacedGrhythmG-
GansventricularGcontractionsGwhichGoccurGinGcasesGofGcompleteGheartGblock.
2ndGDegreeGHeartGBlockG(MobitzGII)G-GansRare,GbutGmoreGserious
SuddenGappearanceGofGaGnonconductedGP-wave
P-wavesGareGnl,GbutGsomeGaren'tGfollowedGbyGaGQRSGcomplex
PRG&GRRGintervalsGareGconstant
2ndGdegreeGheartGblockGtypeG1G(Wenkebach)G-
GansProgressivelyGlongerGPRGintervalGuntilGtheGPGwaveGisGnotGfollowedGbyGaGQPR
3rdGdegreeGheartGblockG-
GansnoGobviousGcorrelationGbetweenGpGandGqrs,GneedGpaceGmaker
AcceleratedGIdioventricularGRhythmG-GansRate:G50G-G100GusuallyG(usuallyGslow)G
PGwave:GObscuredGbyGventricularGwavesG(occurGduringGventricularGcontraction)G-
GSAGnodeGslowerGthanGfasterGventricularGpacingGthanGshouldGbe
QRS:GWideGQRS
Conduction:GVentricularGonly
Rhythm:GRegular
-GbenignGrhythmGthatGisGsometimesGseenGduringGacuteGMIGorGearlyGafterGreperfusion.G-
GRarelyGsustained,GdoesGnotGprogressGtoGvfib,GrarelyGrequiresGtreatment
asystoleG-GansabsenceGofGcontractionsGofGtheGheart
AtrialGFibrillationG(A-Fib)G-
GansanGirregularGandGoftenGveryGfastGheartGrateGoriginatingGfromGabnormalGconductionGinG
theGatria
AtrialGFlutterG-GansirregularGbeatingGofGtheGatria;GoftenGdescribedGasG"a-
flutterGwithG2GtoG1GblockGorG3GtoG1Gblock"
AtrialGpacedGrhythmG-GansspikeGbeforeGPGwave
BigeminyGPVCG-GanseveryGotherGbeatGisGaGPVC