BKAT ICU Post Test Exam With
Answers 2025
First degree block interpretation - correct -answer-looks like sinus rhythm but the
PR is longer than normal. there will be 1 p for every qrs, but the PR interval will be
greater than 0.20 sec
Type 1 second degree block interpretation - correct -answer-"Wenckebach"
"Longer, Longer... drop" prolonged PR intervals and the missing QRS
Type 2 second degree block interpretation - correct -answer-PR interval is
constant...QRS is missing
"2 small p waves right after each other"
give atropine, dopamine, or epi to increase HR is symptomatic bradycardic
Third degree AV block interpretation - correct -answer-a strip of p-waves laid
independently over a strip of QRS complexes. Note that the p wave doesn't
conduct the QRS complex that follows it.
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A-flutter interpretation - correct -answer-abnormal p-waves that produce a saw-
tooth appearance
Failure to Capture interpreation - correct -answer-spike without a complex
Failure to Pace interpretation - correct -answer-no pacemaker activity or spike at
the set rate on an ECG. usually caused by battery or circuit failure, cracked or
broken pacing leads, loose connections, oversensing, or the pacing output is too
low--->can lead to asystole
Failure to Sense - correct -answer-undersensing: giving help when not needed;
spikes occur on the ECG where they shouldnt
Pacemaker ECG rhythms - correct -answer-failure to capture: spike without a p
wave or QRS complex following it
failure to pace: no spike on ECG at the rate set
failure to sense:
spike when intrinsic activity already present (undersensing)
no spike when patient needs it
(oversensing)
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Which ventricular stimulus is dangerous - correct -answer-R on T phenomenon
Indications for a pacemaker? - correct -answer-symptomatic bradycardia
higher AV blocks (2nd degree type 2 or Complete)
what is not a treatment for higher degree AV blocks - correct -answer-atropine
because of the impaired conduction through the AV node
A-flutter happens because? - correct -answer-an irritable spot of the atrium fires
rapidly
A-flutter can cause _______ - correct -answer-an increase in ventricular rate
A-flutter is treated by: - correct -answer-antiarrhythmics (cardizem, beta blockers)
cardioversion