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Exam (elaborations)

Dysrhythmias – Advanced MedSurg Exam 1 (50 Questions) | ECG, Afib, V-Tach, Pacemakers

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This document provides a comprehensive set of 50 expertly answered questions for Advanced Medical-Surgical Nursing Exam 1, with a focus on cardiac dysrhythmias. It covers essential concepts such as electrophysiology, the conduction system of the heart, and detailed ECG waveform interpretation including the P wave, QRS complex, ST segment, and T wave. Core dysrhythmias are explained—atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation, and torsades de pointes—alongside related treatments like magnesium sulfate, amiodarone, defibrillation, and synchronized cardioversion. In addition, it explores the Vaughan Williams classification of antidysrhythmic medications and the functionality of different types of pacemakers (transvenous, epicardial, transcutaneous, permanent), making it a valuable tool for recognizing rhythm abnormalities and clinical interventions. Ideal for students in BSN, ADN, RN-to-BSN, or accelerated nursing programs, this document is also beneficial for NCLEX-RN preparation and coursework in Critical Care, Cardiac Nursing, and Advanced Med-Surg Nursing. The structure and content align with most U.S. nursing curricula and licensing standards. Keywords: dysrhythmias, ECG interpretation, atrial fibrillation, ventricular tachycardia, torsades de pointes, pacemakers, synchronized cardioversion, defibrillation, cardiac rhythms, antidysrhythmic drugs, Advanced MedSurg, nursing exam, P wave, QRS complex, QT interval, bradycardia, repolarization

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Uploaded on
October 1, 2025
Number of pages
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Written in
2025/2026
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Advanced MedSurg Exam 1
Dysrhythmias 2025/2026 Exam
Questions and Answers | A+ Score
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dysrhythmia - 🧠 ANSWER ✔✔disorder of impulse formation, conduction of

impulses, or both (electrical problem)


sinoatrial (SA) node - 🧠 ANSWER ✔✔normal pacemaker of the heart; 60-

100 BPM


secondary pacemakers - 🧠 ANSWER ✔✔the AV node and purkinje fibers

are...


P wave - 🧠 ANSWER ✔✔represents atrial depolarization; means SA node

is working and are in some type of sinus rhythm

, QRS complex - 🧠 ANSWER ✔✔represents ventricular depolarization;

ventricles contracting


ST segment - 🧠 ANSWER ✔✔represents ventricular repolarization;

ventricles relaxing


T wave - 🧠 ANSWER ✔✔ventricle repolarization


paroxysmal - 🧠 ANSWER ✔✔a dysrhythmia that has a sudden onset and

terminates spontaneously; usually of short duration but may recur


QT interval - 🧠 ANSWER ✔✔reflects the time from ventricular

depolarization through repolarization


PR interval - 🧠 ANSWER ✔✔reflects the conduction of an electrical impulse

from the from the SA node through the AV node


cardioversion - 🧠 ANSWER ✔✔electrical current given in synchrony with

the patients own QRS complex to stop a dysrhythmia


artifact - 🧠 ANSWER ✔✔distorted, irrelevant, and extraneous ECG

waveforms


ablation - 🧠 ANSWER ✔✔purposeful destruction of heart muscle cells in

attempt to correct/eliminate a dysrhythmia

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