ATI RN Concept -
VG VG VG
Based Assessment Level 4 Online Practice A
VG VG VG VG VG VG VG
BASIC DYSRHYTHMIA-RELIAS
normalVGsinusVGrhythmVG-VGanswer--
heartVGrhythmVGoriginatingVGinVGtheVGsinoatrialVGnodeVGwithVGaVGrateVGinVGpatientsVGatVGrestVGofVG60VGtoVG100VGbeatsVGpe
rVGminute
SinusVGArrhythmiaVG-VGanswer--AppearanceVGisVGALMOSTVGNORMAL:
RespiratoryVG-VGCirculatoryVGinteraction
RateVGINCREASESVGwithVGINSPIRATIONVG(IN=IN)
SinusVGBradycardiaVG-VGanswer--<60
normalVGsinusVGrhythm
SinusVGTachycardiaVG-VGanswer-->100VG(100-150)
normalVGsinusVGrhythm
PrematureVGAtrialVGContractionVG(PAC)VG-VGanswer--HeartVGRate:VGDependsVGonVGunderlyingVGrhythm
Regularity:VGInterruptsVGtheVGregularityVGofVGunderlyingVGrhythm
P-Wave:VGcanVGbeVGflattened,VGnotched,VGorVGunusual.VGMayVGbeVGhiddenVGwithinVGtheVGTVGwave
PRI:VGmeasuresVGbetweenVG.12-.20VGsecondsVGandVGcanVGbeVGprolonged;VGcanVGbeVGdifferentVGfromVGotherVGcomplex
es
QRS:VG<.12VGseconds
SinusVGArrest/PauseVG-VGanswer---VGSAVGnodeVGdoesn'tVGfire
-VGnoticeVGabsenceVGofVGP-waveVGforVGaVGcompleteVGcycleVG(aVGmissedVGcycle)
lengthVGofVGpauseVG≠VGmultipleVGofVGnormalVGrateVG(block)
AtrialVGFibrillationVG(A-Fib)VG-VGanswer--
anVGirregularVGandVGoftenVGveryVGfastVGheartVGrateVGoriginatingVGfromVGabnormalVGconductionVGinVGtheVGatria
AtrialVGFlutterVG-VGanswer--irregularVGbeatingVGofVGtheVGatria;VGoftenVGdescribedVGasVG"a-
flutterVGwithVG2VGtoVG1VGblockVGorVG3VGtoVG1VGblock"
JunctionalVGRhythmVG-VGanswer--40-60VGRegular!
-impulseVGfromVGAVVGnodeVGw/VGretro/antegradeVGtransmission
-VGPVGwaveVGoftenVGinverted/buried/followVGQRS
-VGslowVGrate
-VGnarrowVGQRSVG(notVGwideVGlikeVGventricular)
JunctionalVGTachycardiaVG-VGanswer-->60VGbpmVG(ms.VGK;VG150-250)
-VGKEY:VGwillVGbeVGregularVG(consistent)
-VGAVVGjunctionVGproducesVGaVGrapidVGsequenceVGofVGQRS-TVGcycles
-VGp-waveVGoftenVGinverted/buried/followVGQRS
PrematureVGJunctionalVGContractionVG-VGanswer--InvertedVGpVGwaveVGorVGhiddenVGpVGwave
PRI<0.12VGorVGnone
1VG/
VG3
VG VG VG
Based Assessment Level 4 Online Practice A
VG VG VG VG VG VG VG
BASIC DYSRHYTHMIA-RELIAS
normalVGsinusVGrhythmVG-VGanswer--
heartVGrhythmVGoriginatingVGinVGtheVGsinoatrialVGnodeVGwithVGaVGrateVGinVGpatientsVGatVGrestVGofVG60VGtoVG100VGbeatsVGpe
rVGminute
SinusVGArrhythmiaVG-VGanswer--AppearanceVGisVGALMOSTVGNORMAL:
RespiratoryVG-VGCirculatoryVGinteraction
RateVGINCREASESVGwithVGINSPIRATIONVG(IN=IN)
SinusVGBradycardiaVG-VGanswer--<60
normalVGsinusVGrhythm
SinusVGTachycardiaVG-VGanswer-->100VG(100-150)
normalVGsinusVGrhythm
PrematureVGAtrialVGContractionVG(PAC)VG-VGanswer--HeartVGRate:VGDependsVGonVGunderlyingVGrhythm
Regularity:VGInterruptsVGtheVGregularityVGofVGunderlyingVGrhythm
P-Wave:VGcanVGbeVGflattened,VGnotched,VGorVGunusual.VGMayVGbeVGhiddenVGwithinVGtheVGTVGwave
PRI:VGmeasuresVGbetweenVG.12-.20VGsecondsVGandVGcanVGbeVGprolonged;VGcanVGbeVGdifferentVGfromVGotherVGcomplex
es
QRS:VG<.12VGseconds
SinusVGArrest/PauseVG-VGanswer---VGSAVGnodeVGdoesn'tVGfire
-VGnoticeVGabsenceVGofVGP-waveVGforVGaVGcompleteVGcycleVG(aVGmissedVGcycle)
lengthVGofVGpauseVG≠VGmultipleVGofVGnormalVGrateVG(block)
AtrialVGFibrillationVG(A-Fib)VG-VGanswer--
anVGirregularVGandVGoftenVGveryVGfastVGheartVGrateVGoriginatingVGfromVGabnormalVGconductionVGinVGtheVGatria
AtrialVGFlutterVG-VGanswer--irregularVGbeatingVGofVGtheVGatria;VGoftenVGdescribedVGasVG"a-
flutterVGwithVG2VGtoVG1VGblockVGorVG3VGtoVG1VGblock"
JunctionalVGRhythmVG-VGanswer--40-60VGRegular!
-impulseVGfromVGAVVGnodeVGw/VGretro/antegradeVGtransmission
-VGPVGwaveVGoftenVGinverted/buried/followVGQRS
-VGslowVGrate
-VGnarrowVGQRSVG(notVGwideVGlikeVGventricular)
JunctionalVGTachycardiaVG-VGanswer-->60VGbpmVG(ms.VGK;VG150-250)
-VGKEY:VGwillVGbeVGregularVG(consistent)
-VGAVVGjunctionVGproducesVGaVGrapidVGsequenceVGofVGQRS-TVGcycles
-VGp-waveVGoftenVGinverted/buried/followVGQRS
PrematureVGJunctionalVGContractionVG-VGanswer--InvertedVGpVGwaveVGorVGhiddenVGpVGwave
PRI<0.12VGorVGnone
1VG/
VG3
