BSMH ADVANCED ARRHYTHMIA EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION

BSMH ADVANCED ARRHYTHMIA EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION 1. Blood flow through the heart - ANSWER SVC -- Rt atria -- Tricuspid -- Rt ventricle -- Pulmonic valve -- Lungs -- Lt atria -- Mitral valve - Lt ventricle -- aortic valve -- aorta -- Body 2. EKG Times - ANSWER 6 second strip 1 small block = 0.04 secs 1 big block = 5 small boxes = 0.20 secs 15 big blocks = 3 seconds 3. P Wave - ANSWER atrial depolarization 4. PR Interval - ANSWER time it takes for the impulse to get from atrial to ventricles 0.12 - 0.20 seconds 5. QRS Interval - ANSWER ventricular depolarization 0.12 seconds 6. ST Segment - ANSWER early depolarization of ventricles depression = myocardial infarction elevation = myocardial injury 7. T Wave - ANSWER repolarization of ventricles 8. Heart blocks - ANSWER No changes in PR Interval - QRS complexes present = 1st degree - No QRS complexes = 2nd degree type II 9. Changes in PR Interval - R to R interval regular = 3rd degree - R to R interval irregular = 2nd degree type I 10. Conduction pathway - ANSWER Sinus node - inerarterial tracts - atrium - intermodal tracts - AV node - bundle of HIS - bundle branches - purkinje fibers - ventricles 11. Inherent rates - ANSWER SA node = 60-100 AV node = 40-60 Ventricle = 20-40 12. Atrial flutter - ANSWER Sawtooth pattern 13. Atrial fibrillation - ANSWER Waves between QRS 14. Supraventricular tachycardia - ANSWER No P wave, rate 150 15. Junctional rhythms - ANSWER P wave inverted or absent Junctional bradycardia: 40 Junctional rhythm: 40-60 Accelerated junctional: 60-100 Junctional tachycardia: 100 16. Ventricular tachycardia - ANSWER marching nuns 17. Torsades de pointes - ANSWER Rate 200, no P waves, wide QRS 18. Ventricular fibrillation - ANSWER Rate cannot be counted 19. Idioventricular - ANSWER Rate 20-40 T wave opposite QRS, no P wave, wide QRS 20. Accelerated Idioventricular - ANSWER Rate 40-100 T wave opposite QRS, no P wave, wide QRS 21. Asystole - ANSWER Flat line 22. Big Box seconds - ANSWER 0.20 Seconds 23. QRS - ANSWER 20 Seconds 24. QT - ANSWER 0.36-0.44 Seconds 25. How many small boxes make 1 big box - ANSWER 5 Small Boxes 26. How to count beats on regular rhythm ( Equation) - ANSWER 1500/ How rows between R's 27. QRS respresents - ANSWER ventricular depolarization 28. Repolarization mean what happening to the heart - ANSWER Relaxation 29. Depolarization means what happening to the heart - ANSWER Contraction 30. A normal PR interval means - ANSWER 0.12-20 seconds 31. A normal QT interval measurement is - ANSWER 0.36-0.44 seconds 32. PR interval - ANSWER The first hump in the complex 33. Elevation or Depression of the ST segment could mean your patient is experiencing ischemia injury True or False - ANSWER True 34. Last hump in the complex is called what - ANSWER T wave 35. EKG measures numbers - ANSWER PR 0.19 QRS 0.05 RR 0.78 QT 0.31 QTC 0.33 36. What is considered a critical alarm - ANSWER Ventricular Tachycardia Ventricular Fibrillation Extreme Tachycardia Extreme Bradycardia Leads off Asystole Dead battery 37. what is minimum timeframe that you should interpret and document a 6 second EKG - ANSWER Every 12 hours 38. A normal QRS interval - ANSWER 0.12 39. You are caring for a new patient with a new order for telemetry. what should you do (Select all) - ANSWER 1)Once the patient is placed on telemonitoring. Call the MT station to verify that MT is retrieving a signal. 2)Place the patient in a cardiac monitor or remote telemetry box. 3)Notify MT or CMU of patient and ordered parameters 40. Patient is going for an Xray off the unit and does not need escort by the nurse. What should you do? Select all - ANSWER 1) Notify the Monitor Tech room Before the patientss leaves the floor. 2) RN/LPN is responsible for returning leads to patient upon arrival back to the unit and notify MT immediately 41. T wave represents - ANSWER Ventricular Repolarization 42. MT calls you to tell you that the leads are off what should you do? (Select All) - ANSWER 1)Replace Battery 2)Prioritize checking 43. On assessment your patient who has sinus bradycardia on the monitor c/o Dizziness and has a bp of 80/50. Its recommended to treat with - ANSWER Atropine 1 mg iv push