1.
A rhythm originating in the sinus node should NOT have which of the following?
Correct Answer
C. Absent QRS complexes
Explanation
A rhythm originating in the sinus node should not have absent QRS complexes. The sinus node is responsible for initiating electrical impulses that cause the heart to beat. These impulses travel through the atria and then to the ventricles, causing the QRS complex on an ECG. If there are absent QRS complexes, it suggests that the electrical impulses are not reaching the ventricles properly, which could indicate a blockage or interruption in the conduction system of the heart.
2.
If the patient’s rhythm changes, you should FIRST
Correct Answer
A. Assess your patient for signs of decreased cardiac output.
Explanation
When a patient's rhythm changes, the first step should be to assess the patient for signs of decreased cardiac output. This is important because a change in rhythm can indicate a decrease in the heart's ability to effectively pump blood to the body. Signs of decreased cardiac output may include low blood pressure, decreased urine output, cool and clammy skin, and altered mental status. By assessing for these signs, the healthcare provider can quickly identify any potential issues and initiate appropriate interventions to stabilize the patient's condition.
3.
The normal rhythm of the heart has P waves that are
Correct Answer
A. Upright, matching, and precede the QRS complex.
Explanation
The P waves in the normal rhythm of the heart are upright, matching, and precede the QRS complex. This means that they are typically positive in direction, have similar shapes and sizes, and occur before the QRS complex on an electrocardiogram (ECG). This pattern is characteristic of a normal electrical conduction through the atria of the heart, where the P waves represent the depolarization (contraction) of the atria before the ventricles contract (QRS complex).
4.
A heart rate less than 60 is said to be a
Correct Answer
B. Bradycardia.
Explanation
Bradycardia is a term used to describe a heart rate less than 60 beats per minute. Tachycardia, on the other hand, refers to a heart rate that is faster than normal. Tachyarrhythmia is a condition characterized by abnormal fast heart rhythms. Bundle branch block is a condition that occurs when there is a delay or blockage in the electrical signals that control the heart's pumping. Therefore, the correct answer is Bradycardia because it accurately describes a heart rate less than 60.
5.
A heart rate greater than 100 is said to be a
Correct Answer
A. Tachycardia.
Explanation
Tachycardia is a condition characterized by a heart rate greater than 100 beats per minute. This means that the heart is beating faster than the normal range, which is typically between 60 to 100 beats per minute. Tachycardia can be caused by various factors such as stress, anxiety, physical activity, certain medications, or underlying medical conditions. It is important to monitor and manage tachycardia as it can put strain on the heart and potentially lead to complications.
6.
The normal rhythm originating in the sinus node should have a heart rate
Correct Answer
D. Between 60 and 100.
Explanation
The normal rhythm originating in the sinus node should have a heart rate between 60 and 100. This range is considered to be within the normal limits for a healthy adult. A heart rate greater than 100 is known as tachycardia, which may indicate an underlying medical condition or stress. On the other hand, a heart rate less than 60 is called bradycardia and can also be a sign of an underlying health issue. Therefore, a heart rate between 60 and 100 is considered to be the normal range for a healthy individual.
7.
Normal QRS complexes should have a QRS complex
Correct Answer
B. Less than 0.12 seconds wide.
Explanation
The correct answer is "Less than 0.12 seconds wide." This is because a normal QRS complex represents the depolarization of the ventricles in the heart. It should be narrow and less than 0.12 seconds wide. A wider QRS complex may indicate conduction abnormalities or ventricular hypertrophy.
8.
Dysrhythmias are
Correct Answer
C. Abnormal heart rhythms
Explanation
Dysrhythmias refer to abnormal heart rhythms, which means that the heart is not beating in a regular or normal pattern. This can include irregular heartbeats, fast or slow heart rates, or other abnormal patterns. Dysrhythmias can cause symptoms such as palpitations, dizziness, chest pain, or shortness of breath. It is important to diagnose and treat dysrhythmias as they can lead to serious complications if left untreated.
9.
Which of the following is a method of calculating heart rate?
Correct Answer
A. Six-second strip method
Explanation
The six-second strip method is a method of calculating heart rate. This method involves counting the number of QRS complexes (the peaks on an ECG) in a six-second strip and multiplying it by 10 to get the heart rate per minute. This method is commonly used in clinical settings to quickly estimate heart rate. The other options, the QT interval method and the P-P interval method, are not methods of calculating heart rate.
10.
The mean rate is calculated by
Correct Answer
C. Counting the number of QRS complexes on a six-second strip and multiplying by 10
Explanation
The correct answer is counting the number of QRS complexes on a six-second strip and multiplying by 10. This method is used to calculate the mean heart rate because the QRS complex represents ventricular depolarization, which is the main event in the cardiac cycle. By counting the number of QRS complexes on a six-second strip and multiplying by 10, we can estimate the number of QRS complexes in a minute and therefore calculate the heart rate.
11.
The most accurate way to determine heart rate would be to
Correct Answer
B. Count the number of QRS complexes in a minute-long rhythm strip.
Explanation
Counting the number of QRS complexes in a minute-long rhythm strip is the most accurate way to determine heart rate because each QRS complex represents one complete heartbeat. This method provides a direct measurement of the number of heartbeats per minute, which is the heart rate. Counting the number of P waves or QRS complexes on a shorter strip and multiplying by a factor does not account for any irregularities or variations in the heart rhythm that may occur over time. Therefore, counting the number of QRS complexes in a minute-long rhythm strip provides the most reliable and accurate measurement of heart rate.
12.
An irregular rhythm is one in which
Correct Answer
A. The R-R intervals vary “all over the place.”
Explanation
An irregular rhythm is characterized by R-R intervals that vary widely and unpredictably. This means that the time between consecutive R waves on an ECG tracing is inconsistent and does not follow a regular pattern. This can indicate a disruption in the normal electrical conduction of the heart, leading to an irregular heartbeat. It is important to identify and monitor irregular rhythms as they may be indicative of underlying heart conditions or other health issues.
13.
A regular rhythm is one in which the R-R intervals
Correct Answer
A. Vary by only one or two little blocks.
Explanation
A regular rhythm is characterized by consistent R-R intervals, meaning that the time between consecutive R waves on an ECG is relatively constant. The statement "Vary by only one or two little blocks" suggests that the R-R intervals may slightly fluctuate, but the variations are minimal and within a narrow range. This indicates a regular rhythm with small deviations in the timing of each heartbeat.
14.
Regularity of a rhythm is determined by measuring the
Correct Answer
C. R-R intervals.
Explanation
The regularity of a rhythm is determined by measuring the R-R intervals. R-R intervals represent the time between two consecutive R waves on an electrocardiogram (ECG). By analyzing the consistency of these intervals, healthcare professionals can assess the regularity of a person's heart rhythm. Irregular R-R intervals may indicate arrhythmias or other cardiac abnormalities, while regular intervals suggest a normal heart rhythm. Therefore, monitoring R-R intervals is crucial in evaluating the regularity of a rhythm.