Relias Dysrhythmia Basic A Test Answers (2024)

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On: February 28, 2024 Posted in Quiz Answers Views: 312

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Basic A 35 Questions

Contents hide

1Basic A 35 Questions

2Study Set

2.1Cardiac Conduction System Rates

2.2ECG Box Measurements

2.3Junctional Rhythms Characteristics

2.4Wave Measurements

2.6Types of PVC Arrhythmias

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Relias Dysrhythmia Basic A Test Answers (13)
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Read Also: Relias Dysrhythmia Basic B Test Answers.

Study Set

Relias Dysrhythmia Basic A Test Answers (15)
Normal sinus rhythmRegular
Rate: 60-100
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (16)
Sinus BradycardiaRegular
Rate: <60
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (17)
Sinus TachycardiaRegular
Rate: 100-150
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (18)
Premature Atrial ContractionIRREGULAR
Rate: depends on underlying rhythm
P wave: Present or hidden in T wave
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (19)
Atrial FibrillationIRREGULAR
Atrial rate: UNMEASURABLE
Ventricular rate: variable
P wave: unable to see
PR Interval: N/A
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (20)
A fib RVRIRREGULAR
Ventricular rate: 100-175
P wave: unable to see
PR Interval: N/A
QRS <0.12 sec
Relias Dysrhythmia Basic A Test Answers (21)
Atrial FlutterUsually REGULAR can be irregular
Atrial rate: 250-350
Ventricular rate: variable BUT < atrial rate
P Wave: Flutter
PR Interval: N/A
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (22)
Supraventricular TachycardiaRegular
Rate: 150-350
P wave: Hidden in QRS or T wave
PR: unable to determine
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (23)
Junctional RhythmRegular
Rate: 40-60
P Wave: ABSENT or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (24)
Accelerated Junctional RhythmRegular
Rate: 60-100
P Wave: NONE or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (25)
Junctional TachycardiaRegular
Rate: >100
P Wave: NONE or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
Relias Dysrhythmia Basic A Test Answers (26)
Premature Ventricular ContractionIRREGULAR
Rate: refer to underlying rhythm
P Wave: NONE
PR Interval: N/A
QRS: WIDE and BIZARRE , >0.12 sec
Relias Dysrhythmia Basic A Test Answers (27)
Ventricular TachycardiaRegular
Rate: >100
P Wave: NONE
PR Interval: N/A
QRS: WIDE and BIZARRE, >0.12 sec
Relias Dysrhythmia Basic A Test Answers (28)
Ventricular FibrillationChaotic
Coarse: big waves
Fine: small waves
Rate: unmeasurable
P Wave: NONE
PR Interval: N/A
QRS: N/A
Relias Dysrhythmia Basic A Test Answers (29)
IdioventricularRegular
Rate: 20-50
P wave: NONE
PR Interval: N/A
QRS: WIDE, >0.12 sec
Relias Dysrhythmia Basic A Test Answers (30)
Accelerated Idoventricular RhythmRegular
Rate: 50-100
P wave: NONE
PR Interval: N/A
QRS: WIDE, >0.12 sec
Relias Dysrhythmia Basic A Test Answers (31)
1st Degree AV BlockRegular
Rate: 60-100
P Wave: Present, upright
PR interval: >0.20 sec CONSISTENTLY LONG
QRS: <0.12 sec
Husband stays late till 9 consistently
Relias Dysrhythmia Basic A Test Answers (32)
2nd Degree AV Block Type I Mobitz, WenckebachIRREGULAR
Rate: 60-100
P wave: Present, upright
PR Interval: Progressively longer until drop (PR interval longer and longer until drop)
QRS: <0.12 sec
Husband stays late till 9, then 11, then 1, then doesn’t come home at all
Relias Dysrhythmia Basic A Test Answers (33)
2nd Degree AV Block Type IIIrregular or regular
Rate: <60
P wave: Present, upright
PR Interval: PR interval consistently LONGER like type 1 but then a QRS will drop
QRS: <0.12 sec
Husband stays late till 9 consistently, then wife goes out and doesn’t come home
Relias Dysrhythmia Basic A Test Answers (34)
3rd Degree AV BlockAtrials and ventricles don’t communicate
Rate: regular atrial
P wave: Present, upright
No relationship between P waves and QRS
PR Interval: VARIABLE
QRS: variable

P-P ad R-R consistent but NO correlation

Husband and wife live separate lives and don’t communicate

Relias Dysrhythmia Basic A Test Answers (35)
Unifocal PVCsOnly 1 shape PVC
Relias Dysrhythmia Basic A Test Answers (36)
Monomorphic V TachSame Shapes V Tach
Relias Dysrhythmia Basic A Test Answers (37)
Polymorphic V TachDifferent Shapes V tach
Relias Dysrhythmia Basic A Test Answers (38)
Coarse V FibChopy but not as high as polymorphic V tach
Relias Dysrhythmia Basic A Test Answers (39)
Fine V FibFine and fibrillatory
Relias Dysrhythmia Basic A Test Answers (40)
Failure to CaptureSpikes with no QRS
Relias Dysrhythmia Basic A Test Answers (41)
Failure to SenseSpikes happen regardless of QRS on their own

Cardiac Conduction System Rates

ComponentOrderRate (beats per minute)
SA Node1st60-100
AV Node2nd40-60
Bundle of His3rd40-45
Right and Left Bundle Branches4th40-45
Purkinje Fibers5th20-50

ECG Box Measurements

DescriptionMeasurement
1 Small Box0.04 sec
1 Big Box0.20 sec

Junctional Rhythms Characteristics

FeatureDescription
SA Node StatusDID NOT FIRE
AV Node StatusFired
P WaveNO P WAVE bc SA node didn’t fire
QRS ComplexNarrow QRS

Wave Measurements

WaveCharacteristicMeasurement
P WaveAmplitude; Compared to T wave; Origin0.5-2.5 mm; Will be shorter than T wave; Shows firing of SA node
QRSDuration; Criteria; Implications0.06-0.10 sec SHOULD BE <0.12 sec; Wide QRS indicates delay in ventricular contraction or conduction delay through bundle branches or Purkinje fibers; BUNDLE BRANCH BLOCK or BLOCK IN PURKINJE FIBERS (idioventricular)

Heart Rate Calculation Methods

MethodFormula
Calculate Regular Rate1500 / # boxes between R-R
Calculate Irregular Rate# of Rs in 6 sec strip X 10

Types of PVC Arrhythmias

ArrhythmiaDescription
BigeminyPVC occurs every OTHER beat
TrigeminyPVC occurs every THIRD beat
Couplet2 PVCs together
Triplet3 PVCs together
MultifocalMultiple shapes

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