Nursing Management: Dysrhythmias
Chapter 36: Nursing Management: Dysrhythmias
Test Bank
MULTIPLE CHOICE
1. To determine whether there is a delay in impulse conduction through the atria, the nurse will
measure the duration of the patient’s
a. P wave.
b. Q wave.
c. P-R interval.
d. QRS complex.
ANS: A
The P wave represents the depolarization of the atria. The P-R interval represents depolarization of the atria, atrioventricular (AV) node, bundle of His, bundle branches, and the Purkinje fibers. The QRS represents ventricular depolarization. The Q wave is the first negative deflection following the P wave and should be narrow and short.
DIF: Cognitive Level: Understand (comprehension)
REF: 791
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. The nurse needs to quickly estimate the heart rate for a patient with a regular heart rhythm.
Which method will be best to use?
a. Count the number of large squares in the R-R interval and divide by 300.
b. Print a 1-minute electrocardiogram (ECG) strip and count the number of QRS complexes. c. Calculate the number of small squares between one QRS complex and the next and divide into 1500.
d. Use the 3-second markers to count the number of QRS complexes in 6 seconds and multiply by 10.
ANS: D
This is the quickest way to determine the ventricular rate for a patient with a regular rhythm.
All the other methods are accurate, but take longer.
DIF: Cognitive Level: Apply (application)
REF:
789-790
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. A patient has a junctional escape rhythm on the monitor. The nurse will expect the patient to
have a heart rate of _____ beats/minute.
a. 15 to 20
b. 20 to 40
c. 40 to 60
d. 60 to 100
ANS: C
If the sinoatrial (SA) node fails to discharge, the atrioventricular (AV) node will automatically discharge at the normal rate of 40 to 60 beats/minute. The slower rates are typical of the bundle of His and the Purkinje system and may be seen with failure of both the SA and AV node to
Test Bank
MULTIPLE CHOICE
1. To determine whether there is a delay in impulse conduction through the atria, the nurse will
measure the duration of the patient’s
a. P wave.
b. Q wave.
c. P-R interval.
d. QRS complex.
ANS: A
The P wave represents the depolarization of the atria. The P-R interval represents depolarization of the atria, atrioventricular (AV) node, bundle of His, bundle branches, and the Purkinje fibers. The QRS represents ventricular depolarization. The Q wave is the first negative deflection following the P wave and should be narrow and short.
DIF: Cognitive Level: Understand (comprehension)
REF: 791
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. The nurse needs to quickly estimate the heart rate for a patient with a regular heart rhythm.
Which method will be best to use?
a. Count the number of large squares in the R-R interval and divide by 300.
b. Print a 1-minute electrocardiogram (ECG) strip and count the number of QRS complexes. c. Calculate the number of small squares between one QRS complex and the next and divide into 1500.
d. Use the 3-second markers to count the number of QRS complexes in 6 seconds and multiply by 10.
ANS: D
This is the quickest way to determine the ventricular rate for a patient with a regular rhythm.
All the other methods are accurate, but take longer.
DIF: Cognitive Level: Apply (application)
REF:
789-790
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. A patient has a junctional escape rhythm on the monitor. The nurse will expect the patient to
have a heart rate of _____ beats/minute.
a. 15 to 20
b. 20 to 40
c. 40 to 60
d. 60 to 100
ANS: C
If the sinoatrial (SA) node fails to discharge, the atrioventricular (AV) node will automatically discharge at the normal rate of 40 to 60 beats/minute. The slower rates are typical of the bundle of His and the Purkinje system and may be seen with failure of both the SA and AV node to