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Cardiac Dysrhythmias and Nursing Care Quiz

#1

Which electrolyte imbalance is commonly associated with the development of cardiac dysrhythmias?

Hyperkalemia
Explanation

Hyperkalemia is commonly associated with the development of cardiac dysrhythmias, affecting the heart's electrical conductivity.

#2

Which of the following is NOT a common cause of premature ventricular contractions (PVCs)?

Hypokalemia
Explanation

Hypokalemia is not a common cause of premature ventricular contractions (PVCs); other factors like stress or stimulants are more common triggers.

#3

Which of the following dysrhythmias is characterized by an irregular rhythm with no discernible pattern?

Atrial fibrillation
Explanation

Atrial fibrillation is characterized by irregular, chaotic atrial activity with no discernible pattern on ECG.

#4

What is the first-line treatment for stable ventricular tachycardia?

Amiodarone
Explanation

Amiodarone is the first-line treatment for stable ventricular tachycardia due to its antiarrhythmic properties.

#5

Which medication is commonly used to treat supraventricular tachycardia by slowing conduction through the AV node?

Adenosine
Explanation

Adenosine is commonly used to treat supraventricular tachycardia by transiently slowing conduction through the AV node.

#6

What is the term used to describe a pause in the heart rhythm, typically longer than normal sinus pauses?

Heart block
Explanation

Heart block is the term used to describe a pause in the heart rhythm, often due to conduction abnormalities.

#7

Which cardiac dysrhythmia is characterized by a rapid, regular atrial rate of 250-350 bpm with an irregular ventricular rate?

Atrial flutter
Explanation

Atrial flutter is characterized by a rapid, regular atrial rate with an irregular ventricular rate, often in a 2:1 or 4:1 conduction pattern.

#8

What ECG finding is characteristic of ventricular fibrillation?

Absence of P waves
Explanation

Ventricular fibrillation is characterized by chaotic, rapid ventricular activity with an absence of P waves on ECG.

#9

Which of the following medications is commonly used to convert atrial fibrillation to sinus rhythm?

Amiodarone
Explanation

Amiodarone is commonly used to convert atrial fibrillation to sinus rhythm and maintain normal heart rhythm.

#10

Which of the following is a characteristic of 2nd degree heart block type II?

Intermittent non-conducted P waves without a progressive PR interval prolongation
Explanation

Second-degree heart block type II is characterized by intermittent non-conducted P waves without a progressive PR interval prolongation on ECG.

#11

Which electrolyte imbalance can predispose a patient to develop torsades de pointes?

Hypokalemia
Explanation

Hypokalemia can predispose a patient to develop torsades de pointes, a specific type of ventricular tachycardia with a characteristic twisting appearance on ECG.

#12

Which of the following ECG findings is characteristic of a third-degree atrioventricular (AV) block?

No association between P waves and QRS complexes
Explanation

In third-degree AV block, there is no association between P waves and QRS complexes on ECG, indicating complete conduction block between atria and ventricles.

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