Thursday, February 21, 2008

EKG Quiz for RN's

Alrighty so here is the first competency for this year. Print off and complete for this years competency. It's not as hard as it looks. Drumroll please...

EKG Quiz
1. You’re caring for a patient with a history of mitral valve prolapse(MVP). Based on your knowledge of the heart’s anatomy, you know the mitral valve is located between the :
a. the left atrium and left ventricle
b. the left ventricle and the right ventricle
c. the right atrium and the right ventricle
d. the right ventricule and the pulmonary artery

2. A 45 year old patient is admitted to your floor for observation after undergoing cardiac catherization. His test results reveal a blockage in the circumflex artery, which supplies oxygenated blood to which area of the heart?
a. anterior wall
b. lateral wall
c. inferior wall
d. septal wall
3. Which of the following choices is responsible for slowing heart rate?
a. norepinephrine
b. vagus nerve
c. epinephrine
d. isoproterenol
4. A 65 year old patient diagnosed with angina is admitted to your telemetry unit. You begin cardiac monitoring and record a rhythm strip. Using the 8-step method of rhythm strip interpretation what should you do first?
a. Calculate the heart rate
b. Evaluate the P wave
c. Check the rhythm
d. Measure the PR interval
5. A 76 year old patient with heart failure is receiving furosemide(lasix) 40mg IV twice daily. When you look at her rhythm strip, you note prominent U waves. Which condition may have caused the U waves to appear on your patient’s rhythm?
a. hypokalemia
b. hypocalcemia
c. worsening heart failure
d. pericarditis
6. A patient with a history of paroxysmal atrial tachycardia {PAT} develops digoxin toxicity, which may cause prolongation of the PR interval, so you must monitor his cardiac rhythm closely. What’s the duration of a normal PR interval?
a. 0.06 to 0.10 second
b. 0.12 to 0.20 second
c. 0.24 to 0.30 second
d. 0.36 to 0.44 second
7. A patient is admitted to your telemetry unit with a diagnosis of sick sinus syndrome. Which medication should you keep readily available to treat symptomatic bradycardia?
a. isoproterenol( Isuprel)
b. verapamil (Calan)
c. lidocaine
d. atropine

source:ECG Interpretation made Incredibly Easy! Lippincott Williams & Wilkins, 2005there are many quick quizzes like this available @ http://www.nursing2007.com/ (click the educators button)

By popular demand the answers are as follows:
1-A 2-B 3-B 4-C 5-A 6-B 7-D {added on 3mar08}

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