Test Bank Ecgs Made Easy 5th Edition Barbara J Aehlert 3xw1b

Instant and all chapters Tesst Bank ECGs Made Easy 5th Edition Barbara J Aehlert https://testbanklab.com//tesst-bank-ecgs-made-easy-5th-edition-barbara-jaehlert/ Chapter 03: Sinus Mechanisms Test Bank MULTIPLE CHOICE 1. In sinus arrhythmia, a gradual increasing of the heart rate is usually associated with _____. a. expiration b. inspiration c. excessive caffeine intake d. early signs of heart failure ANS: B

Sinus arrhythmia that is associated with the phases of breathing and changes in intrathoracic pressure is called respiratory sinus arrhythmia. The rhythm is irregular; the heart rate increases gradually during inspiration (R-R intervals shorten) and decreases with expiration (R-R intervals lengthen). OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus arrhythmia. 2. The rate of sinus tachycardia is _____ beats/min. a. slower than 60 b. 40 to 80 c. 60 to 100 d. faster than 100 ANS: D

The rate of sinus tachycardia is between 101 and 180 beats/min. OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus tachycardia. 3. An ECG rhythm strip shows a ventricular rate of 46 bpm, a regular rhythm, a PR interval of

0.14 seconds, a QRS duration of 0.06 seconds, and one upright P wave before each QRS. This rhythm is _____. a. sinus rhythm b. sinus bradycardia c. sinus arrest d. sinoatrial block ANS: B

The rhythm described fits the ECG criteria for a sinus bradycardia. OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus bradycardia.

4. An ECG rhythm strip shows a ventricular rate of 128 bpm, a regular rhythm, a PR interval of

0.16 seconds, a QRS duration of 0.08 seconds, and one upright P wave before each QRS. This rhythm is sinus _____. a. arrhythmia b. bradycardia c. rhythm d. tachycardia ANS: D

The rhythm described fits the ECG criteria for a sinus tachycardia. OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus tachycardia. 5. Which of the following are possible causes of sinus tachycardia? a. Hypothermia, hypovolemia b. Hypoxia, calcium channel blocker overdose c. Fever, pain, anxiety d. Vomiting, vagal maneuvers ANS: C

Causes of sinus tachycardia include: acute myocardial infarction; caffeine-containing beverages; dehydration, hypovolemia; drugs such as cocaine, amphetamines, ecstasy, cannabis; exercise; fear and anxiety; fever; heart failure; hyperthyroidism; hypoxia; infection; medications such as epinephrine, atropine, and dopamine; nicotine; pain; pulmonary embolism; shock; sympathetic stimulation. OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus tachycardia. 6. Which of the following are possible causes of sinus bradycardia? a. Elevated temperature, pain b. Increased intracranial pressure, beta-blocker overdose c. Hypoxia, fright, caffeine-containing beverages d. Hypovolemia, istration of sympathomimetics ANS: B

Causes of sinus bradycardia include: disease of the SA node; hyperkalemia; hypokalemia; hypothermia; hypothyroidism; hypoxia; increased intracranial pressure; inferior myocardial infarction (MI); medications such as calcium channel blockers, digitalis, beta-blockers, amiodarone, and sotalol; obstructive sleep apnea; post heart transplant; posterior MI; and vagal stimulation. OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus bradycardia. 7. The rate of a sinus rhythm is ____ beats/min. a. slower than 60 b. 60 to 100 c. 80 to 120 d. faster than 100

ANS: B

The rate of a sinus rhythm is between 60 and 100 beats/min. OBJ: Describe the ECG characteristics of a sinus rhythm. 8. Which of the following may cause a sinus bradycardia? a. Stress or anxiety b. Increased sympathetic tone c. Fever d. Hypothermia ANS: D

Causes of sinus bradycardia include: disease of the SA node; hyperkalemia; hypokalemia; hypothermia; hypothyroidism; hypoxia; increased intracranial pressure; inferior myocardial infarction (MI); medications such as calcium channel blockers, digitalis, beta-blockers, amiodarone, and sotalol; obstructive sleep apnea; post heart transplant; posterior MI; and vagal stimulation. OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus bradycardia. 9. Which of the following correctly reflects the ECG criteria for a sinus rhythm? a. More P waves than QRS complexes b. P waves that look alike and upright in lead II, one before each QRS complex c. Irregular atrial and ventricular rhythm d. PR interval exceeding 0.20 seconds ANS: B

Characteristics of sinus rhythm: Rhythm R-R and P-P intervals are regular Rate 60 to 100 beats/min P waves Positive (upright) in lead II; one precedes each QRS complex; P waves look alike PR interval 0.12 to 0.20 seconds and constant from beat to beat QRS duration 0.11 seconds or less unless abnormally conducted OBJ: Describe the ECG characteristics of a sinus rhythm. 10. Management of a patient with a sinus tachycardia might include _____. a. identification and treatment of the underlying cause b. istration of atropine c. use of a pacemaker d. vagal maneuvers, such as carotid sinus pressure ANS: A

Treatment for sinus tachycardia is directed at correcting the underlying cause (i.e., fluid replacement, relief of pain, removal of offending medications or substances, reducing fever or anxiety). Sinus tachycardia in a patient experiencing an acute myocardial infarction (MI) may be treated with medications to slow the heart rate and decrease myocardial oxygen demand (e.g., beta-blockers), provided there are no signs of heart failure or other contraindications.

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus tachycardia. 11. The rate of a sinus bradycardia is _____ beats/min. a. slower than 60 b. 60 to 100 c. 80 to 120 d. faster than 100 ANS: B

If the SA node fires at a rate that is slower than normal for the patient’s age, the rhythm is called sinus bradycardia. The rhythm starts in the SA node and then travels the normal conduction pathway, resulting in atrial and ventricular depolarization. In adults and adolescents, a sinus bradycardia has a heart rate of less than 60 beats/min. The term severe sinus bradycardia is sometimes used to describe a sinus bradycardia with a rate of less than 40 beats/min. OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus bradycardia. SHORT ANSWER 1. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at 70 beats/min OBJ: Describe the ECG characteristics of a sinus rhythm. 2. Identify the following rhythm (lead II): ____________________

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Sinus bradycardia at 48 beats/min with ST-segment depression OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus bradycardia. 3. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at 65 beats/min with ST-segment depression OBJ: Describe the ECG characteristics of a sinus rhythm. 4. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at 98 beats/min with ST-segment elevation OBJ: Describe the ECG characteristics of a sinus rhythm. 5. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at a rate of 36 to 71 beats/min with an episode of SA block OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinoatrial block. 6. Identify the following rhythm: ____________________

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Sinus rhythm at 71 beats/min with a wide QRS, ST-segment depression OBJ: Describe the ECG characteristics of a sinus rhythm. 7. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at a rate of 24 to 81 beats/min with an episode of sinus arrest OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus arrest. 8. Identify the following rhythm (lead II): ____________________

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Sinus tachycardia at 140 beats/min OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus tachycardia. 9. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at 65 beats/min OBJ: Describe the ECG characteristics of a sinus rhythm. 10. Identify the following rhythm (lead II): ____________________

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Sinus tachycardia at 167 beats/min OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus tachycardia.

11. Identify the following rhythm (lead II): ____________________

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Sinus rhythm with a wide QRS at 100 beats/min; ST-segment depression, inverted T waves OBJ: Describe the ECG characteristics of a sinus rhythm. 12. Identify the following rhythm (lead II): ____________________

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Sinus tachycardia at 111 beats/min OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus tachycardia. 13. Identify the following rhythm (lead II): ____________________

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Sinus rhythm (borderline sinus bradycardia) at 60 beats/min OBJ: Describe the ECG characteristics of a sinus rhythm. 14. Identify the following rhythm (lead II): ____________________

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Sinus bradycardia at 58 beats/min OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency

management of sinus bradycardia. 15. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at 85 beats/min OBJ: Describe the ECG characteristics of a sinus rhythm. 16. Identify the following rhythm (lead II): ____________________

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Sinus arrhythmia at 52 to 94 beats/min OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus arrhythmia. 17. Identify the following rhythm (lead I): ____________________

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Sinus tachycardia at 150 beats/min OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus tachycardia. 18. Identify the following rhythm (lead II): ____________________

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Sinus bradycardia at 40 beats/min; ST-segment depression, inverted T waves

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus bradycardia. 19. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at 95 beats/min OBJ: Describe the ECG characteristics of a sinus rhythm. 20. Identify the following rhythm (lead II): ____________________

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Sinus arrhythmia at 71 to 100 beats/min OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus arrhythmia. 21. Identify the following rhythm (lead II): ____________________

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Sinus rhythm at 71 beats/min OBJ: Describe the ECG characteristics of a sinus rhythm. 22. Identify the following rhythm (lead II): ____________________

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Sinus bradycardia at 44 beats/min, ST-segment depression. Note the upright U waves following each T wave.

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus bradycardia. 23. Identify the following rhythm: ____________________

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Sinus rhythm at 75 beats/min, ST-segment depression OBJ: Describe the ECG characteristics of a sinus rhythm. 24. Identify the following rhythm (lead II): ____________________

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Sinus rhythm with a wide QRS at 83 beats/min OBJ: Describe the ECG characteristics of a sinus rhythm. 25. Identify the following rhythm (lead II): ____________________

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Sinus arrhythmia at 64 to 94 beats/min OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency management of sinus arrhythmia.