AACN ECG Written Exam

AACN ECG Written Exam

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AACN ECG Written Exam

• The following characteristics describe which rhythm: Regular or irregular R-R interval,

atrial rate of 250-350 bpm, sawtooth pattern between QRS com- plexes, normal QRS interval.: Atrial Flutter

• Which of the following are indications for the use of a temporary pacemak- er?: Atrial

fibrillation with a ventricular rate of 36 Second degree type II AV Block as a bridge to permanent pacemaker

• It is important when cleaning the ECG cables and lead wires with disinfec- tant to:: Wipe

the cables and lead wires with the disinfectant and let them air dry; do not wipe off the disinfectant.

• Compared to the walls of the left ventricle, the walls of the right ventricle are thin.: True
• In a typical 5 lead configuration, where is the white electrode (RA) placed?-

: The white electrode (RA) is placed at the infraclavicular fossa, close to the right shoulder.

• Which of the following are consequences of a patient with an inferior myocardial

infarction with a first-degree AV block with a PR interval of 0.24 seconds (240 msec)?: The rhythm usually causes no clinical problems for the patient.

• Mr. Davis had cardio-thoracic surgery to replace his mitral valve three days ago. His

recovery has only been remarkable for a brief episode of atrial fibrillation which converted with one dose of IV medication. You now note him to be in the rhythm below.

Possible interventions would include the following:: All of the above.

8. Sinus bradycardia differs from sinus rhythm in which of the following ways:-

: The rate of sinus bradycardia is slower than normal (less than 60 bpm)

• A patient is having failure to capture. One of the troubleshooting actions should include

which of the following?: Increasing the mA

• Atrial fibrillation is identified by all of the following except:: Normal P-P interval
• Today's ECG monitors are so advanced that there's really nothing left for the clinician to

do.: False

12. What is the amplitude of one small vertical box on the ECG paper?: 1 mm

• The primary goal in treating accelerated junctional rhythm is to:: Identify and treat the

cause

• A patient in atrial fibrillation with a rapid ventricular response experiences the following

symptoms: shortness of breath, chest pain, and dizziness. You understand these symptoms are due to and require immediate

response which may include .: Decreased cardiac output; electrical

cardioversion

• Atrial tachycardia that occurs spontaneously and is self limiting is called:-

: Paroxysmal atrial tachycardia (PAT)

16. What does the horizontal axis on the ECG paper represent?: Time

• What does preparing the skin for electrode placement by applying a skin prep solution
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