1. 1. What should the nurse measure to determine whether there is a delay in impulse
conduction through the patient's ventricles?
a. P wave
b. Q wave
c. PR interval
d. QRS complex
Answer D
The QRS complex represents ventricular depolarization.The P wave representsthe
depolarization of the atria. The PR interval represents depolarization of the atria,
atrioventricular node, bundle of His, bundle branches, and the Purkinje fibers.The Q wave
is the first negative deflection following the P wave and should be narrow and short.
2. 2. The nurse needs to quickly estimate the heart rate for a patient with a regular heart
rhythm.Which method will be fastest 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. Use the 3-second markers to count the number of QRS complexes in 6 seconds and
multiply by 10.
d. Calculate the number of small squares between one QRS complex and the next and
divide into 1500.:
Answer C
Using the 3-second markers to count the number of QRS complexes in 6 seconds and
multiplying by 10 is the quickest way to determine the ventricular rate for a patient with a
regular rhythm.The other methods are accurate but take longer.
3. 3. A patient has a junctional escape rhythm on the monitor.What heart rate should the
nurse expect the patient to have?
a. 15 to 20
b. 20 to 40
c. 40 to 60
d. 60 to 100
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