Telemetry Real Exam 138 Questions and Revised Answers All Correct
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Course
Telemetry
Institution
Telemetry
Telemetry Real Exam 138 Questions and Revised Answers All Correct
Mr. Herbert passes out in the bathroom. He was pulseless with the rhythm seen. Appropriate intervention would be immediate - Answer CPR, atropine, epinephrine
Sam Colbert felt lousy, so he doubled up on his digitalis dose, thin...
Telemetry Real Exam 138 Questions
and Revised Answers All Correct
Mr. Herbert passes out in the bathroom. He was pulseless with the rhythm seen.
Appropriate intervention would be immediate - Answer ✔ CPR, atropine, epinephrine
Sam Colbert felt lousy, so he doubled up on his digitalis dose, thinking his malaise was
due to his long lasting atrial fibrillation. After three days of this double-dosing, he felt
worse, so he came to the ER with a heart rate of 32 and a blood pressure of 76/48.
Which of the following would be appropriate INTIAL treatment for Mr. Colbert? - Answer
✔ Atropine intravenously to increase his heart rate
Your patient is in junctional rhythm with a heart rate of 54. His blood pressure is good,
and he denies any symptoms. Appropriate treatment for this patient at this time is -
Answer ✔ Careful observation, with treatment if symptoms develop
The rhythm belongs to Mr. Horning, who has a long history of emphysema. He has
been unusually short of breath today and has just noticed a fluttering sensation in his
chest. Due to Mr. Horning's history, you suspect that his arrhythmia might be
successfully treated with - Answer ✔ Supplemental oxygen administration at a low flow
rate
The rhythm below belongs to a 34 Year old female with a long history of hypertension.
She has been taking beta blockers to control her blood pressure and has been feeling
tired the past few days. She went to go physician. Which of the following medications
would be appropriate for treating this rhythm? - Answer ✔ Atropine
Ms. Calhoun was found unconscious and pulseless with the rhythm as seen in Figure 4-
4. Which of the following is INAPPROPRIATE for treating this rhythm? - Answer ✔
Synchronized electrical cardioversion at 200 joules
Appropriate electrical therapy for and. Calhoun's rhythm in Figure 4-4 would be which of
the following? - Answer ✔ Defibrillation at 200, then 300, then 360 joules sequentially if
the rhythm persists
Mrs. Samuel's permanent pacemaker's battery had completely run down, and her
underlying rhythm was third degree AV block with a heart rate of 42. Her blood pressure
was 150/88, and her skin was warm and dry. She denies distress. Given her condition,
appropriate treatment would be - Answer ✔ Immediate preparation for a pacemaker
battery change
, At 1:30 PM Sam Stalone was in sinus rhythm with a heart rate of 86. At 1:35 PM to
develop substernal chest tightness and his heart rate was noted to be 138. The ST
segment in leads 2,3 and AVF on his 12- lead EKG rose to 2 mm above the baseline.
His physician determined Mr. Stalone was having an inferior wall MI. Which of the
following is NOT TRUE about Mr. Stalone's tachycardia? - Answer ✔ The tachycardia is
unrelated to the MI, as the heart rate decrease during an MI
Mrs. Hollowell had a long history of renal failure and has been on hemodialysis for three
years. She didn't show up for her dialysis yesterday and has now presented to the ER in
idioventricular rhythm with a heart rate of 36 and a QRS interval of 0.32 seconds. The
most likely cause of her widened QRS interval is - Answer ✔ Hyperkalemia
Appropriate treatment to restore Mrs. Hollowell's QRS interval to normal could include
ALL BUT which of the following? - Answer ✔ Intravenous potassium boluses
Your patient is in pulseless ventricular tachycardia. According to ACLS protocol, your
first intervention should be - Answer ✔ Defibrillation
An AV sequential pacemaker paces which chambers of the heart - Answer ✔ Right
atrium and right ventricle
A DDD pacemaker paces which chambers of the heart ? - Answer ✔ Right atrium and
right ventricle
The first letter of the pacemaker code tells the - Answer ✔ Chamber paced
When a pacemaker fires, it creates what sign on the EKG - Answer ✔ A spike
If a pacemaker fails to fire, what is shown on the EKG? - Answer ✔ Lack of a
pacemaker spike where there should be one
Capture is evidenced on the EKG by the following presence of - Answer ✔ P waves or
QRS complexes following the pacemaker spikes
The second letter of the pacemaker code tells the - Answer ✔ Chamber sensed
A transcutaneous pacemaker paces the heart - Answer ✔ through the skin
Which of the following would NOT be an indication for a pacemaker ? - Answer ✔
Junctional tachycardia
A VOO pacemaker would pace the - Answer ✔ Ventricle, sense nothing and have
response to sensed events since it cannot sense
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