Rhythm Recognition
Prioritize Your Patient
What's the Nurse Do First?
Medication Mastery
Acute Coronary Syndrome
100

This rhythm is characterized by an irregularly irregular rhythm and the absence of identifiable P waves

What is atrial fibrillation?

100

Which patient requires assessment first?

  • Stable HF awaiting discharge
  • Chest pain rated 8/10
  • Controlled atrial fibrillation
  • Patient requesting a blanket

Who is the patient with chest pain 8/10?

100

A patient reports sudden palpitations

What is assess heart rate and rhythm?

100

This medication is commonly given during a suspected myocardial infarction to help prevent clot formation

What is aspirin?

100

A biomarker most specific for myocardial injury

What is troponin?

200

This life threatening rhythm appears as chaotic, disorganized waveform with no identifiable QRS complexes

What is ventricular fibrillation?

200

Which patient requires immediate intervention?

  • Potassium 3.9
  • Troponin pending
  • HR 42 with dizziness
  • BP 144/84

Who is the patient with HR 42 with dizziness?

200

A patient with chest pain arrives on the unit

What is obtain a 12-lead EKG?

200

A nurse should monitor potassium closely when admistering this loop diuretic

What is furosemide (Lasix)?

200

This EKG finding is characteristic of STEMI

What is ST-segment elevation?

300

A patient reports palpitations and shortness of breath. The rhythm is irregularly irregular with no discernible P waves and ventricular rate of 150 bpm.

What is A-fib with RVR?

300

A nurse receives report on four telemetry patients. Which patient should be seen first?

  • New-onset atrial fibrillation with HR 160
  • Stable sinus bradycardia
  • Controlled hypertension
  • Heart failure patient waiting for lunch

Who is the patient with new onset A-fib and HR 160 ?

300

A heart failure patient suddenly develops dyspnea

What is assess oxygenation and lung sounds?

300

This medication is commonly used for rate control in atrial fibrillation? 

*Will accept class or actual drug name*

What are beta blockers or metoprolol ?

300

The acronym MONA historically stands for these interventions

What are morphine, oxygen, nitroglycerin, and aspirin?

400

A telemetry patient develops a heart rate of 138 bpm. The rhythm is regular, with one P wave before every QRS complex. The patient is pale, diaphoretic, and reports crushing chest pain.

What is sinus tachycardia?

400

Which finding is most concerning in a patient recovering from MI?

  • Fatigue
  • Mild anxiety
  • Frequent PVCs
  • HR 82

What are frequent PVC's?

400

A patient in atrial fibrillation develops:

  • HR 160
  • BP 82/50
  • Dizziness

What is prepare for synchronized cardioversion?

400

A patient taking warfarin has an INR of 6.5.

What is hold the medication and notify the provider?

400
A patient receives nitroglycerin. This assessment is most important afterwards

What is blood pressure monitoring?

500

The rhythm strip shows a rapid, polymorphic ventricular rhythm that appears to twist around the baseline. The patient becomes unconscious and pulseless.

What is Torsades de Pointes?

500

Which patient is highest priority?

  • BNP elevated
  • New crackles with O2 sat 84%
  • INR 2.5
  • BP 142/86

Who is the patient with crackles and oxygen saturation of 84%?

500
A telemetry monitor alarms ventricular tachycaria

What is assess the patient first?

500

A patient with symptomatic bradycardia receives atropine without improvement

What is prepare the patient for transcutaneous pacing?

500

A STEMI patient is schedule for PCI. The goal is re-establishment of this.

What is coronary reperfusion?

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