Telemetry
Rhythm ID
ACLS
Medications
Devices
100

This primarily detects arrhythmias and continuously monitors the heart rate

What is telemetry monitoring?

100

What rhythm has regular P waves before each QRS?

NSR

100

What’s the first thing you do if a patient is found unresponsive and pulseless?

Call for help, begin CPR, start chest compressions

100

What drug reduces preload by promoting fluid loss, helping to relieve symptoms in heart failure?

Diuretics

100

What is the purpose of a cardiac pacemaker?

To maintain adequate heart rate when the heart’s own conduction system fails

200

Why is it important to check telemetry lead placement at the start of each shift?

To ensure accurate rhythm monitoring and avoid artifact

200

Which rhythm is irregularly irregular with no visible P waves?

Atrial Fibrillation

200

Which rhythm is treated with synchronized cardioversion if unstable: SVT or VFib?

SVT (VFib is defibrillated)

200

Before giving nitroglycerin for chest pain, what thing must you check?

Blood pressure

200

What should you check on your patient’s telemetry if they have a permanent pacemaker?

Pacing spikes followed by appropriate heart depolarization (capture)

300

What should your first nursing action be if the telemetry alarm shows ventricular tachycardia? 

Assess the patient immediately

Check responsiveness and pulse

300

What rhythm is characterized by a "saw-tooth" pattern?

A-flutter

300

When treating symptomatic bradycardia, what is the first-line medication?

Atropine

300

Why are beta blockers used in HFrEF?

They reduce heart rate and myocardial oxygen demand, improving survival

300

If your patient’s ICD fires, what is your first nursing action?

Assess the patient’s responsiveness, pulse, and symptoms.

400

Name two things you must document about telemetry each shift.

Rhythm interpretation

PR interval

QRS interval 

400

Wide, bizarre QRS complexes with a rate >100 describes which rhythm?

Ventricular Tachycardia

400

What are the "first 5" things you should do if the patient is found unresponsive?

Check pulse

Call Code Blue

Start CPR

Manage Airway

Defib if needed

400

What is your nursing priority if a patient on a dobutamine drip develops new palpitations and tachycardia?

Notify provider immediately; continuous telemetry is critical due to risk of arrhythmias

400

Why is it important to have emergency equipment (like a defibrillator) readily available for patients with cardiac devices?

Because patients with pacemakers or ICDs can still develop lethal arrhythmias