
Junctional Rhythms
Authored by Kylie Ray
Education
Professional Development
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6 questions
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1.
MULTIPLE SELECT QUESTION
45 sec • 1 pt
The nurse is interpreting an ECG and suspects a junctional rhythm. Which ECG findings support this suspicion? (Select all that apply)
P waves that are inverted or occur after the QRS
QRS duration greater than 0.12 seconds
Regular rhythm
No visible P waves
2.
MULTIPLE SELECT QUESTION
45 sec • 1 pt
A patient is experiencing a junctional escape rhythm. What nursing interventions are appropriate? (Select all that apply)
Assess for signs of decreased cardiac output
Notify the healthcare provider if symptomatic
Begin defibrillation
Administer atropine if bradycardic and symptomatic
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which of the following heart rhythms is an example of a junctional rhythm
A
B
C
D
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What is the primary pacemaker site in a junctional rhythm?
Sinoatrial (SA) node
Bundle of His
Purkinje fibers
Atrioventricular (AV) node or junction
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which of the following clinical situations might result in a junctional rhythm?
Hyperthyroidism
Anxiety
Digitalis toxicity
Fever
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
In a junctional rhythm, the P wave is typically
Absent or inverted
Peaked and tall
Always upright before the QRS
Wide and irregular
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