Cardiac HealthStream Telemetry Practice Exam

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• Premature Junctional Contractions features?
• To specify the type of Bundle Branch Block, which test is required?
• What is considered a narrow QRS width?
• Which waveform pattern identifies atrial flutter on telemetry?
• Which finding indicates a Bundle Branch Block?
• How do you differentiate sinus rhythm with PACs (premature atrial contractions) on telemetry?
• From a six-second strip, what is the multiplier after counting R waves in 30 small squares?
• PVC Quadrigeminy is described as
• In a typical supraventricular tachycardia, what is usually observed regarding P waves before each QRS complex?
• Third-degree AV block results in which physiologic state?
• Which condition indicates the need for synchronized cardioversion in SVT?
• What is the recommended nursing action when telemetry alarms with no apparent patient distress?
• Which is an appropriate pre-procedure step before performing synchronized cardioversion in unstable SVT?
• The antidote for Torsades de Pointes is
• Which rhythm is characterized by irregular R-R intervals?
• Which feature distinguishes atrial fibrillation from atrial flutter on telemetry?
• In telemetry monitoring, what is the difference between a lead-off alert and a device-off alert?
• Which description correctly distinguishes Torsades de Pointes from other ventricular tachyarrhythmias?
• What is torsades de pointes and how is it managed on telemetry?
• What are the telemetry signs of ventricular fibrillation and the immediate course of action?
• Which description best characterizes ventricular ectopy signs on telemetry?
• Premature Ventricular Complex (PVC) occurs when
• What is the typical ECG effect of hypokalemia?
• Premature Atrial Contractions typically present as which feature?
• What does line noise artifact look like and how can you mitigate it in telemetry monitoring?
• Which rhythm is Ventricular Tachycardia?
• In junctional escape rhythm, what is the PRI typically?
• What should you do if artifact is suspected on the telemetry strip?
• What telemetry findings are typical of an implanted cardioverter-defibrillator (ICD) on rhythm strips?
• In PVC context, a Couplet is
• Which rhythm is characterized by P waves with at least three different morphologies and an irregular atrial rhythm with a regular ventricular rhythm, typically at rate <100 bpm?
• In junctional rhythm pathophysiology, which pacemaker typically takes over when the SA node fails?
• When STEMI criteria are met on telemetry, what is the recommended action?
• Sinus Bradycardia is defined by rate.
• Which ECG finding is characteristic of Atrial Fibrillation?
• What action is appropriate regarding QTc monitoring in patients at risk for prolongation?
• Which ECG finding is typical of junctional rhythm?
• Wandering Atrial Pacemaker is best described by which statement?
• What defines First Degree AV Block on an ECG?
• What are the telemetry features of third-degree (complete) AV block?
• In a standard telemetry setup, where are the precordial leads placed?
• What is the role of a telemetry technician in relation to pacemaker spikes on telemetry?
• What is sinus tachycardia, and what common causes should you investigate?
• When tachyarrhythmia is suspected on telemetry but artifact is possible, which action best ensures accurate rhythm assessment?
• In telemetry, what is the recommended action when a lead is off or detached?
• AFib with Rapid Ventricular Response is best described as which rhythm?
• What is the defining feature of a third-degree AV block on telemetry?
• How should you document an alarm event and the follow-up actions in the medical record?
• In the 6-second strip method, which statement is correct?
• What does ST-segment depression indicate on telemetry?
• Idioventricular Rhythm characteristics?
• A peaked T wave on telemetry with wide QRS complexes indicates which of the following?
• What is the difference between asystole and pulseless electrical activity (PEA) on telemetry?
• Which statement about Q waves on telemetry is correct?
• Ventricular Fibrillation presents with
• Which interval is used to determine rhythm regularity?
• For stable SVT, which approach is typically preferred first per protocol?
• What heart rate defines bradycardia?
• What is the typical ECG change associated with digoxin toxicity or digitalis effect?
• Torsades de Pointes is described as
• For a hemodynamically stable patient with presumed SVT and a narrow complex tachycardia on telemetry, what is the appropriate immediate action?
• How does pacemaker rhythm appear on telemetry, and how can you tell capture from loss of capture?
• A telemetry patient presents with chest pain and an ST-segment elevation on telemetry. What is the correct immediate response?
• Which monitoring action is appropriate when a patient is started on QT-prolonging medications?
• Torsades de Pointes is commonly associated with
• What is the significance of a right axis deviation on telemetry?
• Accelerated Junctional Escape Rhythm is defined by which rate?
• Which rhythm is characterized by irregular atrial rhythm with P waves varying in morphology and a slower ventricular rate, typical of wandering atrial conduction patterns?
• What is the typical rate range for a junctional rhythm?
• How does ventricular tachycardia appear on telemetry, and what immediate action depends on pulse?
• A premature ventricular contraction is often followed by what?
• Which telemetry pattern distinguishes atrial fibrillation?
• Sawtooth waves best seen in leads II, III, aVF indicate which rhythm?
• What constitutes left ventricular hypertrophy (LVH) pattern on ECG/telemetry?
• What is the basic ACLS sequence for a patient in cardiac arrest with a shockable rhythm?
• Lead II is commonly used for rhythm interpretation; which statement is true?
• In the context of telemetry, what does lead off indicate and what immediate actions should be taken?
• Which approach is most appropriate when differentiating artifact due to poor contact from true ischemic ST changes?
• If a patient develops a new complete heart block with symptomatic bradycardia on telemetry, what is the immediate action?
• Which statement best describes essential lead-placement checks for accurate telemetry readings?
• Triplet is defined as
• Which action best differentiates artifact from a true tachyarrhythmia on telemetry?
• How should you document significant telemetry findings?
• Name two major risks associated with improper telemetry lead placement.
• What is the most appropriate immediate action in response to ST elevation with chest pain, according to telemetry protocol?
• Which finding indicates capture during pacing?
• What is the typical rate for a junctional escape rhythm?
• How do you calculate heart rate from a six-second telemetry strip?
• A ventricular escape rhythm originates from which area?
• ST-segment elevation magnitude in STEMI is variable. Which statement is true?
• Which description best matches a junctional rhythm?
• Which electrolyte imbalance is commonly associated with prolonged QT interval and risk for torsades de pointes?
• Accelerated Idioventricular Rhythm features?
• In arrhythmia recognition, what defines a junctional rhythm and what is its typical rate?
• How do you interpret a paced rhythm when comparing a narrow QRS vs a wide QRS in dual vs single chamber pacing?
• What is the typical ECG effect of hyperkalemia?
• Which statement best differentiates STEMI from NSTEMI on telemetry?
• What is the most common cause of atrial flutter seen on telemetry and its typical treatment?
• Which finding on telemetry would most strongly suggest a STEMI?
• Sinus Tachycardia is defined by rate.
• In a patient on telemetry with acute coronary syndrome risk factors, how should telemetry staff respond?
• In the QRS complex, what is the Q-wave?
• Which pattern on ECG is associated with Atrial Flutter?
• Which actions best mitigate line noise artifact on telemetry?
• How is QT interval prolongation identified and why is it clinically important?
• Which telemetry finding should prompt prompt clinician notification in a patient with ACS risk factors?
• What is the role of the internodal pathways?
• In normal sinus rhythm, the QRS duration is within which range?
• Which feature defines Supraventricular Tachycardia?
• Which ECG finding indicates risk for torsades de pointes?
• Which sequence best describes ECG progression in untreated severe hyperkalemia?
• Which of the following best describes normal sinus rhythm on telemetry?
• Which telemetry finding best identifies first-degree AV block?
• Which option best describes ventricular pacing with capture given a pacing spike preceding a QRS complex?
• Which action is essential to ensure reliable telemetry after suspected lead issues?
• Which of the following is a typical feature of a PVC on ECG?
• Which statement describes a paced rhythm with a narrow QRS complex?
• Asystole on telemetry is defined as which of the following?
• Which statement best describes ventricular tachycardia on telemetry?
• How can hypoxia appear on ECG telemetry?
• How does a junctional rhythm appear on telemetry, and what is the typical rate?
• Which right-sided lead placement is used to detect right ventricular involvement in an inferior MI?
• Which telemetry signs suggest a potential pacemaker malfunction?
• Mobitz Type II AV block is defined by which feature?
• Mobitz Type I (Wenckebach) AV block is characterized by which pattern?
• Which rhythm has a ventricular rate greater than 100 bpm?
• What is the normal Q-T interval range?
• When you observe ST elevation in multiple contiguous leads but the patient has no symptoms, which step is appropriate?
• What is meant by rate management in telemetry for a patient with sinus tachycardia due to pain, hypoxia, or dehydration?
• VT Polymorphic features are
• What does a pacing spike preceding a QRS complex indicate?
• What signs on telemetry suggest lead misplacement or poor contact?
• P waves in Idioventricular Rhythm?
• Which situation would most likely trigger a lead-off alert?
• What is a hallmark of Bundle Branch Block on ECG?
• What is a typical P wave behavior in junctional rhythm?
• Why is it important to ensure the patient's skin is clean and dry before applying telemetry leads?
• What is the initial management for a patient with pulseless electrical activity on telemetry?
• Which wave on a tele strip represents atrial depolarization?
• What heart rate range is considered normal?
• Which statement about Mobitz II AV block is most accurate?
• How should a nurse communicate critical telemetry findings to the physician promptly?
• When interpreting a telemetry strip, which is the first question to determine?
• What is the digoxin effect on ECG and what is a concerning sign?
• How can you differentiate artifact from true arrhythmia on telemetry?
• Which statement BEST defines Second Degree AV Block Type II?
• Which arrhythmia is characterized by regular, sawtooth atrial activity with a variable ventricular response?
• Which lead placement is most commonly used for routine rhythm interpretation?
• Which leads are most helpful for detecting lateral wall ischemia on Telemetry?
• In tele strip paper, what is the duration represented by a single small box and by a large 5x5 box?
• What information should you document when a telemetry alarm occurs?
• Which pattern defines second-degree AV block type I (Wenckebach) on telemetry?
• In Third Degree AV Block, what is the relationship between atrial and ventricular activity?
• What is the function of the Bundle of His?
• What are common causes of drug-induced arrhythmias visible on telemetry?
• In Normal Sinus Rhythm, the P wave duration is within which range?
• Which statement correctly describes the normal sequence of ventricular conduction and the effect on QRS duration?
• What is the approach to a suspected ventricular fibrillation rhythm on telemetry?
• What is the recommended approach to patient education regarding telemetry monitoring?
• In pacemaker-dependent patients, what change in the monitor would be concerning?
• A sine-wave pattern on telemetry is most consistent with which electrolyte abnormality in severe cases?
• Which categories are commonly used to classify telemetry alarms?
• How do Mobitz I and Mobitz II differ on telemetry?
• How should you address poor contact or 'skin poor' telemetry leads?
• What finding could indicate digoxin toxicity?
• If QRS duration is broadened beyond normal, what may be suggested?
• Which statement best differentiates ventricular tachycardia from supraventricular tachycardia?
• Junctional escape rhythm typically originates from which location?
• What ECG pattern is typically seen with hypokalemia, and what risk does it pose?
• What defines sinus bradycardia, and when is intervention considered?
• What does a single-chamber pacemaker spike preceding a QRS complex indicate?
• Which description characterizes supraventricular tachycardia on telemetry?
• Torsades de Pointe is best described as which rhythm?
• How can telemetry help in detecting an evolving myocardial infarction before chest pain onset?
• In a complete AV block, how is the ventricular QRS morphology typically described?
• Which leads show anterior wall ST elevations that prompt STEMI protocol?
• Define STEMI criteria on telemetry.
• Which option best describes a paced rhythm with capture?
• What is the role of telemetry in detecting right ventricular infarction?
• Which structure is the primary pacemaker of the heart and its typical rate?
• What is the normal QTc range and which formula is commonly used?
• What is the normal duration of the QRS complex?
• What is the hallmark of Sinus Bradycardia?
• What is the normal PRI interval range?
• Which finding on serial ECGs is most worrisome for acute coronary syndrome?
• Lead placement for a standard telemetry setup. Which statement is accurate?
• How is asystole on telemetry defined and managed?
• Which criterion confirms proper atrial activity on a rhythm strip?
• Which statement best describes how to differentiate a common artifact that can mimic tachyarrhythmia on telemetry?
• Which action is appropriate when ST elevation is suspected on telemetry?
• When STEMI protocol is triggered due to confirmed ST elevations, what is the appropriate clinical action?
• Why is continuous telemetry important after PCI or acute MI?
• Which rhythm commonly shows a QRS duration of 0.10 seconds or less?
• If telemetry tracing appears erratic due to poor contact but the patient reports no symptoms, what is the appropriate step?
• Which rhythm is listed among ventricular rhythms as a distinct entity besides VT and VF?
• What do T wave inversions on a telemetry strip most commonly indicate?
• What is the primary purpose of the six-second strip method?
• When there is a sudden change from NSR to a sinus tachycardia with rate >150 bpm on telemetry, what is the likely differential and initial actions?
• STEMI criteria on telemetry require ST elevation in two contiguous leads with clinical symptoms or enzymes.
• Which rhythm is Supraventricular Tachycardia?
• What is the clinical significance of ST depression on telemetry?
• ST-segment elevation in two contiguous leads is characteristic of STEMI. How should the care team respond?
• Purkinje Fibers / Network rate as last escape pacemaker?
• Sinus Tachycardia is best described as which rhythm?
• How can you differentiate artifact from ventricular tachycardia on a strip?
• Which rhythm is defined by multifocal atrial activity with rate >100 bpm?
• Which steps are included in the management of torsades de pointes when the patient is unstable?
• Which heart rate defines sinus tachycardia?
• Bundle Branch Block is best described by which finding?
• What could cause artifact that mimics atrial flutter on telemetry?
• PVC Trigeminy is described as
• What are STEMI criteria on telemetry/ECG, and what actions are initiated?
• When troubleshooting a telemetry lead suspected of causing poor tracing, which step should you perform first?
• VT Monomorphic features include
• What action should be taken if a patient shows ST elevation in V2-V4 leads?
• What is a common cause of alarm fatigue and how should it be mitigated?
• What is the typical heart rate range for the SA node?
• Which statement describes second-degree AV block type II on telemetry?
• Which of the following is a type of heart block?
• What is the typical heart rate range for the AV node when acting as pacemaker?
• Which ECG change on telemetry is most characteristic of severe hyperkalemia?
• Which of the following best describes LVH pattern on ECG/telemetry?
• Which finding defines Second Degree AV Block Type I?
• Which feature best describes a first-degree AV block on telemetry?
• Ventricular Tachycardia is characterized by
• When frequent PVCs are observed on telemetry, which actions are appropriate?
• QRS width criterion for ventricular rhythms such as idioventricular?
• Which structure serves as the backup pacemaker with a typical rate of 40-60 bpm?
• Explain the difference between ventricular tachycardia with a pulse and pulseless VT on telemetry and the initial management steps.
• Which of the following best defines sinus bradycardia on telemetry?
• Which statement describes Third Degree AV Block (CHB)?
• PVC Bigeminy is described as
• Which electrolyte disturbance causes a sine-wave pattern on the ECG at severe levels?
• Which statement describes loss of capture on a paced telemetry tracing?
• If the Purkinje system becomes the pacemaker, what is the typical rate?
• Which strategy helps reduce alarm fatigue?
• Which rhythm is characterized by random, early junctional beats with QRS 0.10 s or less and typically a long compensatory pause?