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Exam (elaborations)

AACN test 5 With Questions And Answers

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AACN test 5 With Questions And Answers

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  • September 27, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AACN
  • AACN
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AACN test 5 With Questions And
Answers
Endocardium - Answer - inner layer of the heart



Myocardium - Answer - thick, middle layer of the heart



Epicardium - Answer - outer surface of the heart muscle



RCA - Answer - extends to the back of the heart and perfuses the posterior of the heart



ECG prep - Answer - alcohol before skin prep



Time it takes the paper to come out of the EKG machine? - Answer - 25 mm/s



Vertical axis - Answer - voltage--small box = 0.1 mv



Horizontal axis - Answer - time--small box = 0.4 sec



How often are tick marks? - Answer - every 3 seconds



Isoelectric line - Answer - electrical charges in the heart are equal



5 lead - Answer - smoke over fire, clouds over grass, brown in the middle



QT prolongation - Answer - - can cause torsades

- can be affected by drugs (antibiotics, Antidysrhythmic , antipsychotic drugs)



Atrial pacemaker fires... - Answer - before the P wave

, AACN test 5 With Questions And
Answers
Ventricular pacemaker fires... - Answer - before the QRS complex



Threshold - Answer - the lowest amount of energy needed to produce a "capture"



Failure to pace - Answer - no pacemaker activity, it is not firing. This could be a sensitivity problem or a
mechanical issue



Failure to capture - Answer - the pacemaker is firing but no P wave or QRS complex follows the pacer
spike. The impulse is not strong enough to depolarize the heart (increasing the mA will troubleshoot this
problem)



Failure to sense - Answer - If the pacer spike is in the T wave, it is failure to sense



Over-sensing - Answer - - the pacemaker is too sensitive

- ex. pt is coughing and the pace maker thinks it's the pt's HR

- to decrease the sensitivity you must INCREASE the mV



too sensistive - Answer - INCREASE the mV



Under-sensing - Answer - - the pacemaker is not sensitive enough

- ex. fixed pace at 75 but pt is running up the stairs, their HR is climbing, and the pacemaker is not
picking it up

- to increase the sensitivity you must DECREASE the mV



Not sensitive enough - Answer - DECREASE the mV



Pulse generator - Answer - initiates the impulse, also contains the battery



Single Chamber Atrial pacing - Answer - - spike followed by p wave

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