Don't confuse: - Afib and Aflutter. Is the rate REGULAR or IRREGULAR? Answers to relias exams. The answers to each step will help rule out certain rhythms and will help steer you to the correct rhythm: - What is the RATE? All the CORE tests have a manual with all the information tested for each of these tests. DO NOT use multiple resources to refer to while taking the test, as it will only slow you down as you flip through pages and pages to find what you are looking for.
Accelerated Junctional – rate is 61 – 100 bpm. Don't answer based on your individual experience at any particular facility. Atrial activity won't always be the same before each QRS. P wave will be absent before the QRS. Atrial rhythm is regular and ventricular rhythm may be irregular. Know the rates to determine the correct Idioventricular rhythm.
SVT – rate is 150-250 BPM; P waves and PR intervals are not usually discernable. Rate is always irregular (irregularly irregular). Don't round the answer you get when converting lbs to kg – use the full result on your calculator in your calculations – this is VERY important! Know ventricular bigeminy, trigeminy, and couplets - check the refresher documents for review.
PRINT the calculation formulas provided by Relias and use these formulas to determine the answer. Make sure to answer with the appropriate number of decimals as specified in the problem, rounding correctly. Idioventricular Rhythms: - NO P waves AND widening of QRS. ST – rate is 101-160 BPM. Print out the manuals, if you can, for ease of access.
Check the Basic EKG Refresher document provided by your recruiter to review how to measure PR and QRS intervals. Use critical thinking to reason through how to determine the answer if you are struggling with a question. Accelerated Idioventricular – rate is 40 – 100 bpm. It is important to read these manuals. Use the rate chart after counting the number of little boxes between R's (see the Basic EKG Refresher document for the rate chart – have this handy when you take the exam). Know how to measure! Keep in mind that sometimes there is more information in the problem than you need to answer the question. Relias learning training answers. Know the hallmarks of certain rhythms to help reduce confusion when determining the correct rhythm. Junctional Tachycardia – rate is > 100 bpm.
A normal beat, but it occurs early. What does the QRS look like? QRS is always wide and bizarre compared to a "normal" beat. Junctional rhythm – rate is 40-60 bpm. Relias test questions and answers regarding. Junctional Rhythms: - P wave is absent or inverted. VTach – rate is >100 bpm. Have scratch paper, a pencil, and a calculator ready – write out the formula using the appropriate numbers in the problem and then do your calculations. If you log out of the computer while taking the test, the test will pick up where you left off.
IMPORTANT – it is always best to use a routine process for reviewing each strip. Sawtooth "like" pattern –may be more rounded than pointed. Pacer spikes - Every pacer spike (if capturing) should have either a P wave or a QRS complex following it, depending on if the pacer is atrial, ventricular or both. These are "textbook" tests like the NCLEX or other licensure/certification tests, so the questions are based more on textbook situations, not on real-world situations. The following helpful hints are based on reviewing the most common incorrect answers by FlexCare RNs and are meant to help you focus your studying, as well as to help you successfully pass the exam on the first attempt.
If you feel stressed during the test and need to take a break, log off for a minute and regain your focus. What is the PR INTERVAL? Irregular rhythm is the result of the PAC, would be regular otherwise. Make sure the answer makes sense! These are wonderful EKG refreshers for the Relias Dysrhythmia exams. NEVER just "look" at a rhythm or think "it looks like" a particular rhythm to determine the rhythm unless it is clear and unmistakable, like asystole (example: SR may actually be SR with first degree AV block, but you wouldn't know that if you didn't measure the PR interval).
Know both ways to determine rates: - Count the number of R's, then multiply by 10 OR. 1 kg = 1000 g. - 1 g = 1000 mg. - 1 kg = 2. Second Degree Type I: PR gets progressively longer than a QRS is dropped. If you are struggling with figuring out an answer, try a different mathematical approach to the problem.
If P wave is present, the PR interval will be short (< 0. Hover the cursor over the strip, and that part of the strip will magnify to make it easier to count the number of "little" boxes. No distinguishable P waves. Will have P wave with normal-looking QRS. Review BOTH the Basic and Advanced EKG Refreshers provided by your recruiter (even if you are taking the Basic Dysrhythmia exam). Have a cheat sheet with this information available while you take the test. Blocks: - First Degree: PR is prolonged >.
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