Use critical thinking to reason through how to determine the answer if you are struggling with a question. Relias test questions and answers page. If unsure, plug your answer back into the calculation to make sure it's the correct answer. 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.
Idioventricular Rhythms: - NO P waves AND widening of QRS. 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. Relias test questions and answers. Make sure the answer makes sense! Know ventricular bigeminy, trigeminy, and couplets - check the refresher documents for review. VTach – rate is >100 bpm. Become familiar with metric conversions.
Check the Basic EKG Refresher document provided by your recruiter to review how to measure PR and QRS intervals. If you log out of the computer while taking the test, the test will pick up where you left off. Relias test questions and answers about memories. Also, read all the screen information and open any available links before starting the test. PRINT the calculation formulas provided by Relias and use these formulas to determine the answer. 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!
Sawtooth "like" pattern –may be more rounded than pointed. Print out the manuals, if you can, for ease of access. Know how to measure! Know the hallmarks of certain rhythms to help reduce confusion when determining the correct rhythm. IMPORTANT – it is always best to use a routine process for reviewing each strip. 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. Second Degree Type II: PR interval is constant with randomly dropped QRS, underlying rhythm is regular (note the PR interval for this block could be >. 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. A normal beat, but it occurs early. Know both ways to determine rates: - Count the number of R's, then multiply by 10 OR. Don't answer based on your individual experience at any particular facility. 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.
Rate is always irregular (irregularly irregular). Atrial rhythm is regular and ventricular rhythm may be irregular. SVT – rate is 150-250 BPM; P waves and PR intervals are not usually discernable. Junctional Rhythms: - P wave is absent or inverted. 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). Will have P wave with normal-looking QRS. Keep in mind that sometimes there is more information in the problem than you need to answer the question. What does the QRS look like?
Junctional Tachycardia – rate is > 100 bpm. These are wonderful EKG refreshers for the Relias Dysrhythmia exams. Junctional rhythm – rate is 40-60 bpm. It is important to read these manuals. ST – rate is 101-160 BPM. Review BOTH the Basic and Advanced EKG Refreshers provided by your recruiter (even if you are taking the Basic Dysrhythmia exam). Don't confuse: - Afib and Aflutter. 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.
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