Download Housewide Telemetry Monitoring Test

Name___________________Unit ___________________Date ________
Employee ID # ______________
Housewide Telemetry Monitoring Test
1. The placement of the cardiac monitor electrodes dramatically affects the quality of
the EKG tracing.
A. True
B. False
2. Match the following for correct electrode placement:
A.
B.
C.
D.
E.
White
Black
Green
Red
Brown
___Below the heart in the left abdominal region.
___Right shoulder, close to the junction of the right
arm and torso.
___Below the heart in the right abdominal region.
___4th intercostal space just right of the sternum.
___Left shoulder, close to the junction of the left
arm and torso.
3. The nurse will be notified of cardiac rhythm changes via pager notification. It is the
responsibility of the nurse to respond by first assessing the patient and then notifying
the physician. The nurse will:
A. Assess level of consciousness.
B. Obtain manual pulse for 60 seconds.
C. Obtain manual blood pressure.
D. Press the nurse button on the telemetry pack to notify the CMT the patient is
being assessed.
E. All of the above.
4. One of the nursing responsibilities in telemetry monitoring includes carrying the
pager. During meal and break times the pager is to be:
A. Kept with the nurse at all times including breaks.
B. Given to the RN covering.
C. Taken back to the Central Monitoring Station.
D. Kept at the nursing station.
5. One of the nursing responsibilities when a patient with telemetry monitoring is moved
to a different room or nursing unit includes:
A. Notify the CMT regarding the patients transfer to another room
B. Notify the CMT regarding the patients transfer to another room
C. Notify the CMT regarding the patients transfer to another room
D. All of the above
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6. When a patient with telemetry monitoring will be off the nursing unit for a diagnostic
test, procedure, or surgery, one of the nurses responsibilities is to:
A. Notify the CMT when the patient will be off the unit for a diagnostic test,
procedure, or surgery and when the patient returns.
B. Notify the CMT when the patient will be off the unit for a diagnostic test,
procedure, or surgery and when the patient returns.
C. Notify the CMT when the patient will be off the unit for a diagnostic test,
procedure, or surgery and when the patient returns.
D. All of the above
7. When a patient is admitted with telemetry monitoring, the nurse will (circle all that
apply):
A. Verify proper unit placement by reviewing physician telemetry order.
B. Obtain telemetry transmitter, lead wires, battery, and pager (if applicable) from
Central Monitoring Station.
C. Verify patient’s identification according to policy.
D. Follow the electrode placement protocol and place the telemetry box in the
telemetry pouch.
E. Apply the house-wide telemetry monitoring notification sticker to the condition
alert tab (Housewide telemetry only).
F. Call Central Monitoring room to verify that the patient’s rhythm appears on the
monitor and test pager to verify proper functioning.
G. The pager is to be kept on audible (chirp) and vibrate mode at all times
8. Label the EKG strip indicating the P, Q, R, S, and T.
9. Normal conduction of the cardiac impulses is generated in the:
A. AV Node
B. SA Node
C. Purkinje Fibers
D. Depolarization
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10. The P wave correlates with:
A. Conduction of the electrical impulses through the atria.
B. Impulses through the atria, AV node, bundle of his, right and left bundle
branches.
C. Conduction of electrical impulses through the ventricles.
D. Ventricular repolarization.
11. The PR interval correlates with:
A. Conduction of the electrical impulses through the atria.
B. Impulses through the atria, AV node, bundle of his, right and left bundle branches.
C. Conduction of electrical impulses through the ventricles.
D. Ventricular repolarization.
12. The QRS interval correlates with:
A. Conduction of the electrical impulses through the atria.
B. Impulses through the atria, AV node, bundle of his, right and left bundle branches.
C. Conduction of electrical impulses through the ventricles.
D. Ventricular repolarization.
13. 1 small box on the EKG graph paper is ___ seconds.
14. 4 small boxes on the EKG graph paper is ___ seconds.
15. 1 large box on the EKG graph paper is ___ seconds.
16. Using the method C, what would be the heart rate if 18 small boxes are present from
the R-R wave:
A. 68
B. 71
C. 83
D. 100
17.
Rate: _________
Regular or Irregular: _________________________
PRI: ____________________
QRS: ___________________________
Interpretation of rhythm: __________________________________________
Intervention: ___________________________________________________
18.
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Rate: _________
Regular or Irregular: _________________________
PRI: ____________________
QRS: ___________________________
Interpretation of rhythm: __________________________________________
Intervention: ___________________________________________________
19.
Rate: _________
Regular or Irregular: _________________________
PRI: ____________________
QRS: ___________________________
Interpretation of rhythm: ___________________________________________
Intervention: ____________________________________________________
20.
Rate: _________
Regular or Irregular: _________________________
PRI: ____________________
QRS: ___________________________
Interpretation of rhythm: ___________________________________________
Intervention: ____________________________________________________
21.
Rate: _________
Regular or Irregular: _________________________
PRI: ____________________
QRS: ___________________________
Interpretation of rhythm: ___________________________________________
Intervention: _____________________________________________________
SKaras
22.
Rate: _________
Regular or Irregular: _________________________
PRI: ____________________
QRS: ___________________________
Interpretation of rhythm: ___________________________________________
Intervention: ____________________________________________________
SKaras