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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 SKaras 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 SKaras 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. SKaras 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