An client being assessed in the emergency room is anxious about their health status. The ECG rhythm strip shows a heart rate of 120 beats/min. Characteristics of a sinus tachycardia rhythm are
Atrial rhythm regular, ventricular rhythm irregular
P:QRS ratio of 1:1
P:QRS ratio of 2:1
Ventricular and atrial rhythm are irregular
The Correct Answer is B
A. An atrial rhythm regular and ventricular rhythm irregular would suggest an arrhythmia such as atrial fibrillation or flutter with variable conduction—not sinus tachycardia.
B. In sinus tachycardia, the rhythm is regular, the P:QRS ratio is 1:1, meaning each P wave is followed by a QRS complex, and the origin is from the sinus node.
C. A 2:1 P:QRS ratio is characteristic of certain types of heart block or atrial flutter—not sinus tachycardia.
D. Irregular ventricular and atrial rhythms are seen in atrial fibrillation or other irregular arrhythmias, not sinus tachycardia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Jugular distention is typically associated with right-sided heart failure.
B. Dependent edema is more common in right-sided heart failure due to systemic venous congestion.
C. Hepatomegaly occurs with right-sided heart failure from liver congestion.
D. Frothy sputum is a classic finding in left-sided heart failure due to pulmonary congestion and edema.
Correct Answer is B
Explanation
A. A heart rate of 160/min is more indicative of the progressive stage of shock, where compensation begins to fail.
B. Blood pressure 115/68 mmHg is within normal limits and reflects the compensatory stage, where the body maintains perfusion through mechanisms like increased heart rate and vasoconstriction.
C. Hypokalemia is not a typical finding in the compensatory stage; electrolyte shifts are more pronounced in later stages.
D. Mottled skin is a sign of poor perfusion, typically seen in the progressive or irreversible stages of shock.
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