A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first degree heart block?
The PR interval gets longer then drops.
PR interval greater than 0.20 seconds in duration
There are absent P waves
R-R is irregular
The Correct Answer is B
Rationale:
A. This describes a second-degree heart block, specifically Mobitz Type I (Wenckebach).
B. A PR interval greater than 0.20 seconds is characteristic of first-degree heart block.

C. This describes third-degree heart block, also known as complete heart block.
D. An irregular R-R interval is not specific to first-degree heart block.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. The client may need an annual flu vaccine, but this is not specific to infective endocarditis.
B. Updating the Covid-19 vaccination is important, but this is not specific to infective endocarditis.
C. The client will require antibiotics before dental work to prevent the spread of bacteria from the mouth to the heart.
D. Avoiding sick contacts is important for general health but is not specific to infective endocarditis.
Correct Answer is B
Explanation
Rationale:
A. Alteplase (fibrinolytics) is used to dissolve clots in coronary arteries during an acute myocardial infarction (AMI).
B. IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the myocardium.
C. Metoprolol (beta blockers) are used to decrease heart rate, blood pressure, and myocardial oxygen demand.
D. IV Heparin is used to prevent further clot formation in coronary arteries during an acute myocardial infarction (AMI).
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