Deck 12: Introducing the Pacemaker Rhythms

Question 1

When the artificial pacemaker does not depolarize the specified chamber or chambers of the heart and is denoted by the presence of a pacemaker spike not flowed by a QRS,this is referred to as failure to:

A) capture.
B) stimulate.
C) generate.
D) energize.

Answer 1

A

Question 2

A ________ pacemaker is one where a lead wire is inserted through the skin and threaded into a large vein leading into the right side of the heart.

A) subcutaneous
B) substernal
C) transcutaneous
D) transvenous

Answer 2

D

Question 3

The equipment with pacemakers that relays the electrical impulse to the myocardium is the:

A) generator.
B) lead wires.
C) pacer spike.
D) QRS interval.

Answer 3

B

Question 4

A device that substitutes for the normal pacemaker cells of the heart's electrical conduction system is a(n):

A) voluntary pacemaker.
B) artificial pacemaker.
C) universal pacemaker.
D) central pacemaker.

Question 5

When implementing transcutaneous pacing,the rate is commonly set in the range of:

A) 40-60 BPM.
B) 60-80 BPM.
C) 10-20 BPM.
D) 20-40 BPM.

Question 6

Transcutaneous pacemakers can be used to treat all EXCEPT symptomatic:

A) ventricular tachycardia.
B) bradycardia.
C) complete heart block.
D) second-degree block.

Question 7

The ________ pacemaker is programmed to deliver electrical impulses at a constant selected rate.

A) demand
B) asynchronous
C) automated
D) synchronous

Question 8

The capability of a pacemaker to recognize inherent electrical conduction system activity is termed:

A) sensing.
B) failure.
C) stimulation.
D) capture.

Question 9

The pacemaker that consists of two large electrode pads connected to a cardiac monitor that conduct electrical impulses through the skin to the heart is termed a ________ pacemaker.

A) permanent
B) transcutaneous
C) subcutaneous
D) substernal

Question 10

Pacemakers that are implanted most often in a patient's upper chest and are left in place are ________ pacemakers.

A) substernal
B) temporary
C) transvenous
D) permanent

Question 11

Pacemakers that are used to sustain a patient's heart rate in emergent situations are ________ pacemakers.

A) temporary
B) superficial
C) permanent
D) aggressive

Question 12

Dysrhythmias associated with pacemaker failure are treated the same as dysrhythmias in any other patient.

Question 13

________ is noted by the presence of a spike and wide QRS complexes on the EKG monitor and/or rhythm strip.

A) Release
B) Standardization
C) Synchronous
D) Capture

Question 14

The EKG wave that is produced by an artificial pacemaker is called a:

A) PR interval.
B) generator.
C) QRS.
D) spike.

Question 15

The equipment with pacemakers that controls the rate and strength of each electrical impulse is the:

A) generator.
B) pads.
C) spike.
D) lead wires.

Question 16

A ________ pacemaker is when a pacemaker develops a rapid rate of electrical impulse discharge and can reach a rate of 200 to 300 BPM.

A) sequential
B) sensing
C) runaway
D) failed

Question 17

The type of permanent pacemaker that has two lead wires,one in the right atrium and one in the right ventricle,is a(n)________ sequential pacemaker.

A) VA
B) VV
C) AA
D) AV

Question 18

The type of permanent pacemaker that has a lead wire inserted into the right atrium and the first impulse stimulates the atrium is a(n)________ pacemaker.

A) atrial
B) septal
C) AV sequential
D) ventricular

Question 19

The type of pacemaker that is programmed to generate an electrical impulse when the patient's heart rate falls below a predetermined rate is called:

A) synchronous.
B) semi-automated.
C) automated.
D) asynchronous.

Question 20

The type of permanent pacemaker where the lead wire is inserted into the right ventricle is a(n)________ pacemaker.

A) septal
B) atrial
C) AV sequential
D) ventricular