The answers to each step will help rule out certain rhythms and will help steer you to the correct rhythm: - What is the RATE? Sawtooth "like" pattern –may be more rounded than pointed. Junctional Rhythms: - P wave is absent or inverted. Second Degree Type II: PR interval is constant with randomly dropped QRS, underlying rhythm is regular (note the PR interval for this block could be >. Junctional rhythm – rate is 40-60 bpm. Is the rate REGULAR or IRREGULAR? Print out the manuals, if you can, for ease of access. If P wave is present, the PR interval will be short (< 0. Relais test questions and answers. Third Degree – no correlation between P's and QRS's, P waves usually march out consistently, even if buried in another wave. Use the rate chart after counting the number of little boxes between R's (see the Basic EKG Refresher document for the rate chart – have this handy when you take the exam). Know both ways to determine rates: - Count the number of R's, then multiply by 10 OR. What is the PR INTERVAL? Make sure the answer makes sense!
Idioventricular rhythm – rate is < 40 bpm. Second Degree Type I: PR gets progressively longer than a QRS is dropped. Also, read all the screen information and open any available links before starting the test. Relias test questions and answers 2022 pdf. If you feel stressed during the test and need to take a break, log off for a minute and regain your focus. Know the rates to determine the correct Idioventricular rhythm. If you log out of the computer while taking the test, the test will pick up where you left off.
If you are struggling with figuring out an answer, try a different mathematical approach to the problem. 1 kg = 1000 g. - 1 g = 1000 mg. - 1 kg = 2. Have a cheat sheet with this information available while you take the test. Have scratch paper, a pencil, and a calculator ready – write out the formula using the appropriate numbers in the problem and then do your calculations. These are "textbook" tests like the NCLEX or other licensure/certification tests, so the questions are based more on textbook situations, not on real-world situations. Relias training exam answers. Don't round the answer you get when converting lbs to kg – use the full result on your calculator in your calculations – this is VERY important! Use critical thinking to reason through how to determine the answer if you are struggling with a question.
Use any other resources you can find to practice reading different strips of the different rhythms, especially for the rhythms you have the most difficulty with. It is important to read these manuals. Know how to measure! If unsure, plug your answer back into the calculation to make sure it's the correct answer. Idioventricular Rhythms: - NO P waves AND widening of QRS. Atrial rhythm is regular and ventricular rhythm may be irregular. Know ventricular bigeminy, trigeminy, and couplets - check the refresher documents for review.
Will have P wave with normal-looking QRS. Hover the cursor over the strip, and that part of the strip will magnify to make it easier to count the number of "little" boxes. PRINT the calculation formulas provided by Relias and use these formulas to determine the answer. NEVER just "look" at a rhythm or think "it looks like" a particular rhythm to determine the rhythm unless it is clear and unmistakable, like asystole (example: SR may actually be SR with first degree AV block, but you wouldn't know that if you didn't measure the PR interval). Keep in mind that sometimes there is more information in the problem than you need to answer the question. Check the Basic EKG Refresher document provided by your recruiter to review how to measure PR and QRS intervals. Pacer spikes - Every pacer spike (if capturing) should have either a P wave or a QRS complex following it, depending on if the pacer is atrial, ventricular or both. Atrial activity won't always be the same before each QRS. IMPORTANT – it is always best to use a routine process for reviewing each strip. All the CORE tests have a manual with all the information tested for each of these tests. P wave will be absent before the QRS. ST – rate is 101-160 BPM. Before starting your Relias exam, read any/all documents provided by Relias. These are wonderful EKG refreshers for the Relias Dysrhythmia exams.
Make sure to answer with the appropriate number of decimals as specified in the problem, rounding correctly. DO NOT use multiple resources to refer to while taking the test, as it will only slow you down as you flip through pages and pages to find what you are looking for. Become familiar with metric conversions. Junctional Tachycardia – rate is > 100 bpm. Know the hallmarks of certain rhythms to help reduce confusion when determining the correct rhythm. Accelerated Idioventricular – rate is 40 – 100 bpm. Rate is always irregular (irregularly irregular). What does the QRS look like? No distinguishable P waves. QRS is always wide and bizarre compared to a "normal" beat. Blocks: - First Degree: PR is prolonged >. Irregular rhythm is the result of the PAC, would be regular otherwise. VTach – rate is >100 bpm. The following helpful hints are based on reviewing the most common incorrect answers by FlexCare RNs and are meant to help you focus your studying, as well as to help you successfully pass the exam on the first attempt.
Accelerated Junctional – rate is 61 – 100 bpm. Review BOTH the Basic and Advanced EKG Refreshers provided by your recruiter (even if you are taking the Basic Dysrhythmia exam). A normal beat, but it occurs early.
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