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Will have P wave with normal-looking QRS. IMPORTANT – it is always best to use a routine process for reviewing each strip. 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. Junctional Tachycardia – rate is > 100 bpm. Check the Basic EKG Refresher document provided by your recruiter to review how to measure PR and QRS intervals. VTach – rate is >100 bpm. Have a cheat sheet with this information available while you take the test. If you are struggling with figuring out an answer, try a different mathematical approach to the problem. Know both ways to determine rates: - Count the number of R's, then multiply by 10 OR. Answers to relias exams. Accelerated Junctional – rate is 61 – 100 bpm. 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). Review BOTH the Basic and Advanced EKG Refreshers provided by your recruiter (even if you are taking the Basic Dysrhythmia exam). Second Degree Type I: PR gets progressively longer than a QRS is dropped. PRINT the calculation formulas provided by Relias and use these formulas to determine the answer.
Become familiar with metric conversions. Third Degree – no correlation between P's and QRS's, P waves usually march out consistently, even if buried in another wave. No distinguishable P waves. Know ventricular bigeminy, trigeminy, and couplets - check the refresher documents for review.
Don't answer based on your individual experience at any particular facility. ST – rate is 101-160 BPM. Accelerated Idioventricular – rate is 40 – 100 bpm. Don't confuse: - Afib and Aflutter. Make sure the answer makes sense! Sawtooth "like" pattern –may be more rounded than pointed. Is the rate REGULAR or IRREGULAR? 1 kg = 1000 g. - 1 g = 1000 mg. Relais test questions and answers. - 1 kg = 2. 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). If unsure, plug your answer back into the calculation to make sure it's the correct answer. QRS is always wide and bizarre compared to a "normal" beat. 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.
Also, read all the screen information and open any available links before starting the test. 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. Make sure to answer with the appropriate number of decimals as specified in the problem, rounding correctly. Know how to measure! If P wave is present, the PR interval will be short (< 0. Relias test questions and answers. Junctional rhythm – rate is 40-60 bpm. Know the hallmarks of certain rhythms to help reduce confusion when determining the correct rhythm. 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. Blocks: - First Degree: PR is prolonged >.
Print out the manuals, if you can, for ease of access. 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 >. Irregular rhythm is the result of the PAC, would be regular otherwise. 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. Junctional Rhythms: - P wave is absent or inverted. Know the rates to determine the correct Idioventricular rhythm. A normal beat, but it occurs early. Atrial activity won't always be the same before each QRS. What does the QRS look like?
If you log out of the computer while taking the test, the test will pick up where you left off. Idioventricular Rhythms: - NO P waves AND widening of QRS. 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! These are wonderful EKG refreshers for the Relias Dysrhythmia exams. What is the PR INTERVAL? It is important to read these manuals. Atrial rhythm is regular and ventricular rhythm may be irregular.
Keep in mind that sometimes there is more information in the problem than you need to answer the 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.