Deck 12: Introducing the Pacemaker Rhythms

Question 1

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) transcutaneous
B) transvenous
C) subcutaneous
D) substernal

Answer 1

B

Question 2

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) transcutaneous
B) substernal
C) permanent
D) subcutaneous

Answer 2

A

Question 3

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) runaway
B) sensing
C) failed
D) sequential

Answer 3

A

Question 4

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

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

Question 5

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

Question 6

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

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

Question 7

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

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

Question 8

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

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

Question 9

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

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

Question 10

Transcutaneous pacemakers can be used to treat all EXCEPT symptomatic:

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

Question 11

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

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

Question 12

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

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

Question 13

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

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

Question 14

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

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

Question 15

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) AA
B) VV
C) AV
D) VA

Question 16

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

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

Question 17

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

Question 18

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

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

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) asynchronous.
C) automated.
D) semi-automated.