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QRS is always wide and bizarre compared to a "normal" beat. Before starting your Relias exam, read any/all documents provided by Relias. Become familiar with metric conversions. Atrial activity won't always be the same before each QRS. 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. Relias learning assessment test answers. Know the hallmarks of certain rhythms to help reduce confusion when determining the correct rhythm. Don't confuse: - Afib and Aflutter. Review BOTH the Basic and Advanced EKG Refreshers provided by your recruiter (even if you are taking the Basic Dysrhythmia exam). Idioventricular Rhythms: - NO P waves AND widening of QRS. Sawtooth "like" pattern –may be more rounded than pointed. If unsure, plug your answer back into the calculation to make sure it's the correct answer.
Junctional Tachycardia – rate is > 100 bpm. 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! It is important to read these manuals. 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. These are wonderful EKG refreshers for the Relias Dysrhythmia exams. If P wave is present, the PR interval will be short (< 0. 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. SVT – rate is 150-250 BPM; P waves and PR intervals are not usually discernable. Relias learning training answers. Know the rates to determine the correct Idioventricular rhythm. If you feel stressed during the test and need to take a break, log off for a minute and regain your focus. 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. Is the rate REGULAR or IRREGULAR? Use critical thinking to reason through how to determine the answer if you are struggling with a question. Don't answer based on your individual experience at any particular facility.
Know both ways to determine rates: - Count the number of R's, then multiply by 10 OR. VTach – rate is >100 bpm. 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 >. Know how to measure! 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).
Have a cheat sheet with this information available while you take the test. 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. Second Degree Type I: PR gets progressively longer than a QRS is dropped. Accelerated Junctional – rate is 61 – 100 bpm. ST – rate is 101-160 BPM. Idioventricular rhythm – rate is < 40 bpm.
What does the QRS look like? Make sure to answer with the appropriate number of decimals as specified in the problem, rounding correctly. If you log out of the computer while taking the test, the test will pick up where you left off. Print out the manuals, if you can, for ease of access.