A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first degree heart block?
The PR interval gets longer then drops.
PR interval greater than 0.20 seconds in duration
There are absent P waves
R-R is irregular
The Correct Answer is B
Rationale:
A. This describes a second-degree heart block, specifically Mobitz Type I (Wenckebach).
B. A PR interval greater than 0.20 seconds is characteristic of first-degree heart block.

C. This describes third-degree heart block, also known as complete heart block.
D. An irregular R-R interval is not specific to first-degree heart block.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Hyperkalemia is not typically associated with thiazide diuretics.
B. Cardiac dysrhythmias can occur with thiazide diuretics due to electrolyte imbalances.
C. Seizures are not typically associated with thiazide diuretics.
D. Hypoglycemia is not typically associated with thiazide diuretics.
Correct Answer is ["A","B","C","E","F"]
Explanation
Rationale:
A. Unable to lie flat due to orthopnea is a sign of worsening heart failure.
B. Feeling fatigued is a general symptom of heart failure but can worsen as heart failure progresses.
C. Distended neck veins indicate increased central venous pressure, which is a sign of worsening right-sided heart failure.
D. Increased appetite is not typically associated with worsening heart failure.
E. Weight gain of 2 pounds in 24 hours indicates fluid retention and worsening heart failure.
F. Worsening lower extremity edema is a sign of worsening heart failure.
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