Weekly NCLEX/HESI Question for August 4


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August 4

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A patient presents with complaints of generally not feeling well for 2 weeks, fatigue and occasional dizziness.  The patient is placed on a cardiac monitor which shows a regular ventricular rate of 33 and more P waves than QRS complexes that do not seem to be associated.  The patient is most likely experiencing:
1st degree heart block
Sinus bradycardia
3rd degree heart block
Junctional rhythm
Question 1 Explanation: 
The correct answer is C. In 3rd degree heart block there are more P waves than QRS complexes and there is no association between the P waves (atrial contraction) and QRS complexes (ventricular contraction).
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