Second-Degree type II (Mobitz II) AV heart block quiz review for nursing students!
This quiz will test your knowledge on how to identify a Second-Degree type II heart block, the causes of this heart rhythm, and the treatment.
There are four types of heart blocks a nurse should be familiar with. This includes a First-Degree, Second-Degree Type I (Mobitz type I or Wenckebach), Second-Degree Type II (Mobitz type II), and Third-Degree (Complete Heart Block).
Also check out the other quizzes:
Second-Degree Type I (Mobitz I or Wenckebach)
Third-Degree (Complete Heart Block)
Ventricular Tachycardia (V-tach)
Don’t forget to watch the lecture on Second-Degree type II heart blocks and review the notes before taking this quiz.
Second-Degree Type II (Mobitz type II) Heart Block Quiz Questions
ECG/EKG Study Guide and Workbook for Nursing Students
“ECG/EKG Interpretation Study Guide and Workbook by Nurse Sarah”. This book contain 100 pages of content featuring 26 ECG rhythm break downs, 51 ECG rhythm analysis practice problems, 100 comprehensive ECG practice questions, worksheets, chart summaries, and more.
You can get an eBook version here: “Nurse Sarah ECG Book” or a physical copy here: “ECG/EKG Interpretation Study Guide by Nurse Sarah“.
Second-Degree Type II Heart Block Quiz
1. Select all the correct options below that describe the rhythm above:
A. Progressively prolonged PR intervals
B. Constant PR intervals
C. Ventricular rate is slower than the atrial rate
D. Irregular ventricular rhythm
E. Regular atrial rate
F. Second-Degree Type II (Mobitz II) Heart Block
G. First-Degree Heart Block
H. Second-Degree Type I (Mobitz I or Wenckebach)
The answers are: B, C, D, E, F
2. Which rhythm above is an ECG reading that represents a Second-Degree Type II Heart Block (Mobitz II)?
A. Rhythm 1
B. Rhythm 2
C. Rhythm 3
The answer is B: Rhythm 2
3. Which of the following is NOT a finding in a Second-Degree Type II heart block (Mobitz II) ECG reading?
A. Normal p waves with constant PR intervals
B. Missing QRS complexes
C. Progressively prolonged PR intervals
D. Regular atrial rhythm
The answer is C: Progressively prolonged PR intervals. This is a finding in Second-Degree Type I (Mobitz I/Wenckebach).
4. TRUE or FALSE: A Second-Degree Type II heart block (Mobitz II) is the most serious type of heart block among all the types of AV heart blocks.
True
False
The answer is FALSE: A Second-Degree Type II heart block (Mobitz II) is more serious than a Second-Degree Type I heart block (Mobitz I/Wenckebach) but it is NOT the most serious type of heart block among all the types of heart blocks. A Third-degree (complete heart block) is the most serious of the four types. This is discussed in another video.
5. You see the rhythm above on the ECG. The patient is experiencing hypotension, weak pulse, and mental status changes. The nurse knows to prep the patient for the following procedure:
A. Synchronized cardioversion
B. Defibrillation
C. Temporary pacing
D. Ablation
The answer is C: temporary pacing
6. Your patient has a Second-Degree Type II (Mobitz II) heart block. What information found in the patient’s health history is NOT associated with causing this type of rhythm?
A. Anterior wall myocardial infarction
B. Heart valve damage
C. Diltiazem
D. Glyburide
The answer is D: Glyburide Options A, B, and C are causes of this rhythm. However, Glyburide is used to treat Diabetes Type II and is not usually associated with this rhythm.
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