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Comprehensive EKG Review

Total questions: 52

Worksheet time: 45mins

Name
Class
Date
1.

Where is the P wave located?

a)

A

b)

B

c)

C

d)

D

e)

E

2.

What does depolarization result in?

a)

relaxation

b)

contraction

c)

repulsion

d)

attraction

3.

Which node is considered the "pacemaker" of the heart?

a)

SA

b)

AV

4.

Name the EKG

a)

Normal Sinus Rhythm

b)

Sinus Tachycardia

c)

Sinus Bradycardia

d)

Atrial fibrillation

5.

Name the EKG

a)

Normal Sinus Rhythm

b)

Sinus Tachycardia

c)

Sinus Bradycardia

d)

Atrial fibrillation

6.

Name the EKG

a)

Normal Sinus Rhythm

b)

Sinus Tachycardia

c)

Sinus Bradycardia

d)

Atrial fibrillation

7.

The instrument (machine) by which the electrical activities of the heart are recorded.

a)

Electrocardiograph

b)

Electrocardiogram

c)

Telemetry Box

d)

Holter Monitor

8.

Atrial depolarization is complete.

a)

P Wave

b)

R Wave

c)

PR Interval

d)

PR Segment

9.

which is the correct order?

a)

SA Node, AV Node, Bundle of His, Lt and Rt Bundle Branches, Purkinje Fibers

b)

AV Node, SA Node, Lt and Rt Bundle Branches, Bundle of His, Purkinje Fibers

c)

Bundle of His, Lt and Rt Bundle Branches, Bundles of His, Purkinje Fibers, AV Node, SA Node

d)

Purkinje Fibers, Bundle of His, AV Node, Lt and Rt Bundle Branches

10.

The QRS complex is normally __________ seconds in duration

a)

0.06 to 0.10

b)

0.04 to 0.10

c)

0.08 to 0.12

d)

0.10 to 0.12

11.

A common cardiac dysrhythmia characterized by premature heartbeats originating in the atria.

a)

A-Fib

b)

A-Flutter

c)

PAC's

d)

SA Block

12.

Rate: less than 60 bpm

Rhythm: regular

a)

Sinus Rhythm

b)

Sinus Arrhythmia

c)

Sinus Bradycardia

d)

Sinus Tachycardia

13.

If a spike is seen before the P wave, then it indicates the presence of a single chamber atrial pacemaker

a)

A Paced

b)

V Paced

c)

AV Paced

d)

VA Paced

14.

Name the EKG

a)

Atrial fibrillation

b)

Atrial flutter

c)

Super ventricular tachycardia

d)

Asystole

15.

Everything is normal, rate is 60 -100

a)

Sinus tachycardia

b)

Sinus bradycardia

c)

Sinus arrhythmia

d)

Normal sinus rhythm

16.

Atria are irritable and quivering, causing fibrillatory waves between QRS complex

a)

asystole

b)

atrial flutter

c)

A fib

d)

V fib

17.

Every other beat is a PVC

a)

A fib

b)

Atrial Flutter

c)

Asystole

d)

bigeminy

18.

Two PVC's in a row

a)

Couplet

b)

Trigeminy

c)

Bigeminy

d)

Triplet

19.

Everything is normal except the PR interval is greater then .20 seconds

a)

Second Degree Heart Block

b)

Third Degree Heart Block

c)

First Degree Heart Block

d)

Complete Heart Block

20.

Every beat on the strip has an absent or inverted P wave

a)

Idioventricular

b)

Junctional Rhythm

c)

PJC

d)

PAC

21.

Premature beat, starts in the atria, but not SA node, normal P wave but different from others

a)

PJC

b)

PVC

c)

Premature pacemaker

d)

PAC

22.

Premature early beat that is wide and bizarre

a)

PAC

b)

PJC

c)

PVC

d)

Premature heart block

23.

PR interval gets progressively longer and longer until there is a P wave and no QRS

a)

First Degree Heart Block

b)

Second degree Block Type I (Wenckebach/Mobitz I)

c)

Second degree Block Type II (Classical/Mobitz II)

d)

Third degree Block

24.

PR interval is constantly the same, but some P waves have no QRS

a)

First Degree Block

b)

Second Degree Block Type I (Wenckebach/Mobitz I)

c)

Third Degree Block

d)

Second Degree Block Type II (Classical/MobitzII)

25.

R to R interval will change (be irregular) in a cycle, not just one beat

a)

Sinus bradycardia

b)

Sinus arrhythmia

c)

Sinus tachycardia

d)

Sinus pacemaker

26.

Everything is normal except rate is less than 60

a)

Sinus bradycardia

b)

Sinus tachycardia

c)

Sinus arrhythmia

d)

Sinus block

27.

Extra P waves visible, PR constantly changes, block between atria and ventricles

a)

First Degree Block

b)

Second Degree Block

c)

Third Degree Block

d)

Fourth Degree Block

28.

Every third beat is a PVC

a)

Bigeminy

b)

Trigeminy

c)

Couplet

d)

Triplet

29.

Ventricles are irritable and no longer contract but quiver, there are no definite complexes

a)

A fib

b)

V fib

c)

V tach

d)

Atrial flutter

30.

Ventricles are contracting but at a very fast rate, only see wide and bizarre complexes

a)

Atrial tachycardia

b)

Ventricular Fib

c)

Atrial Fib

d)

V tach

31.

PVC's originate from different sites, they look different

a)

multifocal

b)

unifocal

c)

couplet

d)

triplet

32.

PVC originates from the same site and they are identical to each other

a)

Bigeminy

b)

Trigeminy

c)

Multifocal

d)

Unifocal

33.

EKG Interpretation:

a)

Course V-Fib

b)

Fine V-Fib

34.

A patient has a normal heartbeat of 72 beats per minute. What area of the conduction system should be considered as functioning normally in this patient?

a)

Bundle of His

b)

Sinoatrial node

c)

Purkinje’s fibers

d)

Atrioventricular node

35.

The nurse/Monitor tech determines that a patient’s electrocardiogram is demonstrating normal sinus rhythm. What did they observe to come to this conclusion? (Select all that apply.)

a)

Regular rhythm

b)

P wave before each QRS complex

c)

Wide QRS intervals

d)

Heart rate 88 beats per minute

36.

P, Q, R, S, T, U are known as:

a)

Waves

b)

Intervals

c)

Segments

d)

Complex

37.

Lines between two waves

a)

Complex

b)

Amplitude

c)

Duration

d)

Segment

38.

The period of time from the onset of the P wave to the beginning of the QRS complex.

a)

Diastole

b)

Contraction

c)

Relaxation

d)

PR Interval

39.

Seen as a result of the repolarization of the ventricles.

a)

P Wave

b)

T Wave

c)

QRS Complex

d)

ST Segment

40.

Using the 6 second strip method, what is the HR of this EKG?

a)

50

b)

52

c)

55

d)

58

41.

Seen as a result of the conduction impulses traveling from the AV node to the Bundle of His.

a)

P Wave

b)

QRS Complex

c)

T Wave

d)

PR Segment

42.

What part of the ECG tracing represents the repolarization of the purkinje fibers

a)

T wave

b)

PR interval

c)

U wave

d)

P wave

43.

The heart is a two-sided pump that produces pulmonary circulation and systemic circulation

a)

true

b)

false

44.

The waves on the ecg waveform are positive when they go up from the baseline and negative when they go down from the baseline.

a)

true

b)

false

45.

The top chambers of the heart are ventricles and the bottom chambers of the heart are the atria

a)

true

b)

false

46.

The nurse is assessing the client’s electrocardiography (ECG). What does the P wave on the ECG tracing represent?

a)

Contraction of the atria

b)

Contraction of the ventricles

c)

Depolarization of the atria

d)

Depolarization of the ventricles

47.
The QRS-wave correlates with which event?
a)
atrium contraction /signals moving from SA node to AV node
b)
ventricle contraction
c)
ventricle repolarization
d)
both atrial and ventricle contraction
48.

What is the ECG tracing between the QRS complex and the T wave called?

a)

TP Segment

b)

ST Segment

c)

QT Segment

d)

PR Segment

49.

The point where the QRS complex and the ST segment meet is called the ST junction or J-point.

a)

True

b)

False

50.

1. An ECG rhythm strip shows a ventricular rate of 125 beats/min, a regular rhythm, a PR interval of 0.16 second, a QRS duration of 0.08 second, and one upright P wave before each QRS. This rhythm is sinus _____.

a)

Sinoatrial Block

b)

Sinus arrest

c)

Normal Sinus Rhythm

d)

Sinus Tachycardia

e)

Sinus Arrythmia

51.

Name this Rhythm

(a)  

52.

Name this Rhythm

(a)