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Comprehensive ECG Interpretation

Total questions: 62

Worksheet time: 31mins

Name
Class
Date
1.

Name the EKG

a)

Normal Sinus Rhythm

b)

Sinus Tachycardia

c)

Sinus Bradycardia

d)

Atrial fibrillation

2.

Name the EKG

a)

Normal Sinus Rhythm

b)

Sinus Tachycardia

c)

Sinus Bradycardia

d)

Atrial fibrillation

3.

Name the EKG

a)

Atrial fibrillation

b)

Atrial flutter

c)

Super ventricular tachycardia

d)

Asystole

4.

Everything is normal, rate is 60 -100

a)

Sinus tachycardia

b)

Sinus bradycardia

c)

Sinus arrhythmia

d)

Normal sinus rhythm

5.

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

a)

asystole

b)

atrial flutter

c)

A fib

d)

V fib

6.

Every other beat is a PVC

a)

A fib

b)

Atrial Flutter

c)

Asystole

d)

bigeminy

7.

Two PVC's in a row

a)

Couplet

b)

Trigeminy

c)

Bigeminy

d)

Triplet

8.

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

9.

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

10.

Premature early beat that is wide and bizarre

a)

PAC

b)

PJC

c)

PVC

d)

Premature heart block

11.

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

12.

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)

13.

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

14.

Everything is normal except rate is less than 60

a)

Sinus bradycardia

b)

Sinus tachycardia

c)

Sinus arrhythmia

d)

Sinus block

15.

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

16.

Every third beat is a PVC

a)

Bigeminy

b)

Trigeminy

c)

Couplet

d)

Triplet

17.

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

18.

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

19.

EKG Interpretation:

a)

Course V-Fib

b)

Fine V-Fib

20.

What is the ECG showing (Red Arrow)

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

Asystole

d)

Premature Ventricular Contraction

e)

Heart Block

21.

What is the ECG showing

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

Asystole

d)

Premature Ventricular Contraction

e)

Heart Block

22.

What is the ECG showing

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

23.

What is the ECG showing

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

24.

What is the ECG showing (arrow)

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

25.

Heart rate over 100 beats per minutes is

a)

tachycardia

b)

bradycardia

c)

depolarization

d)

repolarization

26.

Which of these is not considered when making a diagnosis?

a)

P-R interval

b)

rate

c)

rhythm

d)

T wave

27.

When making a diagnosis in the classroom, we are looking at which view?

a)

Lead I

b)

Lead II

c)

Lead III

d)

V1

28.

With sinus dysrhythmia

a)

the rate is abnormal

b)

the rhythm is abnormal

c)

the p wave is abnormal

d)

the t wave is abnormal

29.

In atrial flutter the atria will

a)

not beat at all

b)

beat as often as the ventricles beat

c)

beat 3 or 4 more times than the ventricles

d)

be normal

30.

MI stands for

a)

myocardial infarction

b)

muscle infarction

c)

mycocordial infarction

d)

muscle infraction

31.

If our patient's heart rate is 75bpm, rhythm is regular, P-R interval is normal, QRS is normal, then our diagnosis is

a)

Sinus tachycardia

b)

Sinus dysrhythmia

c)

normal sinus rhythm

d)

Sinus arrest

32.

Interpret this EKG strip

a)

Sinus Rhythm, Hr.70

b)

Sinus Rhythm, Hr.90

c)

Sinus Bradycardia, Hr.50

d)

Sinus Tachycardia, Hr. 110

33.

Interpret this Rhythm:

a)

Normal sinus rhythm

b)

Ventricular fibrillation

c)

Sinus Brady with PAC's

d)

Sinus Bradycardia

34.

Identify what the rhythm?

a)

Normal sinus rhythm with PAC

b)

Sinus tachycardia with PAC

c)

Normal sinus rhythm with PVC

d)

Sinus tachycardia with PVC

35.

Identify the cardiac rhythm strip pictured above

a)

Ventricular Tachycardia

b)

Normal Sinus Rhythm

c)

Atrial Fibrillation

d)

Sinus Tachycardia

36.

This rhythm is best described as "irregularly irregular".

a)

atrial fibrillation

b)

atrial flutter

c)

premature ventricular tachycardia

d)

supraventricular tachycardia

37.

This is not an actual rhythm, but an ectopic beat that causes the atrial to beat before it should.

a)

atrial fibrillation

b)

atrial flutter

c)

premature atrial contraction

d)

supraventricular tachycardia

38.

Identify the cardiac rhythm strip pictured above

a)

Atrial Flutter

b)

Normal Sinus Rhythm

c)

Atrial Fibrillation

d)

Sinus Tachycardia

39.

Identify the cardiac rhythm strip pictured above. This is a six second strip.

a)

Atrial Flutter

b)

Sinus Tachycardia

c)

Atrial Fibrillation

d)

Supraventricular Tachycardia

40.

Identify the cardiac rhythm strip pictured above

a)

Atrial Flutter

b)

Normal Sinus Rhythm

c)

Atrial Fibrillation

d)

Sinus Tachycardia

41.

Which of the following best describes this strip?

a)

Tachycardia

b)

Normal Sinus Rhythm

c)

Bradycardia

d)

Asystole

42.

The nurse sees the above rhythm on the monitor. What should the nurse do first?

a)

Defibrillate the patient

b)

Initiate chest compressions

c)

Check for the presence of a pulse

d)

Advise the patient not to get out of bed

43.

Name the EKG

a)

Normal Sinus Rhythm

b)

Sinus Tachycardia

c)

Sinus Bradycardia

d)

Atrial fibrillation

44.

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

45.

Name this Rhythm

a)

Torsades

b)

V fib

c)

a fib

d)

agonal

46.

What rhythm is here?

a)

idioventricular

b)

agonal

c)

asystole

d)

sinus bradycardia

47.

What rhythm is here?

a)

idioventricular

b)

agonal

c)

asystole

d)

sinus bradycardia

48.

Which best describes this rhythm?

a)

First-degree AV Block

b)

Second-degree AV Block Type 1

c)

Second-degree AV Block Type 2

d)

Third-degree AV Block

49.

Which best describes this rhythm?

a)

First-degree AV Block

b)

Second-degree AV Block Type 1

c)

Second-degree AV Block Type 2

d)

Third-degree AV Block

50.

Which best describes this rhythm?

a)

Atrial Fibrillation

b)

Atrial Flutter

c)

Asystole

d)

PEA

51.

Which best describes this rhythm?

a)

Atrial Fibrillation

b)

Atrial Flutter

c)

Asystole

d)

PEA

52.

Which best describes this rhythm?

a)

Asystole

b)

PEA

c)

Pulseless Ventricular Tachycardia

d)

Ventricular Fibrillation

53.

Which best describes this rhythm?

a)

Asystole

b)

PEA

c)

Pulseless Ventricular Tachycardia

d)

Ventricular fibrillation

54.

Which best describes this rhythm?

a)

Normal Sinus Rhythm

b)

Sinus Bradycardia

c)

Ventricular Tachycardia

d)

Supraventricular Tachycardia

55.

Identify the waveform after the second heartbeat?

a)

Premature atrial contraction

b)

Sinus Tachycardia

c)

Premature Ventricular Contraction

d)

Asystole

56.

Identify the cardiac rhythm seen above

a)

Ventricular tachycardia

b)

Sinus bradycardia

c)

Atrial Fibrillation

d)

Atrial Flutter

57.

Identify what is occurring at the red circled areas?

a)

Asystole

b)

Normal Sinus Rhythm

c)

Premature Ventricular Contraction

d)

Premature Atrial Contraction

58.

Identify the cardiac rhythm strip seen above:

a)

Ventricular Fibrillation

b)

Atrial Flutter

c)

Ventricular Tachycardia

d)

Normal Sinus Rhythm

59.

The ECG tech notices varying R to R intervals on a patient's ECG. The ECG is otherwise within normal limits.

a)

Call the doctor

b)

This can be normal with breathing

c)

Tell the patient to bear down

d)

Call a code

60.

Which of the following are NOT unipolar?

a)

aVR, aVL, aVF

b)

I, II, III

c)

V1, V2,V3

d)

V4, V5, V6

61.

You have a flat line in leads II and III but normal ECG in other leads. Which of the following is probably loose?

a)

right arm

b)

left arm

c)

left lower

d)

right lower

62.

The ECG is hooked up but all leads seem flat line and patient is awake and talking. Which lead should the tech troubleshoot?

a)

V1

b)

right leg

c)

left leg

d)

right arm