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Worksheets

ECG/EKG Rhythm Strips

Total questions: 200

Worksheet time: 7hrs 40mins

Name
Class
Date
1.

Which of the following best describes this strip?

a)

Tachycardia

b)

Normal Sinus Rhythm

c)

Bradycardia

d)

Asystole

2.

Which of the following best describes this strip?

a)

Tachycardia

b)

Normal Sinus Rhythm

c)

Bradycardia

d)

Asystole

3.

Which of the following best describes this strip?

a)

Tachycardia

b)

Normal Sinus Rhythm

c)

Bradycardia

d)

Asystole

4.

Which one is represent P wave

a)

A

b)

B

c)

C

d)

E

5.

Which one is represent T wave

a)

A

b)

B

c)

C

d)

E

6.

Which one is represent QRS complex

a)

A

b)

B

c)

C

d)

E

7.

By relating events in ECG with phases in cardiac cycle, at which event the AV valve will be closed?

a)

A

b)

B

c)

C

d)

E

8.

By relating events in ECG with phases in cardiac cycle, at which event both atria and ventricles will be relaxed?

a)

A

b)

B

c)

C

d)

E

9.

By relating events in ECG with phases in cardiac cycle, at which event atria contract and ventricles relax?

a)

A

b)

B

c)

C

d)

E

10.

By relating events in ECG with phases in cardiac cycle, at which event the second sound of heart "dup" will be produced?

a)

A

b)

B

c)

C

d)

E

11.

How many cardiac cycle shown in the diagram

a)

2

b)

4

c)

5

d)

6

12.

The reading of the ECG shown in the diagram is

a)

from left to right (forward)

b)

from right to left (backward)

13.

What is the ECG showing (Red Arrow)

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

Asystole

d)

Premature Ventricular Contraction

e)

Heart Block

14.

What is the ECG showing

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

Asystole

d)

Premature Ventricular Contraction

e)

Heart Block

15.

What is the ECG showing

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

16.

What is the ECG showing

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

17.

What is the ECG showing

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

18.

What is the ECG showing (arrow)

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

19.

On a typical ECG grid, 5 small squares, or 1 large square, represent 0.20 seconds of time.

a)

True

b)

False

20.

Identify the ECG tracing.

a)

Normal Sinus Rhythm

b)

Atrial Fibrillation

c)

Atrial Flutter

d)

Ventricular tachycardia

21.

Identify the ECG tracing.

a)

Ventricular fibrillation

b)

Ventricular tachycardia

c)

Torsades de pointes

d)

Asystole

22.

What is the heart rate in this ECG tracing?

a)

60 bpm

b)

75 bpm

c)

90 bpm

d)

130 bpm

23.

Identify the heart block, if any.

a)

First-degree AV block

b)

Second-degree AV block (type I)

c)

Second-degree AV block (type II)

d)

Third-degree AV block

e)

Normal Sinus Rhythm

24.

What is the hear rate of this ECG rhytm?

a)

40

b)

70

c)

100

d)

130

25.

This ECG strip illustrates ____________.

a)

Premature Atrial Contraction

b)

Premature Ventricular Contraction

c)

Atrial Fibrulation

d)

Tachycardia

26.

This ECG wave illustrates ____________.

a)

An MI that occurred years ago

b)

ST segment depression

c)

An acute MI

d)

Normal ECG wave

27.

This ECG illustrates _______________.

a)

Premature Atrial Contraction

b)

Atrial Flutter

c)

Atrial Fibrillation

d)

Ventricular Fibrillation

28.

What is the HR of this ECG?

a)

105pbm

b)

135bpm

c)

75bpm

d)

165bpm

29.

This ECG illustrates ____________________.

a)

Atrial Flutter

b)

Bradycardia

c)

Atrial Fibrillation

d)

Myocardial Infarct

30.

This ECG illustrates ____________________.

a)

1st Degree AV Block

b)

2nd Degree AV Block

c)

3rd Degree AV Block

d)

4th Degree AV Block

31.

This ECG illustrates ________________.

a)

1st Degree AV Block

b)

2nd Degree AV Block

c)

3rd Degree AV Block

d)

4th Degree AV Block

32.

This ECG wave illustrates ______________.

a)

Normal Wave Form

b)

Ectopic Foci

c)

Previous MI

d)

Fibrillation

33.

This ECG illustrates _________________.

a)

Trigemany

b)

Ventricular Fibrillation

c)

Premature Ventricular Contractions

d)

Ventricular Tachycardia

34.

Identify The Tracing

a)

Supraventricular Tachycardia

b)

Premature Atrial Complex

c)

First Degree Heart Block

d)

Atrial Fibrillation

35.

Identify The Tracing

a)

Premature Vent. Complex: Trigeminy

b)

Wandering Atrial Pacemaker

c)

Atrial Flutter

d)

2nd degree AV block, Mobitz I

36.

Identify the tracing

a)

2nd Degree Heart Block Mobitz I

b)

Ventricular Tachycardia Polymorphic

c)

ST Segment Depression

d)

2nd Degree Heart Block Mobitz II

37.

Identify the tracing

a)

Premature Vent. Complex: Quadrigeminy

b)

AV block: 3rd degree (complete heart block)

c)

ST Segment Depression

d)

Ventricular Tachycardia Polymorphic

38.

Identify the tracing

a)

AV block: 2nd degree

b)

Atrial Fibrilation

c)

Junctional Tachycardia

d)

Sinus Bradycardia

39.

Identify the tracing

a)

Atrial Flutter

b)

AV block: 1st degree

c)

Atrial Fibrilattion

d)

Sinus Tachycardia

40.

Identify the tracing

a)

Total AV Block

b)

Atrial Flutter

c)

Torsades de Pointes

d)

Av block 1st Degree

41.

Identify the tracing

a)

Ventricular Fibrillation

b)

PEA

c)

Ventricular Tachycardia

d)

Asystole

42.

Identify the tracing

a)

Atrial Fibrillation

b)

Sinus Tachycardia

c)

Ventricular tachycardia

d)

Supraventricular tachycardia

43.

What is your possible diagnosis

a)

Sinus Tacchycardia

b)

Sinus arrythmia

c)

Atrial fibriilation

d)

WPW syndrome

44.

your correct diagnosis is

a)

Atrila Fibrillation

b)

Ventricular fibriilation

c)

Sinus Tacchycardia

d)

Abnormal ECG

45.

What is the ECG showing ?

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

46.

What is the ECG showing?

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

47.

What is the ECG showing?

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal

d)

Premature Ventricular Contraction

e)

Heart Block

48.

Please choose the right electrical event according to the labels

a)

A: Pacemaker generate wave of signals to contract

B: Signals delayed at AV node

C: Signals pass to heart apex

D: Signals spread throughout ventricles

b)

A: Pacemaker generate wave of signals to contract

B: Signals spread throughout ventricles

C: Signals delayed at AV node

D: Signals pass to heart apex

c)

A: Pacemaker generate wave of signals to contract

B: Signals delayed at AV node

C: Signals pass to heart apex

D: Signals spread throughout ventricles

d)

A: Signals pass to heart apex

B: Signals delayed at AV node

C: Pacemaker generate wave of signals to contract

D: Signals spread throughout ventricles

49.
Which lead is placed 5th Intercostal Space, on the anterior axillary line?
a)
V3
b)
V4
c)
V5
d)
V6
50.
Which lead is found between V2 and V4?
a)
V1
b)
V2
c)
V3
d)
V4
51.
Which lead is placed 5th Intercostal Space, midaxillary line?
a)
V3
b)
V4
c)
V5
d)
V6
52.
Which lead is placed in the 4th Intercostal Space, Left of the Sternum?
a)
V1
b)
V2
c)
V3
d)
V4
53.
Which lead is placed in the 4th Intercostal Space, Right of the Sternum?
a)
V1
b)
V2
c)
V3
d)
V4
54.
Which lead is found 5th Intercostal Space, midclavicular line?
a)
V1
b)
V2
c)
V3
d)
V4
55.
Which lead refers to the Left Arm?
a)
RA
b)
RL
c)
LA
d)
LL
56.
Which lead refers to the Right Leg?
a)
RA
b)
RL
c)
LA
d)
LL
57.
Which lead refers to the Left Leg?
a)
RA
b)
RL
c)
LA
d)
LL
58.
Red
a)
V1
b)
V2
c)
V3
d)
V4
59.
Green
a)
V1
b)
V2
c)
V3
d)
V4
60.

Letter B is identified as the:

a)

P wave

b)

PR interval

c)

PR segment

d)

QRS complex

61.

Letter D is identified as the:

a)

PR interval

b)

ST segment

c)

PR segment

d)

QRS complex

62.

a)

3rd Degree AV Block

b)

2nd Degree AV Block

c)

1st Degree AV Block

63.
a)

Sinus Tachycardia

b)

Supraventricular Tachycardia

c)

Ventricular Tachycardia

64.

Atrial rate of >350 bpm, No definitive P wave, QRS complex usually normal

a)

Ventricular Fibrillation

b)

SVT

c)

Atrial Fibrillation

65.

Find the heart rate. Select the nearest number in your answer.

a)

78 bpm

b)

70 bpm

c)

75 bpm

d)

81 bpm

66.

What part of the hearts conduction system is shown in the diagram?

a)

SA node

b)

AV Node

c)

AV bundle

d)

Purkinje Fibers

67.

What part of the hearts conduction system is shown in the diagram?

a)

SA node

b)

AV Node

c)

AV bundle

d)

Purkinje Fibers

68.

What part of the hearts conduction system is shown in the diagram?

a)

SA node

b)

AV Node

c)

AV bundle

d)

Purkinje Fibers

69.

What part of the hearts conduction system is shown in the diagram?

a)

SA node

b)

AV Node

c)

AV bundle

d)

Purkinje Fibers

70.

What is the name of the circled area of the ECG in the diagram?

a)

P Wave

b)

QRS Complex

c)

T Wave

d)

Cardiac Cycle

71.

What is the name of the circled area of the ECG in the diagram?

a)

P Wave

b)

QRS Complex

c)

T Wave

d)

Cardiac Cycle

72.

What is one complete contraction of the heart as represented in the ECG diagram called?

a)

Coronary Cycle

b)

Cardiac Output

c)

ECG Cycle

d)

Cardiac Cycle

73.

What part of an ECG represents the depolarization of the ventricles?

a)

P Wave

b)

QRS Complex

c)

T Wave

74.
What is going on in the heart during the P wave
a)
SA node triggers depolarization in atria
b)
AV node triggers depolarization in ventricle, the main pumpung action
c)
Delay caused by the SA node
d)
Repolarization of the ventricle 
75.

Identify the tracing

a)

Atrial Fibrillation

b)

Sinus Tachycardia

c)

Ventricular tachycardia

d)

Supraventricular tachycardia

76.

Identify this Rhythm

a)

2nd Degree AV Block type 1

b)

2nd degree Block type 2

c)

3rd degree AV Block

d)

First degree AV Block

77.

a)

2nd Degree AV Block Type 1

b)

2nd Degree AV Block Type 2

c)

3rd Degree AV Block

d)

First Degree AV Block

78.
a)

3rd Degree AV Block

b)

2nd Degree AV Block Type 1

c)

2nd Degree AV Block Type 2

d)

First Degree AV Block

79.

a)

Atrial Fibrillation

b)

2nd Degree AV Block Type 1

c)

2nd degree AV Block Type 2

d)

Atrial Flutter

80.
a)

First Degree AV Block

b)

2nd Degree AV Block Type 1

c)

2nd Degree AV Block Type 2

d)

3rd Degree AV Block

81.

a)

3rd Degree AV Block

b)

2nd Degree AV Block Type 1

c)

2nd Degree AV Block Type 2

d)

First Degree AV Block

82.

What is this rhythm?

4 lines
83.

What is this rhythm?

a)

Normal Sinus Rhythm

b)

Accelerated Junctional Rhythm

c)

Sinus Rhythm with 1AVB

d)

2nd Degree AV Block

84.

What is the approximate amount of time for the QRS complex to record on an ECG?

a)

0.06-0.10 seconds

b)

0.04-0.08 seconds

c)

0.04-0.12 seconds

d)

0.04-0.06 seconds

85.

The P wave of an ECG indicates

a)

atrial contraction.

b)

the heart at rest.

c)

ventricular contraction.

d)

ventricular relaxation.

86.

Which of the following rhythms identified on an ECG prompts the medical assistant to notify the provider immediately?

a)

sinus bradycardia

b)

premature ventricular contraction

c)

ventricular fibrillation

d)

sinus tachycardia

87.

Which of the following indicates a normal sinus rhythm?

a)

PR interval of 0.22 second, QRS complex of 0.10 second, QT interval of 0.40 second and HR of 78

b)

PR interval of 0.22 second, QRS complex of 0.12 second, QT interval of 0.42 second and HR of 72

c)

PR interval of 0.14 second, QRS complex of 0.10 second, QT interval of 0.40 second and HR of 78

d)

PR interval of 0.14 second, QRS complex of 0.16 second, QT interval of 0.42 second and HR of 72

88.

Which of the following rhythms is shown in the strip?

a)

normal sinus rhythm

b)

sinus bradycardia

c)

sinus tachycardia

d)

sinus arrhythmia

89.
Which of the following has zigzag looking waves, rather than P waves?
a)
PACs
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
SVT
90.
What rhythm is this?
a)
Sinus Rhythm with PAC
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
Supraventricular Tachycardia
91.
What rhythm is this?
a)
Sinus Rhythm with PAC
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
Supraventricular Tachycardia
92.

In how many body areas are leads placed in order to obtain a 12 lead ECG?

a)

8

b)

12

c)

10

d)

14

93.

What is computer based monitoring also known as?

a)

ambulatory monitoring

b)

telemetry

c)

out patient monitoring

d)

inpatient monitoring

94.

In single channel ECG machines, how many leads are recorded at one time?

a)

12

b)

6

c)

3

d)

1

95.
The thick muscular portion of the heart: 
a)
Endocardium
b)
Pericardium
c)
Myocardium
96.
Carries blood to the lungs for oxygenation: 
a)
Pulmonary Circulation
b)
Systemic Circulation 
97.
Heart muscle tissue has an inherent ability to contract in a rhythmic pattern, even when removed from the human body. This is called what: 
a)
Automaticity
b)
Irritability 
98.
Heart tissues respond to stimulus such as hormones and ion concentration changes. This is called what? 
a)
Automaticity
b)
Irritability
99.

What does this EKG show?

a)

V-fib

b)

Hypocalcemia

c)

Hyperkalemia

d)

Torsades de pointe

100.

Which are the 2 shockable rhythms?

a)

Vfib

b)

Vtach

c)

PEA

d)

Asystole

101.

A wide QRS complex is determined by a measurement of:

a)

0.12 seconds or greater

b)

0.04 seconds or greater

c)

0.11 seconds or less

d)

0.08 seconds or less

102.

The PR interval is considered normal if it is between:

a)

0.20 and 0.24 seconds

b)

0.04 and 0.08 seconds

c)

0.12 and 0.20 seconds

d)

0.02 and 0.12 seconds

103.

The point where the QRS complex meets the ST segment is commonly referred to as the:

a)

J point

b)

Q point

c)

S point

d)

P point

104.

The normal heart rate is _________ beats per minute.

a)

40 - 120

b)

60 - 100

c)

20 - 40

d)

40 - 60

105.

Step one of the 5-step approach for EKG interpretation is the:

a)

Heart rate

b)

Heart rhythm

c)

PRI

d)

QRS complex

106.

R to R intervals that exhibit no similarity are termed:

a)

Occasionally irregular

b)

Regular

c)

Irregularly irregular

d)

Regularly irregular

107.

The sequential beating of the heart as a result of the generation of electrical impulses is called:

a)

Heart regularity

b)

Heart system

c)

Heart rhythm

d)

Heart rate

108.

A normal or narrow QRS complex indicates that the impulse was not formed in the ventricles and is termed:

a)

Supraventricular

b)

Aberrant conduction

c)

Idioventricular

d)

Midventricular

109.

Heart rate below 60 beats per minute is termed:

a)

Idioventricular

b)

Tachycardia

c)

Bradycardia

d)

Supraventricular

110.

The term __________ is utilized when an impulse may be "above the ventricles."

a)

Idioventricular

b)

Supraventricular

c)

Enterventricular

d)

Medventricular

111.

Artifact is defined as EKG waveforms from sources outside the heart and is most often caused by all of the following EXCEPT:

a)

Electrical impulses

b)

Defective electrodes

c)

Defective cables

d)

Patient movement

112.

A rhythm that originated in the SA node is determined by a:

a)

P wave with a negative deflection

b)

P wave that is not upright

c)

P wave that is inverted

d)

P wave with a positive deflection

113.

When utilizing the 6-second method, you count the number of R waves in a six-second strip and multiply by:

a)

20

b)

15

c)

5

d)

10

114.
a)
Ideoventricular 
b)
Junctional escape
c)
Sinus bradycardia
d)
First degree heart block
115.

The rate of sinus tachycardia is:

a)

Less than 60 bpm

b)

40 - 80 bpm

c)

60 - 100 bpm

d)

Greater than 100 bpm

116.

An ECG rhythm strip shows a ventricular rate of 46, a regular rhythm, a PR interval of 0.14 second, a QRS duration of 0.06, and one upright P wave before each QRS. This rhythm is:

a)

Sinus rhythm

b)

Sinus bradycardia

c)

Sinus arrest

d)

Sinoatrial block

117.

An ECG rhythm strip shows a ventricular rate of 128, a regular rhythm, a PR interval of 0.16 second, a QRS duration of 0.08, and one upright P wave before each QRS. This rhythm is:

a)

Sinus arrhythmia

b)

Sinus bradycardia

c)

Sinus rhythm

d)

Sinus tachycardia

118.
a)

Sinus Rhythm

b)

Sinus Brady

c)

Junctional

d)

WPW

119.
What is the medical term, when the heart rate is below 60 bpm?
a)
bradycardia
b)
normal sinus rhythm
c)
tachycardia
d)
irregular sinus rhythm
120.
Which of the following rhythm is characterized by upright P waves, narrow QRS complexes, and ventricular rate between 60 and 100?
a)
Idioventricular Rhythm
b)
Junctional rhythm
c)
Sinus rhythm
d)
Atrial Rhythm
121.

The patient's monitor shows a flat line but is awake and responding appropriately. You should

a)

Call for help

b)

Begin CPR

c)

Check the leads

d)

No action is needed

122.

60 to 80 beats per minute (beats/min)

a)

Sinus tachycardia

b)

Sinus bradycardia

c)

Normal sinus rhythm

d)

none of the above

123.

The following strip is a 6 second strip. What EKG rhythm is displayed here?

a)

Atrial Fibrillation

b)

Asystole

c)

Normal Sinus Rhythm

d)

Sinus Tachycardia

124.

EKG Strip?

a)

Sinus Arrest

b)

Sinus Arrhythmia

c)

Uni-focal pvcs

d)

Multi focal pvcs

125.

EKG Strip?

a)

Sinus Arrest

b)

Sinus Arrhythmia

c)

Atrial Flutter

d)

Atrial Fib.

126.

Normal PR Interval

Normal QRS Interval

P wave is upright and uniform.

There is one p wave before each QRS complex.

Rhythm is regular.

Rate is 72.

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrhythmia

127.

Normal PR Interval

Normal QRS Interval

P wave is upright and uniform.

There is one p wave before each QRS complex.

Rhythm is regular.

Rate is 122.

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrhythmia

128.

Normal PR Interval

Normal QRS Interval

P wave is upright and uniform.

There is one p wave before each QRS complex.

Rhythm is irregular.

Rate is 65.

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrhythmia

129.

Normal PR Interval

Normal QRS Interval

P wave is upright and uniform.

There is one p wave before each QRS complex.

Rhythm is regular.

Rate is 48.

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrythmia

130.

I am a rhythm with a rate of 104. I am irregular and my p waves are missing. Who am I?

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrhythmia

e)

none of the above

131.

I am a rhythm with a rate of 94. I am irregular. My PR interval is normal. There is a QRS after each P wave. Who am I?

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrhythmia

e)

none of the above

132.

I am a rhythm with a rate of 113. I am regular. My PR interval is 0.12 seconds. There is a QRS is 0.08 and there is a QRS complex after each P wave. Who am I?

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrhythmia

e)

none of the above

133.

I am a rhythm with a rate of 53. I am regular. My PR interval is 0.14 seconds. There is a QRS is 0.10 seconds and there is a QRS complex after each P wave. Who am I?

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrhythmia

e)

none of the above

134.

I am a rhythm with a rate of 73. I am regular. My PR interval is 0.18 seconds. There is a QRS is 0.10 seconds and there is a QRS complex after each P wave. Who am I?

a)

sinus rhythm

b)

sinus tachycardia

c)

sinus bradycardia

d)

sinus arrhythmia

e)

none of the above

135.

What is the most common rhythm that could produce blood clots.

a)

Atrial fibrillation

b)

Wandering baseline

c)

Second Degree Heart Block

d)

None of these

136.

On an ECG, the P wave represents __________________________.

a)

Contraction of the Atria

b)

Contration of the Ventricle

c)

The pause at the AV node

d)

The impulse traveling through the bundle branches

137.

What is the term for rapid heartbeat?

a)

Angina Pectoris

b)

Fibrillations

c)

Tachycardia

d)

Ischemia

138.

Which of these represents an entire cardiac cycle?

a)

QRS complex

b)

P-R complex

c)

R-R interval

d)

QRST complex

139.

Which of these could cause sinus arrythmias?

a)

An inexperienced technician

b)

Changes in breathing

c)

A heart block

d)

Not winning Homecoming Queen

140.

away from the midline of the body

a)

lateral

b)

anterior

c)

medial

d)

vascular

141.

pertaining to the heart

a)

medial

b)

vascular

c)

cardio

d)

atria

142.

toward the midline of the body

a)

lateral

b)

septum

c)

atria

d)

medial

143.

front of the body

a)

posterior

b)

lateral

c)

anterior

d)

vascular

144.

300 ÷\div  2 ==   



(a)  

145.

the initials for electrocardiogram are

a)

ekg

b)

aed

c)

ict

d)

ecg

146.

the two lower chambers of the heart

a)

lateral

b)

endo/cardium

c)

peri/cardium

d)

ventricles

147.

1500 ÷\div 10 ==   


a)

1500

b)

150

c)

100

d)

50

148.

back of the body

a)

posterior

b)

lateral

c)

anterior

d)

medial

149.

outermost layer of the heart ; thin layer of connective tissue and fat and contains the coronary arteries

a)

epicardium

b)

myocardium

c)

endocardium

d)

cardio

150.

away from the midline of the body

a)

lateral

b)

posterior

c)

anterior

d)

medial

151.

pertaining to blood vessels

a)

cardio

b)

anterior

c)

lateral

d)

vascular

152.

divides the right and left chambers of the heart

a)

myocardium

b)

lateral

c)

medial

d)

septum

153.

atria

a)

lower chambers of the heart

b)

upper chambers of the heart

c)

valves such as the mitral and tricuspid

d)

valves such as aortic and pulmonic

154.

difference in electrical charge on either side of a cell membrane for myocardial cells

a)

resting phase

b)

repolarization

c)

action potential

155.

Movement of molecules from an area of higher concentration to an area of lower concentration.

a)

division

b)

diffusion

c)

defacement

d)

salinity

156.

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

157.

The nurse is reviewing a patient’s electrocardiogram. Which wave should the nurse recognize as being the first positive wave in a normal cardiac cycle?

a)

P wave

b)

Q wave

c)

R wave

d)

S wave

158.

A patient is admitted for diagnosis of an electrocardiogram abnormality. Which wave should the nurse plan care based upon changes in the patient’s ventricular depolarization?

a)

P wave

b)

QRS complex

c)

U wave

d)

T wave

159.

After reviewing an electrocardiogram the nurse determines that an electrical impulse originated in a patient’s the sinoatrial node. What did the nurse see on this tracing?

a)

An upright T wave

b)

An inverted T wave

c)

A positive P wave before a QRS complex

d)

A negative P wave before a QRS complex

160.

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

a)

Bundle of His

b)

Sinoatrial node

c)

Purkinje’s fibers

d)

Atrioventricular node

161.

The nurse determines that a patient’s electrocardiogram is demonstrating normal sinus rhythm. What did the nurse 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

162.

The nurse is analyzing a client’s electrocardiogram tracing. Which of the following complexes is not normally seen on an electrocardiogram tracing?

a)

P wave

b)

QRS complex

c)

T wave

d)

U wave

163.

Lead II is the standard lead in viewing the EKG.

a)

True

b)

False

164.

Medical condition where SA node ceases to generate the electrical impulses that normally stimulate the tissues for heart conduction.

a)

Sinus Arrhythmia

b)

1st Degree AV Block

c)

Sinus Arrest

d)

Sino-Atrial Block

165.

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

a)

A-Fib

b)

A-Flutter

c)

PAC's

d)

SA Block

166.

Rate: less than 60 bpm

Rhythm: regular

a)

Sinus Rhythm

b)

Sinus Arrhythmia

c)

Sinus Bradycardia

d)

Sinus Tachycardia

167.

Rate: 150 – 250 bpm

Rhythm: regular

a)

Accelerated Junctional Rhythm

b)

ST

c)

Accelerated IVR

d)

SVT

168.

ST Depression

a)

NSTEMI

b)

STEMI

169.

ST Elevation

a)

NSTEMI

b)

STEMI

170.
What letters are used to label the parts of an EKG?
a)
PQRST 
b)
ABCDE
c)
ACDC
d)
DNAI
171.
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
172.

The width of each small box represents:

a)

0.04 seconds

b)

0.02 seconds

c)

0.40 seconds

d)

0.20 seconds

173.

outermost layer of the heart ; thin layer of connective tissue and fat and contains the coronary arteries

a)

epicardium

b)

myocardium

c)

endocardium

d)

cardio

174.

difference in electrical charge on either side of a cell membrane for myocardial cells

a)

resting phase

b)

repolarization

c)

action potential

175.

Which picture shows the correct placement for a 12 lead EKG?

a)
b)
c)
d)
176.

What is the heart rate on this EKG?

(a)  

177.

This element of the EKG represents repolarization of the ventricles

a)

T Wave

b)

P Wave

c)

PRS Complex

d)

ST segment

178.

Rate: less than 60 bpm

Rhythm: regular

P waves: present and regular

PR Interval: WNL

QRS: WNL

a)

Sinus Rhythm

b)

Sinus Arrhythmia

c)

Sinus Bradycardia

d)

Sinus Tachycardia

179.

The pacemaker of the heart is the..

a)

SA node

b)

AV node

c)

Purkinje Fibers

d)

Bundle branches

180.

What is the best position for the patient when performing an EKG?

a)

Prone

b)

Supine

c)

Lateral

d)

Standing

181.

Which of the following leads is usually used as a rhythm strip?

a)

Lead I

b)

Lead II

c)

Lead avR

d)

V4

182.

Which test is an EKG that the patient wears for an extended period of time and keeps a diary of their activities while wearing it?

a)

Exercise Stress Test

b)

Long Term EKG

c)

Holter Monitor

d)

Chemical Stress Test

183.

Which electrode is found 5th Intercostal Space, midclavicular line?

a)

V1

b)

V2

c)

V3

d)

V4

184.

What does depolarization result in?

a)

relaxation

b)

contraction

c)

repulsion

d)

attraction

185.

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

186.

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

187.

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)

188.

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

189.

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

190.

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

191.

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

192.

EKG Interpretation:

a)

Course V-Fib

b)

Fine V-Fib

193.

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

194.

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

195.

Seen as a result of the repolarization of the ventricles.

a)

P Wave

b)

T Wave

c)

QRS Complex

d)

ST Segment

196.

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

a)

50

b)

52

c)

55

d)

58

197.

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

198.

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

199.

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

200.

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

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