WorksheetsEKG Practice Exam
Total questions: 72
Worksheet time: 1hrs 12mins
What does this ECG show?
Atrial Flutter
Anterior STEMI
Atrial fibrillation
Sinus rhythm
What arrhythmia does this ECG show?
Atrial Flutter
Atrial fibrillation
Degree AV-block, Mobitz type II
AVNRT
What does this ECG show?
Monomorf ventricular tachycardia
AVNRT
Polymorf ventricular tachycardia
Ventricular fibrillation
How do you treat this arrhythmia?
DC-conversion
No treatment is needed
Adenosine
Amiodarone
What does this ECG show?
Sinus rhythm
Atrial fibrillation
AVNRT
Atrial flutter
What type of AV-block is shown in this ECG?
2. Degree AV-Block, Mobitz Type II
1. Degree AV-Block
2. Degree AV-Block, Mobitz Type I / Wenckebach
3. Degree AV-Block
What arrhythmia does this ECG show?
LBBB
Sinus bradychardia
3. Degree AV-Block
Sick Sinus Syndrome (SSS)
What does this ECG show?
Sinus rhythm
ST-elevation
Right axis deviation
Left axis deviation
What does this ECG show?
Anterior STEMI
Inferior STEMI
Posterior STEMI
Lateral STEMI
What arrhythmia does this ECG show?
Atrial fibrillation
Monomorf ventricular tachycardia
Ventricular fibrillation
Polymorf ventricular tachycardia
What corronary arteries is/are obstructed in this patient?
RCA
LAD
LAD + RCA
RCA + C
How do you treat this arrhythmia? (pick 2)
Adenosine
Amiodarone
PCI
DC-conversion
13. Immediate defibrillation is the best treatment for terminating ventricular fibrillation.
T
F
An automatic external defibrillator (AED) is an external device that automatically analyzes rhythms. For VF or VT, an AED will either automatically deliver or prompt the operator to deliver an electrical shock for a shockable rhythm.
T
F
A patient has a radial pulse of 58 beats per minute. Which of the following should the nurse use to document this finding?
Tachycardia
Bradycardia
Asystole
Normal
With sinus tachycardia, the impulse arises from the
SA node
bundle branches
AV node
Purkinje fibers
With Sinus Bradycardia, the impulse originates in the
Purkinje fibers
AV node
SA node
bundle branches
Which best describes this rhythm?
Asystole
PEA
Atrial Fibrillation
Atrial Flutter
Which best describes this rhythm?
PEA
Asystole
Ventricular Fibrillation
Pulseless Ventricular Tachycardia
Which best describes this rhythm?
PEA
Ventricular fibrillation
Pulseless Ventricular Tachycardia
Asystole
What is the term for a rapid heartbeat?
Fibrillation
Tachycardia
Angina pectoris
Ischemia
What wave on a rhythm strip indicates the repolarization of the ventricles?
P
T
S
Q
R
What does the T wave represent
if the rhythm is normal
The contraction of the atria
The contraction of the ventricles
The relaxation of the heart
Which of the following best describes this strip?
Asystole
Normal Sinus Rhythm
Tachycardia
Bradycardia
Use the rule of 300 to determine approximate Heart Rate.
300/6=50
note enough information
300/3.5=75
300/2=150
Use the rule of 300 to determine approximate Heart Rate.
note enough information
300/1.5=200
300/6=50
300/3.5=75
Which of the following best describes this strip?
Bradycardia
Normal Sinus Rhythm
Tachycardia
Asystole
Interpret this EKG strip
Sinus Bradycardia, Hr.50
Sinus Tachycardia, Hr. 110
Sinus Rhythm, Hr.90
Sinus Rhythm, Hr.70
Which label is representing the Purkinje fibers?
C
D
E
A
Which best describes this rhythm? a) Atrial Fibrillation b) PEA c) Atrial Flutter d) Asystole
Atrial Flutter
Atrial Fibrillation
PEA
Asystole
What is the correct sequence of electrical conduction of the heart?
None of the options are correct.
SA node, internodal pathways, AV node, Purkinje fibers, right and left bundle branches, Bundle of his.
SA node, internodal pathways, AV node, Bundle of his, right and left bundle branches, Purkinje fibers.
AV node, internodal pathways, SA node, Bundle of his, right and left bundle branch, Purkinje fibers.
Where do the P waves occur?
After each QRS complex
It varies; most are before a QRS complex
Before each QRS complex
What is the duration of the QRS?
0.12 sec
0.08 sec
cannot be determined
0.16
Is the rhythm regular or irregular?
regular
irregular
How long is the PR interval?
The PR varies, gradually lengthening until a P wave is blocked and a QRS is dropped
0.12 sec
The PR varies, with no pattern
0.08 sec
0.28
What is the duration of the QRS?
0.32 sec
0.24 sec
0.16 sec
0.08 sec
What is the atrial rate?
110 bpm
35 bpm
40 bpm
124 bpm
Which of the following are complications of pulmonary edema? (select all that apply)
MI
heart failure
arrhythmias
cardiac arrest
Which valve separates the right atrium from the right ventricle?
Pulmonary valve
Tricuspid valve
Aortic valve
Mitral valve
What is the normal rhythm of the heart called?
Atrial flutter
Sinus rhythm
Ventricular fibrillation
Ventricular tachycardia
What is the life-threatening arrhythmia characterized by rapid, irregular activation of the ventricles?
Atrial flutter
Ventricular fibrillation
Atrial fibrillation
Ventricular tachycardia
What is the purpose of the atria in the heart?
To pump blood to the lungs
To collect blood entering the heart and send it to the ventricles
To regulate heart rate
To pump blood to the rest of the body
What is the purpose of the ventricles in the heart?
To pump blood to the rest of the body
To regulate heart rate
To collect blood entering the heart and send it to the ventricles
To pump blood to the lungs
What is the term for a rhythm characterized by wide, bizarre QRS complexes and frequent ventricular premature contractions?
Ventricular tachycardia
Ventricular fibrillation
Atrial fibrillation
Atrial flutter
What is the term for a rhythm characterized by AV node-independent intra-atrial macro-reentry?
Ventricular fibrillation
Atrial fibrillation
Ventricular tachycardia
Atrial flutter
What is the purpose of the aorta in the heart?
To pump blood to the rest of the body
To collect blood entering the heart and send it to the ventricles
To regulate heart rate
To pump blood to the lungs
Atropine has what effect on the heart?
a) It decreases the heart rate
.b) It has no effect on the heart
.c) It minimizes atrial kick.
d) It increases the heart rate.
Beta-blockers have what effect on heart rate and contractility?
a) Increased heart rate and decreased contractility
b) Decreased heart rate and increased contractility
c) Increased heart rate and contractility
d) Decreased heart rate and contractility
Electrical stimulation throughout the ventricles is delivered by the:
a) Bundle of His
b) Purkinje fibers
c) SA node
d) AV node
Also known as the baseline, it is best determined by drawing a line between the end of the T and beginning of the P wave.
a) Av node
b) SA node
c) isoelectric line
d) P wave
Located in the proximal intraventricular septum. It merges from the AV node to begin the conduction of the impulse from the AV node to the ventricles.
a) T wave
b) ST segment
c) Electrode
d) Bundle of His
A small rounded wave on an EKG that indicates atrial contraction.
a) P wave
b) AV node
c) T wave
d) SA nod
The interval of time between the P wave and the R wave on the ECG.
a) P-P interval
b) R-R interval
c) PR interval
d) long QT interval
A QT interval longer than 0.42 secs.
a) PR interval
b) Short QT interval
c) Long QT interval
d) P-P interval
Change of the electrical polarity of a membrane because of flow of ion in and out of the cell across the cell membranes.
a) junctional rhythm
b) repolarization
c) electrode
d) depolarization
The restoration of electrical polarity via an increase in ion differential between cell membranes of the myocardium.
a) wave
b) segment
c) repolarization
d) depolarization
The electrical sensors placed on the chest to record the bioelectrical activity of the heart.
a) interval
b) node
c) wave
d) electrode
Specialized heart conducting tissue that receives impulses from the SA node and propagates them to the ventricles.
a) AS node
b) AV node
c) VA node
d) SA node
EKG representation of the heart's electrical impulse as it passes through ventricles.
a) A wave
b) P wave
c) QRS complex
d) T wave
Corresponds to rapid ventricular repolarization.
a) A wave
b) Q wave
c) P wave
d) T wave
The interval represented by the space between the P waves of two consecutive complexes.
a) T interval
b) QT interval
c) P-P interval
d) PR interval
The normal cycle of electrical stimulation of the heart that begins in the SA node, traveling to the left atrium and down to the AV node.
a) QT rhythm
b) sinus rhythm
c) junctional rhythm
d) rhythm
How many electrodes are used for a 12 lead EKG?
a) 12
b) 6
c) 8
d) 10
The QR complex occurs:
a) When the atria contract.
b) When the heart begins to beat from the pacemaker
c) When the ventricles contract.
d) When the heart rest after a contraction.
Where does a U wave usually appear?
a) After the Q wave
b) Before the R wave
c) After the T wave
d) During the T wave
When does a U wave occur?
a) There is no such things as a U wave.
b) When the patient moves during the tracing.
c) When a patient has a very low K+.
d) When the machine is running too slow.
What is the normal standard?
a) 10 mm
b) 20 ml
c) 5mm
d) 15 mm
The term electrocardiograph is:
a) The augmented leads.
b) The heat sensitive EKG paper.
c) The instrument used for recording the heart's activity.
d) The recording or tracing of the heart's activity
What is a lead?
a) The picture of the heart.
b) The colored wires that are put on the patient's limbs.
c) The plate that conducts electricity
d) The gel or pad that conducts electricity.
Which of the following represent the cardiac cycle?
a) QRS complex
b) P-R interval
c) QRST complex
d) PQRST complex
Another name for Leads aVF, aVL, aVR is:
a) Both A and B.
b) Augmented leads.
c) Bipolar lead.
d) Stand lead.
What does Standardization check?
a) All of the above.
b) To see if the machine is working properly by checking the voltage.
c) To see how fast the heart is beating.
d) The timing of the instrument
