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| 1 | You are assessing the ECG tracing of a 55 year male who is complaining of chest pain. You note the rate on the tracing is 120 beats per minute. This rhythm can be described as a/an: |
 | A) | bradycardia |
| B) | dysrhythmia |
| C) | irregular rhythm |
| D) | pathologic condition |
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| 2 | You have just attached the ECG machine to a 41-year-old patient who is complaining of a "racing heart." The first thing you should assess on the ECG is/are the: |
| A) | regularity |
| B) | P waves |
| C) | QRS complexes |
| D) | heart rate |
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| 3 | You notice an irregular rhythm on the ECG tracing you are accessing. Which method should be used to determine the heart rate? |
| A) | 6-second interval x 10 method |
| B) | 300, 150, 100, 75, 60, 50 method |
| C) | A rate calculator |
| D) | 1500 method |
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| 4 | You are using the 6-second interval x 10 method to assess an ECG tracing. You note there are eight QRS complexes in a six second portion of the ECG tracing. This patient's heart rate is ___ beats per minute? |
| A) | 60 |
| B) | 70 |
| C) | 80 |
| D) | 90 |
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| 5 | You are using the 6-second interval x 10 method to assess an ECG tracing. You note there are four QRS complexes in a six second portion of the ECG tracing. This patient's heart rate is ___ beats per minute? |
| A) | 40 |
| B) | 50 |
| C) | 60 |
| D) | 80 |
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| 6 | You are using the 6-second interval x 10 method to assess an ECG tracing. You note there are 11 QRS complexes in a six second portion of the ECG tracing. This patient's heart rate is ___ beats per minute? |
| A) | 100 |
| B) | 110 |
| C) | 90 |
| D) | 220 |
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| 7 | You are using the 6-second interval x 10 method to assess an ECG tracing. You note there are five QRS complexes and ten P waves in a six second portion of the ECG tracing. This patient's ventricular rate is ___ beats per minute and his atrial rate is ___ beats per minute? |
| A) | 40, 80 |
| B) | 50, 100 |
| C) | 60, 100 |
| D) | 100, 200 |
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| 8 | You are using the 6-second interval x 10 method to assess an ECG tracing. You note there are six QRS complexes and eight P waves in a six second portion of the ECG tracing. This patient's ventricular rate is ___ beats per minute and his atrial rate is ___ beats per minute? |
| A) | 40, 80 |
| B) | 50, 100 |
| C) | 60, 80 |
| D) | 120, 140 |
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| 9 | You are accessing the ECG tracing of a 50 year old patient who passed out in church, he has a regular rhythm. Which method is the quickest, most accurate way to determine the heart rate? |
| A) | 6-second interval x 10 method |
| B) | 300, 150, 100, 75, 60, 50 method |
| C) | calipers |
| D) | 1500 method |
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| 10 | You are using the 300, 150, 100, 75, 60, 50 method to determine the heart rate. You locate an R wave that falls on a bold line on the ECG paper. The next consecutive R wave after your starting point falls directly on the 3rd bold line. This patient's heart rate is ______ beats per minute. |
| A) | 300 |
| B) | 150 |
| C) | 100 |
| D) | 75 |
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| 11 | You are using the 300, 150, 100, 75, 60, 50 method to determine the heart rate. You locate an R wave that falls on a bold line on the ECG paper. The next consecutive R wave after your starting point falls directly on the 6th bold line. This patient's heart rate is ______ beats per minute. |
| A) | 100 |
| B) | 75 |
| C) | 60 |
| D) | 50 |
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| 12 | You are using the 300, 150, 100, 75, 60, 50 method to determine the heart rate. You locate an R wave that falls on a bold line on the ECG paper. The next consecutive R wave after your starting point falls directly on the 2nd bold line. This patient's heart rate is ______ beats per minute. |
| A) | 300 |
| B) | 150 |
| C) | 100 |
| D) | 75 |
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| 13 | You are using the 300, 150, 100, 75, 60, 50 method to determine the heart rate. You locate an R wave that falls on a bold line on the ECG paper. The next consecutive R wave after your starting point falls directly on the 7th bold line. This patient's heart rate is ______ beats per minute. |
| A) | 43 |
| B) | 75 |
| C) | 60 |
| D) | 50 |
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| 14 | You are using the 300, 150, 100, 75, 60, 50 method to determine the heart rate. You locate an R wave that falls on a bold line on the ECG paper. The next consecutive R wave after your starting point falls directly on the 2nd thin line to the right of the 3rd bold line. This patient's heart rate is ______ beats per minute. |
| A) | 88 |
| B) | 94 |
| C) | 79 |
| D) | 107 |
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| 15 | You are using the 300, 150, 100, 75, 60, 50 method to determine the heart rate. You locate an R wave that falls on a bold line on the ECG paper. The next consecutive R wave after your starting point falls directly on the 4th thin line to the right of the 2nd bold line. This patient's heart rate is ______ beats per minute. |
| A) | 125 |
| B) | 107 |
| C) | 167 |
| D) | 94 |
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| 16 | You are using the 300, 150, 100, 75, 60, 50 method to determine the heart rate. You locate an R wave that falls on a bold line on the ECG paper. The next consecutive R wave after your starting point falls directly on the 3rd thin line to the right of the 5th bold line. This patient's heart rate is ______ beats per minute. |
| A) | 63 |
| B) | 58 |
| C) | 54 |
| D) | 48 |
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| 17 | You are using the 1500 method to determine the heart rate. You count the number of small squares between two consecutive R waves and determine there are 34. This patient's heart rate is ______ beats per minute. |
| A) | 38 |
| B) | 44 |
| C) | 54 |
| D) | 48 |
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| 18 | You are using the 1500 method to determine the heart rate. You count the number of small squares between two consecutive R waves and determine there are 15. This patient's heart rate is ______ beats per minute. |
| A) | 100 |
| B) | 108 |
| C) | 96 |
| D) | 92 |
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| 19 | Which of the following dysrhythmias may be associated with a bradycardic rate? |
| A) | accelerated junctional rhythm |
| B) | sinus tachycardia |
| C) | sinus arrest |
| D) | atrial fibrillation with rapid ventricular response |
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| 20 | Sinus bradycardia is a: |
| A) | slow rate that arises from the SA node |
| B) | slow rate that occurs because the heart's primary pacemaker fails to initiate one or more beats |
| C) | slow rate that occurs because there is a blockage of the impulse traveling through the AV node |
| D) | fast rate that arises from the SA node |
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| 21 | Junctional tachycardia has a heart rate of ______ beats per minute. |
| A) | 100 to 160 |
| B) | 150 to 250 |
| C) | 100 to 180 |
| D) | 150 to 250 |
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| 22 | Analysis of an ECG tracing can only be done by directly assessing the ECG printout. |
| A) | True |
| B) | False |
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| 23 | To analyze an ECG tracing you should approach it in a logical and systematic manner. |
| A) | True |
| B) | False |
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| 24 | A heart rate less than 60 beats per minute is called bradycardia. |
| A) | True |
| B) | False |
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| 25 | Extremely slow heart rates can result in decreased cardiac output whereas extremely fast heart rates result in increased cardiac output. |
| A) | True |
| B) | False |