,TESTBANK FOR Basic Arrhythmias with 12-lead
EKGs, 9th edition Walraven
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
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,Basic Arrhythmias With 12-Lead EKGs, 9e (Walraven)
Chapter 1 Electrophysiology
1) The inherent rate of the SA node is ________ bpm.
A) 30-60
B) 40-60
C) 60-100
D) 100-120
Answer: C
Learning Obj.: 1.3
2) The inherent rate of the AV junction is ________ bpm.
A) 20-40
B) 40-60
C) 60-100
D) 100-120
Answer: B
Learning Obj.: 1.3
3) The inherent rate of the ventricle is ________ bpm.
A) 20-40
B) 40-60
C) 60-100
D) 100-120
Answer: A
Learning Obj.: 1.3
4) The built-in rate of each of the three major areas of the conduction system is referred to as the
________ rate.
A) fast
B) heart
C) escape
D) inherent
Answer: D
Learning Obj.: 1.3
5) What term is used to refer to the process of electrical discharge and the flow of electrical
activity?
A) Repolarization
B) Depolarization
C) Polarization
D) Polarized
Answer: B
Learning Obj.: 1.2
1
Copyright © 2025 Pearson Education, Inc.
,6) If polarizing is considered the ready state, then ________ would be considered the recovery
state.
A) discharge
B) polarization
C) repolarization
D) depolarization
Answer: C
Learning Obj.: 1.2
7) After leaving the area of the AV node, impulses go through the ________ to reach the right
and left bundle branches.
A) Purkinje fibers
B) Bundle of His
C) AV junction
D) SA node
Answer: B
Learning Obj.: 1.3
8) Part of the parasympathetic branch of the autonomic nervous system is the ________ nerve.
A) vagus
B) coronary
C) aortic
D) pericardial
Answer: A
Learning Obj.: 1.4
9) When stimulated, the ________ branch of the nervous system increases heart rate, AV
conduction, and irritability.
A) parasympathetic
B) sympathetic
C) pacemaker
D) inherent
Answer: B
Learning Obj.: 1.4
10) Which cardiac cells are responsible for initiating and conducting pacemaker impulses?
A) Motor cells
B) Mechanical cells
C) Electrical cells
D) Atrioventricular cells
Answer: C
Learning Obj.: 1.1
2
Copyright © 2025 Pearson Education, Inc.
,11) Which is the normal pacemaker of the heart?
A) SA node
B) AV node
C) AV junction
D) Ventricle
Answer: A
Learning Obj.: 1.3
12) Which of the following is NOT a part of the normal cardiac conduction system?
A) Coronary sinus
B) AV node
C) Purkinje Fibers
D) Internodal pathways
Answer: A
Learning Obj.: 1.1
13) What is the term for the fail-safe mechanism that allows a lower pacemaker to take over
when a higher site fails?
A) Polarization
B) Irritability
C) AV conduction
D) Escape
Answer: D
Learning Obj.: 1.4
14) Which of the following best explains the mechanism called irritability?
A) The ventricles repolarize before they are ready.
B) The normal pacemaker slows down and gives up control.
C) A lower pacemaker site speeds up to take control of the heart.
D) The normal pacemaker changes its inherent rate.
Answer: C
Learning Obj.: 1.4
15) Which of the following does NOT happen when the sympathetic branch is stimulated?
A) Heart rate increases.
B) The heart becomes more irritable.
C) Impulses go faster through the AV node.
D) Ventricular conduction slows down.
Answer: D
Learning Obj.: 1.4
3
Copyright © 2025 Pearson Education, Inc.
,Basic Arrhythmias With 12-Lead EKGs, 9e (Walraven)
Chapter 2 Waves and Measurements
1) When an EKG machine is turned on but not yet connected to the patient, the stylus produces a
straight line called the ________ line.
A) equal force
B) isoelectric
C) standard
D) straight
Answer: B
Learning Obj.: 2.1
2) The EKG machine produces an upright deflection on the graph paper if the flow of electricity
is toward the ________ electrode.
A) positive
B) negative
C) straight
D) inverted
Answer: A
Learning Obj.: 2.3
3) The horizontal lines on the EKG graph paper measure:
A) time.
B) speed.
C) pattern.
D) voltage.
Answer: D
Learning Obj.: 2.2
4) The vertical lines on the EKG graph paper measure:
A) time.
B) speed.
C) pattern.
D) voltage.
Answer: A
Learning Obj.: 2.2
5) The distance between two "tic" marks is ________ sec.
A) 3
B) 4
C) 5
D) 6
Answer: A
Learning Obj.: 2.2
1
Copyright © 2025 Pearson Education, Inc.
,6) On EKG graph paper, the time between two heavy vertical lines is five small boxes, or
________ sec.
A) 0.04
B) 0.08
C) 0.12
D) 0.20
Answer: D
Learning Obj.: 2.2
7) On EKG graph paper, the distance in time between two light vertical lines, or across one small
square, is ________ sec.
A) 0.04
B) 0.08
C) 0.12
D) 0.20
Answer: A
Learning Obj.: 2.2
8) A series of cardiac cycles makes up a(n):
A) EKG rhythm strip.
B) QRS complex.
C) P-P interval.
D) wave segment.
Answer: A
Learning Obj.: 2.4
9) The deflections above and below the isoelectric line are referred to as:
A) intervals.
B) segments.
C) pauses.
D) waves.
Answer: D
Learning Obj.: 2.3
10) The short period of electrical inactivity between the end of the P wave and the start of the
QRS complex is called the:
A) P pause.
B) PR segment.
C) PR interval.
D) PR pause.
Answer: B
Learning Obj.: 2.3
2
Copyright © 2025 Pearson Education, Inc.
,11) The PR interval begins at the first sign of the P wave and ends at the first sign of the next
deflection, which is called the:
A) T wave.
B) S wave.
C) PR segment.
D) QRS complex.
Answer: D
Learning Obj.: 2.3
12) The PR interval reflects all ________ activity.
A) mechanical
B) atrial
C) cardiac
D) ventricular
Answer: B
Learning Obj.: 2.3
13) Which of the following is NOT a normal QRS measurement?
A) 0.08
B) 0.20
C) 0.11
D) 0.06
Answer: B
Learning Obj.: 2.3
14) No impulse can cause depolarization during the ________ refractory period.
A) original
B) absolute
C) relative
D) impulse
Answer: B
Learning Obj.: 2.3
15) A strong impulse can cause a premature abnormal discharge during the ________ refractory
period.
A) original
B) absolute
C) relative
D) impulse
Answer: C
Learning Obj.: 2.3
3
Copyright © 2025 Pearson Education, Inc.
,16) Which of the following best describes the elements of a single cardiac cycle?
A) P wave, PR segment, and PR interval
B) P wave and QRS complex
C) QRS complex, ST segment, and T wave
D) P wave, PR segment, PR interval, QRS complex, and T wave
Answer: D
Learning Obj.: 2.4
4
Copyright © 2025 Pearson Education, Inc.
, Basic Arrhythmias With 12-Lead EKGs, 9e (Walraven)
Chapter 3 Analyzing EKG Rhythm Strips
1) The heart's normal rhythm usually originates in the:
A) SA node.
B) atria.
C) AV node.
D) ventricle.
Answer: A
Learning Obj.: 3.2
2) To find out if a rhythm is regular or irregular, measure the ________ across the entire strip.
A) R-R intervals
B) QRS complexes
C) PR intervals
D) PR segments
Answer: A
Learning Obj.: 3.2
3) When a P wave originates in the SA node, it is expected to be smooth, rounded, and ________
in Lead II.
A) inverted
B) upright
C) notched
D) biphasic
Answer: B
Learning Obj.: 3.2
4) The standard systematic approach to arrhythmia interpretation consists of all of the following
EXCEPT:
A) heart rate and regularity.
B) P waves and PR interval.
C) QRS complex.
D) refractory periods.
Answer: D
Learning Obj.: 3.1
5) The cardiac activity that takes place above the ventricles is referred to as ________ activity.
A) precipitating
B) AV nodal
C) supraventricular
D) infraventricular
Answer: C
Learning Obj.: 3.2
1
Copyright © 2025 Pearson Education, Inc.
EKGs, 9th edition Walraven
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Basic Arrhythmias With 12-Lead EKGs, 9e (Walraven)
Chapter 1 Electrophysiology
1) The inherent rate of the SA node is ________ bpm.
A) 30-60
B) 40-60
C) 60-100
D) 100-120
Answer: C
Learning Obj.: 1.3
2) The inherent rate of the AV junction is ________ bpm.
A) 20-40
B) 40-60
C) 60-100
D) 100-120
Answer: B
Learning Obj.: 1.3
3) The inherent rate of the ventricle is ________ bpm.
A) 20-40
B) 40-60
C) 60-100
D) 100-120
Answer: A
Learning Obj.: 1.3
4) The built-in rate of each of the three major areas of the conduction system is referred to as the
________ rate.
A) fast
B) heart
C) escape
D) inherent
Answer: D
Learning Obj.: 1.3
5) What term is used to refer to the process of electrical discharge and the flow of electrical
activity?
A) Repolarization
B) Depolarization
C) Polarization
D) Polarized
Answer: B
Learning Obj.: 1.2
1
Copyright © 2025 Pearson Education, Inc.
,6) If polarizing is considered the ready state, then ________ would be considered the recovery
state.
A) discharge
B) polarization
C) repolarization
D) depolarization
Answer: C
Learning Obj.: 1.2
7) After leaving the area of the AV node, impulses go through the ________ to reach the right
and left bundle branches.
A) Purkinje fibers
B) Bundle of His
C) AV junction
D) SA node
Answer: B
Learning Obj.: 1.3
8) Part of the parasympathetic branch of the autonomic nervous system is the ________ nerve.
A) vagus
B) coronary
C) aortic
D) pericardial
Answer: A
Learning Obj.: 1.4
9) When stimulated, the ________ branch of the nervous system increases heart rate, AV
conduction, and irritability.
A) parasympathetic
B) sympathetic
C) pacemaker
D) inherent
Answer: B
Learning Obj.: 1.4
10) Which cardiac cells are responsible for initiating and conducting pacemaker impulses?
A) Motor cells
B) Mechanical cells
C) Electrical cells
D) Atrioventricular cells
Answer: C
Learning Obj.: 1.1
2
Copyright © 2025 Pearson Education, Inc.
,11) Which is the normal pacemaker of the heart?
A) SA node
B) AV node
C) AV junction
D) Ventricle
Answer: A
Learning Obj.: 1.3
12) Which of the following is NOT a part of the normal cardiac conduction system?
A) Coronary sinus
B) AV node
C) Purkinje Fibers
D) Internodal pathways
Answer: A
Learning Obj.: 1.1
13) What is the term for the fail-safe mechanism that allows a lower pacemaker to take over
when a higher site fails?
A) Polarization
B) Irritability
C) AV conduction
D) Escape
Answer: D
Learning Obj.: 1.4
14) Which of the following best explains the mechanism called irritability?
A) The ventricles repolarize before they are ready.
B) The normal pacemaker slows down and gives up control.
C) A lower pacemaker site speeds up to take control of the heart.
D) The normal pacemaker changes its inherent rate.
Answer: C
Learning Obj.: 1.4
15) Which of the following does NOT happen when the sympathetic branch is stimulated?
A) Heart rate increases.
B) The heart becomes more irritable.
C) Impulses go faster through the AV node.
D) Ventricular conduction slows down.
Answer: D
Learning Obj.: 1.4
3
Copyright © 2025 Pearson Education, Inc.
,Basic Arrhythmias With 12-Lead EKGs, 9e (Walraven)
Chapter 2 Waves and Measurements
1) When an EKG machine is turned on but not yet connected to the patient, the stylus produces a
straight line called the ________ line.
A) equal force
B) isoelectric
C) standard
D) straight
Answer: B
Learning Obj.: 2.1
2) The EKG machine produces an upright deflection on the graph paper if the flow of electricity
is toward the ________ electrode.
A) positive
B) negative
C) straight
D) inverted
Answer: A
Learning Obj.: 2.3
3) The horizontal lines on the EKG graph paper measure:
A) time.
B) speed.
C) pattern.
D) voltage.
Answer: D
Learning Obj.: 2.2
4) The vertical lines on the EKG graph paper measure:
A) time.
B) speed.
C) pattern.
D) voltage.
Answer: A
Learning Obj.: 2.2
5) The distance between two "tic" marks is ________ sec.
A) 3
B) 4
C) 5
D) 6
Answer: A
Learning Obj.: 2.2
1
Copyright © 2025 Pearson Education, Inc.
,6) On EKG graph paper, the time between two heavy vertical lines is five small boxes, or
________ sec.
A) 0.04
B) 0.08
C) 0.12
D) 0.20
Answer: D
Learning Obj.: 2.2
7) On EKG graph paper, the distance in time between two light vertical lines, or across one small
square, is ________ sec.
A) 0.04
B) 0.08
C) 0.12
D) 0.20
Answer: A
Learning Obj.: 2.2
8) A series of cardiac cycles makes up a(n):
A) EKG rhythm strip.
B) QRS complex.
C) P-P interval.
D) wave segment.
Answer: A
Learning Obj.: 2.4
9) The deflections above and below the isoelectric line are referred to as:
A) intervals.
B) segments.
C) pauses.
D) waves.
Answer: D
Learning Obj.: 2.3
10) The short period of electrical inactivity between the end of the P wave and the start of the
QRS complex is called the:
A) P pause.
B) PR segment.
C) PR interval.
D) PR pause.
Answer: B
Learning Obj.: 2.3
2
Copyright © 2025 Pearson Education, Inc.
,11) The PR interval begins at the first sign of the P wave and ends at the first sign of the next
deflection, which is called the:
A) T wave.
B) S wave.
C) PR segment.
D) QRS complex.
Answer: D
Learning Obj.: 2.3
12) The PR interval reflects all ________ activity.
A) mechanical
B) atrial
C) cardiac
D) ventricular
Answer: B
Learning Obj.: 2.3
13) Which of the following is NOT a normal QRS measurement?
A) 0.08
B) 0.20
C) 0.11
D) 0.06
Answer: B
Learning Obj.: 2.3
14) No impulse can cause depolarization during the ________ refractory period.
A) original
B) absolute
C) relative
D) impulse
Answer: B
Learning Obj.: 2.3
15) A strong impulse can cause a premature abnormal discharge during the ________ refractory
period.
A) original
B) absolute
C) relative
D) impulse
Answer: C
Learning Obj.: 2.3
3
Copyright © 2025 Pearson Education, Inc.
,16) Which of the following best describes the elements of a single cardiac cycle?
A) P wave, PR segment, and PR interval
B) P wave and QRS complex
C) QRS complex, ST segment, and T wave
D) P wave, PR segment, PR interval, QRS complex, and T wave
Answer: D
Learning Obj.: 2.4
4
Copyright © 2025 Pearson Education, Inc.
, Basic Arrhythmias With 12-Lead EKGs, 9e (Walraven)
Chapter 3 Analyzing EKG Rhythm Strips
1) The heart's normal rhythm usually originates in the:
A) SA node.
B) atria.
C) AV node.
D) ventricle.
Answer: A
Learning Obj.: 3.2
2) To find out if a rhythm is regular or irregular, measure the ________ across the entire strip.
A) R-R intervals
B) QRS complexes
C) PR intervals
D) PR segments
Answer: A
Learning Obj.: 3.2
3) When a P wave originates in the SA node, it is expected to be smooth, rounded, and ________
in Lead II.
A) inverted
B) upright
C) notched
D) biphasic
Answer: B
Learning Obj.: 3.2
4) The standard systematic approach to arrhythmia interpretation consists of all of the following
EXCEPT:
A) heart rate and regularity.
B) P waves and PR interval.
C) QRS complex.
D) refractory periods.
Answer: D
Learning Obj.: 3.1
5) The cardiac activity that takes place above the ventricles is referred to as ________ activity.
A) precipitating
B) AV nodal
C) supraventricular
D) infraventricular
Answer: C
Learning Obj.: 3.2
1
Copyright © 2025 Pearson Education, Inc.
