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ECG- Final Exam Questions With 100% Correct Answers

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conducted PAC's Delivery of an electrical current timed for delivery during the QRS complex is called - Correct Answer-synchronized cardioversion What is a nonconducted PAC. - Correct Answer-P wave with no QRS occurring after it If the AV junction paces the heart, the electrical impulse must travel in a direction to activate the atria - Correct Answer-backward What is a demand pacemaker also known as? - Correct Answer-Synchronous pacemakers What are the five steps used in ECG rhythm analysis? - Correct Answer-1) evaluate ventricular rate/rhythm 2) evaluate atrial rate/rhythm 3) identify and examine the waveform 4) assess intervals and ST segments 5) interpret the rhythym What are three uses for ECG monitoring? - Correct Answer-1) monitor patients HR 2) evaluate pacemaker function 3) evaluate disease or injury to heart 4) evaluate for MI What are three causes of artifact on an ECG? - Correct Answer-Patient movement, lose electrodes, broken wires What are four reasons the AV junction may be responsible for pacing the heart - Correct Answer-1) the SA node fails to discharge 2) an impulse is generated but

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ECG- Final Exam Questions With 100% Correct Answers 2026-2027



The supplies the RA and RV with blood - Correct Answer-Right coronary
artery

Stimulation of the parasympathetic nerve fibers typically results in what action? -
Correct Answer-Slowed conduction through the AV node

The contribution of blood that is added to the ventricles and results from atrial
contraction is called: - Correct Answer-Atrial kick

Which of the following are semilunar valves? - Correct Answer-Aortic and pulmonic

The left main coronary artery divides into the and - Correct Answer-LAD and
circumflex

cells are specialized cells of the electrical system responsible for the
spontaneous generation and conduction of electrical impulses - Correct Answer-
Pacemaker cells

When does the absolute refractory period occur? - Correct Answer-Begins with the
onset of the QRS complex and terminates at approx. the apex of the T wave

Which of the following statements is true regarding the QT interval? - Correct Answer-
The QT interval represents the time from initial depolarization of the ventricles to the
end of ventricular repolarization

How do you determine whether the atrial rhythm on an ECG tracing is regular or
irregular? - Correct Answer-Compare the P to P intervals

Which of the following ECG leads use two distinct electrodes, one of which is positive
and the other negative? - Correct Answer-Leads I, II, III

In sinus arrhythmia, a gradual decreasing of the heart rate is usually associated with
- Correct Answer-expiration

1) SA block is a disorder of impulse ;
2) Sinus arrest is a disorder of impulse - Correct Answer-1) conduction
2) formation

Signs and symptoms experienced during tachycardia are usually primarily related to: -
Correct Answer-Decreased ventricular filling time and stroke volume

,ECG- Final Exam Questions With 100% Correct Answers 2026-2027


Which of the following correctly reflects examples of ectopic pacemakers? - Correct
Answer-the AV junction and ventricles

A wandering atrial pacemaker rhythm with a ventricular rate of 60-100 bpm may also be
referred to as - Correct Answer-Multiformed atrial tachycardia

The most common type of ventricular tachycardia is - Correct Answer-AVNRT

What is meant by the term "uncontrolled atrial fibrillation"? - Correct Answer-The overall
ventricular rate is greater than 100 bpm

If the onset or end of paroxysmal atrial tachycardia or paroxysmal supraventricular
tachycardia is not observed on the ECG, the dysrhythmia is called: - Correct Answer-
Supraventricular tachycardia

What is the most common sustained dysrhythmia in adults - Correct Answer-Atrial
fibrillation

What is the difference between a PAC and a PJC? - Correct Answer-a PAC will have a
P wave before the QRS complex, whereas a PJC may/may not have a P wave before.

Wolf Parkinson syndrome is associated with a short PR interval, delta wave, and wide
QRS complex. T or F? - Correct Answer-True

Which of the following ECG characteristics distinguishes atrial flutter from other atrial
dysrhythmias? - Correct Answer-The saw tooth picket fence appearance of the wave
forms

When a junctional rhythm is viewed in lead II, where is the location of the P wave on the
ECG if atrial and ventricular depolarization occur simultaneously? - Correct Answer-
Within the QRS complex

What is the usual rate of nonparoxysmal junctional tachycardia? - Correct Answer-101-
140 bpm

Depending on the severity of the patients symptoms, management of slow rhythms may
require therapeutic intervention including - Correct Answer-administration of
atropine

The term for three or more PVCs that occur at a rate of 100 or more beats per minute is
called - Correct Answer-A run of ventricular tachycardia

PVC's that look alike in the same lead and begin from the same anatomic site are called
PVC's - Correct Answer-Uniform

, ECG- Final Exam Questions With 100% Correct Answers 2026-2027


What kind of dysrhythmia has QRS complexes that vary in shape and amplitude from
beat to beat and appear to twist from upright to negative and upright and back,
resembling a spindle? - Correct Answer-Polymorphic ventricular tachycardia

When a delay or interruption in impulse conduction from the atria to the ventricles
occurs as a result of a transient or permanent anatomic or functional impairment, the
resulting dysrhythmia is called - Correct Answer-AV block

If you see RsR in lead V1, what kind of block is it? - Correct Answer-Right BBB

The PR interval of a first degree AV block is: - Correct Answer-Constant and more than
0.20 sec in duration

Which of the blocks is a complete block? - Correct Answer-3rd degree block

Which of the following is true regarding a 2:1 AV block? - Correct Answer-1) the atrial
rhythm is irregular
2) the PR is constant****
3) the ventricular rate is 2X the atrial rate
4) the level of the block is located within the SA node

The terms advanced or high grade second degree AV block may be used to describe
one or more consecutive P waves that are not conducted. - Correct Answer-False (3+
waves are not conducted)

Which lead is best to use to differentiate between a right and left bundle branch block? -
Correct Answer-V1

The term capture refers to: - Correct Answer-the successful conduction of an artificial
pacemakers impulse through the myocardium, resulting in depolarization

The 12 lead provides a second view of each lead - Correct Answer-2.5 second

Although a RV infarction may occur by itself, it is more commonly associated with a
wall infarction - Correct Answer-inferior

Poor R wave progression is a phrase used to describe R waves that decrease in size
from V1-V4. This is often seen in what walls? - Correct Answer-Anteroseptal

A beat originating in the AV junction that appears later than the next expected sinus
beat is called - Correct Answer-junctional escape beat

A rapid, wide QRS rhythm associated with pulselessness, shock, or heart failure is
called: - Correct Answer-Ventricular tachycardia

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