2026 A+ GRADED 100 PERCENT VERIFIED
COMPLETE EXAM STUDY GUIDE
• This study guide contains 200 verified questions and answers covering the Relias
Dysrhythmia Basic Test, designed to help you achieve a 100% score with
confidence.
• Read each question carefully, review the highlighted correct answer and EXPERT
RATIONALE, then challenge yourself by covering the answer before checking —
repetition is key to mastery.
RELIAS DYSRHYTHMIA BASIC TEST — 200 QUESTIONS STUDY GUIDE 2026 A+
GRADED | 100% VERIFIED
QUESTION 1: What is the normal resting heart rate for an adult?
A) 40–60 bpm
B) 50–90 bpm
C) 60–100 bpm
D) 100–120 bpm
E) 120–160 bpm
Correct Answer: C) 60–100 bpm
EXPERT RATIONALE: The normal resting heart rate for an adult is 60–100 beats per
minute. Below 60 is bradycardia; above 100 is tachycardia.
QUESTION 2: Which node is considered the primary pacemaker of the heart?
A) Bundle of His
B) Purkinje fibers
C) AV node
D) Bundle branches
,E) Sinoatrial (SA) node
Correct Answer: E) Sinoatrial (SA) node
EXPERT RATIONALE: The SA node is the heart's natural pacemaker, generating electrical
impulses at 60–100 bpm that initiate each heartbeat.
QUESTION 3: What is the intrinsic firing rate of the AV node?
A) 60–100 bpm
B) 100–150 bpm
C) 15–20 bpm
D) 40–60 bpm
E) 80–100 bpm
Correct Answer: D) 40–60 bpm
EXPERT RATIONALE: The AV node has an intrinsic firing rate of 40–60 bpm and serves as
a backup pacemaker if the SA node fails.
QUESTION 4: What is the intrinsic rate of the Purkinje fibers?
A) 60–100 bpm
B) 40–60 bpm
C) 25–35 bpm
D) 50–70 bpm
E) 20–40 bpm
Correct Answer: E) 20–40 bpm
EXPERT RATIONALE: Purkinje fibers have the lowest intrinsic rate of 20–40 bpm and act
as a last-resort pacemaker in the conduction system.
,QUESTION 5: Which wave on the ECG represents atrial depolarization?
A) T wave
B) QRS complex
C) U wave
D) ST segment
E) P wave
Correct Answer: E) P wave
EXPERT RATIONALE: The P wave represents atrial depolarization — the electrical
activation of the atria that triggers atrial contraction.
QUESTION 6: What does the QRS complex represent?
A) Atrial repolarization
B) Ventricular repolarization
C) SA node firing
D) AV node conduction
E) Ventricular depolarization
Correct Answer: E) Ventricular depolarization
EXPERT RATIONALE: The QRS complex represents ventricular depolarization, which
triggers ventricular contraction (systole).
QUESTION 7: What does the T wave represent?
A) Atrial depolarization
B) Ventricular depolarization
C) AV conduction delay
D) SA node recovery
, E) Ventricular repolarization
Correct Answer: E) Ventricular repolarization
EXPERT RATIONALE: The T wave represents ventricular repolarization — the recovery
phase of the ventricles in preparation for the next beat.
QUESTION 8: What is the normal duration of the PR interval?
A) 0.04–0.08 seconds
B) 0.08–0.10 seconds
C) 0.24–0.30 seconds
D) 0.06–0.10 seconds
E) 0.12–0.20 seconds
Correct Answer: E) 0.12–0.20 seconds
EXPERT RATIONALE: The normal PR interval is 0.12–0.20 seconds (3–5 small boxes on
ECG paper). It reflects conduction from the atria through the AV node.
QUESTION 9: What is the normal QRS duration?
A) 0.20–0.24 seconds
B) 0.10–0.16 seconds
C) 0.04–0.08 seconds
D) Less than 0.12 seconds
E) 0.14–0.20 seconds
Correct Answer: D) Less than 0.12 seconds
EXPERT RATIONALE: A normal QRS complex is less than 0.12 seconds (3 small boxes). A
wider QRS suggests bundle branch block or ventricular origin.