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MCA 3 Exam 1 – Updated 2026/2027 – Instant Download – Complete Questions and Correct Answers

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This document contains the complete questions and verified answers for MCA 3 Exam 1. It covers EKG interpretation, including P wave, PR interval, QRS, ST segment, and QT interval normal values, as well as heart rate calculation, EKG box timing, and causes and treatment of hyperkalemia with detailed drug order. Organized in clear question-and-answer format, this material is ideal for nursing, medical assisting, and allied health students preparing for clinical exams and practical EKG interpretation.

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Page |1


MCA 3 exam 1 Questions and Correct
Answers/ Latest Update / Already Graded
P wave normal value?

Ans: 0.11 sec


PR interval normal value?

Ans: 0.12-0.20 sec


ST segment should be?

Ans: Isoelectric (flat)


QRS normal value?

Ans: 0.06-0.10 sec


QT interval normal value

Ans: O.33-0.43 sec


each tiny EKG box is how many seconds?

Ans: 0.04 seconds


All rights reserved © 2025/ 2026 |

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each big box is how many seconds?

Ans: 0.2 seconds


How to calculate heart rate from a 6 second EKG strip?

Ans: # of R waves x 10


What causes a peaked T wave?

Ans: Hyperkalemia


What is the order of Drugs to treat Hyperkalemia?

Ans: 1. Insulin (Regular IV) plus Dextrose (Insulin shifts
potassium into cells)
2. Calcium gluconate (prevents K+ from leaving blood stream)
3. Albuterol (beta agonist; receptors in Pancreas increase
Insulin production)
4. Sodium Bicarbonate (to raise blood pH and shift extracellular
potassium into cells)
5. Kayexalate/ Sodium Polystyrene (laxative, less K+
absorption)




All rights reserved © 2025/ 2026 |

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Assessment of Cardiac Rhythm steps?

Ans: 1. P wave present? Up or inverted? 1 for every QRS or
more? Any Atrial Flutter or Atrial Fibrillation waves present?
2. Atrial rhythm regular or irregular
3. Calculate atrial rate
4. Measure PR interval. Normal or prolonged?
5. Evaluate ventricular rhythm. Regular or irregular
6. Calculate ventricular rate
7. Measure duration of QRS complex. Normal or prolonged?
8. Assess the ST segment. Flat? elevated? depressed?
9. Measure QT interval. Normal or depressed?
10. Note T wave. Upright or inverted?


Treatment for Bradycardia?

Ans: IV Atropine
Dopamine
Epinephrine


Pacemaker


Dosing of Atropine?



All rights reserved © 2025/ 2026 |

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Ans: 0.5 mg per dose, every 3 to 5 mins; Max 3mg


Symptomatic Bradycardia symptoms?

Ans: Pale skin, hypotension, weakness, chest pain, di iness,
syncope, SOB, confusionzz


Treatments for Sinus Tachycardia?

Ans: Treat Underlying Cause
IVF
Beta-Blockers
Calcium Channel blockers (ex: Diltiazem)
Synchronized cardioversion


Rate for SVT?

Ans: 151-220 bpm


Treatments for SVT?

Ans: Vagal maneuvers (such as baring down)
IV Adenosine
Synchronized cardioversion



All rights reserved © 2025/ 2026 |

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