1
TELEMETRY NURSING EXAM – DYSRHYTHMIA
RECOGNITION & MANAGEMENT 2026-27 JUST
RELEASED VERSION
Exam Structure
• Title: Telemetry Nursing Exam – Dysrhythmia Recognition & Management
• Total Questions: 100 Multiple Choice Questions (MCQs)
• Time Allowed: 2 hours
• Passing Score: 75%
Sections & Distribution:
1. Basic ECG Interpretation & Rhythm Strips – 20 questions
2. Atrial Dysrhythmias (AFib, AFlutter, SVT, PACs) – 20 questions
3. Ventricular Dysrhythmias (PVCs, VT, VF) – 20 questions
4. Bradyarrhythmias & Heart Blocks – 20 questions
5. Advanced Dysrhythmia Management & Nursing Interventions – 20 questions
Question Type: Multiple Choice (A–D)
Difficulty: Mixed – knowledge-based, application, and scenario-based reflecting real-world telemetry monitoring
situations.
Exam Introduction
Purpose:
This exam evaluates a nurse’s ability to recognize, interpret, and manage cardiac dysrhythmias in patients on
telemetry. Emphasis is on accurate ECG interpretation, identifying life-threatening rhythms, prioritizing
interventions, and collaborating with the healthcare team.
Content Areas Covered:
• Basic ECG waveforms, intervals, and normal sinus rhythm
• Atrial dysrhythmias, including atrial fibrillation, atrial flutter, and supraventricular tachycardia
• Ventricular dysrhythmias and life-threatening arrhythmias
• Bradyarrhythmias and heart blocks
,2
• Nursing interventions, medication management, and patient safety in telemetry
Instructions:
1. Read each question carefully and choose the best answer (A, B, C, or D).
2. Each question carries 1 point; total 100 points.
3. Complete the exam within 2 hours.
4. Answers and rationales are provided for self-assessment and learning reinforcement.
Learning Outcome:
Demonstrates proficiency in dysrhythmia recognition, telemetry monitoring, and evidence-based interventions,
ensuring patient safety and optimal outcomes.
Section 1: Basic ECG Interpretation & Rhythm Strips
(Questions 1–20)
Q1. What represents the atrial depolarization on an ECG?
A. P wave
B. QRS complex
C. T wave
D. ST segment
Answer: A
Rationale:
The P wave represents atrial depolarization, which precedes
atrial contraction.
Q2. What does the QRS complex represent?
A. Ventricular depolarization
B. Atrial depolarization
,3
C. Ventricular repolarization
D. ST segment elevation
Answer: A
Rationale:
The QRS complex reflects the rapid depolarization of the
ventricles.
Q3. Which interval represents the time for impulse conduction
from atria to ventricles?
A. PR interval
B. QT interval
C. ST segment
D. RR interval
Answer: A
Rationale:
The PR interval measures conduction through the AV node
from atria to ventricles (normal 0.12–0.20 sec).
Q4. What does the T wave represent on an ECG?
A. Ventricular repolarization
B. Ventricular depolarization
C. Atrial depolarization
D. AV conduction delay
, 4
Answer: A
Rationale:
The T wave reflects ventricular repolarization after contraction.
Q5. Normal sinus rhythm (NSR) is characterized by:
A. P wave before every QRS, regular rhythm, HR 60–100 bpm
B. No P waves, wide QRS, irregular rhythm
C. P wave absent, HR < 60 bpm
D. Irregularly irregular rhythm, no P waves
Answer: A
Rationale:
NSR has organized atrial activity, one P wave per QRS, and HR
60–100 bpm.
Q6. Which rhythm is considered bradycardia?
A. HR < 60 bpm
B. HR 60–100 bpm
C. HR 100–150 bpm
D. HR > 150 bpm
Answer: A
Rationale:
Bradycardia is defined as heart rate below 60 bpm.
TELEMETRY NURSING EXAM – DYSRHYTHMIA
RECOGNITION & MANAGEMENT 2026-27 JUST
RELEASED VERSION
Exam Structure
• Title: Telemetry Nursing Exam – Dysrhythmia Recognition & Management
• Total Questions: 100 Multiple Choice Questions (MCQs)
• Time Allowed: 2 hours
• Passing Score: 75%
Sections & Distribution:
1. Basic ECG Interpretation & Rhythm Strips – 20 questions
2. Atrial Dysrhythmias (AFib, AFlutter, SVT, PACs) – 20 questions
3. Ventricular Dysrhythmias (PVCs, VT, VF) – 20 questions
4. Bradyarrhythmias & Heart Blocks – 20 questions
5. Advanced Dysrhythmia Management & Nursing Interventions – 20 questions
Question Type: Multiple Choice (A–D)
Difficulty: Mixed – knowledge-based, application, and scenario-based reflecting real-world telemetry monitoring
situations.
Exam Introduction
Purpose:
This exam evaluates a nurse’s ability to recognize, interpret, and manage cardiac dysrhythmias in patients on
telemetry. Emphasis is on accurate ECG interpretation, identifying life-threatening rhythms, prioritizing
interventions, and collaborating with the healthcare team.
Content Areas Covered:
• Basic ECG waveforms, intervals, and normal sinus rhythm
• Atrial dysrhythmias, including atrial fibrillation, atrial flutter, and supraventricular tachycardia
• Ventricular dysrhythmias and life-threatening arrhythmias
• Bradyarrhythmias and heart blocks
,2
• Nursing interventions, medication management, and patient safety in telemetry
Instructions:
1. Read each question carefully and choose the best answer (A, B, C, or D).
2. Each question carries 1 point; total 100 points.
3. Complete the exam within 2 hours.
4. Answers and rationales are provided for self-assessment and learning reinforcement.
Learning Outcome:
Demonstrates proficiency in dysrhythmia recognition, telemetry monitoring, and evidence-based interventions,
ensuring patient safety and optimal outcomes.
Section 1: Basic ECG Interpretation & Rhythm Strips
(Questions 1–20)
Q1. What represents the atrial depolarization on an ECG?
A. P wave
B. QRS complex
C. T wave
D. ST segment
Answer: A
Rationale:
The P wave represents atrial depolarization, which precedes
atrial contraction.
Q2. What does the QRS complex represent?
A. Ventricular depolarization
B. Atrial depolarization
,3
C. Ventricular repolarization
D. ST segment elevation
Answer: A
Rationale:
The QRS complex reflects the rapid depolarization of the
ventricles.
Q3. Which interval represents the time for impulse conduction
from atria to ventricles?
A. PR interval
B. QT interval
C. ST segment
D. RR interval
Answer: A
Rationale:
The PR interval measures conduction through the AV node
from atria to ventricles (normal 0.12–0.20 sec).
Q4. What does the T wave represent on an ECG?
A. Ventricular repolarization
B. Ventricular depolarization
C. Atrial depolarization
D. AV conduction delay
, 4
Answer: A
Rationale:
The T wave reflects ventricular repolarization after contraction.
Q5. Normal sinus rhythm (NSR) is characterized by:
A. P wave before every QRS, regular rhythm, HR 60–100 bpm
B. No P waves, wide QRS, irregular rhythm
C. P wave absent, HR < 60 bpm
D. Irregularly irregular rhythm, no P waves
Answer: A
Rationale:
NSR has organized atrial activity, one P wave per QRS, and HR
60–100 bpm.
Q6. Which rhythm is considered bradycardia?
A. HR < 60 bpm
B. HR 60–100 bpm
C. HR 100–150 bpm
D. HR > 150 bpm
Answer: A
Rationale:
Bradycardia is defined as heart rate below 60 bpm.
