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AACN ECG WRITTEN EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

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The AACN ECG Written Exam evaluates a nurse’s ability to accurately interpret cardiac rhythms and apply appropriate clinical interventions in critical care settings. The exam focuses on ECG waveform analysis (P wave, PR interval, QRS complex, ST segment, QT interval), identification of normal and abnormal rhythms, recognition of atrial and ventricular dysrhythmias, heart blocks, and life-threatening arrhythmias such as ventricular tachycardia and ventricular fibrillation. Emphasis is placed on clinical decision-making, prioritization, and appropriate emergency responses, including ACLS-based interventions (defibrillation, cardioversion, pacing, and medication management). The exam assesses both rhythm recognition skills and the nurse’s ability to determine patient stability and initiate timely, evidence-based interventions in acute and critical care environments.

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AACN ECG WRITTEN EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS




The following characteristics describe which rhythm: Regular or irregular R-R
interval, atrial rate of 250-350 bpm, saw tooth pattern between QRS complexes,
normal QRS interval. - ANS -Atrial Flutter


Which of the following are indications for the use of a temporary pacemaker? -
ANS -Atrial fibrillation with a ventricular rate of 36


Second degree type II AV Block as a bridge to permanent pacemaker


It is important when cleaning the ECG cables and lead wires with disinfectant to: -
ANS -Wipe the cables and lead wires with the disinfectant and let them air dry; do
not wipe off the disinfectant.


Compared to the walls of the left ventricle, the walls of the right ventricle are
thin. - ANS -True


In a typical 5 lead configuration, where is the white electrode (RA) placed? - ANS -
The white electrode (RA) is placed at the infraclavicular fossa, close to the right
shoulder.


Which of the following are consequences of a patient with an inferior myocardial
infarction with a first-degree AV block with a PR interval of 0.24 seconds (240
music)? - ANS -The rhythm usually causes no clinical problems for the patient.

, Mr. Davis had cardio-thoracic surgery to replace his mitral valve three days ago.
His recovery has only been remarkable for a brief episode of atrial fibrillation
which converted with one dose of IV medication. You now note him to be in the
rhythm below.


Possible interventions would include the following: - ANS -All of the above.


Sinus bradycardia differs from sinus rhythm in which of the following ways: - ANS
-The rate of sinus bradycardia is slower than normal (less than 60 bpm)


A patient is having failure to capture. One of the troubleshooting actions should
include which of the following? - ANS -Increasing the mA


Atrial fibrillation is identified by all of the following except: - ANS -Normal P-P
interval


Today's ECG monitors are so advanced that there's really nothing left for the
clinician to do. - ANS -False


What is the amplitude of one small vertical box on the ECG paper? - ANS -1 mm


The primary goal in treating accelerated junctional rhythm is to: - ANS -Identify
and treat the cause


A patient in atrial fibrillation with a rapid ventricular response experiences the
following symptoms: shortness of breath, chest pain, and dizziness. You

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Subido en
27 de febrero de 2026
Número de páginas
12
Escrito en
2025/2026
Tipo
Examen
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