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Basic Dysrhythmia Course Exam Study Guide | Cardiac Rhythm Practice Questions & Answers

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Strengthen your understanding of cardiac rhythm interpretation with this comprehensive Basic Dysrhythmia Course Exam study guide. Featuring practice questions and verified answers, this resource is designed to help nursing students, healthcare professionals, telemetry technicians, and clinical staff prepare for dysrhythmia examinations and competency assessments. This study material focuses on ECG fundamentals, rhythm recognition, conduction abnormalities, and essential cardiac monitoring concepts. Ideal for self-study, classroom review, continuing education, and exam preparation. Topics Covered: • Cardiac Anatomy and Electrophysiology • ECG Waveform Interpretation • Heart Rate and Rhythm Analysis • Normal Sinus Rhythm • Sinus Bradycardia and Tachycardia • Atrial Rhythms and Dysrhythmias • Junctional Rhythms • Ventricular Rhythms • Heart Blocks and Conduction Disorders • Pacemaker Rhythm Recognition • Life-Threatening Arrhythmias • Cardiac Monitoring Principles • Clinical Assessment and Intervention • Patient Safety and Cardiovascular Care Perfect for nursing students, healthcare professionals, telemetry staff, and anyone seeking to improve ECG interpretation skills and prepare for dysrhythmia exams.

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Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
6/15/2026,Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
2:08:21 PM




Basic Dysrhythmia Course Exam
Questions and Correct Answers
SA node - Correct Answer: the major pacemaker of the heart



60-100 - Correct Answer: inherent rate of the SA node



40-60 - Correct Answer: inherent rate of the AV node



20-40 - Correct Answer: inherent rate of the ventricles (purkinjie fibers)



systole - Correct Answer: phase of contraction



diastole - Correct Answer: phase of relaxation



p wave - Correct Answer: what does atrial depolarization show on the ECG?



QRS complex - Correct Answer: what does ventricle depolarization show on the ECG?



T wave - Correct Answer: what does repolarization show on the ECG?



increase - Correct Answer: what does sympathetic stimulation do to the heart rate?



decrease - Correct Answer: what does parasympathetic stimulation do to the heart rate?



absolute refractory period - Correct Answer: the period immediately following the firing of a nerve fiber
when it cannot be stimulated no matter how great a stimulus is applied




Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf 6/15/2026, 2:08:27 PM

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6/15/2026,Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
2:08:21 PM




relative refractory period - Correct Answer: during the ventricular cardiac cycle when all cardiac cells are
not fully repolarized and a strong enough stimulus can excite cardiac tissue and initiate arrhythmias



last half of t wave - Correct Answer: When is the relative refractory period of the ventricles?



.20 secs - Correct Answer: how much time is one large box in an ecg strip?



.04 secs - Correct Answer: how much time is one small box in an ecg strip?



0.12-0.20 - Correct Answer: normal range of PR interval



0.04-0.12 - Correct Answer: normal range of QRS complex



less than 1/2 the preceding R-R interval - Correct Answer: what is the normal time of the QT?



p to p - Correct Answer: how do you measure the atrial rate?



R to R - Correct Answer: how do you measure the ventricular rate?



sinus rhythm - Correct Answer:



sinus bradycardia - Correct Answer:



assess pt

atropine

pacing

IV, O2 - Correct Answer: tx for sinus bradycardia



sinus tachycardia - Correct Answer:




Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf 6/15/2026, 2:08:27 PM

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6/15/2026,Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
2:08:21 PM




treat underlying cause (Fever, pain, hypoxia) - Correct Answer: tx for sinus tachycardia



sinus arrhythmia - Correct Answer: irregular rhythm that varies with respiration; rate increases with
inspiration and decreases with expiration



Premature Atrial Contraction - Correct Answer: rhythm with an early P wave, but the next P wave comes
on time



Premature Atrial Contraction (PAC) - Correct Answer:



continue to monitor

check electrolytes and oxygen

possible betablocker/calcium channel blocker - Correct Answer: tx for PAC



Atrial Tachycardia - Correct Answer: atrial Rate: 160-250 beats per minute, reglular rhythm/QRS/



betablockers/calcium channel blocker

cardioversion

adenosine**

vagal manuever - Correct Answer: tx for atrial tachycardia



atrial flutter - Correct Answer:



atrial flutter - Correct Answer: atrial rate of 250-350

"saw tooth pattern"



atrial flutter

complete heart block - Correct Answer: which rhythms do you HAVE to use the exact rate measurement
card?




Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf 6/15/2026, 2:08:27 PM

, Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
6/15/2026,Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
2:08:21 PM




betablockers/calcium channel blockers

cardioversion

anticoagulants

amiodarone

**call HCP if new onset - Correct Answer: tx for atrial flutter



atrial fibrillation - Correct Answer:



betablockers/calcium channel blockers

cardioversion

anticoagulants

amiodarone

**call HCP if new onset - Correct Answer: tx for atrial fibrillation



atrial fibrillation - Correct Answer: irregular rhythm, atrial rate of 350-400, no P waves,



RVR (Rapid Ventricular Response) - Correct Answer: A. Fib with ventricular rate > 100



SVT - Correct Answer:



adenosine

cardioversion

vagal maneuver - Correct Answer: tx for SVT



SVT - Correct Answer: rate >100 originating above the ventricles; No P waves seen



paroxysmal atrial tachycardia - Correct Answer:




Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf
Basic_Dysrhythmia_Course_Exam_Questions_and_Correct_Answers.docx.pdf 6/15/2026, 2:08:27 PM

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