SMH Advanced Arrhythmia Test Bank 2026/2027 | 150 Real Exam Questions With Correct Verified Answers | Bon Secours Mercy Health Arrhythmia Nursing Exam Prep | EKG ECG Interpretation | A+ Graded

BSMH Advanced Arrhythmia Course - PRACTICE EXAM Newest 2026/2027 | 150 UNIQUE
Questions
PRACTICE EXAM - 150 COMPLETELY UNIQUE - ZERO REPEATS FROM MAIN EXAM - REAL EXAM
FORMAT - LARGE FONT


DOMAIN 1: BASIC ELECTROPHYSIOLOGY PRACTICE

Question 1

Question 1: Sinus pause 2 seconds causes syncope evaluation ?
A. Wrong management: contraindicated for this rhythm
B. Sinus pause 2 seconds causes syncope evaluation
C. Incorrect: different arrhythmia interpretation
D. Incorrect: misidentification of ECG findings

Answer: B
Rationale: Sinus pause >3 seconds symptomatic requires pacemaker evaluation, check medications
beta-blockers, calcium channel blockers



DOMAIN 1: BASIC ELECTROPHYSIOLOGY PRACTICE

Question 2

Question 2: Sick sinus syndrome brady-tachy treatment ?
A. Sick sinus syndrome brady-tachy treatment
B. Incorrect: misidentification of ECG findings
C. Wrong management: contraindicated for this rhythm
D. Incorrect: different arrhythmia interpretation

Answer: A
Rationale: Treat tachy with rate control and brady with pacemaker, anticoagulate if AFib, avoid drugs that
worsen bradycardia



DOMAIN 5: AV BLOCKS PRACTICE

Question 3

Question 3: Atrial flutter with variable block irregular ?
A. Atrial flutter with variable block irregular
B. Incorrect: different arrhythmia interpretation
C. Incorrect: misidentification of ECG findings
D. Wrong management: contraindicated for this rhythm

Answer: A

,Rationale: Atrial flutter variable AV conduction causes irregularly irregular but with flutter waves, not AFib, treat
rate control, anticoag, cardioversion



DOMAIN 5: ADVANCED ARRHYTHMIA PRACTICE

Question 4

Question 4: Atrial fibrillation Ashman phenomenon aberrant conduction ?
A. Atrial fibrillation Ashman phenomenon aberrant conduction
B. Wrong management: contraindicated for this rhythm
C. Incorrect: different arrhythmia interpretation
D. Incorrect: misidentification of ECG findings

Answer: A
Rationale: Ashman: long-short cycle leads to RBBB aberrancy in AFib, not PVC, occurs after long RR then
short RR, benign



DOMAIN 5: ADVANCED ARRHYTHMIA PRACTICE

Question 5

Question 5: MAT vs AFib differentiation ?
A. Incorrect: different arrhythmia interpretation
B. Wrong management: contraindicated for this rhythm
C. MAT vs AFib differentiation
D. Incorrect: misidentification of ECG findings

Answer: C
Rationale: MAT has distinct P waves with 3 morphologies and isoelectric baseline, AFib no P waves chaotic
baseline, MAT often COPD



DOMAIN 3: SVT PRACTICE

Question 6

Question 6: Junctional tachycardia warm-up ?
A. Incorrect: misidentification of ECG findings
B. Incorrect: different arrhythmia interpretation
C. Wrong management: contraindicated for this rhythm
D. Junctional tachycardia warm-up

Answer: D

,Rationale: Junctional tach gradual onset warm-up due to enhanced automaticity, seen post cardiac surgery,
digoxin toxicity



DOMAIN 6: ADVANCED ARRHYTHMIA PRACTICE

Question 7

Question 7: AVNRT P wave hidden in QRS pseudo R in V1 ?
A. Incorrect: different arrhythmia interpretation
B. AVNRT P wave hidden in QRS pseudo R in V1
C. Wrong management: contraindicated for this rhythm
D. Incorrect: misidentification of ECG findings

Answer: B
Rationale: AVNRT often retrograde P hidden, pseudo R prime in V1 pseudo S in inferior leads, abrupt onset
offset



DOMAIN 3: ADVANCED ARRHYTHMIA PRACTICE

Question 8

Question 8: AVRT orthodromic narrow QRS vs antidromic wide ?
A. AVRT orthodromic narrow QRS vs antidromic wide
B. Incorrect: different arrhythmia interpretation
C. Incorrect: misidentification of ECG findings
D. Wrong management: contraindicated for this rhythm

Answer: A
Rationale: Orthodromic uses AV node anterograde narrow QRS, antidromic uses accessory pathway
anterograde wide QRS mimics VT



DOMAIN 1: ADVANCED ARRHYTHMIA PRACTICE

Question 9

Question 9: WPW with AFib wide irregular rapid >250 bpm danger ?
A. Wrong management: contraindicated for this rhythm
B. Incorrect: different arrhythmia interpretation
C. WPW with AFib wide irregular rapid >250 bpm danger
D. Incorrect: misidentification of ECG findings

Answer: C

, Rationale: WPW with AFib can degenerate to VFib due to rapid accessory conduction, avoid AV nodal
blockers, use procainamide or cardioversion



DOMAIN 4: ADVANCED ARRHYTHMIA PRACTICE

Question 10

Question 10: PVC R-on-T triggers VFib ?
A. Wrong management: contraindicated for this rhythm
B. Incorrect: different arrhythmia interpretation
C. PVC R-on-T triggers VFib
D. Incorrect: misidentification of ECG findings

Answer: C
Rationale: PVC falling on T wave during vulnerable period can trigger VFib, especially with long QT, ischemia,
avoid early PVCs



DOMAIN 4: VENTRICULAR ARRHYTHMIAS PRACTICE

Question 11

Question 11: Ventricular bigeminy every other beat PVC ?
A. Incorrect: different arrhythmia interpretation
B. Wrong management: contraindicated for this rhythm
C. Ventricular bigeminy every other beat PVC
D. Incorrect: misidentification of ECG findings

Answer: C
Rationale: Bigeminy pattern PVC every other beat, may cause low cardiac output due to loss AV synchrony,
treat cause, not always suppress



DOMAIN 2: ADVANCED ARRHYTHMIA PRACTICE

Question 12

Question 12: VT vs SVT with aberrancy Brugada algorithm ?
A. Wrong management: contraindicated for this rhythm
B. Incorrect: misidentification of ECG findings
C. Incorrect: different arrhythmia interpretation
D. VT vs SVT with aberrancy Brugada algorithm

Answer: D