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Advanced Arrhythmia Exam Prep | ECG Practice Questions, Cardiac Rhythm Analysis & Verified Answers

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Strengthen your cardiac nursing knowledge with this Advanced Arrhythmia Exam Preparation guide. This resource includes ECG rhythm interpretation practice questions, cardiac conduction system review, dysrhythmia identification, treatment considerations, and detailed answer explanations. Ideal for nursing students and healthcare learners preparing for cardiology exams, critical care assessments, and NCLEX-style cardiac questions.

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Advanced Arrhythmia Exam Prep | ECG
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Advanced Arrhythmia Exam Prep | ECG

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Advanced Arrhythmia Exam
Prep | ECG Practice
Questions, Cardiac Rhythm
Analysis & Verified Answers




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Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf 6/15/2026, 2:12:01 PM




what does P wave represent on the ECG - Correct Answer: repolarization of ventricles



rhythms that originate above the ventricles normally have a ___

QRS complex - Correct Answer: narrow QRS complex



rhythms that originate in the ventricles normally have a ___ QRS complex - Correct Answer: wide QRS
complex



A Flutter - Correct Answer: rate: 250 - 350 bpm HR varies!!

regularity: regular or irregular

P waves: "think of a shark fin or waves"

PR: not applicable - you don't measure it

QRS: < .12 secs



A Fib - Correct Answer: rate: fast & unmeasurable

regularity: irregular

P wave: NON. wavy baseline btwn QRS instead

PR: not applicable - you don't measure it

QRS: <.12 secs



(1*AVB) - Correct Answer: NO DROPPED QRS

PR interval > .20 secs



(2*AVB) - Correct Answer: PR wave gets longer + longer UNTIL QRS is DROPPED



2*AVB type 2 - Correct Answer: PR intervals remain constant, but some QRS is DROPPED



3*AVB - Correct Answer: rate: 60 - 100 HR



This study source was downloaded by 100000898058200 from nursinghero.com on 08-06-2025 20:12:37 GMT -05:00

6/15/2026, 2:12:04 PM Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf
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,Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf
Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf 6/15/2026, 2:12:01 PM




PR intervals vary

R-R constant, P-P constant

some QRS complexes are DROPPED



normal sinus rhythm - Correct Answer: rate: 60 - 100 bpm

regularity: regular

PR: upright., matching, married to QRS

PR: 0.12 - .20, constant

QRS: < .12 secs



sinus bradycardia (SB) - Correct Answer: < 60 bpm

regularity: regular

PR: upright, matching, married to QRS

PR: 0.12 - .20, constant

QRS: < .12 secs



sinus tachycardia (ST) - Correct Answer: > 101 bpm

regularity: regular

PR: upright, matching, married to QRS

PR: 0.12 - .20, constant

QRS: < .12 secs



sinus arrhythmia (SA) - Correct Answer: rate: varies with respiratory pattern. you would still log HR when
documenting

regularity: irregular. longest R-R cycle exceeds shortest by .16 or greater [ inconsistent & irregular ]

P waves: upright, matching, married to QRS

PR: .12 - .20 secs. constant

QRS: <.12 secs




This study source was downloaded by 100000898058200 from nursinghero.com on 08-06-2025 20:12:37 GMT -05:00

6/15/2026, 2:12:04 PM Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf
Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf
https://www.nursinghero.com//study-files/2475004

, Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf
Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf 6/15/2026, 2:12:01 PM




sinus exit block - Correct Answer: missing ONE P-QRS-T



sinus arrest - Correct Answer: missing MORE THAN ONE P-QRS-T



premature atrial contraction (PAC) - Correct Answer: rate: can occur at any rate

regularity: regular but interrupted by premature beats

P wave: shaped differ from sinus Ps, is premature and abnormal in size and shape

PR: .12 - .20 secs

QRS: <.12 secs



premature junctional contraction (PJC)

what three things could the P wave be? - Correct Answer: 1. inverted + too close

2. missing

3. in the ST segment



Premature Junctional Contraction (PJC) - Correct Answer:



premature ventricular contraction (PVC) - Correct Answer: rate: can occur at any rate

regularity: regular but interrupted by premature beat

P waves: usually NOT seen

PR: not applicable - you don't measure it

QRS: wide and bizarre in shape; >.12 sec wide

T wave: OPPOSITE of QRS



supraventricular tachycardia (SVT) - Correct Answer: Rate: 150 or higher

regularity: regular

P waves: NONE

PR: not measurable

QRS: < .12 secs



This study source was downloaded by 100000898058200 from nursinghero.com on 08-06-2025 20:12:37 GMT -05:00

6/15/2026, 2:12:04 PM Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf
Advanced_Arrhythmia_Exam_Prep_Questions_and_Correct_Answers.docx.pdf
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