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CRAT Final Exam & Practice Test 2025 – Study Guide, Sample Questions, and Certification Prep

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CRAT Final Exam & Practice Test 2025 – Study Guide, Sample Questions, and Certification Prep

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November 6, 2025
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2025/2026
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CRAT Final Exam & Practice Test 2025 – Study Guide,
Sample Questions, and Certification Prep



Prepare for your CRAT Final Exam (Certified Rhythm Analysis Technician) with this
comprehensive 2025 study and practice guide. Review essential topics like cardiac rhythms,
EKG interpretation, arrhythmia analysis, patient monitoring, and cardiac anatomy.
Includes realistic CRAT-style practice exams, detailed answer explanations, and expert tips to
help you pass your NCCT CRAT certification with confidence.




CRAT final exam,
CRAT practice exam 2025,
Certified Rhythm Analysis Technician test,
CRAT study guide 2025,



Patient education in self-monitoring includes which of the following? Choose three responses.



A. When to disconnect the device

B. Who to call in case of an emergency

C. How to wear the device while driving

D. What to do when the device emits an alert sound

E. What type of symptoms to record during the monitoring period - ANSWER-B. Who to call in case of an
emergency

D. What to do when the device emits an alert sound

E. What type of symptoms to record during the monitoring period



Where should the ECG tracing be placed after it has been obtained?



A. In patient's room

,2|Page


B. With a family member

C. Per facility guidelines and protocols

D. On unit administrative professional's desk - ANSWER-C. Per facility guidelines and protocols



The ECG rhythm shown in the image provided demonstrates... - Regular, P-P march



A. Complete heart block

B. Wenckebach

C. First degree heart block

D. Second degree AV block, mobitz type II - ANSWER-A. Complete heart block



The lead II ECG rhythm strip in the image provided demonstrates... -Regular, long PRI



A. Complete heart block

B. First degree heart block

C. Second degree AV block, Mobitz type I

D. Second degree AV block, Mobitz type II - ANSWER-B. First degree heart block



If a dual chamber pacemaker's ventricular lead senses a non-cardiac signal what is MOST LIKELY to
occur?



A. Atrial under sensing

B. Failure to ventricular pace

C. Failure to capture ventricle

D. Inappropriate atrial pacing - ANSWER-B. Failure to ventricular pace



128. What rhythm originating in the sinus node is affected by the breathing pattern of the patient?



A. Sinus tachycardia

,3|Page


B. Sinus bradycardia

C. Normal sinus rhythm

D. Sinus dysrhythmia - ANSWER-D. Sinus dysrhythmia



129. At Mayo Clinic when sinus arrest continues for 5 seconds or more it is considered:



A. Sinus bradycardia

B. Sinus dysrhythmia

C. Code Blue Medical Emergency

D. Normal sinus rhythm - ANSWER-C. Code Blue Medical Emergency



130. Which of the following patients is probably NOT showing signs of decreased cardiac output?



A. Ms. Steever, a 68-year-old female with very pale, cool skin.

B. Mr. Chapman, a 58-year-old male who states he feels like he has a belt wrapped around his chest.

C. Mr. Hughes, a 42-year-old male who is having difficulty answering your questions and does not know
the date or time.

D. Mr. Amos, a 78-year-old male who has needed assistance to the bathroom 4 times in the last two
hours. - ANSWER-D. Mr. Amos, a 78-year-old male who has needed assistance to the bathroom 4 times
in the last two hours.



131. On the ECG tracing, the place at which the depolarization is complete, and repolarization starts is
known as the:



A. QRS complex

B. P wave

C. J point

D. PR interval - ANSWER-C. J point



132. When you evaluate the rhythm of an ECG tracing, which BEST describes what you are doing?

, 4|Page




A. Calculating the heart rate for the atria and the ventricles based on whether they are regular or
irregular.

B. Determining the regularity by measuring the P-P and R-R intervals in a 10-second strip.

C. Analyzing the P-wave configuration by answering questions related to the size, shape, and location of
the QRS complex.

D. Placing on point of the calipers on the beginning of the WRS complex and the other on the J point. -
ANSWER-B. Determining the regularity by measuring the P-P and R-R intervals in a 10-second strip.



133. When evaluating the QRS measurement of an ECG tracing, which of the following questions does
NOT need to be answered?



A. Does each P wave have a QRS complex following it?

B. Are the QRS complexes of equal length?

C. What is the actual measurement, and is it within the normal limits?

D. Do all QRS complexes look alike, and are any unusual QRS complexes associated with an ectopic beat?
- ANSWER-A. Does each P wave have a QRS complex following it?



134. Sinus tachycardia may be a normal finding in people as a result of:



A. Exercise

B. Sleeping

C. Myocardial infarction

D. Hypertension - ANSWER-A. Exercise



135. What method would you use to determine the heart rate for the ECG tracing below? - Irregular
rhythm



A. Multiply times 10 the number of P waves or QRS complexes in a 6-second strip.

B. Count the number of small boxes between two P waves or two R waves and divide by 1500.

C. Measure from the beginning of the P wave to the beginning of the QRS complex.

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