EKG RHYTHM INTERPRETATION
EKG Rhythm Interpretation: 200 Exam-Style
Questions with Clear Answers & Easy Rationales
— Your Complete Study Guide for the AMN
Healthcare KP Rhythm Interpretation
Assessment (Fall 2026 Edition)
╔════════════════════════════════════════════════════════
══════════════════════╗
║ OFFICIAL EXAMINATION DOCUMENT — DO NOT COPY ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ EXAM CODE ............ AMN-KP-EKG-2026-200 ║
║ EXAM TITLE ........... EKG RHYTHM INTERPRETATION ASSESSMENT ║
║ EXAM VERSION ......... FALL 2026 — FINAL EDITION ║
║ ADMINISTERING BODY ... AMN HEALTHCARE — KP RHYTHM INTERPRETATION ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ CANDIDATE NAME ....... ______________________________________________ ║
║ CANDIDATE ID ......... ______________________________________________ ║
║ DATE OF EXAM ......... ____ / ____ / 2026 ║
║ PROCTOR INITIALS ..... ______________ ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ TOTAL QUESTIONS ...... 200 ║
║ TOTAL SECTIONS ....... 5 ║
║ TIME ALLOWED ......... 4 HOURS (240 MINUTES) ║
║ PASSING SCORE ........ 80% ( CORRECT) ║
, EKG RHYTHM INTERPRETATION
║ QUESTION FORMAT ...... MULTIPLE CHOICE / TRUE-FALSE / SCENARIO ║
║ ANSWER KEY ........... INCLUDED (COLOR-CODED) ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ SECTION BREAKDOWN: ║
║ ┌──────────────────────────────────────────────────────────────────────┐ ║
║ │ SEC 1 ▸ FUNDAMENTAL MEASUREMENTS & ANATOMY .................. Q1–Q40 │ ║
║ │ SEC 2 ▸ SINUS & ATRIAL RHYTHMS .............................. Q41–Q80│ ║
║ │ SEC 3 ▸ JUNCTIONAL & VENTRICULAR RHYTHMS ................... Q81–Q120│ ║
║ │ SEC 4 ▸ HEART BLOCKS & CONDUCTION DEFECTS .................. Q121–Q160│ ║
║ │ SEC 5 ▸ PACEMAKERS, ISCHEMIA & CLINICAL SCENARIOS .......... Q161–Q200│ ║
║ └──────────────────────────────────────────────────────────────────────┘ ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ EXAMINATION INSTRUCTIONS: ║
║ ║
║ 1. Read each question carefully before selecting your answer. ║
║ 2. Each question has ONE best answer unless stated otherwise. ║
║ 3. Mark your answers clearly in the space provided. ║
║ 4. Do not skip questions — there is no penalty for guessing. ║
║ 5. Answers and rationales are provided immediately after each question. ║
║ 6. Manage your time wisely — approximately 1.2 minutes per question. ║
║ 7. Any form of unauthorized assistance will result in disqualification. ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ COLOR CODE LEGEND: ║
, EKG RHYTHM INTERPRETATION
║ BLUE ....... QUESTION & OPTIONS ║
║ RED ........ CORRECT ANSWER ║
║ PURPLE ..... RATIONALE / EXPLANATION ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ ACADEMIC INTEGRITY STATEMENT: ║
║ This examination is intended for study and self-assessment purposes. ║
║ Unauthorized reproduction, distribution, or resale of this material ║
║ is strictly prohibited. All content is aligned with established EKG ║
║ interpretation standards and clinical best practices. ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ SCORE REPORTING: ║
║ RAW SCORE ......... _______ / 200 ║
║ PERCENTAGE ........ _______ % ║
║ RESULT ............ [ ] PASS [ ] FAIL ║
║ EXAMINER SIGNATURE ______________________ DATE ____ / ____ / 2026 ║
║ ║
╚════════════════════════════════════════════════════════
══════════════════════╝
, EKG RHYTHM INTERPRETATION
EKG Rhythm Interpretation Assessment
AMN Healthcare: KP Rhythm Interpretation
200 Comprehensive Exam Questions with Answers and Rationales
SECTION 1: FUNDAMENTAL MEASUREMENTS & ANATOMY (Questions 1-40)
QUESTION 1:
On standard EKG paper, what is the duration (in seconds) of one small box (1 mm)?
A. 0.20 seconds
B. 0.04 seconds
C. 0.12 seconds
D. 0.08 seconds
ANSWER:
B. 0.04 seconds
RATIONALE:
Standard EKG paper runs at 25 mm/second. Each small box (1 mm) represents 0.04 seconds (1/25 =
0.04). Five small boxes equal one large box at 0.20 seconds. This measurement is fundamental for
calculating all EKG intervals and heart rates .
QUESTION 2:
The normal PR interval duration is:
A. 0.04-0.10 seconds
B. 0.08-0.11 seconds
C. 0.12-0.20 seconds
D. 0.20-0.30 seconds
ANSWER:
C. 0.12-0.20 seconds
RATIONALE:
The PR interval measures from the beginning of the P wave to the beginning of the QRS complex.
Normal duration is 0.12-0.20 seconds (3-5 small boxes). A PR interval greater than 0.20 seconds
indicates first-degree AV block, while less than 0.12 seconds suggests a junctional rhythm or pre-
excitation syndrome .
QUESTION 3:
Which structure in the heart's conduction system is known as the "pacemaker" because it typically
initiates the electrical impulse at a rate of 60-100 times per minute?
A. Atrioventricular (AV) node
B. Bundle of His
EKG Rhythm Interpretation: 200 Exam-Style
Questions with Clear Answers & Easy Rationales
— Your Complete Study Guide for the AMN
Healthcare KP Rhythm Interpretation
Assessment (Fall 2026 Edition)
╔════════════════════════════════════════════════════════
══════════════════════╗
║ OFFICIAL EXAMINATION DOCUMENT — DO NOT COPY ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ EXAM CODE ............ AMN-KP-EKG-2026-200 ║
║ EXAM TITLE ........... EKG RHYTHM INTERPRETATION ASSESSMENT ║
║ EXAM VERSION ......... FALL 2026 — FINAL EDITION ║
║ ADMINISTERING BODY ... AMN HEALTHCARE — KP RHYTHM INTERPRETATION ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ CANDIDATE NAME ....... ______________________________________________ ║
║ CANDIDATE ID ......... ______________________________________________ ║
║ DATE OF EXAM ......... ____ / ____ / 2026 ║
║ PROCTOR INITIALS ..... ______________ ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ TOTAL QUESTIONS ...... 200 ║
║ TOTAL SECTIONS ....... 5 ║
║ TIME ALLOWED ......... 4 HOURS (240 MINUTES) ║
║ PASSING SCORE ........ 80% ( CORRECT) ║
, EKG RHYTHM INTERPRETATION
║ QUESTION FORMAT ...... MULTIPLE CHOICE / TRUE-FALSE / SCENARIO ║
║ ANSWER KEY ........... INCLUDED (COLOR-CODED) ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ SECTION BREAKDOWN: ║
║ ┌──────────────────────────────────────────────────────────────────────┐ ║
║ │ SEC 1 ▸ FUNDAMENTAL MEASUREMENTS & ANATOMY .................. Q1–Q40 │ ║
║ │ SEC 2 ▸ SINUS & ATRIAL RHYTHMS .............................. Q41–Q80│ ║
║ │ SEC 3 ▸ JUNCTIONAL & VENTRICULAR RHYTHMS ................... Q81–Q120│ ║
║ │ SEC 4 ▸ HEART BLOCKS & CONDUCTION DEFECTS .................. Q121–Q160│ ║
║ │ SEC 5 ▸ PACEMAKERS, ISCHEMIA & CLINICAL SCENARIOS .......... Q161–Q200│ ║
║ └──────────────────────────────────────────────────────────────────────┘ ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ EXAMINATION INSTRUCTIONS: ║
║ ║
║ 1. Read each question carefully before selecting your answer. ║
║ 2. Each question has ONE best answer unless stated otherwise. ║
║ 3. Mark your answers clearly in the space provided. ║
║ 4. Do not skip questions — there is no penalty for guessing. ║
║ 5. Answers and rationales are provided immediately after each question. ║
║ 6. Manage your time wisely — approximately 1.2 minutes per question. ║
║ 7. Any form of unauthorized assistance will result in disqualification. ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ COLOR CODE LEGEND: ║
, EKG RHYTHM INTERPRETATION
║ BLUE ....... QUESTION & OPTIONS ║
║ RED ........ CORRECT ANSWER ║
║ PURPLE ..... RATIONALE / EXPLANATION ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ ACADEMIC INTEGRITY STATEMENT: ║
║ This examination is intended for study and self-assessment purposes. ║
║ Unauthorized reproduction, distribution, or resale of this material ║
║ is strictly prohibited. All content is aligned with established EKG ║
║ interpretation standards and clinical best practices. ║
║ ║
╠════════════════════════════════════════════════════════
══════════════════════╣
║ ║
║ SCORE REPORTING: ║
║ RAW SCORE ......... _______ / 200 ║
║ PERCENTAGE ........ _______ % ║
║ RESULT ............ [ ] PASS [ ] FAIL ║
║ EXAMINER SIGNATURE ______________________ DATE ____ / ____ / 2026 ║
║ ║
╚════════════════════════════════════════════════════════
══════════════════════╝
, EKG RHYTHM INTERPRETATION
EKG Rhythm Interpretation Assessment
AMN Healthcare: KP Rhythm Interpretation
200 Comprehensive Exam Questions with Answers and Rationales
SECTION 1: FUNDAMENTAL MEASUREMENTS & ANATOMY (Questions 1-40)
QUESTION 1:
On standard EKG paper, what is the duration (in seconds) of one small box (1 mm)?
A. 0.20 seconds
B. 0.04 seconds
C. 0.12 seconds
D. 0.08 seconds
ANSWER:
B. 0.04 seconds
RATIONALE:
Standard EKG paper runs at 25 mm/second. Each small box (1 mm) represents 0.04 seconds (1/25 =
0.04). Five small boxes equal one large box at 0.20 seconds. This measurement is fundamental for
calculating all EKG intervals and heart rates .
QUESTION 2:
The normal PR interval duration is:
A. 0.04-0.10 seconds
B. 0.08-0.11 seconds
C. 0.12-0.20 seconds
D. 0.20-0.30 seconds
ANSWER:
C. 0.12-0.20 seconds
RATIONALE:
The PR interval measures from the beginning of the P wave to the beginning of the QRS complex.
Normal duration is 0.12-0.20 seconds (3-5 small boxes). A PR interval greater than 0.20 seconds
indicates first-degree AV block, while less than 0.12 seconds suggests a junctional rhythm or pre-
excitation syndrome .
QUESTION 3:
Which structure in the heart's conduction system is known as the "pacemaker" because it typically
initiates the electrical impulse at a rate of 60-100 times per minute?
A. Atrioventricular (AV) node
B. Bundle of His