ECG Interpretations Quiz

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Test your ECG interpretation skills.

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courtney Durant

United States

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ECG Interpretations Quiz


Froggy Jumps ECG Interpretations QuizOnline version Test your ECG interpretation skills. by courtney Durant 1 A normal sinus rhythm EKG is characterized by a Chaotic irregular rhythm b Absent P waves c Regular rhythm with P waves before each QRS 2 Which finding indicates atrial fibrillation? a ST elevation b Irregular rhythm without distinct P waves c P waves before every QRS with regular rhythm 3 ST elevation on an EKG most often suggests a Normal occurrence b Acute myocardial infarction c Atrial ectopy 4 Prolonged QT interval can predispose to which arrhythmia? a Torsades de pointes b Atrial fibrillation c Sinus bradycardia 5 ST depression on an EKG can indicate a Hyperkalemia b Pericardial effusion c Myocardial ischemia 6 Which rhythm is a fast, narrow complex tachycardia with regular rhythm and no distinguishable P Wave? a Supraventricular tachycardia b Atrial fibrillation c Ventricular tachycardia 7 T wave inversion can indicate a Hypercalcemia b Myocardial ischemia c Hyperkalemia 8 Peaked T waves on an EKG are a sign of: a Hypocalcemia b Hyperkalemia c Hypokalemia 9 First degree AV block is characterized by: a Prolonged PR interval b Widened QRS width c Absent P waves 10 A patient is complaining SOB and dizziness. Vital signs include HR: 40 bpm, RR: 22, Temp: 98.8, BP: 90/62, O2: 95%. The nurse can expect the provider to order: a IV Atropine b IV Amiodarone c IV Metoprolol 11 82 yo male presents to hospital with fatigue, irregular pulse, SOB and has PMH of COPD, CAD and AFib. EKG monitor shows the patient is currently in Afib RVR with HR of 150 and a BP of 90/82. Which 1st line med would the nurse NOT expect to see? a Dofetilide (Tikosyn) b Amiodarone c Diltiazem 12 A nursing student is discussing AV blocks with the preceptor. Which comment made by the student needs correcting? a 1st degree blocks will have PR intervals consistently greater than 0.2 seconds b 3rd degree blocks will require a pacemaker to fix the dysrhythmia for most causes c 3rd degree block originate in the atria and no messages between atria and ventricles can get through 13 Looking at an EKG rhythm strip a nurse sees a sawtooth P wave. Which of the following could be a possible treatment for this type of EKG rhythm strip? a No treatment needed, this is a normal occurrence b Cardioversion c Adenosine, IV push 14 The patient’s EKG shows wide and bizarre QRS complexes, the nurse can expect this type of rhythm to have originated in: a The Ventricles b The Atria c The SA node 15 This EKG shows: a Normal Sinus Rhythm b Sinus Bradycardia c Sinus Arrhythmia 16 A patient presents to the ER with complaints of chest pain, SOB, and nausea/vomiting. The patient was given NTG and Aspirin with no relief. VS are as follows: HR 86, BP 92/52, Temp 97.4, RR 24, O2 91%, Pain 9/10. The nurse prioritizes provider order: a Oxygen 4L/min b STAT Troponin labs c Morphine 2mg IV 17 The gold standard for diagnosing a myocardial infarction is: a EKG b Troponin Level c Echocardiogram 18 Within 90 minutes of arriving to the hospital due to a STEMI, the patient should have which of the following interventions: a Percutaneous Coronary Intervention b Computed tomography coronary angiography c Coronary artery bypass graft 19 _______ can be used to treat this cardiac dysrhythmia: a Atropine b Amlodipine c Adenosine 20 Priority intervention for this patient is: a Cardiopulmonary Resuscitation b Immediate Defibrillation c A death certificate 21 This EKG shows: a Third Degree AV Block b Second Degree AV Block Type 2 c Second Degree AV Block Type 1 22 This EKG best represents: a A normal EKG rhythm strip b Complete blockage of blood flow to the heart c Disorganized electrical signals in the heart's atria and ventricles 23 Which medication would the nurse need to know the QTc interval? a sotalol b metoprolol c atenolol 24 A patient with a permanent pacemaker shows paced spikes on the EKG that are not followed by QRS complexes. The patient is dizzy with a heart rate of 38 bpm. What is the nurse’s priority action? a increase oxygen to 4L/min b prepare for emergency transcutaneous pacing c document the finding as an expected pacemaker function 25 A patient develops Torsades de Pointes. Which medication on the patient’s list is most likely to have contributed to this rhythm? a magnesium sulfate b cardizem c Ondansetron 26 A patient becomes unresponsive with no pulse. The monitor shows ventricular fibrillation. What should the nurse do first? a Begin chest compressions b Administer epinephrine c Deliver a defibrillation shock 27 A patient presents with monomorphic VT at 150 bpm but remains conscious with stable vital signs. What should the nurse do first? a Attempt vagal maneuvers b Administer IV amiodarone c Initiate unsynchronized shock 28 A telemetry patient shows sudden sinus tachycardia at 140 bpm. Which assessment finding would most likely explain the rhythm? a Potassium 6.0 mEq/L b Blood glucose 60 mg/dL c Hemoglobin 6.5 g/dL 29 A nurse reviews a telemetry strip showing: rate 78, regular rhythm, P waves before each QRS, PR interval 0.16 seconds, QRS 0.08 seconds. The patient reports mild dizziness when standing. What is the most appropriate nursing action? a Document the finding as normal and assess orthostatic vitals b Notify the provider for rhythm management c Apply supplemental oxygen and prepare for cardioversion 30 What is Mr. Browns least favorite phrase? a It is what it is b This one's for free c For what it's worth

ECG Interpretations Quiz

Froggy Jumps

About this activity

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ECG Interpretations QuizOnline version

by courtney Durant

A normal sinus rhythm EKG is characterized by

Which finding indicates atrial fibrillation?

ST elevation on an EKG most often suggests

Prolonged QT interval can predispose to which arrhythmia?

ST depression on an EKG can indicate

Which rhythm is a fast, narrow complex tachycardia with regular rhythm and no distinguishable P Wave?

T wave inversion can indicate

Peaked T waves on an EKG are a sign of:

First degree AV block is characterized by:

A patient is complaining SOB and dizziness. Vital signs include HR: 40 bpm, RR: 22, Temp: 98.8, BP: 90/62, O2: 95%. The nurse can expect the provider to order:

82 yo male presents to hospital with fatigue, irregular pulse, SOB and has PMH of COPD, CAD and AFib. EKG monitor shows the patient is currently in Afib RVR with HR of 150 and a BP of 90/82. Which 1st line med would the nurse NOT expect to see?

A nursing student is discussing AV blocks with the preceptor. Which comment made by the student needs correcting?

Looking at an EKG rhythm strip a nurse sees a sawtooth P wave. Which of the following could be a possible treatment for this type of EKG rhythm strip?

The patient’s EKG shows wide and bizarre QRS complexes, the nurse can expect this type of rhythm to have originated in:

This EKG shows:

A patient presents to the ER with complaints of chest pain, SOB, and nausea/vomiting. The patient was given NTG and Aspirin with no relief. VS are as follows: HR 86, BP 92/52, Temp 97.4, RR 24, O2 91%, Pain 9/10. The nurse prioritizes provider order:

The gold standard for diagnosing a myocardial infarction is:

Within 90 minutes of arriving to the hospital due to a STEMI, the patient should have which of the following interventions:

_______ can be used to treat this cardiac dysrhythmia:

Priority intervention for this patient is:

This EKG shows:

This EKG best represents:

Which medication would the nurse need to know the QTc interval?

A patient with a permanent pacemaker shows paced spikes on the EKG that are not followed by QRS complexes. The patient is dizzy with a heart rate of 38 bpm. What is the nurse’s priority action?

A patient develops Torsades de Pointes. Which medication on the patient’s list is most likely to have contributed to this rhythm?

A patient becomes unresponsive with no pulse. The monitor shows ventricular fibrillation. What should the nurse do first?

A patient presents with monomorphic VT at 150 bpm but remains conscious with stable vital signs. What should the nurse do first?

A telemetry patient shows sudden sinus tachycardia at 140 bpm. Which assessment finding would most likely explain the rhythm?

A nurse reviews a telemetry strip showing: rate 78, regular rhythm, P waves before each QRS, PR interval 0.16 seconds, QRS 0.08 seconds. The patient reports mild dizziness when standing. What is the most appropriate nursing action?

What is Mr. Browns least favorite phrase?