At the standard paper speed of , each small ECG square represents seconds.
2 Heart Rate and Rhythm Assessment Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Heart Rate and Rhythm Assessment, test your knowledge, and prepare for your next test or exam.
Which electrical event is represented by the QRS complex?
- A
Atrial depolarization
- B
Ventricular depolarization
- C
Ventricular repolarization
- D
Atrial repolarization
At a paper speed of 25 mm/s, one large square represents seconds.
If successive R–R intervals measure 4, 4, 4, and 4 large squares, the ventricular intervals are regular.
- A
True
- B
False
At 25 mm/s, a PR interval spans 4 small squares. Which option gives both its duration and whether it is within the usual adult reference range?
- A
0.08 seconds; below the usual range
- B
0.24 seconds; above the usual range
- C
0.16 seconds; within the usual range
- D
0.20 seconds; above the usual range
A QRS complex spans 2 small squares at 25 mm/s. Using the common 0.12-second cutoff, how should it be classified?
- A
Narrow, because its duration is 0.08 seconds
- B
Wide, because its duration is 0.08 seconds
- C
Wide, because its duration is less than 0.12 seconds
- D
It cannot be classified without measuring the PR interval
An irregular 10-second rhythm strip contains 13 QRS complexes. Estimate the average ventricular rate: beats/min.
A QT interval spans 10 small squares at 25 mm/s. What is the measured QT interval in seconds?
Because QT varies with heart rate, what corrected measurement is typically considered when interpreting the QT interval?
Select all accurate statements about ECG waveforms and the PR interval.
- A
The P wave represents atrial depolarization.
- B
The QRS complex represents ventricular depolarization.
- C
The T wave represents ventricular repolarization.
- D
The PR interval runs from the start of the P wave to the start of the QRS complex.
- E
The T wave represents ventricular depolarization.
When describing a rhythm strip in addition to calculating its rate, which features are appropriate to assess? Select all that apply.
- A
Regularity of the P–P and R–R intervals
- B
Presence and consistency of P waves
- C
PR interval
- D
Blood glucose concentration
- E
QRS width and shape
- F
T-wave sequence and appearance
On a rhythm strip, some P waves are not followed by QRS complexes. Write a concise interpretation of the observed P-to-QRS relationship and state whether you can assume every atrial impulse is conducted.
A regular rhythm has 3 large squares between consecutive R waves. Using the large-square method at 25 mm/s, what is the estimated ventricular rate?
- A
60 beats/min
- B
75 beats/min
- C
100 beats/min
- D
150 beats/min
At a paper speed of 25 mm/s, an interval spans 3 large squares. How long is the interval?
- A
0.12 seconds
- B
0.20 seconds
- C
0.60 seconds
- D
0.80 seconds
A rhythm strip has successive R–R intervals of 4, 4, 5, and 4 large squares. How should the ventricular rhythm be described?
- A
Regular, because most intervals are the same length
- B
Irregular, because at least one interval differs
- C
Regular, because the intervals are close in length
- D
Cannot be assessed without measuring the PR interval
At a paper speed of 25 mm/s, the PR interval spans 4 small squares. What is the PR interval in seconds?
An irregular 10-second rhythm strip contains 13 QRS complexes. What is the estimated average ventricular rate?
- A
13 beats/min
- B
60 beats/min
- C
78 beats/min
- D
130 beats/min
At a paper speed of 25 mm/s, a QRS complex spans 2 small squares. Which choice gives both its duration and its classification using the common 0.12-second cutoff?
- A
0.08 seconds; narrow
- B
0.08 seconds; wide
- C
0.12 seconds; narrow
- D
0.12 seconds; wide
At a paper speed of 25 mm/s, a measured QT interval spans 10 small squares. What is the measured QT interval in seconds?
A measured QT interval should be interpreted in relation to heart rate, typically by considering a corrected QT (QTc).
- A
True
- B
False
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