Module 4 Quiz Online
Module 4 quiz for Online EKG Technician Program
Each of the questions or incomplete statements below is followed by suggested answers or completions. Select the one answer that is best in each case.
You must obtain a 80% to pass and you will not be able to review your answers
- 1.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
B. Regular but interruptedExplanation
The correct answer is "regular but interrupted." This means that the rhythm strip shows a pattern that is generally regular, but there are occasional interruptions or breaks in the rhythm. These interruptions could be due to premature beats, pauses, or other irregularities in the heart's electrical activity. It is important to identify and monitor these interruptions as they may indicate underlying heart conditions or abnormalities.Rate this question:
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- 2.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
B. Regular but interruptedExplanation
The given rhythm strip is described as "regular but interrupted." This means that there is a consistent pattern to the rhythm, but there are occasional interruptions or breaks in the regularity. The interruptions could be caused by premature beats, pauses, or other irregularities. It is important to closely monitor and investigate the cause of these interruptions, as they may indicate underlying cardiac issues or abnormalities.Rate this question:
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- 3.
A rhythm originating in the sinus node should NOT have which of the following?
- A.
Narrow QRS complexes of uniform shape
- B.
Regularly spaced QRS complexes
- C.
Absent QRS complexes
- D.
Heart rate of 60–100
Correct Answer
C. Absent QRS complexes -
- 4.
If the patient’s rhythm changes, you should FIRST
- A.
Assess your patient for signs of decreased cardiac output.
- B.
Calculate the heart rate, rhythm, and intervals.
- C.
Change the lead to see if the rhythm is real or if it’s artifact.
- D.
Look for P waves.
Correct Answer
A. Assess your patient for signs of decreased cardiac output.Explanation
If the patient's rhythm changes, the first step should be to assess the patient for signs of decreased cardiac output. This is important because changes in rhythm can indicate a decrease in the heart's ability to effectively pump blood, leading to decreased cardiac output. By assessing the patient for signs such as decreased blood pressure, altered mental status, or decreased urine output, healthcare providers can quickly identify and address any potential issues with cardiac output. This step is crucial in ensuring the patient's overall cardiovascular health and preventing any further complications.Rate this question:
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- 5.
The normal rhythm of the heart has P waves that are
- A.
Upright, matching, and precede the QRS complex.
- B.
Variable in shape and location.
- C.
Often hidden inside QRS complexes.
- D.
Multiple in number, preceding the QRS complex
Correct Answer
A. Upright, matching, and precede the QRS complex.Explanation
The correct answer is "Upright, matching, and precede the QRS complex." This is because in a normal heart rhythm, the P waves on an electrocardiogram (ECG) are upright, meaning they have a positive deflection. The P waves also match in shape and size, indicating that they are originating from the same location in the atria. Additionally, the P waves precede the QRS complex, which represents ventricular depolarization.Rate this question:
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- 6.
A heart rate less than 60 is said to be a
- A.
Tachycardia.
- B.
Bradycardia.
- C.
Tachyarrhythmia.
- D.
Bundle branch block.
Correct Answer
B. Bradycardia.Explanation
A heart rate less than 60 is considered to be bradycardia. Bradycardia is a condition characterized by a slow heart rate, which can lead to symptoms such as dizziness, fatigue, and fainting. It can be caused by various factors including certain medications, heart disease, and an imbalance in the electrical signals that control the heart. Treatment for bradycardia may involve addressing the underlying cause, using medications, or implanting a pacemaker to regulate the heart rate.Rate this question:
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- 7.
A heart rate greater than 100 is said to be a
- A.
Tachycardia.
- B.
Bradycardia.
- C.
Myocardium.
- D.
Bundle branch block.
Correct Answer
A. Tachycardia.Explanation
A heart rate greater than 100 is considered tachycardia. Tachycardia is a condition where the heart beats faster than the normal resting rate. This can be caused by various factors such as stress, exercise, fever, certain medications, or underlying medical conditions. Tachycardia can lead to symptoms like palpitations, dizziness, shortness of breath, and chest pain. It is important to identify and treat the underlying cause of tachycardia to prevent complications and manage the condition effectively.Rate this question:
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- 8.
The normal rhythm originating in the sinus node should have a heart rate
- A.
Greater than 100.
- B.
Less than 60.
- C.
Between 40 and 60.
- D.
Between 60 and 100.
Correct Answer
D. Between 60 and 100.Explanation
The normal rhythm originating in the sinus node should have a heart rate between 60 and 100. This range is considered normal for a healthy individual. A heart rate greater than 100, known as tachycardia, may indicate an abnormality or underlying medical condition. On the other hand, a heart rate less than 60, known as bradycardia, may also be indicative of an abnormality or underlying medical condition. Therefore, a heart rate between 60 and 100 is considered within the normal range for a healthy individual.Rate this question:
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- 9.
Normal QRS complexes should have a QRS complex
- A.
Less than 0.20 seconds wide.
- B.
Less than 0.12 seconds wide.
- C.
Between 0.12 and 0.20 seconds wide.
- D.
That is alternately narrow and wide
Correct Answer
B. Less than 0.12 seconds wide.Explanation
The correct answer is "Less than 0.12 seconds wide." This is because a normal QRS complex represents the depolarization of the ventricles, and it should typically be less than 0.12 seconds wide on an electrocardiogram (ECG). If the QRS complex is wider than 0.12 seconds, it may indicate a conduction abnormality or a delay in ventricular depolarization. Therefore, a QRS complex that is less than 0.12 seconds wide is considered within the normal range.Rate this question:
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- 10.
Dysrhythmias are
- A.
Normal heart rhythms.
- B.
Rhythms originating in the sinus node.
- C.
Abnormal heart rhythms
- D.
Rhythms that cause no symptoms.
Correct Answer
C. Abnormal heart rhythmsExplanation
Dysrhythmias refer to abnormal heart rhythms. These rhythms deviate from the normal electrical activity of the heart and can cause various symptoms such as palpitations, dizziness, chest pain, or even loss of consciousness. Dysrhythmias can occur due to various factors such as underlying heart conditions, electrolyte imbalances, medications, or stimulants. It is important to diagnose and treat dysrhythmias as they can increase the risk of complications such as blood clots, heart failure, or cardiac arrest.Rate this question:
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- 11.
Which of the following is a method of calculating heart rate?
- A.
Six-second strip method
- B.
The QT interval method
- C.
The P-P interval method
- D.
All of the above
Correct Answer
A. Six-second strip methodExplanation
The six-second strip method is a method of calculating heart rate. This method involves counting the number of QRS complexes (the peaks on an ECG) within a six-second strip and multiplying it by 10 to get the heart rate per minute. This method is commonly used in clinical settings to quickly estimate the heart rate of a patient. The other options, the QT interval method and the P-P interval method, are not methods of calculating heart rate.Rate this question:
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- 12.
The mean rate is calculated by
- A.
Counting the number of P waves in a minute-long rhythm strip.
- B.
Counting the number of QRS complexes in a minute-long rhythm strip.
- C.
Counting the number of QRS complexes on a six-second strip and multiplying by 10
- D.
Counting the number of P waves on a six-second strip and multiplying by 10.
Correct Answer
C. Counting the number of QRS complexes on a six-second strip and multiplying by 10Explanation
The correct answer is counting the number of QRS complexes on a six-second strip and multiplying by 10. This method is used to calculate the mean heart rate because the QRS complex represents ventricular depolarization, which is a more accurate indicator of the heart rate compared to the P wave. By counting the number of QRS complexes on a six-second strip and multiplying by 10, we can estimate the number of complexes in a minute and thus calculate the heart rate.Rate this question:
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- 13.
The most accurate way to determine heart rate would be to
- A.
Count the number of P waves in a minute-long rhythm strip
- B.
Count the number of QRS complexes in a minute-long rhythm strip.
- C.
Count the number of QRS complexes on a six-second strip and multiply by 10
- D.
Count the number of P waves on a six-second strip and multiply by 10.
Correct Answer
B. Count the number of QRS complexes in a minute-long rhythm strip.Explanation
The most accurate way to determine heart rate is by counting the number of QRS complexes in a minute-long rhythm strip. The QRS complex represents the electrical activity of the ventricles contracting, which is directly related to the heart rate. Counting the number of QRS complexes over a minute provides an accurate measurement of the heart rate. Counting P waves or using a six-second strip may not provide an accurate measurement as it does not directly reflect the ventricular activity.Rate this question:
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- 14.
An irregular rhythm is one in which
- A.
The R-R intervals vary “all over the place.”
- B.
The R-R intervals vary by only one or two little blocks.
- C.
There are premature beats or pauses that interrupt the otherwise regular rhythm.
- D.
The QRS complexes do not look alike.
Correct Answer
A. The R-R intervals vary “all over the place.”Explanation
An irregular rhythm refers to a variation in the time intervals between consecutive R waves on an electrocardiogram (ECG). In this case, the correct answer states that the R-R intervals vary "all over the place." This means that there is no consistent pattern or regularity in the timing of the R waves, indicating an irregular rhythm.Rate this question:
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- 15.
A regular rhythm is one in which the R-R intervals
- A.
Vary by only one or two little blocks.
- B.
Do not vary at all.
- C.
Are the same as the P-P intervals.
- D.
Are interrupted by premature beats.
Correct Answer
A. Vary by only one or two little blocks.Explanation
A regular rhythm is characterized by consistent and predictable R-R intervals. These intervals refer to the time between consecutive R waves on an electrocardiogram (ECG). When it is stated that the R-R intervals vary by only one or two little blocks, it means that there is minimal variation in the duration of these intervals. This suggests that the heart is beating at a steady and regular pace without any significant deviations. Therefore, this answer choice accurately describes a regular rhythm.Rate this question:
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- 16.
Regularity of a rhythm is determined by measuring the
- A.
P-P intervals
- B.
QRS intervals.
- C.
R-R intervals.
- D.
Distance between consecutive U waves
Correct Answer
C. R-R intervals.Explanation
The regularity of a rhythm is determined by measuring the R-R intervals. R-R intervals represent the time between consecutive R waves on an electrocardiogram (ECG) and can be used to assess the regularity of the heart's electrical activity. If the R-R intervals are consistent and evenly spaced, the rhythm is considered regular. On the other hand, irregular R-R intervals indicate an irregular rhythm. Therefore, measuring R-R intervals is a reliable method to determine the regularity of a rhythm.Rate this question:
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- 17.
Please enter the heart rate for the following rhythm strip
Correct Answer
100, 90, 110Explanation
The heart rate for the given rhythm strip can be determined by calculating the average of the three values provided. Adding 100, 90, and 110 together and dividing by 3 gives an average heart rate of 100 beats per minute.Rate this question:
- 18.
Please enter the heart rate for the following rhythm stripPlease enter numbers only
Correct Answer
75, 70, 65Explanation
The given answer is the heart rate for the rhythm strip. It indicates that the heart rate for the strip is 75 beats per minute, followed by 70 beats per minute, and then 65 beats per minute.Rate this question:
- 19.
Please enter the heart rate for the following rhythm strip
Correct Answer
107, 100, 110 - 20.
Please enter the heart rate for the following rhythm strip
Correct Answer
140, 120, 130 - 21.
Please enter the heart rate for the following rhythm strip
Correct Answer
70, 65, 75Explanation
The heart rate for the given rhythm strip is determined by calculating the average of the three values provided, which are 70, 65, and 75. Adding these values together and dividing by 3 gives an average heart rate of 70 beats per minute.Rate this question:
- 22.
Please enter the heart rate for the following rhythm stripPlease enter numbers only
Correct Answer
80, 90Explanation
The given answer states the heart rate for the rhythm strip as 80 and 90. This implies that the heart rate is either 80 or 90 beats per minute.Rate this question:
- 23.
Please enter the heart rate for the following rhythm stripPlease enter numbers only
Correct Answer
50Explanation
The question asks for the heart rate for the given rhythm strip. The answer provided is "50," which indicates that the heart rate is 50 beats per minute.Rate this question:
- 24.
Please enter the heart rate for the following rhythm strip
Correct Answer
70Explanation
The heart rate for the given rhythm strip is 70.Rate this question:
- 25.
Please enter the heart rate for the following rhythm strip
Correct Answer
70, 60, 65Explanation
The heart rate for the given rhythm strip is determined by counting the number of QRS complexes within a specified time frame and then calculating the beats per minute. In this case, the heart rate can be determined by counting the number of QRS complexes in the strip, which is 3, and then calculating the beats per minute. Since the strip shows a heart rate of 70, 60, and 65, these numbers represent the beats per minute for each respective strip.Rate this question:
- 26.
Please enter the heart rate for the following rhythm stripPlease enter numbers only
Correct Answer
130, 120Explanation
The given answer is 130, 120, which are the heart rates for the rhythm strip. The heart rate is a measure of how many times the heart beats per minute. In this case, the heart rate is 130 beats per minute for the first reading and 120 beats per minute for the second reading.Rate this question:
- 27.
Please enter the heart rate for the following rhythm stripPlease enter numbers only
Correct Answer
80, 85 - 28.
Please enter the heart rate for the following rhythm stripPlease enter numbers only
Correct Answer
50, 60, 55 - 29.
Please enter the heart rate for the following rhythm stripPlease enter numbers only
Correct Answer
30, 35 - 30.
Please enter the heart rate for the following rhythm stripPlease enter numbers only
Correct Answer
50, 40 - 31.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
C. IrregularExplanation
The given answer, "irregular," suggests that the rhythm strip does not follow a regular pattern or interval. This means that the beats or pulses on the strip occur at varying intervals, rather than at a consistent pace. This irregularity could indicate an abnormal heart rhythm, such as atrial fibrillation or ventricular arrhythmia.Rate this question:
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- 32.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
A. RegularExplanation
The given options describe different patterns of a rhythm strip. The term "regular" refers to a consistent and uniform pattern of beats without any interruptions or irregularities. Therefore, the correct answer "regular" indicates that the rhythm strip shows a steady and predictable pattern of beats.Rate this question:
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- 33.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
B. Regular but interruptedExplanation
The correct answer is "regular but interrupted." This means that the rhythm strip displays a regular pattern of beats, but there are occasional interruptions or pauses in the rhythm. This can be seen as a consistent pattern with occasional breaks in the regularity.Rate this question:
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- 34.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
B. Regular but interruptedExplanation
The correct answer is "regular but interrupted" because the question asks for the regularity of the rhythm strip. A regular rhythm means that the intervals between each beat are consistent, but the presence of interruptions indicates that there are occasional breaks or pauses in the rhythm. Therefore, the rhythm strip is regular but interrupted.Rate this question:
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- 35.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
B. Regular but interruptedExplanation
The correct answer is "regular but interrupted." This means that the rhythm strip shows a pattern of regular beats, but there are occasional interruptions or pauses in the rhythm. This could indicate a condition called sinus arrhythmia, where the heart rate varies slightly with breathing, or it could be caused by other factors such as premature beats or heart block. It is important to further evaluate the strip and consider any symptoms or medical history to determine the cause of the interruptions.Rate this question:
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- 36.
Which of the following is NOT a method of calculating heart rate?
- A.
The little block method.
- B.
The memory method.
- C.
The P-P interval method.
- D.
The six-second strip method.
Correct Answer
C. The P-P interval method.Explanation
The P-P interval method is not a method of calculating heart rate because it measures the time between consecutive P waves on an electrocardiogram (ECG) rather than the actual heart rate. The other methods listed, such as the little block method, memory method, and six-second strip method, all involve counting the number of heartbeats within a certain time frame to determine the heart rate.Rate this question:
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- 37.
Atrial rate can be calculated by counting
- A.
P waves.
- B.
PR intervals.
- C.
R-R intervals.
- D.
QRS complexes.
Correct Answer
A. P waves.Explanation
The atrial rate can be calculated by counting the P waves. The P wave represents the depolarization of the atria, and each P wave corresponds to one atrial contraction. By counting the number of P waves in a given time period, the atrial rate can be determined. This is a common method used in electrocardiography to assess the atrial rhythm and identify any abnormalities.Rate this question:
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- 38.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
B. Regular but interruptedExplanation
The correct answer is "regular but interrupted." This means that the rhythm strip shows a consistent pattern of beats, but there are occasional interruptions or pauses in the rhythm. This could indicate a condition known as intermittent heart block, where the electrical signals in the heart are occasionally blocked, causing a temporary pause in the heartbeat.Rate this question:
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- 39.
Please find the regularity of the rhythm strip
- A.
Regular
- B.
Regular but interrupted
- C.
Irregular
- D.
None of the above
Correct Answer
C. IrregularExplanation
The given options describe different patterns of a rhythm strip. The first option "regular" suggests that the rhythm is consistent and follows a regular pattern. The second option "regular but interrupted" implies that the rhythm is mostly regular, but occasionally interrupted by irregular beats. The third option "irregular" indicates that the rhythm is completely irregular and lacks any consistent pattern. The fourth option "none of the above" suggests that the rhythm does not fit into any of the given patterns. The correct answer "irregular" indicates that the rhythm strip shows an irregular pattern.Rate this question:
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- 40.
Please enter the heart rate for the following rhythm stripPlease fill answer below
Correct Answer
90, 100Explanation
The given answer is the heart rate for the rhythm strip. The heart rate is measured in beats per minute (bpm), and the answer indicates that the heart rate for the strip is between 90 and 100 bpm.Rate this question:
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