EKG Practice Test 1

This EKG practice test is designed to help you learn to recoginze all of the EKG rhythms that you will encounter during emergencies and during the AHA ACLS provider course. Use these EKG practice tests to help you become proficient in your rapid rhythm identification.

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Question 1 of 14
1 . Question

Choose the correct rhythm for this rhythm strip.

Question 2 of 14
2 . Question

Choose the correct rhythm for this rhythm strip.

Question 3 of 14
3 . Question

Choose the correct rhythm for this rhythm strip.

Question 4 of 14
4 . Question

Choose the correct rhythm for this rhythm strip.

Question 5 of 14
5 . Question

Choose the correct rhythm for this rhythm strip.

Question 6 of 14
6 . Question

Choose the correct rhythm for this rhythm strip.

Question 7 of 14
7 . Question

Choose the correct rhythm for this rhythm strip.

Question 8 of 14
8 . Question

Choose the correct rhythm for this rhythm strip.

Question 9 of 14
9 . Question

Choose the correct rhythm for this rhythm strip.

Question 10 of 14
10 . Question

Choose the correct rhythm for this rhythm strip.

Question 11 of 14
11 . Question

Choose the correct rhythm for this rhythm strip.

Question 12 of 14
12 . Question

Choose the correct rhythm for this rhythm strip.

Question 13 of 14
13 . Question

Choose the correct rhythm for this rhythm strip.

Question 14 of 14
14 . Question

Choose the correct rhythm for this rhythm strip.

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Comments

  1. k lewis says February 29, 2024 at 10:28 am

12
this is ventricular asystole if you are trying to make this fine v fib, you are attempting creativity.
not well done

#12 is an example that was extracted from a real rhythm strip, and it is fine ventricular fibrillation.
Kind regards,
Jeff

Fine vfib can look very similar to asystole. coarse vfib is more obvious. I hope this helps.

its actually vfib. we were taught about this type of vfib at medschool it looks too similar to asystole at first glance

What is meant by the rhythm’s are disassociated from one another?

The atria and the ventricles are not synchronized. They are disassociated and there is no coordination between the upper and lower chambers of the heart. Kind regards, Jeff

AV disassociation. Pretty much same as third degree block. Impulses occur independent of one another The answer to V FIB is incorrect. It is either asystole (no defined waveform or PEA. That’s what I thought. They need to fix that one.

Question 12 is a tracing that was clinically identified and treated as fine ventricular fibrillation in a real situation.

its actually vfib. we were taught about this type of vfib at medschool it looks too similar to asystole at first glance

Will this be on the ekg exam

These are all practice test to help you learn to identify specific rhythms you will encounter within advanced, cardiac life support

Can you please summarize the drugs that need to be flushed afterwards with normal saline

All medications given during cardiac arrest that are given IV push need to be followed with 20 mL of NS. All medications given in ACLS Emergencies should be followed with 20 mL of NS. Kind regards,
Jeff

It is Afib. There is no p waves, so no PR interval. The rhythm is irregular and without p waves, the rhythm is Atrial Fibrillation

Everything is normal except for the slow heart rate. The PRI is not normal it is long therefore it’s a 1st degree block- I chose sinus bradycardia because of the slow heart rate of 40bpm. Everything else is normal.

Thank you so much! Studying for my final exam in my last semester of nursing and I can FINALLY INTERPRET STRIPS, THANKS TO YOU. Much appreciated. Keep up the good work.

Ma’am. Please don’f forget to look at and monitor your patient while watching your machines………. Good Luck

Thank you so much for creating this site and practice test on how to read and understand EKG strips and what is going on in the heart.

You’re welcome! I’m so glad that it’s been helpful for you.
Kind regards,
Jeff I got it right because of prolonged RR. Is this course considered the first part for ACLS?

This course is not considered the first part of ACLS. This course is strictly for training purposes to help people prepare for the American heart Association ACLS provider course. Kind regards, Jeff

Thank you… just wanting to brush up on rhythms. Helpful.

I just wanted to brush up on rhythm strips because I’m in school and soon will be applying for for monitor tech as soon as I get certified

The one described to be a first-degree AV block appears to have the PR interval at less than 0.20 seconds, and all other parts of interpretation look normal (rate, rhythm, other intervals, etc.), so is this really a first-degree AV block or an odd presentation of a normal sinus rhythm? I personally do not know, and perhaps I measured wrong. Thank you.