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.
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Question 2 of 14
2. Question
Choose the correct rhythm for this rhythm strip.
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Question 3 of 14
3. Question
Choose the correct rhythm for this rhythm strip.
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Question 4 of 14
4. Question
Choose the correct rhythm for this rhythm strip.
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Question 5 of 14
5. Question
Choose the correct rhythm for this rhythm strip.
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Question 6 of 14
6. Question
Choose the correct rhythm for this rhythm strip.
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Question 7 of 14
7. Question
Choose the correct rhythm for this rhythm strip.
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Question 8 of 14
8. Question
Choose the correct rhythm for this rhythm strip.
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Question 9 of 14
9. Question
Choose the correct rhythm for this rhythm strip.
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Question 10 of 14
10. Question
Choose the correct rhythm for this rhythm strip.
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Question 11 of 14
11. Question
Choose the correct rhythm for this rhythm strip.
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Question 12 of 14
12. Question
Choose the correct rhythm for this rhythm strip.
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Question 13 of 14
13. Question
Choose the correct rhythm for this rhythm strip.
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Question 14 of 14
14. Question
Choose the correct rhythm for this rhythm strip.
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k lewis says
12
this is ventricular asystole
if you are trying to make this fine v fib, you are attempting creativity.
not well done
ACLS says
#12 is an example that was extracted from a real rhythm strip, and it is fine ventricular fibrillation.
Kind regards,
Jeff
ashley says
Fine vfib can look very similar to asystole. coarse vfib is more obvious. I hope this helps.
CB says
its actually vfib. we were taught about this type of vfib at medschool it looks too similar to asystole at first glance
Kenneth Gillespie says
What is meant by the rhythm’s are disassociated from one another?
ACLS says
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
Linda Black says
AV disassociation. Pretty much same as third degree block. Impulses occur independent of one another
ADOLBEN Y MONTESCLAROS, MD, FACS says
The answer to V FIB is incorrect. It is either asystole (no defined waveform or PEA.
Sean T. says
That’s what I thought. They need to fix that one.
ACLS says
Question 12 is a tracing that was clinically identified and treated as fine ventricular fibrillation in a real situation.
CB says
its actually vfib. we were taught about this type of vfib at medschool it looks too similar to asystole at first glance
Nathalia Hayes says
Will this be on the ekg exam
ACLS says
These are all practice test to help you learn to identify specific rhythms you will encounter within advanced, cardiac life support
Mohammad Hussain says
Can you please summarize the drugs that need to be flushed afterwards with normal saline
ACLS says
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
Lisa Kennedy says
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
Facia Bellepu says
Everything is normal except for the slow heart rate.
mel says
The PRI is not normal it is long therefore it’s a 1st degree block-
Facia says
I chose sinus bradycardia because of the slow heart rate of 40bpm. Everything else is normal.
Chelsea says
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.
Tim says
Ma’am. Please don’f forget to look at and monitor your patient while watching your machines………. Good Luck
Susan L says
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.
ACLS says
You’re welcome! I’m so glad that it’s been helpful for you.
Kind regards,
Jeff
Phanice Khaindi Phapkha says
I got it right because of prolonged RR.
Fekra Bowen says
Is this course considered the first part for ACLS?
ACLS says
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
Christine Woodhouse says
Thank you… just wanting to brush up on rhythms. Helpful.
Bobbie J Johnson says
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
Chris says
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.
Chris says
My mistake, I mixed up the PR interval with the PR segment.