Test Bank Fast and Easy ECGs- A Self-Paced Learning Program 2nd Edition

Test Bank Fast and Easy ECGs- A Self-Paced

Learning Program 2nd Edition

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 Chapter 08 – PR Intervals

Multiple Choice Questions

1. You have determined the heart rate and regularity and examined the P waves and QRS
complexes. The next logical step of analyzing an ECG rhythm is to:
A. determine the QT interval.
B. evaluate the PR intervals.
C. examine the T waves.
D. examine the ST segments.

2. The PR interval is the distance from the beginning of the ________ to the beginning of
the__________.
A. P wave, Q wave
B. P wave, S wave
C. R wave, T wave.
D. PR segment, Q wave.

3. A normal PR interval:
A. is usually present with all sinus and junctional dysrhythmias.
B. indicates the impulse originated from the AV junction (or close to it) and traveled through
the atria and AV node in a regular and unobstructed course.
C. consists of the P wave and a flat line.
D. is seen with wandering atrial pacemaker and multifocal atrial tachycardia.

4. The PR interval is normally ____ to ____ seconds in duration.

A. 0.06, 0.12
B. 0.10, 0.12
C. 0.12, 0.16
D. 0.12, 0.20

5. A PR interval of less than 0.12 seconds indicates:

A. an intermittent blocking of the impulse as it passes through the AV node.
B. an increased rate of impulse discharge from the SA node.
C. a pacemaker site which is either in or close to the AV junction.
D. a delay in conduction of the impulse between the SA node and the ventricles.

08-1
 Chapter 08 – PR Intervals

6. A PR interval of greater than 0.20 seconds indicates:

A. an intermittent blocking of the impulse as it passes through the AV node.
B. an increased rate of impulse discharge from the AV junction.
C. a pacemaker site which is either in or close to the AV junction.
D. a delay in conduction of the impulse between the SA node and the ventricles.

7. PR intervals are considered normal if they are:

A. shorter than 0.12 seconds.
B. consistently the same duration.
C. vary in duration.
D. longer than 0.20 seconds.

8. Shorter than normal PR intervals may be seen in:

A. sinus dysrhythmia.
B. premature atrial complexes that arise in the upper or middle right atrium.
C. junctional escape rhythm.
D. sinus tachycardia.

9. Preexcitation:
A. leads to a delayed depolarization of the ventricles.
B. occurs when an impulse arises from a supraventricular site and travels through the AV
node to the ventricles more quickly than normal.
C. leads to a longer than normal PR interval.
D. produces a characteristically abnormal slurring at the onset of the QRS complex and a
short PR interval.

10. When a P' follows the QRS complex the PR interval is referred to as the:
A. P'R interval
B. P double R' interval
C. RP' interval
D. PR' interval

08-2
 Chapter 08 – PR Intervals

11. The most common cause of longer than normal PR intervals is:
A. 1st-degree AV heart block.
B. Premature junctional complexes.
C. Idioventricular rhythm.
D. 2nd-degree AV heart block.

12. The P'R intervals may vary from beat to beat in:
A. sinus dysrhythmia.
B. junctional escape.
C. wandering atrial pacemaker.
D. 3rd – degree AV block.

13. The PR intervals get progressively longer in:

A. sinus dysrhythmia.
B. 2nd - degree AV heart block, Type I.
C. 1st – degree AV heart block.
D. 3rd – degree AV heart block.

14. The PR intervals are not measurable in:

A. wandering atrial pacemaker.
B. atrial flutter.
C. 2nd - degree AV heart block, Type I.
D. premature atrial complexes.

15. With 3rd-degree AV heart block the PR intervals are:

A. prolonged.
B. shorter than normal.
C. absent.
D. progressively longer in duration.

08-3
 Chapter 08 – PR Intervals

16. With atrial fibrillation the PR intervals are:

A. absent.
B. shorter than normal.
C. prolonged.
D. progressively longer in duration.

17. With 2nd-degree AV heart block, Type II, the PR intervals associated with the P waves
which are followed by a QRS complex will be:
A. shorter than normal.
B. constant.
C. variable.
D. constantly changing.

True / False Questions

18. The PR interval denotes depolarization of the heart from the SA node through the atria,
AV node, and His-Purkinje system.
a. True
b. False
True False

19. With atrial tachycardia the P'R interval can be shorter than normal if the ectopic site is
closer to the AV node.
a. True
b. False
True False

20. 1st-degree AV heart block can occur with any rhythm originating in the SA node, such as
sinus rhythm, bradycardia, or tachycardia.
a. True
b. False
True False

08-4
 Chapter 08 – PR Intervals Key

Multiple Choice Questions

1. You have determined the heart rate and regularity and examined the P waves and QRS
complexes. The next logical step of analyzing an ECG rhythm is to:
A. determine the QT interval.
B. evaluate the PR intervals.
C. examine the T waves.
D. examine the ST segments.

Blooms: Understand
Difficulty: 2 Medium
Est Time: 3-5 Minutes
Learning Objective: 08-01
Topic: Importance of Determining the PR Intervals

2. The PR interval is the distance from the beginning of the ________ to the beginning of
the__________.
A. P wave, Q wave
B. P wave, S wave
C. R wave, T wave.
D. PR segment, Q wave.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-02
Topic: Characteristics of Normal PR Intervals

3. A normal PR interval:
A. is usually present with all sinus and junctional dysrhythmias.
B. indicates the impulse originated from the AV junction (or close to it) and traveled through
the atria and AV node in a regular and unobstructed course.
C. consists of the P wave and a flat line.
D. is seen with wandering atrial pacemaker and multifocal atrial tachycardia.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-02
Topic: Characteristics of Normal PR Intervals

08-5
 Chapter 08 – PR Intervals Key

4. The PR interval is normally ____ to ____ seconds in duration.

A. 0.06, 0.12
B. 0.10, 0.12
C. 0.12, 0.16
D. 0.12, 0.20

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-03
Topic: Measuring the PR Intervals

5. A PR interval of less than 0.12 seconds indicates:

A. an intermittent blocking of the impulse as it passes through the AV node.
B. an increased rate of impulse discharge from the SA node.
C. a pacemaker site which is either in or close to the AV junction.
D. a delay in conduction of the impulse between the SA node and the ventricles.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-05
Topic: PR Intervals That Are Different

6. A PR interval of greater than 0.20 seconds indicates:

A. an intermittent blocking of the impulse as it passes through the AV node.
B. an increased rate of impulse discharge from the AV junction.
C. a pacemaker site which is either in or close to the AV junction.
D. a delay in conduction of the impulse between the SA node and the ventricles.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-05
Topic: PR Intervals That Are Different

08-6
 Chapter 08 – PR Intervals Key

7. PR intervals are considered normal if they are:

A. shorter than 0.12 seconds.
B. consistently the same duration.
C. vary in duration.
D. longer than 0.20 seconds.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-02
Topic: Characteristics of Normal PR Intervals

8. Shorter than normal PR intervals may be seen in:

A. sinus dysrhythmia.
B. premature atrial complexes that arise in the upper or middle right atrium.
C. junctional escape rhythm.
D. sinus tachycardia.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-05
Topic: PR Intervals That Are Different

9. Preexcitation:
A. leads to a delayed depolarization of the ventricles.
B. occurs when an impulse arises from a supraventricular site and travels through the AV
node to the ventricles more quickly than normal.
C. leads to a longer than normal PR interval.
D. produces a characteristically abnormal slurring at the onset of the QRS complex and a
short PR interval.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-05
Topic: PR Intervals That Are Different

08-7
 Chapter 08 – PR Intervals Key

10. When a P' follows the QRS complex the PR interval is referred to as the:
A. P'R interval
B. P double R' interval
C. RP' interval
D. PR' interval

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-05
Topic: PR Intervals That Are Different

11. The most common cause of longer than normal PR intervals is:
A. 1st-degree AV heart block.
B. Premature junctional complexes.
C. Idioventricular rhythm.
D. 2nd-degree AV heart block.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-06 Recall the causes of longer PR intervals.
Topic: PR Intervals That Are Different

12. The P'R intervals may vary from beat to beat in:
A. sinus dysrhythmia.
B. junctional escape.
C. wandering atrial pacemaker.
D. 3rd – degree AV block.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-07
Topic: PR Intervals That Are Different

08-8
 Chapter 08 – PR Intervals Key

13. The PR intervals get progressively longer in:

A. sinus dysrhythmia.
B. 2nd - degree AV heart block, Type I.
C. 1st – degree AV heart block.
D. 3rd – degree AV heart block.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-04
Topic: PR Intervals That Are Different

14. The PR intervals are not measurable in:

A. wandering atrial pacemaker.
B. atrial flutter.
C. 2nd - degree AV heart block, Type I.
D. premature atrial complexes.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-08
Topic: PR Intervals That Are Different

15. With 3rd-degree AV heart block the PR intervals are:

A. prolonged.
B. shorter than normal.
C. absent.
D. progressively longer in duration.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-08
Topic: PR Intervals That Are Different

08-9
 Chapter 08 – PR Intervals Key

16. With atrial fibrillation the PR intervals are:

A. absent.
B. shorter than normal.
C. prolonged.
D. progressively longer in duration.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-08
Topic: PR Intervals That Are Different

17. With 2nd-degree AV heart block, Type II, the PR intervals associated with the P waves
which are followed by a QRS complex will be:
A. shorter than normal.
B. constant.
C. variable.
D. constantly changing.

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-09
Topic: PR Intervals That Are Different

True / False Questions

18. The PR interval denotes depolarization of the heart from the SA node through the atria,
AV node, and His-Purkinje system.
a. True
b. False
FALSE

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-02
Topic: Characteristics of Normal PR Intervals

08-10
Test Bank Fast and Easy ECGs- A Self-Paced Learning Program 2nd Edition

Chapter 08 – PR Intervals Key

19. With atrial tachycardia the P'R interval can be shorter than normal if the ectopic site is
closer to the AV node.
a. True
b. False
FALSE

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-05
Topic: PR Intervals That Are Different

20. 1st-degree AV heart block can occur with any rhythm originating in the SA node, such as
sinus rhythm, bradycardia, or tachycardia.
a. True
b. False
FALSE

Blooms: Remember
Difficulty: 1 Easy
Est Time: 3-5 Minutes
Learning Objective: 08-06
Topic: PR Intervals That Are Different

08-11

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