Normal Sinus Rhythm quiz review for nursing students!
This quiz will test your knowledge on how to identify a Normal Sinus Rhythm and all its characteristics.
Also check out the other ECG quizzes:
Second-Degree Type I (Mobitz I or Wenckebach)
Second-Degree Type II (Mobitz II)
Third-Degree (Complete) Heart Block
Normal Sinus Rhythm ECG/EKG Interpretation Quiz Questions
ECG/EKG Study Guide and Workbook for Nursing Students
“ECG/EKG Interpretation Study Guide and Workbook by Nurse Sarah”. This book contain 100 pages of content featuring 26 ECG rhythm break downs, 51 ECG rhythm analysis practice problems, 100 comprehensive ECG practice questions, worksheets, chart summaries, and more.
You can get an eBook version here: “Nurse Sarah ECG Book” or a physical copy here: “ECG/EKG Interpretation Study Guide by Nurse Sarah“.
Normal Sinus Rhythm ECG/EKG Quiz

- Select the options below that best describe the rhythm above:
A. Regular atrial rhythm
B. Irregular ventricular rhythm
C. PR Interval < 0.20 seconds
D. QRS complex > 0.12 seconds
E. Equal atrial and ventricular rate
F. Atrial rate > than ventricular rate
G. First-Degree Heart Block
H. Sinus bradycardia
I. Normal Sinus Rhythm
The answers are A, C, E and I. This is normal sinus rhythm with a regular atrial and ventricular rhythm, PR Interval < 0.20 seconds, QRS complex < 0.12 seconds, and same atrial and ventricular rate.
2. What should the PR Interval measure for Normal Sinus Rhythm?
A. 0.35-0.44 seconds
B. > 0.12 seconds
C. 0.12-0.20 seconds
D. > 0.20 seconds
The answer is C. A PR interval should measure 0.12-0.20 seconds.
3. TRUE or FALSE: Both the atrial and ventricular rate are the same for Normal Sinus Rhythm.
True
False
The answer is TRUE.
4. Which statement below is FALSE regarding Normal Sinus Rhythm?
A. The QRS complex should measure <0.12 seconds.
B. The atrial rate should be 60-100 bpm.
C. The ventricular rate should be 40-60 bpm.
D. A p wave should accompany every QRS complex.
The answer is C. This statement is FALSE because the ventricular rate should be 60-100 bpm.

5. Which rhythm above represents Normal Sinus Rhythm?
A. Rhythm 1
B. Rhythm 2
C. Rhythm 3
D. Rhythm 4
The answer is D: Rhythm 4. Rhythm 1 is Sinus Bradycardia, Rhythm 2 Sinus Tachycardia, Rhythm 3 First-Degree Heart Block (note the prolonged PR Interval).

6. The nurse notes the rhythm above on the cardiac monitor. The nurse does a pulse check and a pulse is present. What next action by the nurse is most appropriate?
A. Continue to monitor
B. Prepare for the administration of Atropine
C. Start chest compressions
D. Activate the emergency response system
The answer is A. This rhythm is normal sinus rhythm. This rhythm requires no treatment and the nurse should continue to monitor the patient.
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