The document consists of an electrocardiogram (ECG) quiz which assesses knowledge on lead placements, basic ECG interpretation, and clinical scenarios related to ECG monitoring. It includes matching exercises for limb and precordial lead placements, interpretation of ECG waveforms, and questions about the effects of various conditions on ECG readings. Additionally, the document emphasizes important parameters for monitoring and understanding ECG findings in clinical practice.

1. KNOWLEDGE OF ELECTROCARDIOGRAM INVENTORY
Gender:___________ Year Level: ________
Number of Exposure: 0-1 ____ 2-3____ 4-5_____ 6 times and more_____
I - Placement of ECG leads in Matching type:
1. What is the standard limb lead placement? Match the color on a specific lead position written in
column A by choosing answer column B. Write the letter on the blank provided.
Column A Column B
____a. Right arm A. Black
____b. Left Arm B. Green
____c. Right leg C. Yellow
____d. Left leg D. Red
2. What is the standard precordial leads placement? Match the specific precordial lead number with
described position written in column A and choosing answer (color) column B. Write the letter on
the blank provided.
Column A Column B
_____ a. V1- fourth intercostals space just to the right
Of the sterna border A- Yellow
_____b. V2- fourth intercostals space just to the left of
the sternal border B - Violet
_____c. V3 - midway between leads V2 and V4 C- Red
_____d. V4 -midclavicular line, above the fifth interspace D- Black
_____e. V5- anterior axillary line at the same level as V4 E- Green
_____f. V6- midaxillary line at the same level as leads V4 and F- Brown
V5
II-Basic ECG interpretation
_____ 1. The student nurse is reviewing his ECG notes and would accurately understand that QRS
complex is approximately?
a. Less than .11 seconds c. less than .12 seconds
b. .10 seconds to .20 seconds d. 04 to .10 seconds
______2. The serum K level of a client who has diabetic ketoacidosis is 5.4 meq/L. When monitoring the
ECG tracing, the nurse would expect to observe?
a. Absence of P wave c. Pathologic Q wave
b. Peaked T wave d. Prominent U wave
_____3. Which of the following ECG findings alert the student nurse must note when the client needs
antiarrytmic drugs
a. Normal Sinus rhythm c. Sinus Arrythmia

2. b. Sinus bradycardia d. Premature Ventricular Complex
_____4. When administering antiarrythmic drugs, it is most important for the nurse to monitor which of
the following parameters?
a. ECG b. Pulse rate c. Respiratory rate b. Blood Pressure
______5. Roland is scheduled for ECG. In the morning of the test which of the following item of food
will be removed from the breakfast tray?
a. Toast with butter c. Coffee
b. Rice with viand d. Remove all
_____6. Two days after Mang Berto complains of severe dyspnea and is anxious, tachypneic and
tachycardic. While continuing your assessment to Mang Berto, the Student nurse notes a pulse
deficit. He will anticipate that the patient may require
a. Hourly BP check c. ECG monitoring
b. Coronary arteriogram d. 2 D echocardiogram
_____7. As a student nurse you know that the function of ECG is to
a. Provides a graphic representation of the direction and magnitude of the heart’s
electrocardiography
b. Give information about Cardiac Structures
c. To evaluate the heart’s electrical activity
d. To evaluate ventricular function and myocardial blood flow and detects areas of
myocardial damage
_____8. Mrs. Roberts has undergone hearty surgery for a valve replacement. When monitoring Mrs.
Roberts post surgery, the student nurse detects Premature Ventricular Contractions (PVC) on the
ECG. The nurse recognizes that PVCs may be dangerous because they
a. Significantly increase cardiac workload
b. May lead to Ventricular tachycardia or Ventricular fibrillation
c. Are the most common cause of myocardial infarction
d. Decrease heart rate and blood pressure
_____9. It is the measurement from one QRS complex to the beginning of the next QRS complex and
determines Ventricular rate and rhythm
a. PP interval c. RR interval

3. b. QT interval d. PR interval
_____10. What is the normal PR interval duration?
a. 0.04-0.08 seconds c. < o.11 seconds
b. 0.06-0.12 seconds d. 0.12-0.20 seconds
_____11. What is the normal P wave duration?
a. < 0.11 seconds c. >0.15 seconds
b. < 0.20 seconds d. >0.25 seconds
_____12. From an ECG reading, PR interval represents;
a. Ventricular Contraction
b. Represent the impulse travel time through
the AV node, Bundle of his and Pukinjie fibers
c. Ventricular Repolarization
d. Atrial Contraction
_____13. From an ECG reading, QRS complex represents;
a. Ventricular Repolarization c. Ventricular Depolarization
b. Atrial Repolarization d. Atrial Contraction
_____14. From an ECG reading, T wave represents;
a. Ventricular Repolarization c. Ventricular Contraction
b. Atrial Contraction d. Atrial Repolarization
_____15. From an ECG reading, P wave represents
c. Atrial Contraction c. Atrial Contraction
d. Atrial Repolarization d. Ventricular Contraction
_____16. While assessing a 52 year old at the ER who had heavy ingestion of alcohol the night before
consultation the nurse noticed the ECG rhythm has no longer P wave. You conclude this as
e. Sinus Bradycardia c. Atrial Fibrillation
f. Atrial Flutter d. Sinus Bradycardia
_____17. Which of the following represents Ventricular relaxation in the ECG tracing

4. g. P wave b. QRS complex c. T wave d. U wave
_____18. The ECG of a 25year old athlete shows PR interval of 0.16 seconds. You can conclude that that
this is
h. Normal c. 1st degree AV block
i. Atrial Flutter d. Sinus Bradycardia
_____19. A 34 year old in the ER experiencing a chest pain; with an order of ECG as a student nurse you
are to remove all his belongings except;
a. Jewelries b. Coins c. Keys d. Pants
_____20. In placement of ECG lead, as a student nurse you are aware that the black colored lead will be
place at
b. Right wrist b. Left wrist c. right ankle d. left ankle
_____21. In placement of ECG lead, as a student nurse you are aware that the yellow colored lead will be
place at
c. Right wrist d. Left wrist c. right ankle d. left ankle
_____22. From an ECG reading; it is the beginning of on P wave to the beginning of the next, it
determines atrial rate and rhythm
d. RR interval c. PR interval
e. PP interval d. QT interval
_____23. How many leads has an ECG had?
f. 6 b. 12 c.24 d.20
_____24. All of the following must be included in ECG interpretation except;
g. Conduction Analysis c. Waveforms
h. PU interval d. QT interval
_____25. What lead measures about the same direction of current as lead I?
a. aVF b. II c.III d. V6
_____26. What lead primarily measures forces moving from the head to feet inferiorly?

5. b. Lead I b. aVF c. V1 d. V6
Source:
G&A Notes (2005). G & A Notes Publishing Company
Melander, Shiela Drake (2004). Case Study in Critical Care Nursing: A guide for application and review. 3rd
Edition. Saunders Elsevier (USA).