Exam Overview

Click here for the new Examination Matrix for examinations given on or after January 1, 2017

For examinations given before January 1, 2017

The examination matrix is provided to illustrate the general distribution of questions and the relative weight or emphasis given to a skill or content area on the examination.

Content Category

Complying with Governing Regulations

Interacting with Patients and Others

Identify Normal ECG Components and Cardiac Anatomy

Determine patient's cardiac rhythm

Troubleshoot ECG

Compile ECG Results


Approx. % of Exam















The list below describe general areas of knowledge that are needed in order to perform the tasks identified. This knowledge will apply across multiple tasks.

Regulatory and Compliance Standards
(e.g. OSHA, HIPAA, informed consent, medical records)

Communication with staff and faculty

Cardiac rhythm analysis and interpretation

Medical ethics

Patient safety

ECG troubleshooting

Communication with the client

Emergency response

Documentation of findings


Basic Cardiovascular anatomy and physiology

Medical terminology

The task list below describes the activities which a Rhythm Analysis Technician is expected to perform on the job. All examination questions are linked to these tasks.

     Duties and Tasks  % of Exam

Complying with Governing Regulations

  1 Obtain/maintain prescriptions/orders  
  2 Maintain HIPAA compliance  
  3 Obtain patient demographics  
  4 Verify patient identification  

Interacting with Patients and Others

  1 Familiarize patients regarding services  
  2 Educate patients on when to call for help  
  3 Educate patients on electrical hazards, broken wires  
  4 Obtain patient symptoms, activities, location  
  5 Service cardiac patients (customer service)  
  6 Communicate with ordering physician or physician's office  
  7 Communicate with patients' family members  

Communicate with other offices (scheduling, order verification, etc.)

  9 Seek advice regarding findings  
  10 Conduct inter-departmental interactions  
C   Identify Normal ECG Components and Cardiac Anatomy  19%
  1 Identify P-wave  
  2 Identify and measure the PR interval  
  3 Identify and measure a QRS complex  
  4 Identify T-wave  
  5 Identify the standards for ECG recording.  
  6 Calculate the atrial rate  
  7 Calculate the ventricular rate  
  8 Identify the relationship of the atrial and ventricular rates  
  9 Evaluate P-P and R-R interval regularity  
  10 Identify the chambers of the heart  
  11 Identify the valves of the heart  
  12 Identify the conduction system of the heart  
D    Determine patient's cardiac rhythm  55%
  1  Identify Sinus Rhythm  
    a Identify normal sinus rhythm.  
    b Identify sinus arrhythmia.  
    c Identify sinus tachycardia.  
    d Identify sinus bradycardia.  
    e Identify sinus arrest  
  2  Identify Atrial Rhythm  
    a Identify wandering atrial pacemaker.  
    b Identify rhythms with premature atrial ectopy (PAC, Couplets, Triplets, Runs, Multifocal)  
    c Identify atrial tachycardia.  
    d Identify supraventricular tachycardia  
    e Identify atrial fibrillation (general characteristics)
1 Identify atrial fibrillation with a slow ventricular response.
2 Identify atrial fibrillation with a rapid ventricular response.
    f Identify atrial flutter.
1 Identify atrial flutter with a ratio of ventricular response.
2 Identify atrial flutter with a variable ventricular response.
  3  Identify Junctional Rhythm  
    a Identify rhythms with premature junctional ectopy  
    b Identify junctional escape rhythms.  
    c Identify accelerated junctional rhythms.  
    d Identify junctional tachycardia.  
  4  Recognize Ventricular Rhythms  
    a Identify rhythm with premature ventricular ectopy (PVCs, Couplets, Triplets)  
    b Identify idioventricular rhythms (agonal, escape, and accelerated)  
    c Identify ventricular tachycardia.  
    d Identify ventricular fibrillation.  
    e Identify ventricular standstill  
  5 Recognize Asystole  
  6 Recognize Conduction Defects  
    a Identify First Degree AV block  
    b Identify second degree type one AV block.  
    c Identify second degree type two AV block.  
    d Identify third degree AV block
1 Identify third degree AV block with a junctional escape rhythm (narrow QRS)
2 Identify third degree AV block with a ventricular escape rhythm (wide QRS)
    e Identify presence of intraventricular conduction delay (Bundle Branch Block)  
  7 Determine paced events  
    a Identify paced atrial rhythm  
    b Identify paced ventricular rhythm  
    c Identify AV sequential (atrioventricular) paced rhythm  
    d Identify P-wave synchronous, ventricular paced rhythm  
    e Identify loss of pacing capture.  
    f Identify loss of sensing  
    g Identify failure to pace  
E    Troubleshoot ECG  6%
  1  Recognize artifact on ECG tracings.  
     a Recognize artifact on ECG tracings from wandering baseline  
     b Recognize artifact on ECG tracings from somatic tremor, patient movement  
     c Recognize artifact on ECG tracings from EMI/60 cycle interference  
  2  Identify inappropriate electrocardiograph paper speed  
  3  Identify inappropriate gain of the ECG signal  
  4  Identify causes of artifact  
  5  Identify lead reversals  
F    Compile ECG Results  5%
  1  Insert preliminary findings  
  2  Compare test results to past tests  
  3  Respond if notification criteria are met (Dispatch EMS if needed)  
  4  Correlate findings with patient symptoms or risk  
  5  Create patient report  
    TOTAL  100%




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