Physiological AdaptationQuestion 777 of 2368

The nurse sees a pacer spike followed by a wide QRS complex on the strip of a client with a pacemaker. Which paced rhythm does this show?

  1. Ventricular paced rhythm
  2. Atrial paced rhythm
  3. Normal sinus rhythm
  4. First-degree heart block
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Correct answer: Ventricular paced rhythm

A pacer spike before a wide QRS complex indicates a ventricular paced rhythm.

Source: Nursing Advanced Skills (Open RN, Chippewa Valley Technical College, 2023), Interpret Basic ECG: Paced Rhythms. Licensed under CC BY 4.0.

Practice the topic "Physiological Adaptation"

Questions last reviewed: 18 October 2026