CCT Exam Guide 2026: Blueprint, Pass Rate, Study Plan
Video
Which structure is normally the dominant pacemaker of the heart in a healthy adult at rest?
Cardiac Anatomy Physiology
Question · Easy
Swapped arm leads on the EKG
Short
The CCI Certified Cardiographic Technician exam has a 61% first-time pass rate, and 62% of scored content is rhythm analysis plus 12-lead interpretation. This 2026 guide converts the official blueprint into item counts, a weight-proportioned study plan, eligibility documentation that actually gets approved, and the renewal rule most new CCTs miss.
Blog
SA node as dominant pacemaker
Cardiac Anatomy & Physiology
Flashcard
What is the intrinsic firing rate of the AV junction when it acts as an escape pacemaker?
Federal 1996 statute listed on the CCI CRAT knowledge outline that establishes national privacy and administrative simplification standards for patient health records.
Initiating Monitoring Services
Guess the Term
CRAT Overview & Exam Strategy
1.1 CRAT exam facts, scope of practice & study strategy
Study guide
Cheat sheet
Which phase of the cardiac action potential corresponds to the absolute refractory period when the cell cannot be re-stimulated regardless of stimulus strength?
Question · Hard
Read the clue and guess the term in 6 tries.
Game
CRAT Exam Guide 2026: CCI Rhythm Analysis Prep for ECG, Blocks, and Arrhythmias
AV junction escape rate
Sympathetic nervous system stimulation of the heart primarily produces which effect on conduction and rate?
Prepare for the 2026 CCI Certified Rhythm Analysis Technician (CRAT) exam: 130-question 2-hour format, scaled-650 passing score, the five domains with weights, eligibility pathways, CRAT vs CCT, and free CRAT practice questions.
Regulatory abbreviation for individually identifiable health and demographic data transmitted or maintained by a covered provider or health plan.
On standard ECG paper running at 25 mm/s, one small (1 mm) box represents how much time?
Ecg Basics
AV node conduction delay purpose
A standard ECG calibration mark is 10 mm tall. What voltage does this represent?
Federal workplace safety agency on the CCI CRAT knowledge list whose Bloodborne Pathogens rule governs occupational exposure to blood and body fluids.
Cardiac Anatomy, Physiology & Conduction
2.1 Cardiac anatomy & the conduction system
When using the 6-second method to estimate heart rate on a rhythm strip, the technician counts:
Swap tiles to line up three of the same term.
Term Match
Absolute vs relative refractory period
Which limb leads form Einthoven's triangle and view the heart in the frontal plane?
Professional code of conduct signed by CCI applicants and registrants that places patient safety, protection, and confidentiality above all other interests.
On a 12-lead ECG, the V1 chest electrode is placed at which anatomic location?
Question · Medium
Sympathetic vs parasympathetic effects on the heart
On 5-lead bedside telemetry, the white electrode is placed at which location?
Battery-powered portable monitor carried in a pouch or strap that continuously records every heartbeat for 24 to 48 hours during normal daily activity.
Administering Cardiac Tests
2.2 Cardiac action potential phases & refractory periods
Which monitoring lead provides the best continuous view of P waves and atrial activity for routine telemetry?
Flip two cards at a time to find matching terms.
Term Pairs
ECG paper timing at 25 mm/s
ECG Basics
What is the normal duration of the PR interval in a healthy adult?
Portable ambulatory cardiac recorder worn or carried for up to 30 days to capture symptoms that occur less often than daily when the patient activates it.
What is the upper limit of normal QRS duration in an adult?
Standard ECG calibration (10 mm/mV)
All of the following criteria define a normal sinus rhythm EXCEPT:
Sinus Rhythms
Memory monitor that continuously overwrites cardiac signals without saving until a button press or auto-trigger preserves the strip from shortly before, during, and after symptoms.
2.3 Autonomic modulation & the cardiac cycle
A monitored patient's rhythm strip shows a regular rhythm at 48 bpm with upright P waves preceding each QRS, PR interval 0.16 seconds, QRS 0.08 seconds. This rhythm is best described as:
Find five hidden terms in a grid of letters.
Term Search
6-second rate method
A 28-year-old patient on telemetry has a heart rate that varies between 68 and 92 bpm with breathing — speeding up during inspiration and slowing during expiration. P-wave morphology and PR intervals are constant. This finding represents:
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