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Rhythm Summit

Climb a mountain one EKG strip at a time.

Players: Solo or teamsTime: 10 to 15 minutes a climb
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What it is

Rhythm Summit is a climb from Base Camp to the summit in 15 stops. Each stop gives you a rhythm strip or a heart question. Name it, read the rationale, and keep climbing.

Base Camp covers sinus rhythms, A-fib, and PACs. The Ridge brings blocks, flutter, PVCs, SVT, and pacing. The Summit Push is the lethal rhythms. After some rhythms you get a bonus treatment question (what do you do?), and those show up more often the higher you climb.

You start with 3 oxygen tanks. A wrong answer costs a tank and slides you back a stop, and 5 right in a row earns one back. Play Learn mode with no timer, or Speed climb with 20 seconds per question.

What you'll learn

  • A step-by-step method for reading a strip: rate, regularity, P waves, PR interval, QRS width
  • The 6-second strip method for heart rate
  • Sinus rhythms, A-fib, flutter, PACs, PVCs, SVT, blocks, and paced rhythms
  • How to recognize lethal rhythms fast
  • What to do first for the deadly ones

How it helps you

NCLEX tests clinical judgment, using NCSBN's Clinical Judgment Measurement Model. Every NURSYN game is built on the nursing process. Rhythm Summit works these ADPIE steps: Assessment, Implementation.

A · AssessmentD · DiagnosisP · PlanningI · ImplementationE · Evaluation
  • Covers Assessment and Implementation: read the rhythm, then treat it
  • Bonus questions connect each rhythm to action, following current ACLS guidelines
  • Climbing from easy to lethal rhythms builds skill in layers
  • Speed climb trains the quick recognition codes demand

How to play

  1. Pick Learn (no timer) or Speed climb (20 seconds per question)
  2. Tap Start climbing
  3. Read the strip or question and tap your answer
  4. Read the rationale and answer bonus treatment questions
  5. Reach the summit before you run out of oxygen tanks

Clinical topics covered

EKG rhythmsRate and regularityHeart blocksA-fib and flutterSVTPVCsLethal rhythmsACLSPacing

Sources

The clinical content and the teaching approach behind this game line up with these references.

  1. 2025 AHA Guidelines for CPR and Emergency Cardiovascular CareAmerican Heart Association. The current resuscitation guidelines behind BLS, ACLS, and PALS.
  2. Test-enhanced learning: Taking memory tests improves long-term retention (Roediger and Karpicke, 2006). Psychological Science, 17(3), 249-255Psychological Science. Practice testing beat restudying for retention 2 days and 1 week later.
  3. Game-thinking: utilizing serious games and gamification in nursing education, a systematic review and meta-analysis (Nylén-Eriksen et al., 2025). BMC Medical EducationBMC Medical Education. Pooled studies show serious games and gamification work in nursing education, with the strongest benefit for knowledge and a more modest effect on skills.

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For education only. Cases and patients are fictional. Always follow your program, current guidelines, provider orders, and facility policy.