ADVENT HEALTH EKG 2026 | NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS |
LATEST 2026/2027 UPDATE | GUARANTEED VALUE PACK |
ASSURED PASS A+.
Tools to identify heart blocks - correct answer - 1 st
Degree: PRI is Too long
• 2 nd Degree Type 1: PRI is Getting longer
• 2 nd Degree Type 2: PRI is Identical, when it is
present
• 3 rd Degree: PRI is Funky, Fighting, or you can't
Figure it out
* TGIF
Atrial Pacing (100% A-paced) - correct answer - • The pacemaker
lead is placed into the atria.
• The pacemaker generator fires an impulse to initiate atrial
activity.
• Rhythm: Atrial and Ventricular regular
• Rate: Atrial and Ventricular same. Atrial measured from spike to
spike
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• P waves: Pacer spike seen at beginning of atrial activity P wave
may or may not be seen (lead type dependent)
• PRI: Usually WNL Measured from pacer spike to beginning of
QRS
• QRS: May be WNL or wide
Failure to Sense (undersensing) - correct answer - Occurs when
the pacer fails to recognize the patient's own electrical activity
(intrinsic beat).
o This is noted by spikes that are fired too close to patient's
own intrinsic beats.
Cardiac conduction system components - correct answer -
Pacemakers:
-SA node (intrinsic rate 60-100)
-AV node (Intrinsic rate 40-60)
-Bundle branches (Intrinsic rate (20-40)
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Electrical impulse activity - correct answer - Normal conduction
impulse originates in the SA Node
• Impulse travels from SA Node → AV Node causing atrial
depolarization (contraction)
• AV Node slightly delays impulse then sends → Bundle of HIS →
Bundle Branches
• Impulse continues down Bundle Branches → Purkinje
Fibers causing ventricular depolarization (contraction)
Oversensing - correct answer - Occurs when the pacer detects
artifact and interprets it as meaningful electrical activity.
o This is noted by lack of pacer spikes when pacer firing
should have occurred.
o Examples are artifact and tall peaked T waves "seen" as
appropriate intrinsic activity.
isoelectric line - correct answer - (absence of electrical
activity/base line)
Positive Deflection- above the line
Negative Deflection- below the line