1|Page
ECCO FINAL EXAM 2025/2026 REAL
EXAM QUESTIONS WITH DETAILED
ANSWERS
Failure to pace - what it is and it's solution
......answer.....The pace maker fails to
initiate an electrical stimulus when the
pacemaker is due to fire. This is noted by
the absence of a pacer spike on the
rhythm strip.
-No pacing spikes present at all
-Look for broken wire/lead/unit, or dead
battery
,2|Page
What are the signs and symptoms of
cardiac tamponade?
......answer.....Narrow pulse pressure,
pulses paradox (BP drops 15 mg when pt
takes breath in), increased JVD, low BP,
muffled heart tones (late sign), HR initially
will speed up (won't be bradycardic)
What is cardiac tamponade?
......answer.....compression of the heart by
an accumulation of fluid in the pericardial
sac which over time decreases the
cardiac output b/c the heart can't squeeze
,3|Page
Why do we care about frequent PVCs?
......answer.....Because of the R on T
phenomenon. When a PVC lands on a T
wave, it can potentially put a patient into
v-tach
What do we check for when we notice
more frequent PVCs?
......answer.....Magnesium and potassium
(more so magnesium)
When starting to pace a patient, what
should you do?
, 4|Page
......answer.....Set pacer at 80 and 80 and
increase the mA
(miliamps) until you see pacer spikes on
every single QRS
Question 34 on exam, what V-fib energy
settings do you put in for a biphasic defib?
......answer.....150 jules
What is the normal drainage amount per
hour from a chest tube?
......answer.....less than 100 ml/hr
ECCO FINAL EXAM 2025/2026 REAL
EXAM QUESTIONS WITH DETAILED
ANSWERS
Failure to pace - what it is and it's solution
......answer.....The pace maker fails to
initiate an electrical stimulus when the
pacemaker is due to fire. This is noted by
the absence of a pacer spike on the
rhythm strip.
-No pacing spikes present at all
-Look for broken wire/lead/unit, or dead
battery
,2|Page
What are the signs and symptoms of
cardiac tamponade?
......answer.....Narrow pulse pressure,
pulses paradox (BP drops 15 mg when pt
takes breath in), increased JVD, low BP,
muffled heart tones (late sign), HR initially
will speed up (won't be bradycardic)
What is cardiac tamponade?
......answer.....compression of the heart by
an accumulation of fluid in the pericardial
sac which over time decreases the
cardiac output b/c the heart can't squeeze
,3|Page
Why do we care about frequent PVCs?
......answer.....Because of the R on T
phenomenon. When a PVC lands on a T
wave, it can potentially put a patient into
v-tach
What do we check for when we notice
more frequent PVCs?
......answer.....Magnesium and potassium
(more so magnesium)
When starting to pace a patient, what
should you do?
, 4|Page
......answer.....Set pacer at 80 and 80 and
increase the mA
(miliamps) until you see pacer spikes on
every single QRS
Question 34 on exam, what V-fib energy
settings do you put in for a biphasic defib?
......answer.....150 jules
What is the normal drainage amount per
hour from a chest tube?
......answer.....less than 100 ml/hr
