ECHELON FINAL EXAM 2026 ACTUAL QUESTIONS AND
SOLUTIONS RATED A+
✔✔The criteria for ID'ing a rhythm as SVT includes - ✔✔a very rapid ventricular rate
a QRS complex within normal limits
✔✔What is the one EKG characteristic where normal sinus rhythm differs from sinus
arrhythmia? - ✔✔The distance between the Ps and the Rs
✔✔What is the key identifier for a PAC? - ✔✔an early P wave
✔✔From what pacemaker site do junctional rhythms originate? - ✔✔the AV node
✔✔The sudden onset or cessation of an arrhythmia is called - ✔✔paroxysmal
✔✔What are the possible tx options for a stable symptomatic patient with junctional
tachycardia? - ✔✔Admin adenosine, O2, ensure IV access
✔✔A PJC would not display which EKG characteristic? - ✔✔a wide QRS > 0.10 secs
✔✔T or F: Any ectopy should be cause for concern in healthy people - ✔✔F
✔✔A way to determine if you are looking at a junctional or atrial rhythm is to look at the
________ wave - ✔✔P
✔✔T or F: PACs need to be counted in the underlying rhythm. - ✔✔F
✔✔What is the name of the rhythm with an atrial rate of 250 bpm , a non measurable
PRI, and a ventricular rate of 120 bpm? - ✔✔Aflutter with uncontrolled ventricular rate
✔✔What arrhythmia are you more likely to see in infants, children, the elderly, and
patients on mechanical ventilation? - ✔✔sinus arrhythmia
✔✔What med is the first line tx for symptomatic SVT? - ✔✔adenosine
✔✔What would a premature beat that starts in the atria and follows an abnormal
pathway through the ventricles be called? - ✔✔an aberrantly conducted PAC
✔✔ When the sympathetic nerve fibers are stimulated, the heart rate is ____________.
- ✔✔elevated
✔✔Electrode location sites should be rotated _______________ or when the pt is
sweaty or has had a bath. - ✔✔q24h
SOLUTIONS RATED A+
✔✔The criteria for ID'ing a rhythm as SVT includes - ✔✔a very rapid ventricular rate
a QRS complex within normal limits
✔✔What is the one EKG characteristic where normal sinus rhythm differs from sinus
arrhythmia? - ✔✔The distance between the Ps and the Rs
✔✔What is the key identifier for a PAC? - ✔✔an early P wave
✔✔From what pacemaker site do junctional rhythms originate? - ✔✔the AV node
✔✔The sudden onset or cessation of an arrhythmia is called - ✔✔paroxysmal
✔✔What are the possible tx options for a stable symptomatic patient with junctional
tachycardia? - ✔✔Admin adenosine, O2, ensure IV access
✔✔A PJC would not display which EKG characteristic? - ✔✔a wide QRS > 0.10 secs
✔✔T or F: Any ectopy should be cause for concern in healthy people - ✔✔F
✔✔A way to determine if you are looking at a junctional or atrial rhythm is to look at the
________ wave - ✔✔P
✔✔T or F: PACs need to be counted in the underlying rhythm. - ✔✔F
✔✔What is the name of the rhythm with an atrial rate of 250 bpm , a non measurable
PRI, and a ventricular rate of 120 bpm? - ✔✔Aflutter with uncontrolled ventricular rate
✔✔What arrhythmia are you more likely to see in infants, children, the elderly, and
patients on mechanical ventilation? - ✔✔sinus arrhythmia
✔✔What med is the first line tx for symptomatic SVT? - ✔✔adenosine
✔✔What would a premature beat that starts in the atria and follows an abnormal
pathway through the ventricles be called? - ✔✔an aberrantly conducted PAC
✔✔ When the sympathetic nerve fibers are stimulated, the heart rate is ____________.
- ✔✔elevated
✔✔Electrode location sites should be rotated _______________ or when the pt is
sweaty or has had a bath. - ✔✔q24h
