ADVENT HEALTH EKG 2026 TEST PAPER SOLVED QUESTIONS AND SOLUTIONS

ADVENT HEALTH EKG 2026 TEST PAPER
SOLVED QUESTIONS AND SOLUTIONS

◉ Unifocal PVCs. Answer: Originates from the same irritable focus
within the ventricle,
similar in appearance


◉ Multifocal PVCs. Answer: Originates from different irritable foci in
the ventricle, different in
appearance PVC


◉ Couplets. Answer: • A pair of PVCs that occur consecutively
• Couplets occur with increasing ventricular irritability


◉ PVC's Pattern. Answer: Every 2nd beat: bigeminal
Every 3rd beat: trigeminal
Every 4th beat: quadrimenal


◉ ventricular tachycardia. Answer: 3 or more PVC's in a row
• Rate: Ventricular is greater than 100;
Atrial rate is not discernable [N/A]
• Rhythm: Ventricular is usually regular;

, Atrial is not discernable [N/A]
• P waves: if there are P waves, they are buried in the QRS
• PRI: N/A
• QRS: ≥ 0.12


◉ ventricular fibrillation. Answer: Multiple foci in the ventricle
become irritated and generate uncoordinated, chaotic
impulses that cause the heart to fibrillate instead of contract
• Atrial and Ventricular rate & rhythm, PRI, QRS all non-discernable
[N/A]
-LETHAL!


◉ Asystole. Answer: There is no electrical pacemaker to initiate
electrical flow— All electrical activity lost.
• Atrial and Ventricular rate, rhythm, PRI & QRS: N/A
-LETHAL!


◉ Pulseless Electrical Activity (PEA). Answer: There is a rhythm on
the monitor, but the patient has no pulse.
• Depolarization is not the same as contraction. Depolarization is an
electrical event expected to result
in contraction (a mechanical event).
• Electrical activity on the monitor, but no palpable pulse = PEA.