ECHELON FINAL PAPER 2025/2026 QUESTIONS AND
ANSWERS GRADED A++
✔✔When atropine is ineffective for sinus bradycardia, what would be your next
intervention? - ✔✔transcutaneous pacing
✔✔What is one of the primary concerns for a pt presenting w/ afib? - ✔✔Controlling the
ventricular rate
✔✔To be ID'd as accelerated junctional rhythm, the ventricular rate must reach
________________ - ✔✔60-100 bpm
✔✔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
ANSWERS GRADED A++
✔✔When atropine is ineffective for sinus bradycardia, what would be your next
intervention? - ✔✔transcutaneous pacing
✔✔What is one of the primary concerns for a pt presenting w/ afib? - ✔✔Controlling the
ventricular rate
✔✔To be ID'd as accelerated junctional rhythm, the ventricular rate must reach
________________ - ✔✔60-100 bpm
✔✔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
