BAYCARE EKG FINAL PAPER 2025/2026 QUESTIONS AND
ANSWERS GRADED A++
✔✔A fixed-rate pacemaker Select one:
a. Fires only on demand.
b. Senses intrinsic beats.
c. Fires at its preset rate regardless of intrinsic beats.
d. Is called synchronous. - ✔✔Fires at its preset rate regardless of intrinsic beats..
✔✔Beta-blockers must be used with caution in patients withSelect one:
a. Supraventricular tachycardia.
b. Asthma or chronic lung disease.
c. Hypertension.
d. Atrial tachycardia. - ✔✔Asthma or chronic lung disease
✔✔Your patient is in pulseless ventricular tachycardia. Your first intervention should be
Select one:
a. Defibrillation.
b. Amiodarone bolus IV.
c. Electrical cardioversion.
d. To encourage the patient to try vagal maneuvers - ✔✔Defibrillation..
✔✔The second letter of the pacemaker code tells the Select one:
a. Chamber paced.
b. Chamber sensed.
c. Pacemaker's response to sensed events.
d. Programmability of the pacemaker. - ✔✔Chamber sensed..
✔✔Mr. Jacob had a permanent DDD pacemaker implanted a few days ago. Today, he
cardiac arrested and died. What happens to the pacemaker when the patient is
deceased? Select one:
a. The pacemaker battery fires at a slower rate for a few days, then stops.
b. Nothing happens—the patient can't die with a pacemaker in place.
c. The pacemaker stops automatically at the patient's death.
d. The pacemaker battery continues to fire at its programmed rate until the battery runs
out. - ✔✔The pacemaker battery continues to fire at its programmed rate until the
battery runs out..
✔✔A VOO pacemaker would pace the Select one:
a. Ventricle, sense the ventricle, and be inhibited by intrinsic ventricular beats.
b. Atrium, sense nothing, and have no response to sensed events since it cannot
sense.
c. Ventricle, sense nothing, and have no response to sensed events since it cannot
sense.
, d. Atrium and ventricle, sense atrium and ventricle, and have both an inhibitory and a
triggered response to sensed events. - ✔✔Ventricle, sense nothing, and have no
response to sensed events since it cannot sense..
✔✔Which of the following medications blocks vagus nerve effects on the heart? Select
one:
a. Digitalis
b. Epinephrine
c. Atropine
d. Verapamil - ✔✔Atropine.
✔✔Pacemaker spikes inside T waves and QRS complexes are a sign of which
malfunction? Select one:
a. Failure to fire
b. Oversensing
c. Undersensing
d. Loss of capture - ✔✔Undersensing.
✔✔Which of the following interferes with the movement of calcium ions through the
cardiac cell membranes Select one:
a. Propranolol
b. Nifedipine
c. Digitalis
d. Nitroglycerin - ✔✔Nifedipine.
✔✔An AICD is Select one:
a. A defibrillator meant for use by the lay public.
b. An implanted defibrillator.
c. A cardiac monitor and defibrillator meant for use by health care professionals.
d. The same as a monitor-defibrillator - ✔✔An implanted defibrillator..
✔✔An AV universal pacemaker paces which chamber(s) of the heart? Select one:
a. Right atrium
b. Right ventricle
c. Left atrium
d. Right atrium and right ventricle - ✔✔Right atrium and right ventricle.
✔✔Which of the following is TRUE? Select one:
a. Defibrillation tends to involve a smaller shock than cardioversion.
b. Cardioversion involves synchronizing the shock with the cardiac cycle.
c. Defibrillation is the preferred method of converting atrial tachycardia back to sinus
rhythm.
d. Defibrillation is the treatment of choice for atrial fibrillation - ✔✔Cardioversion
involves synchronizing the shock with the cardiac cycle..
, ✔✔Atropine would NOT be appropriate in the treatment of Select one:
a. Junctional bradycardia with heart rate of 38.
b. Third-degree AV block with heart rate of 32.
c. Idioventricular rhythm with heart rate of 28.
d. Supraventricular tachycardia with heart rate of 167. - ✔✔Supraventricular
tachycardia with heart rate of 167..
✔✔Mrs. McShelton has a VVI pacemaker. She is having pacemaker spikes in the T
waves, QRS complexes, and ST segments of her intrinsic beats. This is indicative of
Select one:
a. A normally functioning pacemaker.
b. Failure to fire.
c. Loss of capture.
d. Undersensing. - ✔✔Undersensing..
✔✔Certain glaucoma medications can causeSelect one:
a. Bradycardias.
b. An increase in heart rate.
c. ST segment elevation.
d. Hemiblocks. - ✔✔Bradycardias..
✔✔The patient who has a mild dizzy spell while Holter monitoring is in effect should
Select one:
a. Activate the event marker button and document the symptoms in his or her diary.
b. Proceed to the nearest hospital for immediate Holter analysis.
c. Call 911 for an ambulance for transport to the emergency department.
d. Take the Holter off when the dizzy spell passes, as the monitoring is now complete. -
✔✔Activate the event marker button and document the symptoms in his or her diary..
✔✔Bayes' Theorem has to do with - ✔✔The sensitivity and specificity of the stress test
results..
✔✔Ischemia is recognized by - ✔✔ST depression of 1-1.5 mm at 80 milliseconds after
the J-point..
✔✔If your patient develops a first-degree AV block during her stress test, you should -
✔✔Continue, but watch the rhythm cautiously..
✔✔For purposes of ischemia evaluation, the baseline of the EKG is at the - ✔✔PR
segment
✔✔Your patient took his routine beta-blocker medication this morning just before his
stress test. What effect would this likely have on the results? - ✔✔False negative.
ANSWERS GRADED A++
✔✔A fixed-rate pacemaker Select one:
a. Fires only on demand.
b. Senses intrinsic beats.
c. Fires at its preset rate regardless of intrinsic beats.
d. Is called synchronous. - ✔✔Fires at its preset rate regardless of intrinsic beats..
✔✔Beta-blockers must be used with caution in patients withSelect one:
a. Supraventricular tachycardia.
b. Asthma or chronic lung disease.
c. Hypertension.
d. Atrial tachycardia. - ✔✔Asthma or chronic lung disease
✔✔Your patient is in pulseless ventricular tachycardia. Your first intervention should be
Select one:
a. Defibrillation.
b. Amiodarone bolus IV.
c. Electrical cardioversion.
d. To encourage the patient to try vagal maneuvers - ✔✔Defibrillation..
✔✔The second letter of the pacemaker code tells the Select one:
a. Chamber paced.
b. Chamber sensed.
c. Pacemaker's response to sensed events.
d. Programmability of the pacemaker. - ✔✔Chamber sensed..
✔✔Mr. Jacob had a permanent DDD pacemaker implanted a few days ago. Today, he
cardiac arrested and died. What happens to the pacemaker when the patient is
deceased? Select one:
a. The pacemaker battery fires at a slower rate for a few days, then stops.
b. Nothing happens—the patient can't die with a pacemaker in place.
c. The pacemaker stops automatically at the patient's death.
d. The pacemaker battery continues to fire at its programmed rate until the battery runs
out. - ✔✔The pacemaker battery continues to fire at its programmed rate until the
battery runs out..
✔✔A VOO pacemaker would pace the Select one:
a. Ventricle, sense the ventricle, and be inhibited by intrinsic ventricular beats.
b. Atrium, sense nothing, and have no response to sensed events since it cannot
sense.
c. Ventricle, sense nothing, and have no response to sensed events since it cannot
sense.
, d. Atrium and ventricle, sense atrium and ventricle, and have both an inhibitory and a
triggered response to sensed events. - ✔✔Ventricle, sense nothing, and have no
response to sensed events since it cannot sense..
✔✔Which of the following medications blocks vagus nerve effects on the heart? Select
one:
a. Digitalis
b. Epinephrine
c. Atropine
d. Verapamil - ✔✔Atropine.
✔✔Pacemaker spikes inside T waves and QRS complexes are a sign of which
malfunction? Select one:
a. Failure to fire
b. Oversensing
c. Undersensing
d. Loss of capture - ✔✔Undersensing.
✔✔Which of the following interferes with the movement of calcium ions through the
cardiac cell membranes Select one:
a. Propranolol
b. Nifedipine
c. Digitalis
d. Nitroglycerin - ✔✔Nifedipine.
✔✔An AICD is Select one:
a. A defibrillator meant for use by the lay public.
b. An implanted defibrillator.
c. A cardiac monitor and defibrillator meant for use by health care professionals.
d. The same as a monitor-defibrillator - ✔✔An implanted defibrillator..
✔✔An AV universal pacemaker paces which chamber(s) of the heart? Select one:
a. Right atrium
b. Right ventricle
c. Left atrium
d. Right atrium and right ventricle - ✔✔Right atrium and right ventricle.
✔✔Which of the following is TRUE? Select one:
a. Defibrillation tends to involve a smaller shock than cardioversion.
b. Cardioversion involves synchronizing the shock with the cardiac cycle.
c. Defibrillation is the preferred method of converting atrial tachycardia back to sinus
rhythm.
d. Defibrillation is the treatment of choice for atrial fibrillation - ✔✔Cardioversion
involves synchronizing the shock with the cardiac cycle..
, ✔✔Atropine would NOT be appropriate in the treatment of Select one:
a. Junctional bradycardia with heart rate of 38.
b. Third-degree AV block with heart rate of 32.
c. Idioventricular rhythm with heart rate of 28.
d. Supraventricular tachycardia with heart rate of 167. - ✔✔Supraventricular
tachycardia with heart rate of 167..
✔✔Mrs. McShelton has a VVI pacemaker. She is having pacemaker spikes in the T
waves, QRS complexes, and ST segments of her intrinsic beats. This is indicative of
Select one:
a. A normally functioning pacemaker.
b. Failure to fire.
c. Loss of capture.
d. Undersensing. - ✔✔Undersensing..
✔✔Certain glaucoma medications can causeSelect one:
a. Bradycardias.
b. An increase in heart rate.
c. ST segment elevation.
d. Hemiblocks. - ✔✔Bradycardias..
✔✔The patient who has a mild dizzy spell while Holter monitoring is in effect should
Select one:
a. Activate the event marker button and document the symptoms in his or her diary.
b. Proceed to the nearest hospital for immediate Holter analysis.
c. Call 911 for an ambulance for transport to the emergency department.
d. Take the Holter off when the dizzy spell passes, as the monitoring is now complete. -
✔✔Activate the event marker button and document the symptoms in his or her diary..
✔✔Bayes' Theorem has to do with - ✔✔The sensitivity and specificity of the stress test
results..
✔✔Ischemia is recognized by - ✔✔ST depression of 1-1.5 mm at 80 milliseconds after
the J-point..
✔✔If your patient develops a first-degree AV block during her stress test, you should -
✔✔Continue, but watch the rhythm cautiously..
✔✔For purposes of ischemia evaluation, the baseline of the EKG is at the - ✔✔PR
segment
✔✔Your patient took his routine beta-blocker medication this morning just before his
stress test. What effect would this likely have on the results? - ✔✔False negative.
