Answer

Rate: 62 Rhythm: Irregular--(Regular with irregularities), P wave: Present and upright in lead II, PRI: 0.24 sec., QRSI: 0.10 sec, T waves: upright, Assessment: Sinus Rhythm with first degree AV heart block and several PACs.

EKG strip showing P waves

P wave denotes sinus derived atrial depolarization. P' donotes atrial ectopic depolarization (PAC).