Axcell EKG mock exam 41 -50

An EKG technician is speaking with a patient on the phone. The patient is wearing a Holter monitor and reports severe chest pain and shortness of breath. Which of the following actions should the technician take?

• Have someone call emergency services while remaining on the call with the patient.

• Remind the patient to document the incident in the patient diary.

• Place the patient on hold and consult with the patient's provider.

• Tell the patient to hang up the phone and call emergency services.

Which of the following actions should the EKG technician take immediately after attaching the telemetry lead wires to the electrodes?

• Check a baseline EKG tracing for monitor clarity.

• Check the wire colors and identifications to ensure attachment to the correct electrodes.

• Place the patient in the correct anatomical position.

• Tape the lead wires to the patient's skin to prevent disconnection from the electrodes.

An EKG technician is recording a patient's radial pulse rate and finds the pulse to be irregular. The provider then takes the patient's apical pulse.

The technician should recognize that which of the following locations is used for this assessment?

• Between the larynx and the left sternocleidomastold muscle

• Between the fifth and sixth ribs, at the left midclavicular line

• The antecubital aspect of the left or right elbow

• The thumb side of the left wrist

An EKG technician is providing instructions for a patient who is going home with a Holter monitor for 48 hr. Which of the following statements indicates the patient understands the instructions?

• "I am able to shower or bathe."

• “I can use moisturizing lotion around the electrodes."

• "I should activate the event marker if I have chest pain."

• "I should only record activities that cause chest pain."

When an EKG technician is obtaining a pulse from a patient, which of the following terms should the technician use to document the rhythm of the pulse?

• Weak

• Strong

• Bounding

• Irregular

Which of the following intervals should be used to determine the regularity of ventricular depolarization?

• P-P wave interval

• R-R wave Interval

• QT interval

• PR interval

An EKG technician should recognize that which of the following is the most commonly used paper speed for an EKG?

• 5mm/sec

• 10mm/sec

• 25mm/sec

• 50mm/sec

An EKG technician is performing an exercise stress test for a patient. For which of the following findings Should the technician expect the provider to stop the test?

• Electrode detachment

• Dizziness

• sweating

• Increased respiratory rate

An EKG technician is preparing to enter an inpatient room to perform a standard 12-lead EKG. Which of the following actions should the technician take for a patient who is prescribed contact precautions?

• Wear an N-95 mask if there is a potential exposure to blood

• Disinfect the EKG machine immediately prior to entering the room.

• Remove gloves before leaving the patient's room.

• Keep the door to the patient's room closed.

An EKG technician is instructing a patient about a transtelephonic event monitor using a Heart Card monitoring device. To which of the following sites should the patient apply the card to activate it during an event?

• Over the right side of the chest

• Over the left side of the chest

• Over the middle to lower part of the sternum

• Over the manubrlum