EKG Technician Certification Review 22-23

Which of the following waves on an EKG tracing relates to electrical activity in the atria?

• The Q wave

• The T wave

• The P wave

• The R wave

A patient is nearing the target heart rate during an exercise stress test when he becomes diaphoretic and complains of intense chest pain. Which response from the EKG technician is best?

• Stop the test and alert the doctor immediately.

• Tell the patient to hold on just a bit longer since hitting the target heart rate will provide better information about why he’s experiencing chest pain.

• Stop the test and begin CPR immediately.

• Continue the test while administering oxygen.

An intellectually disabled adult patient is frightened of the EKG machine and does not want to lie down for the test. What should the EKG technician do?

• Gently but firmly assist the patient to lie down

• Tell the patient she will give him a lollipop after the test is over

• Offer to show the machine to the patient and answer any questions.

• Reschedule the test for a later time.

An EKG tracing in which the P waves are not uniform may indicate a dysrhythmia originating in the

• Sinus node

• Atria

• Bundle Branches

• Purkinjie Fibers

Under which of these circumstances may an EKG technician share her interpretation of an EKG with the patient?

• If the patient confirms that she understands the technician is not a doctor

• If the patient’s EKG shows a potentially lethal dysrhythmia.

• If the patient’s EKG is normal

• The EKG technician must not share her interpretation with the patient.

Which of these series represents the depolarization and repolarization of the ventricles?

• P wave, QRS complex

• QRS complex, T wave, U wave

• QRS complex, T wave

• T wave, U wave, P wave

Measuring vital signs includes

• Checking pulse, body temperature, blood pressure, and respirations.

• Checking pulse, body temperature, blood pressure, and pain level.

• Checking pulse, blood pressure, oxygen saturation, and pain level.

• Checking pulse, regularity of heart rhythm, blood pressure, and oxygen saturation.

Which of these questions is an appropriate way of checking one patient identifier before performing an EKG test?

• “Is your name George Disher?”

• “What is your last name, George?”

• “Can you please state your first and last names?”

• “Are your initials G.D.?”

What type of stress test is likely to be performed on a patient who does not have use of her legs?

• Exercise stress test

• Nuclear stress test

• Pharmacologic stress test

• Physiologic stress test

When placing electrodes for an EKG on a 5-year-old child where should the technician place the V4 electrode?

• On the right side of the chest at the fifth intercostal space at the midclavicular line.

• On the left side of the chest at the fifth intercostal space at the midclavicular line.

• On the right side of the chest immediately beside the V1 electrode.

• On the left side of the chest at the fourth intercostal space just to the left of the sternum.