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Ambulatory (Holter) Monitor/ Pacemakers

Total questions: 27

Worksheet time: 18mins

Name
Class
Date
1.
Which of the following statements illustrates the patient understands Holter monitor procedures?
a)
"I can take my Holter monitor off before showering."
b)
"I must not get the Holter monitor wet at any time."
c)
"I can move the electrodes on my chest if they bother me."
d)
"I should not take my medicine while wearing the monitor."
2.
Which of the following statements illustrates the need for further patient education?
a)
"I must abstain from eating while wearing my Holter monitor."
b)
"I must keep the Holter monitor dry and intact."
c)
"I should call the doctor if the monitor comes off."
d)
"I am responsible to bring the Holter monitor back and intact."
3.
Which of the following statements would indicate Mr. Lopez understands Holter monitor procedures?
a)
"the monitor may be removed when exercising"
b)
"if i feel symptoms such as diziness or palpitations, I should attach the monitor"
c)
"I have a pacemaker, so I can't wear the Holter monitor"
d)
"I should wear the monitor continuously, even during work, sleep, and exercise"
4.
Which of the following statements by Mr. Bullett about his Holter monitor would indicate a need for additional education?
a)
"if an electrode falls off or the monitor stops working, I should call the office"
b)
"I should press the even button on the monitor when I have symptoms"
c)
"I shouldn't be concerned by any redness or itching that occurs around electrodes, as this is a normal response to the conductive gel"
d)
"I should continue to take all medications as prescribed, and record when I take them in my journal"
5.
A patient has difficulty understanding why she needs an ambulatory monitor after having an EKG two days prior. Which of the following is an appropriate explanation by the EKG technician?
a)
"an ambulatory monitor records differently than an EKG"
b)
"your doctor wants to study your heart over a long period of time"
c)
"it is standard practice to attach an ambulatory monitor shorty after an EKG"
d)
"I cannot discuss why you have ti wear an ambulatory monitor. You'll have to discuss that with your doctor."
6.
Which of the following actions should an EKG technician performs on EKG cables to prevent the transmission of microorganisms?
a)
sterilize with heat
b)
clean with acetone
c)
wipe with disinfectant
d)
soak with alcohol
7.

Which of the following describes proper preparation prior to applying electrodes with ambulatory monitoring?

a)

Clean the skin with alcohol, remove any hair with a razor, and abrade the epidermis

b)

Clean the skin with soap and water, abrade the skin vigorously

c)

Apply an adhesive to the skin before placing the electrodes over the adhesive

d)

Provide the patient with instructions to apply electrodes before exercising

8.

What is the role of a medical assistant in cardiovascular testing?

a)

Medical Assistant provides the baseline information for the patient

b)

Medical Assistant conducts the procedure

c)

Preparing the patient

d)

Patient preparation for the procedure and post procedure assistant

9.

The importance of electrodes are

a)

artifact and interfere

b)

clean tracing.

c)

angles and planes.

d)

needed to transmit the impulses,

10.
A 35-year-old woman with alcohol abuse presents to clinic complaining of “skipped heart beats.” Her examination is normal. An in-office ECG is also normal. Laboratory testing is nonspecific. Which of the following is the next most appropriate test?
a)
Echocardiogram
b)
Electromyography
c)
Holter monitor
d)
Sestamibi scan
11.

A Holter monitor is used for 24 hour monitoring of the heart's activity. The MA/ekg tech is responsible for _________________.

a)

attaching electrodes to the trunk of the patient's body

b)

providing patient education on the Holter monitor

c)

instructing the patient press the event monitor if they experience any cardiac (heart) symptoms such as heart palpitations.

d)

instruct the patient to avoid metal detectors while using the Holter monitor

12.
The physician has ordered a patient to wear a telemetry monitor at home. Which of the following statements from the patient indicates the need for further instruction?
a)
"I should take a sponge bath while wearing this monitor."
b)
"I'll keep trach of my daily activities in a diary."
c)
"If the leads come loose, I will reattach them."
d)
"If the batteries fail, I will replace them myself."
13.

How long must the magnet be applied to ensure disruption of pacemaker function?

a)

30 minutes

b)

5 minutes

c)

Until death can be declared

d)

1 hour

14.

Patients with this complication most often experience hypotension and/or syncope

a)

undersensing

b)

malsensing

c)

failure to pace

d)

failure to depolarize

15.

which pacemaker complication shows a pacing spike but no waveform immediately following it?

a)

failure to sense

b)

failure to capture

c)

oversensing

d)

normal sinus rhythm

16.

this complication occurs when the pacemaker fails to detect any intrinsic electrical activity

a)

pacemaker competition

b)

loss of capture

c)

undersensing

d)

oversensing

17.

This pacing activity occurs but is not captured by the myocardium

a)

undersensing

b)

malsensing

c)

triggered

d)

loss of capture

18.

the rivalry between the intrinsic and electronic pacemaker which can lead to life-threatening complications

a)

loss of capture

b)

malfunctioning

c)

undersensing

d)

oversensing

19.

when the pacemaker does not recognize the patient's inherent heart rate it is called

a)

oversensing

b)

malsensing

c)

loss of capture

d)

undersensing

20.

when the pacemaker fails to send electrical impulses to the heart, it is called

a)

capture

b)

loss of capture

c)

malfunctioning

d)

undersensing

21.

when electrical currents from muscle movements or other activities are sensed by the pacemaker it is called

a)

oversensing

b)

undersensing

c)

capture

d)

malsensing

22.

with this pacemaker complication, the pacemaker intervals are irregular and impulse is slower than set rate. also, no pacemaker spike is seen.

a)

malfunctioning

b)

malsensing

c)

loss of capture

d)

oversensing

23.

With this pacemaker complication, the pacemaker does not sense the patient's own rate.

a)

oversensing

b)

undersensing

c)

malsensing

d)

malfunctioning

24.

Patient's symptoms with the pacemaker complication incluldes atrial fibrillation, ventricular tachycardia or ventricular fibrillation

a)

malfunctioning

b)

loss of capture

c)

malsensing

d)

undersensing

25.

with this pacemaker complication, the pacemaker spikes and captures are at a slower rate than set

a)

oversensing

b)

undersensing

c)

loss of capture

d)

malfunctioning

26.

the rivalry between intrinsic and electronic pacemakers, which can lead to life-threatening complications is called

a)

undersensing

b)

malsensing

c)

loss of capture

d)

pacemaker competition

27.

Patient's symptoms with this pacemaker complication, patient may have signs and symptoms of low or no cardiac output

a)

malfunctioning

b)

undersensing

c)

oversensing

d)

loss of capture

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