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ECG/EKG

Total questions: 48

Worksheet time: 43mins

Name
Class
Date
1.

The PCT is monitoring the client’s electrocardiography (ECG). What does the P wave on the ECG tracing represent?

a)

Contraction of the atria

b)

Contraction of the ventricles

c)

Depolarization of the atria

d)

Depolarization of the ventricles

2.

The PCT is reviewing a patient’s electrocardiogram. Which wave should the PCT recognize as being the first positive wave in a normal cardiac cycle?

a)

P wave

b)

Q wave

c)

R wave

d)

S wave

3.

A patient is experiencing electrocardiogram changes. Which wave should the PCT recognize as representing ventricular repolarization?

a)

Q wave

b)

R wave

c)

S wave

d)

T wave

4.

When disrobing the patient will be undressed from ?

a)

Waist down with gown open to the front

b)

Waist up and no lower leg access , gown open to the front

c)

Waist up, lower leg access and gown open to the front

d)

Gown open to the front, Waist up and no lower leg access

5.

The multichannel EKG machine is a recorder that monitors

a)

10 leads

b)

12 leads

c)

12 & 5 leads

d)

5 leads

6.

The importance of electrodes are

a)

artifact and interfere

b)

clean tracing.

c)

angles and planes.

d)

needed to transmit the impulses,

7.

Electrocardiograph paper can be displayed

a)

identified by darker lines

b)

represents 0.04 seconds

c)

graph or dot matrix format,with vertical and horizontal line or dots

d)

five small boxes horizontal

8.

Leads I,II and III are

a)

travel from a negative

b)

bipolar

c)

negative leads

d)

positive leads

9.

Leads AVL,AVR and AVF are

a)

bipolar

b)

unipolar

c)

augmented

d)

tracing

10.

P Wave:

a)

SA Nodes contracts

Both atria contracts

b)

Impulses reach the av node 0.10 delay allows

c)

Repolarization or recovery of the ventricles

d)

Impulses hit av bundle branch off into two bundles down front of heart into purkinje fibers

11.

QRS

a)

Repolarization or recovery of the ventricles

b)

Impulses hit av bundle branch off into two bundles down front of heart into purkinje fibers

c)

SA Nodes contracts

Both atria contracts

d)

Impulses reach the av node 0.10 delay allows atria

12.

V1

a)

LEFT side of the sternum, directly across from V1 at the FOURTH intercostal space

b)

LEFT side of the chest, FIFTH intercostal space, midclavicular line

c)

RIGHT side of the sternum at the FOURTH intercostal space

d)

LEFT side of the chest, FIFTH intercostal space, midaxillary line

13.

V2

a)

LEFT side of the chest, FIFTH intercostal space, midclavicular line

b)

LEFT side of the sternum, directly across from V1 at the FOURTH intercostal space

c)

LEFT side of the chest, FIFTH intercostal space, midclavicular line

d)

LEFT side of the chest, FIFTH intercostal space, anterior axillary line

14.

V3

a)

LEFT side of the chest, FIFTH intercostal space, midaxillary line

b)

RIGHT side of the sternum at the FOURTH intercostal space

c)

LEFT side of the chest, FIFTH intercostal space, anterior axillary line

d)

LEFT side of the chest, midway between V2 and V4

15.

V4

a)

LEFT side of the chest, FIFTH intercostal space, midclavicular line

b)

LEFT side of the chest, midway between V2 and V4

c)

LEFT side of the chest, FIFTH intercostal space, midaxillary line

d)

LEFT side of the sternum, directly across from V1 at the FOURTH intercostal space

16.

V5

a)

LEFT side of the chest, FIFTH intercostal space, anterior axillary line

b)

LEFT side of the chest, FIFTH intercostal space, midaxillary line

c)

LEFT side of the chest, FIFTH intercostal space, midclavicular line

d)

LEFT side of the sternum, directly across from V1 at the FOURTH intercostal space

17.

V6

a)

LEFT side of the chest, FIFTH intercostal space, midclavicular line

b)

LEFT side of the chest, FIFTH intercostal space, anterior axillary line

c)

LEFT side of the chest, FIFTH intercostal space, midaxillary line

d)

LEFT side of the sternum, directly across from V1 at the FOURTH intercostal space

18.

The paper on an ECG normally moves at:

a)

50mm/sec

b)

75mm/sec

c)

25cm/sec

d)

25mm/sec

19.

The width of each small box represents:

a)

0.04 seconds

b)

0.02 seconds

c)

0.40 seconds

d)

0.20 seconds

20.

The small boxes on ECG paper measure:

a)

1 cm by 0.20 seconds

b)

1mm by 0.20 seconds

c)

1cm by 0.04 seconds

d)

1mm by 0.04 seconds

21.

The entire ECG is:

a)

3 seconds long

b)

6 seconds long

c)

9 seconds long

d)

12 seconds long

22.

The big boxes on the ECG paper measure:

a)

5mm by 0.20 seconds

b)

1mm by 0.20 seconds

c)

5mm by 0.04 seconds

d)

1mm by 0.04 seconds

23.

A wave that is 10 small boxes high and three small boxes wide is described as being:

a)

1.0mm by 0.3 seconds

b)

10mm by 0.12 seconds

c)

12mm by 0.3 seconds

d)

12mm by 0.10 seconds

24.

A distance of 2 big boxes and 2 little boxes wide is described as being:

a)

22mm wide

b)

0.22 seconds wide

c)

0.48 seconds wide

d)

4.8 seconds wide

25.

The pacemaker of the heart

a)

AV node

b)

SA node

c)

Bundle of His

d)

Bundle branches

26.
Which one of the following represents the correct path for the transmission of an impulse in the intrinsic conduction system of the heart?
a)
AV node, Bundle of His, SA node, Purkinje fibers, bundle branches
b)
SA node, AV node, Bundle of His, bundle branches, Purkinje fibers
c)
SA node, Bundle of His, AV node, Purkinje fibers, bundle branches
d)
SA node, Bundle of His, bundle branches, Purkinje fibers, AV node
27.
Which label is representing the Purkinje fibers?
a)
A
b)
C
c)
D
d)
E
28.
Which part of the ECG corresponds to the repolarization of the ventricle?
a)
P wave
b)
QRS complex
c)
T wave
d)
none of the above
29.
Place the following in the correct order:
     1.atria contract
     2. AV node
     3. Bundle of His
     4.Purkinje fibers
     5. SA node
     6. ventricles contract
a)
5, 1, 2, 3, 4, 6
b)
2, 1, 5, 3, 4, 6
c)
5, 6, 2, 3, 4, 1
d)
2, 6, 5, 3, 4, 1
30.
The number of times the heart ventricles beat in one minute is known as?
a)
Heart Rate
b)
Stroke Volume
c)
Cardiac Output
31.

Recording of electrical changes that occur during the cardiac cycle is referred to as

a)

blood pressure reading

b)

ECG

c)

QRS wave

d)

T Wave

32.

Atrial fibrillation is caused the failure of AV node

a)

True

b)

False

33.

Identify the tracing

a)

Atrial Fibrillation

b)

Sinus Tachycardia

c)

Ventricular tachycardia

d)

Supraventricular tachycardia

34.

What is the ECG showing (Red Arrow)

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

Asystole

d)

Premature Ventricular Contraction

e)

Heart Block

35.

What is the ECG showing

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

normal sinus rhythm

d)

Premature Ventricular Contraction

e)

Heart Block

36.

An abnormal heart rhythm that makes the heart unable to pump blood effectively

a)

cardiac arrest

b)

ventricular fibrillation

c)

asystole

d)

none of the above

37.
What pacemaker has a firing rate of 40-60 times per minute?
a)
Purkinje fibers
b)
SA node
c)
Bundle of His
d)
AV node
38.
How many impulses does the SA node generates per minute?
a)
30-40
b)
40-60
c)
60-100
d)
100-120
39.
What does a lead provide?
a)
a view of the heart's electrical activity between two positive poles
b)
a view of the heart's electrical activity between one positive pole and negative pole
c)
a view of the heart
s electrical activity between two negative poles
d)
a view of the heart's electrical activity between two positives and two negatives
40.
What is the easiest way to calculate heart rate especially if the rhythm is irregular?
a)
1500 method
b)
sequence method
c)
10 times method (6-second interval)
d)
5 times method
41.
The normal duration of a P wave is
a)
0.06-0.10
b)
0.36-0.44
c)
0.12-0.20
d)
0.06-0.12
42.
What do the letters EKG stand for?
a)
Electrocardiograph
b)
Electromagneticgraph
c)
Electrocardiogram 
d)
Electrolytes
43.
What letters are used to label the parts of an EKG?
a)
PQRST 
b)
ABCDE
c)
ACDC
d)
DNAI
44.
Which of the following is not a direct indicator of a person's cardiac health?
a)
Heart Rate
b)
Blood Pressure
c)
EKG
d)
Temperature 
45.

Name this part of the ekg tracing.

a)

P

b)

R

c)

Q

d)

T

46.

Name this part of the EKG tracing.

a)

P

b)

Q

c)

R

d)

S

47.

Name this part of the ekg tracing.

a)

Q

b)

R

c)

S

d)

T

48.

Name this part of the ekg tracing.

a)

P

b)

Q

c)

R

d)

S