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CET Midterm Review

Total questions: 100

Worksheet time: 3hrs 20mins

Name
Class
Date
1.

SA node, AV node, Bundle of His, Purkinje fibers

a)

What are random parts of the heart

b)

What are the four major parts of the hearts electrical system

c)

What are the four major parts of the brain

d)

What are the four random parts of the digestive system

2.

What is the intrinsic rate of the Sinoatrial node (SA node)

a)

20-40 BPM

b)

40-60 BPM

c)

60-100 BPM

3.

What is the intrinsic rate of the Atrioventricular node (AV node)

a)

20-40 BPM

b)

40-60 BPM

c)

60-100 BPM

4.

What is the intrinsic rate of the Bundle of His

a)

20-40 BPM

b)

30-50 BPM

c)

60-100 BPM

5.

What is the intrinsic rate of the Purkinje Fibers

a)

20-40 BPM

b)

40-60 BPM

c)

60-100 BPM

6.

What mechanical action is seen during depolarization?

a)

Contraction / Pumping

b)

Contraction / Filling

c)

Relaxation / Filling

d)

Relaxation / Pumping

7.

What mechanical action is seen during repolarization?

a)

Contraction / Pumping

b)

Contraction / Filling

c)

Relaxation / Filling

d)

Relaxation / Pumping

8.

What time period is represented by a small block on EKG graph paper?

a)

0.02 seconds

b)

0.04 seconds

c)

0.20 seconds

d)

0.40 seconds

9.

What time period is represented by a large block on EKG graph paper?

a)

0.02 seconds

b)

0.04 seconds

c)

0.20 seconds

d)

0.40 seconds

10.

The number of beats per minute

a)

Heart Rhythm

b)

Heart Rate

c)

Heart Pump

d)

Heart Interval

11.

Six second method, Small block method, Large block method

a)

What is three methods of counting squares

b)

What is three methods of wasting time

c)

What is three methods used to determine heart rate

d)

What is three methods used to determine heart rhythm

12.

Count the number of complete QRS complexes in a six second strip and multiply by 10

a)

What is the six second method

b)

What is the Small block method

c)

What is the Large block method

13.

Count the number of large blocks between two consecutive R waves and use chart to determine rate

a)

What is the six second method

b)

What is the Small block method

c)

What is the Large block method

14.

Count the number of small blocks between two consecutive R waves and divide 1500 by the number of small blocks to determine heart rate

a)

What is the six second method

b)

What is the Small block method

c)

What is the Large block method

15.

Using the large block method - 1 block = a heart rate of ________

a)

50

b)

60

c)

100

d)

150

e)

300

16.

Using the large block method - 3 blocks = a heart rate of ________

a)

50

b)

60

c)

100

d)

150

e)

300

17.

Using the large block method - 5 blocks = a heart rate of ________

a)

50

b)

60

c)

100

d)

150

e)

300

18.

Using the large block method - 4 blocks = a heart rate of ________

a)

50

b)

60

c)

75

d)

150

e)

300

19.

Using the large block method - 2 blocks = a heart rate of ________

a)

50

b)

60

c)

75

d)

150

e)

300

20.

Using the large block method - 6 blocks = a heart rate of ________

a)

50

b)

60

c)

75

d)

150

e)

300

21.

Find the beginning of the P wave and the first deflection of the QRS, count the number of small blocks between and multiply by 0.04 seconds

a)

What is how to determine the QRS interval

b)

What is how to determine the R-R interval

c)

What is how to determine the PR interval

d)

What is how to determine the ST segment

22.

A measurement of time taken from the start of the Q wave, through the R wave, and to the end of the S wave

a)

What is how to determine the QRS interval

b)

What is how to determine the R-R interval

c)

What is how to determine the PR interval

d)

What is how to determine the ST segment

23.

The cardiac conduction systems ability for each part to conduct electrical impulses at its own particular rate

a)

Regularity

b)

Intrinsic

c)

Interval

d)

Deflection

24.

What does the P wave represent?

a)

Atrial depolarization

b)

Ventricular depolarization

c)

Atrial repolarization

d)

Ventricular repolarization

25.

What does the QRS complex represent?

a)

Atrial depolarization

b)

Ventricular depolarization

c)

Atrial repolarization

d)

Ventricular repolarization

26.

What is the first step in analyzing a heart rhythm?

a)

Measure the length of the PR interval

b)

Measure the length of the QRS interval

c)

Determine the heart rate in BPM

d)

Examine the rhythm for regularity

e)

Note the presence or absence of identical P waves before each QRS interval

27.

What is the second step in analyzing a heart rhythm?

a)

Measure the length of the PR interval

b)

Measure the length of the QRS interval

c)

Determine the heart rate in BPM

d)

Examine the rhythm for regularity

e)

Note the presence or absence of identical P waves before each QRS interval

28.

What is the third step in analyzing a heart rhythm?

a)

Measure the length of the PR interval

b)

Measure the length of the QRS interval

c)

Determine the heart rate in BPM

d)

Examine the rhythm for regularity

e)

Note the presence or absence of identical P waves before each QRS interval

29.

What is the fourth step in analyzing a heart rhythm?

a)

Measure the length of the PR interval

b)

Measure the length of the QRS interval

c)

Determine the heart rate in BPM

d)

Examine the rhythm for regularity

e)

Identify the Rhythm

30.

What is the fifth step in analyzing a heart rhythm?

a)

Measure the length of the PR interval

b)

Measure the length of the QRS interval

c)

Determine the heart rate in BPM

d)

Examine the rhythm for regularity

e)

Identify the Rhythm

31.

What is the sixth step in analyzing a heart rhythm?

a)

Measure the length of the PR interval

b)

Measure the length of the QRS interval

c)

Determine the heart rate in BPM

d)

Examine the rhythm for regularity

e)

Identify the Rhythm

32.

The term used to describe the shape and direction of waves, complexes, and segments on an EKG tracing

a)

Regularity

b)

Intervals

c)

Relaxation

d)

Morphology

33.

The isoelectric line is also known as the

a)

Top line

b)

Bottom line

c)

Normal Sinus Rhythm

d)

Baseline

34.

What is the "normal" measurement of time for a PR interval

a)

0.08 - 0.20 seconds

b)

0.12 - 0.20 seconds

c)

Less than 0.12 seconds

d)

More than 0.20 seconds

35.

What is the "normal" measurement of time for a QRS interval

a)

0.08 - 0.20 seconds

b)

0.12 - 0.20 seconds

c)

Less than 0.12 seconds

d)

More than 0.20 seconds

36.

When evaluating the ____ wave we are looking for an upward deflection, and uniformity

a)

P

b)

Q

c)

R

d)

S

e)

T

37.

The QRS complex can look very different from one tracing or rhythm to another, so mastering measurement requires a lot of practice

a)

True

b)

False

38.

When assessing regularity -- you want to measure from the point of one ____ wave to the point of the next ____ wave and then compare that measurement to each on the strip

a)

P to P

b)

Q to Q

c)

R to R

d)

S to S

e)

T to T

39.

A surgical procedure in which an instrument with a tiny balloon is inserted into a blocked artery to clear a blockage.

a)

heart attack

b)

hypertension

c)

stroke

d)

angioplasty

40.

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

41.

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

42.

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

43.
The place where the electrical current starts and is considered the heart's pacemaker:
a)
Sino-atrial node 
b)
right atrium
c)
atria-ventricular node 
d)
left ventricle
44.
What is the normal speed of EKG paper?
a)
0.04 sec.
b)
0.20 sec.
c)
25 mm/sec
d)
10 mm
45.
Einthoven's Triangle is made up of:
a)
Precordial Leads
b)
avR,  avL, avF
c)
Leads I, II, III
d)
Three lead telemetry
46.
V1-V6 are referred to as:
a)
Einthoven's Triangle
b)
Leads I,II,III
c)
Precordial Leads
d)
Augmented Leads
47.

Einthoven's triangle is formed by using which of the following placement sites

a)

right arm, left arm, left leg

b)

right arm, left leg, right leg

c)

right arm, middle of chest, left leg

d)

none of the above

48.

Activity that causes ECG interference

a)

artifact

b)

impulse

c)

interval

d)

voltage

49.

Any irregularity in heart rhythm

a)

PVC

b)

V-Fib

c)

A-Fib

d)

Arrhythmia

50.

This controls the height of the ECG waveform

a)

speed

b)

gain

c)

hertz

d)

lead

51.

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

a)

P wave

b)

Q wave

c)

R wave

d)

S wave

52.

After reviewing an electrocardiogram the nurse determines that an electrical impulse originated in a patient’s the sinoatrial node. What did the nurse see on this tracing?

a)

An upright T wave

b)

An inverted T wave

c)

A positive P wave before a QRS complex

d)

A negative P wave before a QRS complex

53.

The nurse is determining the functioning of a patient’s sinoatrial node. How many times per minute should the nurse expect the node to normally fire?

a)

20 to 40

b)

25 to 55

c)

40 to 85

d)

60 to 100

54.

Rate: less than 60 bpm

Rhythm: regular

a)

Sinus Rhythm

b)

Sinus Arrhythmia

c)

Sinus Bradycardia

d)

Sinus Tachycardia

55.

What is the time frame occupied by one lead on a regular 12-lead ECG?

a)

0.3 seconds

b)

3 seconds

c)

13 seconds

d)

30 seconds

56.

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

57.

EKG interpretation:

a)

Normal Sinus Rhythm

b)

Sinus Bradycardia

c)

Sinus Tachycardia

d)

Sinus Arrhythmia

58.

EKG interpretation:

a)

Normal Sinus Rhythm

b)

Sinus Bradycardia

c)

Sinus Tachycardia

d)

Sinus Arrhythmia

59.

EKG interpretation:

a)

Normal Sinus Rhythm

b)

Sinus Bradycardia

c)

Sinus Tachycardia

d)

Sinus Arrhythmia

60.

EKG interpretation:

a)

Normal Sinus Rhythm

b)

Sinus Bradycardia

c)

Sinus Tachycardia

d)

Sinus Arrhythmia

61.

EKG interpretation:

a)

Normal Sinus Rhythm

b)

Sinus Bradycardia

c)

Sinus Tachycardia

d)

Sinus Arrhythmia

62.

EKG interpretation:

a)

Normal Sinus Rhythm

b)

Sinus Bradycardia

c)

Sinus Tachycardia

d)

Sinus Arrhythmia

63.

Lead II is the standard lead in viewing the EKG.

a)

True

b)

False

64.
How many leads are there for a 12-Lead EKG? 
a)
8
b)
10
c)
12
d)
15
65.
A patient with a holter monitor wants to remove it so he can participate in a 5K. What is the correct response? 
a)
Just put it back on when you're finished with the 5K
b)
The purpose of the holter monitor is to monitor your heart under all conditions. You may not take it off, even for periods of exercise, such as the 5K
c)
Just let us know how long you will have it off for
66.
Which lead is placed at the 5th intercostal space on the left midclavicular line? 
a)
V1
b)
V2
c)
V3
d)
V4
67.

The paper on an ECG normally moves at:

a)

50mm/sec

b)

75mm/sec

c)

25cm/sec

d)

25mm/sec

68.

The entire ECG is:

a)

3 seconds long

b)

6 seconds long

c)

9 seconds long

d)

12 seconds long

69.

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

70.

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

71.

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

72.

Also known as the baseline, it is best determined by drawing a line between the end of the T and beginning of the P wave.

a)

P wave

b)

isoelectric line

c)

SA node

d)

Av node

73.

The interval from the peak of one QRS complex to the next. It is used as an indicator of regularity when evaluating the heart's rhythm on an EKG.

a)

long QT interval

b)

R-R interval

c)

PR interval

d)

P-P interval

74.

The electrical sensors placed on the chest to record the bioelectrical activity of the heart.

a)

electrode

b)

node

c)

wave

d)

interval

75.

Corresponds to rapid ventricular repolarization.

a)

A wave

b)

P wave

c)

T wave

d)

Q wave

76.

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

77.

P, Q, R, S, T, U are known as:

a)

Waves

b)

Intervals

c)

Segments

d)

Complex

78.

Usually the central and most visually obvious part of the tracing.

a)

P Wave

b)

QRS Complex

c)

R-R Interval

d)

T Wave

79.

Lines between two waves

a)

Complex

b)

Amplitude

c)

Duration

d)

Segment

80.

"Snow over Grass; Smoke over Fire" is one way we remember the placement for:

a)

V1

b)

V2

c)

aVR

d)

Limb Leads

81.

What is A?

a)

QRS Complex

b)

P wave

c)

ST segment

d)

T wave

e)

QT segment

82.

What is C?

a)

T wave

b)

R wave

c)

Q wave

d)

U wave

e)

P wave

83.

What is D?

a)

PR interval

b)

QRS Complex

c)

ST segment

d)

T wave

84.

What is F?

a)

P wave

b)

Q wave

c)

R wave

d)

S wave

e)

T wave

85.

What is G?

a)

QT segment

b)

P wave

c)

QRS Complex

d)

ST segment

e)

PR interval

86.

What is H?

a)

ST segment

b)

T wave

c)

P wave

d)

QRS complex

e)

QT interval

87.

What is I?

a)

P wave

b)

PR Interval

c)

QRS Complex

d)

ST segment

e)

QT Interval

88.

ECG stand for

a)

Electrocardiograph

b)

Electrocardiogram

c)

Electrocardiopraphy

d)

Electronicardiogram

89.

ECG is a reading that shows

a)

the activity of heart

b)

the electrical activity of cardiac muscle

c)

the systole and diastole of cardiac muscle

d)

the initiation of heartbeat

90.

The correct sequence of the three events in ECG

a)

P wave , T wave , QRS complex

b)

QRS complex , P wave , T wave

c)

T wave , QRS complex , P wave

d)

P wave, QRS complex, T wave

91.

The ECG is the most commonly used clinical tool for diagnosing what?

a)

Cardiac dysfunction

b)

Cardiac Failure

c)

Congestive Heart Failure

d)

COPD

92.

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

93.
Which label is representing the Purkinje fibers?
a)
A
b)
C
c)
D
d)
E
94.
The number of times the heart ventricles beat in one minute is known as?
a)
Heart Rate
b)
Stroke Volume
c)
Cardiac Output
95.
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 
96.

The normal heart rhythm is called?

a)

Sinus brady

b)

ventricle fibrillation

c)

Normal sinus rhythm

d)

Junctional Rhytms

97.

The measurement of force exerted on the wall of the arteries when the heart contracts is

a)

systolic pressure

b)

diastolic pressure

c)

pulse pressure

98.

At which arterial site do we normally assess a patients blood pressure?

a)

femoral

b)

brachial

c)

coronal

d)

radial

99.
For a blood pressure reading, the number on top measures...
a)
Diastolic Pressure
b)
Systolic Pressure
c)
Diastemic Pressure
d)
Systemic Pressure
100.

What is "blood pressure"

a)

how stressed your heart is

b)

how hard your muscles are pushing on the heart

c)

the force of the blood pumping through your veins

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