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HTK EKG Week 3 quiz

Total questions: 107

Worksheet time: 2hrs 57mins

Name
Class
Date
1.
Key concept of HIPPA. All patients have the right to privacy and all information should remain privileged
a)
negligence
b)
patient confidentiality
c)
informed consent
d)
defamation of character
2.
Protects the health care professional to provide medical care within the scope of their training without fear of being sued for negligence
a)
Legal right to act
b)
Medicare law
c)
Good Samaritan law
d)
Nightingale law
3.
Method by which an infectious agents leaves its reservoir
a)
portal of exit
b)
portal of entry
c)
mode of transmission
d)
susceptible host
4.
specific ways in which microorganisms travel from the reservoir to the susceptible host
a)
portal of entry
b)
portal of exit
c)
mode of transmission
d)
agent
5.
Failure to exercise the standard of care that a reasonable person would give under similar circumstances and someone suffers injury become of another's failure to a required duty
a)
tort
b)
battery
c)
negligence
d)
invasion of privacy
6.
Wrongful act that results in injury to one person by another
a)
tort
b)
battery
c)
negligence
d)
confidentiality
7.
consists of injury to another person's reputation, name, or character through spoken(slander) or written (libel) words
a)
defamation of character
b)
battery
c)
invasion of privacy
d)
negligence
8.
The unprivileged touching of one person by another. When a procedure is to be performed on a patient, the patient must give consent in full knowledge of the procedure and the risk it entails
a)
invasion of privacy
b)
battery
c)
negligence
d)
defamation
9.
Allows the infectious agents access to the susceptible host
a)
portal of entry
b)
portal of exit
c)
susceptible host
d)
mode of transmission
10.
The infectious agent enters a person who is not resistant or immune that person is an
a)
portal of exit
b)
susceptible host
c)
reservoirs
d)
portal of entry
11.

On an ECG, the P wave represents __________________________.

a)

Contraction of the Atria

b)

Contration of the Ventricle

c)

The pause at the AV node

d)

The impulse traveling through the bundle branches

12.

What is the term for rapid heartbeat?

a)

Angina Pectoris

b)

Fibrillations

c)

Tachycardia

d)

Ischemia

13.

What wave on a rhythm strip indicates the repolarization of the ventricles?

a)

P

b)

Q

c)

R

d)

S

e)

T

14.

Heart blocks are caused a a blockage in the conduction system at which point?

a)

SA Node

b)

AV Node

c)

Bundle of HIS

d)

Bundle Branches

e)

Purkinje fibers

15.

What does the T wave represent

a)

The contraction of the ventricles

b)

The contraction of the atria

c)

if the rhythm is normal

d)

The relaxation of the heart.

16.

Which of the following best describes this strip?

a)

Tachycardia

b)

Normal Sinus Rhythm

c)

Bradycardia

d)

Asystole

17.

Which of the following best describes this strip?

a)

Tachycardia

b)

Normal Sinus Rhythm

c)

Bradycardia

d)

Asystole

18.

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

19.

The multichannel EKG machine is a recorder that monitors

a)

10 leads

b)

12 leads

c)

12 & 5 leads

d)

5 leads

20.

Finish the following phrase

The electrodes are placed on _______ of the body to record heart activity from_______________________.

a)

10 leads

b)

10 areas , 12 angles and planes

c)

12 areas ,10 angles and planes

d)

12 leads

21.

Leads I,II and III are

a)

travel from a negative

b)

bipolar

c)

negative leads

d)

positive leads

22.

Leads AVL,AVR and AVF are

a)

bipolar

b)

unipolar

c)

augmented

d)

tracing

23.

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

24.

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

25.

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

26.

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

27.
What do the letters EKG stand for?
a)
Electrocardiograph
b)
Electromagneticgraph
c)
Electrocardiogram 
d)
Electrolytes
28.
An electrocardiogram measures what?
a)
The amount of pressure exerted on blood vessels.
b)
The electrical activity of the heart.
c)
How many times the heart contracts over time.
d)
The body's temperature caused by friction of blood in vessel.
29.
What letters are used to label the parts of an EKG?
a)
PQRST 
b)
ABCDE
c)
ACDC
d)
DNAI
30.
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 
31.
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
32.
The t-wave correlates with which event?
a)
atrium contraction /signals moving from SA node to AV node
b)
ventricle contraction
c)
ventricle repolarization
d)
both atrial and ventricle contraction
33.
The AV node is located at...
a)
A
b)
B
c)
C
d)
D
34.
The Purkinje fibers are located at...
a)
F
b)
G
c)
H
d)
I
35.
The QRS-wave correlates with which event?
a)
atrium contraction /signals moving from SA node to AV node
b)
ventricle contraction
c)
ventricle repolarization
d)
both atrial and ventricle contraction
36.

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

a)

Q wave

b)

R wave

c)

S wave

d)

T wave

37.

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

38.

The nurse is reviewing cardiac anatomy with a patient scheduled for pacemaker insertion. Where should the nurse identify the location of the sinus node for the patient?

a)

Left atrium

b)

Right atrium

c)

Left ventricle

d)

Right ventricle

39.

A patient has a normal heartbeat of 72 beats per minute. What area of the conduction system should the nurse consider as functioning normally in this patient?

a)

Bundle of His

b)

Sinoatrial node

c)

Purkinje’s fibers

d)

Atrioventricular node

40.

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

41.

The nurse determines that a patient’s electrocardiogram is demonstrating normal sinus rhythm. What did the nurse observe to come to this conclusion? (Select all that apply.)

a)

Regular rhythm

b)

P wave before each QRS complex

c)

Wide QRS intervals

d)

Heart rate 88 beats per minute

42.

Medical condition where SA node ceases to generate the electrical impulses that normally stimulate the tissues for heart conduction.

a)

Sinus Arrhythmia

b)

1st Degree AV Block

c)

Sinus Arrest

d)

Sino-Atrial Block

43.

Arrhythmia resulting from impulses coming from a locus of tissue in the area of the AV node, the "junction" between atria and ventricles.

a)

1st Degree AV Block

b)

Junctional Rhythm

c)

2nd Degree AV Block Type I

d)

2nd Degree AV Block Type II

44.

Rate: less than 60 bpm

Rhythm: regular

a)

Sinus Rhythm

b)

Sinus Arrhythmia

c)

Sinus Bradycardia

d)

Sinus Tachycardia

45.

ST Elevation

a)

NSTEMI

b)

STEMI

46.

The paper on an ECG normally moves at:

a)

50mm/sec

b)

75mm/sec

c)

25cm/sec

d)

25mm/sec

47.

The width of each small box represents:

a)

0.04 seconds

b)

0.02 seconds

c)

0.40 seconds

d)

0.20 seconds

48.
Carries blood to the lungs for oxygenation: 
a)
Pulmonary Circulation
b)
Systemic Circulation 
49.
The thick muscular portion of the heart: 
a)
Endocardium
b)
Pericardium
c)
Myocardium
50.
A patient complains of short periodic bursts of moderate to severe chest pain and tightness. Based on your knowledge you anticipate the patient is having what: 
a)
A heart attack
b)
A stroke
c)
Angina 
51.
Headache, changes in alertness, confusion, dizziness, one sided-weakness and trouble speaking are signs of a: 
a)
Stroke
b)
DVT
c)
PE
d)
MI 
52.
Slows electrical conduction impulses in the heart to allow time for the atrium to complete contraction and for the ventricles to fill up: 
a)
AV node
b)
SA node 
c)
Purkinje Fibers
d)
Bundle Branches 
53.
The pacemaker of the heart: 
a)
SA node
b)
AV node 
c)
Purkinje Fibers
d)
Bundle branches 
54.
How many leads are there for a 12-Lead EKG? 
a)
8
b)
10
c)
12
d)
15
55.
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
56.
While taking an EKG you notice abnormal tracings, what is the first step to take? 
a)
Tell the patient to sit still
b)
Check on the patient, then trouble shoot possible problems
c)
Check your leads 
57.
Which lead is placed at the 5th intercostal space on the left midclavicular line? 
a)
V1
b)
V2
c)
V3
d)
V4
58.
Which lead is placed directly in line with V5 on the midaxillary line? 
a)
V2
b)
V3
c)
V4
d)
V6
59.
When placing EKG leads, which one is considered the grounding lead? 
a)
Right Arm
b)
Left Arm
c)
Left Leg
d)
Right Leg
60.
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
61.

What is likely to occur if there is a blockage of a coronary artery

a)

Stroke

b)

Heart attack

c)

Diabetes

d)

Drop in blood pressure

62.
consent given by the patient who is made aware of any procedure to be performed, its risk,expected outcomes, and alternatives
a)
informed consent
b)
verbal consent
c)
obligation consent
d)
AMA
63.

Everything is normal, rate is 60 -100

a)

Sinus tachycardia

b)

Sinus bradycardia

c)

Sinus arrhythmia

d)

Normal sinus rhythm

64.

No electrical activity, straight line

a)

asystole

b)

A fib

c)

Atrial Flutter

d)

Pacemaker

65.

Everything is normal except rate is less than 60

a)

Sinus bradycardia

b)

Sinus tachycardia

c)

Sinus arrhythmia

d)

Sinus block

66.

Everything is normal except the rate is greater than 100

a)

Sinus arrhythmia

b)

Sinus bradycardia

c)

Sinus tachycardia

d)

Sinus block

67.

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

a)

P Wave

b)

QRS Complex

c)

R-R Interval

d)

T Wave

68.

Lines between two waves

a)

Complex

b)

Amplitude

c)

Duration

d)

Segment

69.

The period of time from the onset of the P wave to the beginning of the QRS complex.

a)

Diastole

b)

Contraction

c)

Relaxation

d)

PR Interval

70.

Helps calculate heart rate

a)

6 Second Strip

b)

P Wave

c)

PR Interval

d)

R-R Interval

71.

Using the 6 second strip method, what is the HR of this EKG?

a)

50

b)

52

c)

55

d)

58

72.

Paper Speed for a Pediatric Patient:

a)

20 mm/sec

b)

25 mm/sec

c)

45 mm/sec

d)

50 mm/sec

73.

Which is NOT a Muscle Artifact?

a)

Shaking

b)

Shivering

c)

Yawning

d)

Tremors

74.

Defined as an equilateral triangle that is used as a model of standard limb lead used to record electrocardiogram.

a)

Wilson's Central Terminal

b)

Einthoven Triangle

c)

J Point

d)

Unipolar Leads

75.

Generated by connecting right arm and left arm.

a)

Lead I

b)

Lead II

c)

Lead III

d)

aVR

76.

Flat line seen on the electrocardiogram.

a)

Bipolar Line

b)

Unipolar Line

c)

Isoelectric Line

d)

Asystole

77.

Using the 1500 method for heart rate in an EKG, if the number of small boxes between the R-R interval is 40 and the rhythm is regular, then the hate rate will be:

a)

36

b)

37

c)

38

d)

39

78.

Waves that travel and seen in a vertical axis (height).

a)

P waves

b)

T waves

c)

R waves

d)

Amplitude

79.

Chest Leads are also known as _______________ leads.

a)

Upper

b)

Torso

c)

aVL

d)

Precordial

80.

Also known as standard limb leads.

a)

V1

b)

V2

c)

Unipolar

d)

Bipolar

81.

An EKG may diagnose a stroke.

a)

True

b)

False

82.

Where is the P wave located?

a)

A

b)

B

c)

C

d)

D

e)

E

83.

What is considered the QRS complex?

a)

A, B, & C

b)

C, D, & E

c)

B, C, & D

d)

D & E

84.

What is the T wave located?

a)

A

b)

B

c)

C

d)

D

e)

E

85.

What does depolarization result in?

a)

relaxation

b)

contraction

c)

repulsion

d)

attraction

86.

What does re-polarization result in?

a)

relaxation

b)

contraction

c)

attraction

d)

repulsion

87.

Blood enters the heart from the _______?

a)

Superior and inferior vena cava

b)

Bicuspid and Tricuspid

c)

aorta

d)

pulmonary artery

88.

From the pulmonary valve blood enters the _______?

a)

aortic artery

b)

pulmonary valve

c)

pulmonary artery

d)

aortic valve

89.

After the blood returns from the lungs, it is now____?

a)

deoxygenated

b)

oxygenated

c)

purple

90.

deoxygenated blood coming from____?

a)

body to lungs

b)

head to body

c)

lungs to body

d)

lungs to head

91.

Define Depolarization

a)

Contraction

b)

Relaxation

92.

The QRS complex is normally __________ seconds in duration

a)

0.06 to 0.10

b)

0.04 to 0.10

c)

0.08 to 0.12

d)

0.10 to 0.12

93.

PR interval is ____-_____ seconds

a)

0.06 to 0.10

b)

0.10 to 0.12

c)

0.12 to 0.20

d)

0.20 to 0.25

94.

the AV impulse is

a)

60-100

b)

40-60

c)

20-40

d)

30-70

95.

the purkinje fibers impulse is

a)

60-100

b)

40-60

c)

20-40

d)

30-70

96.

how does it go

a)

depolarization = repolarization contraction = relaxing

b)

depolarization = relaxing, repolarization = contracting

c)

depolarization = contraction, repolarization = relaxing

d)

depolarization = losing repolarization = gaining

97.

how many chambers of the heart are there

a)

3

b)

4

c)

5

d)

6

98.
Which 2 chambers pump oxygenated blood?
a)
right atrium, left ventricle
b)
right atrium, right ventricle
c)
left atrium, right ventricle
d)
left atrium, left ventricle
99.
Artifact is
a)
a normal part of each EKG tracing
b)
an indication of decreased cardiac output
c)
sometimes caused by muscle tremors or extra patient movement
d)
consistently the same across the EKG tracing
100.

Pressure exerted on the walls of the blood vessels is termed

a)

Hypertension

b)

Vesicular pressure

c)

Blood Pressure

d)

Heart pressure

101.

Blood pressure is recorded as

a)

Hydrostatic /diastolic

b)

Diastolic/ hydrostatic

c)

Systolic/diastolic

d)

Diastolic/systolic

102.
For a blood pressure reading, the number on top measures...
a)
Diastolic Pressure
b)
Systolic Pressure
c)
Diastemic Pressure
d)
Systemic Pressure
103.
A blood pressure cuff is also called a 
a)
Mercury meter
b)
Stethoscope 
c)
Pythogometer
d)
Sphygnomanometer
104.

Hypertension is anything above...

a)

120/80 mmHg

b)

90/120 mmHg

c)

140/90 mmHg

d)

80/140 mmHg

105.

Person has a blood pressure of 140 mmHg/ 90 mmHg. How would you categorize their blood pressure?

a)

Normal range

b)

prehypertension

c)

hypertension

d)

hypotension

106.

Highest pressure against blood vessels. Represented by first "thump" sound

a)

diastolic pressure

b)

systolic pressure

c)

hypotension

d)

hyperstension

107.

lowest pressure against the blood vessels of the body. Measured when the "thump" stops

a)

diastolic pressure

b)

systolic pressure

c)

hypotension

d)

hypertension

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