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NHA CCMA Study Guide - EKG

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

The Q, R, and S waves together represent contraction of?

a)

Atrium and Ventricles

b)

Ventricles

c)

Atrium

d)

Ventricles and P. Fibers

2.

A medical assistant is preparing a patient for an EKG. In which of the following locations should the assistant place the V4 lead?

a)

5th intercostal space at the anterior axillary line

b)

5th intercostal space at the midaxillary line

c)

Midway between V3 and V5

d)

5th intercostal space at the midclavicular line

3.

Which is the first group of leads to be recorded on an electrocardiogram?

a)

Augmented leads

b)

Leads I, II, and III

c)

aVR, aVL, and aVF

d)

Leads V1 thru V6

4.

If a medical assistant is placing the electrodes on a patient that had a status post left-sided mastectomy, where should the MA place the V2 lead?

a)

Right arm

b)

Left Chest

c)

Left arm

d)

Right Chest

5.

If a medical assistant is placing the electrodes on a patient that has a below the elbow amputation of the right arm, where would the MA place the RA lead?

a)

Left chest

b)

In the axillary

c)

Right deltoid

d)

Left deltoid

6.

Which electrode is placed on the 4th intercostal space of the left sternal border?

a)

V1

b)

V2

c)

V3

d)

V6

7.

When performing a 12 lead EKG on a patient, which lead is used as a ground to help decrease interference?

a)

LA

b)

LL

c)

RA

d)

RL

8.

Which anatomical landmark is the location for the V6 lead?

a)

Midaxillary Line

b)

Midclavicular Line

c)

5th intercostal space

d)

4th intercostal space

9.

The body’s deoxygenated blood enters the right atrium via which blood vessel?

a)

Aorta

b)

Inferior & Superior Vena Cava

c)

Pulmonary artery

d)

Pulmonary Vein

10.

A narrowing of the valve between the left atrium and left ventricle is the narrowing of what valve?

a)

Tricuspid Valve

b)

Pulmonary Valve

c)

Mitral Valve

d)

Aortic Valve

11.

The blood flows from the heart to the lungs via which blood vessel?

a)

Pulmonary Artery

b)

Pulmonary Vein

c)

Aorta

d)

Pulmonary Aorta

12.

Which arteries supply blood to the heart muscle?

a)

Coronary Veins

b)

Coronary Vena Cava

c)

Coronary Artieries

d)

Coronary Node

13.

The valve in the heart between the right atrium and right ventricle?

a)

Tricuspid Valve

b)

Pulmonary Valve

c)

Mitral Valve

d)

Aortic Valve

14.

The natural pacemaker of the heart?

a)

AV Node

b)

VA Node

c)

SA Valve

d)

SA Node

15.

What term describes the absence of electrical activity in the heart?

a)

Junctional

b)

Cardiac EKG

c)

Asysotle

d)

Diastyole

16.

What term refers to an electrical event that coincides with contraction?

a)

Polarization

b)

Repolarization

c)

Depolarization

d)

Unpolartization

17.

In the sequence of the electrical stimulation of the heart, what part of the conduction system is stimulated after the SA node?

a)

PV Node

b)

Bundle of His

c)

Purkinje FIbers

d)

AV Node

18.

When performing a 12 lead EKG, the CCMA should explain to the patient that the machine is recording what?

a)

Structural activity of the heart

b)

Electrical activity of the heart

c)

Functional zones of the heart

d)

Valve action of the heart

19.

A CCMA is performing a 12-lead EKG and notices the patient’s heart rate is 44 bpm. What does this heart rate reflect?

a)

Hypertension

b)

Hypercardia

c)

Tachycardia

d)

Bradycardia

20.

What rhythm is commonly associated with a inverted P wave?

a)

Mitral fibrilation

b)

Ventral relaxation

c)

Junctional

d)

Jointional

21.

Sweat and lotion on a patient’s skin can interfere with the signal going to the EKG machine causing what?

a)

Wandering Baseline

b)

Wandering QRS complex

c)

AC Interference

d)

Asystole

22.

What do erratic spikes on the EKG represent?

a)

Electrical interference

b)

Patient shivering

c)

Bad electrode placement

d)

Sweat and lotion on skin

23.

When performing an EKG someone in the room uses a mobile phone what type of interference might be noticed on the strip?

a)

AZ Interference

b)

AT Interference

c)

AC Interference

d)

AD Interference

24.

How many electrodes do you attach to the patient for a 12 lead EKG?

a)

9

b)

10

c)

11

d)

12

25.

In a standard EKG, how many leads make up the standard or bipolar leads?

a)

6

b)

10

c)

12

d)

3

26.

If a patient has dextrocardia which leads require placement modification for this patient?

a)

Standard

b)

Unipolar

c)

Augmented

d)

Precordial

27.

What is the state of cellular rest and is represented by a flatline on an EKG strip?

a)

Somatic tremor

b)

Repolarization

c)

Depolarization

d)

Polarization

28.

A CCMA is preparing a patient who has shortness of breath for an EKG. In which position should the patient be placed.

a)

Prone

b)

Semi-Fowler's

c)

Supine

d)

Sims'

29.

A CCMA is performing an EKG on a patient who has a heart rate of 105/min. The medical assistant should identify this finding as an indication of which of the following conditions?

a)

Sinus rhythm

b)

Atrial fibrillation

c)

Bradycardia

d)

Tachycardia

30.

Which of the following information is true of limb leads and electrodes?

a)

Limb leads are unipolar

b)

Leads V! through V6 are limb leads

c)

Limb leads are placed on the fleshy areas of the skin

d)

The left leg lead wire serves as the ground