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Worksheets

CET Review # 5

Total questions: 125

Worksheet time: 4hrs 10mins

Name
Class
Date
1.

Which of the following waves on an EKG tracing relates to electrical activity in the atria?

a)

The Q wave

b)

The T Wave

c)

The P wave

d)

The R Wave

2.

Which of these questions is an appropriate way of checking one patient identifier before performing

an EKG test?

a)

“Is your name George Disher?”

b)

“What is your last name, George?”

c)

“Can you please state your first and last names?”

d)

“Are your initials G.D.?”

3.

Widened QRS complexes on an EKG tracing are signs of

a)

Myocardial infarction

b)

A ventricular dysrhythmia

c)

An atrial dysrhythmia

d)

Hypertension

4.

A patient is nearing the target heart rate during an exercise stress test when he becomes diaphoretic

and complains of intense chest pain. Which response from the EKG technician is best?

a)

Stop the test and alert the doctor immediately.

b)

Tell the patient to hold on just a bit longer since hitting the target heart rate will provide better

information about why he’s experiencing chest pain.

c)

Stop the test and begin CPR immediately.

d)

Continue the test while administering oxygen.

5.

The rhythm shown in this tracing is known as

a)

(A) Sinus arrest

b)

(B) Sinus bradycardia

c)

(C) Normal sinus rhythm

d)

(D) Sinus arrhythmia

6.

Under which of the following circumstances can an EKG technician discuss the details of a patient’s

EKG or treatment? (Choose two correct answers.)

a)

(A) When a patient asks the technician for an interpretation of the EKG right after it is performed.

b)

(B) When the technician is delivering the completed EKG and the patient’s chart to the cardiologist

who ordered the test.

c)

(C) When a colleague asks for information about a relative’s health.

d)

(D) When the patient’s insurance company calls to confirm that an EKG was ordered and conducted.

e)

(E) When the patient’s employer calls to ask if he is fit to continue working.

7.

Which of these sentences demonstrates patient understanding of directions for Holter monitoring?

a)

(A) “I will call the office each time I experience symptoms.”

b)

(B) “I will cover the electrodes, lead wires, and monitor with plastic when I swim or shower.”

c)

(C) “I will change the electrodes every 12 hours.”

d)

(D) “I will make a note in the diary when I exercise.”

8.

This patient would require no changes to positioning or electrode placement:

a)

(A) An elderly man with orthopnea

b)

(B) A 35-year-old woman who is 20 weeks pregnant

c)

(C) An 8-year-old child

d)

(D) A 40-year-old man with a full cast on his right leg

9.

What would be the best method for calculating the rate shown in the strip above?

a)

(A) Small block method

b)

(B) 300 method

c)

(C) Six-second method

d)

(D) 1500 method

10.

Which of these electrodes is not involved in creating Einthoven’s triangle?

a)

(A) Right arm

b)

(B) Left arm

c)

(C) Right leg

d)

(D) Left leg

11.

The PR intervals in this tracing could be described as

a)

(A) Concurrently identical

b)

(B) Progressively retrograde

c)

(C) Progressively prolonged

d)

(D) Consecutively distorted

12.

An intellectually disabled adult patient is frightened of the EKG machine and does not want to lie

down for the test. What should the EKG technician do?

a)

(A) Gently but firmly assist the patient to lie down.

b)

(B) Tell the patient she will give him a lollipop after the test is over.

c)

(C) Offer to show the machine to the patient and answer any questions.

d)

(D) Reschedule the test for a later time.

13.

Which leads will show changes if an EKG technician has reversed the right and left arm leads?

a)

(A) Leads II and aVL

b)

(B) Leads I and aVR

c)

(C) Leads V2 and V4

d)

(D) Leads III and aVF

14.

Which line represents the body’s midline?

a)

(A) The middle line in the left-hand image.

b)

(B) The left-most line in the right-hand image.

c)

(C) The left-most line in the left-hand image.

d)

(D) The right-most line in the right-hand image.

15.

Which line is the midaxillary line?

a)

(A) The middle line in the left-hand image.

b)

(B) The left-most line in the right-hand image.

c)

(C) The left-most line in the left-hand image.

d)

(D) The right-most line in the right-hand image.

16.

An EKG technician sees pacing spikes on a patient’s EKG but no electrical activity following the

spikes. This is likely due to a pacemaker error known as

a)

(A) Failure to capture

b)

(B) Failure to sense

c)

(C) Failure to fire

d)

(D) Failure to pace

17.

Which of the following should patients be advised not to do before an early-morning resting EKG?

a)

(A) Apply lotion or bath oil

b)

(B) Eat breakfast

c)

(C) Take their usual medications

d)

(D) Shower

18.

Which of these series represents the depolarization and repolarization of the ventricles?

a)

(A) P wave, QRS complex

b)

(B) QRS complex, T wave, U wave

c)

(C) QRS complex, T wave

d)

(D) T wave, U wave, P wave

19.

What type of stress test is likely to be performed on a patient who does not have use of her legs?

a)

(A) Exercise stress test

b)

(B) Nuclear stress test

c)

(C) Pharmacologic stress test

d)

(D) Physiologic stress test

20.

Narrow and wide are words often used to describe

a)

P waves

b)

QT intervals

c)

ST segments

d)

QRS complexes

21.

Under which of these circumstances may an EKG technician share her interpretation of an EKG with

the patient?

a)

(A) If the patient confirms that she understands the technician is not a doctor.

b)

(B) If the patient’s EKG shows a potentially lethal dysrhythmia.

c)

(C) If the patient’s EKG is normal.

d)

(D) The EKG technician must not share her interpretation with the patient.

22.

Measuring vital signs includes

a)

(A) Checking pulse, body temperature, blood pressure, and respirations.

b)

(B) Checking pulse, body temperature, blood pressure, and pain level.

c)

(C) Checking pulse, blood pressure, oxygen saturation, and pain level.

d)

(D) Checking pulse, regularity of heart rhythm, blood pressure, and oxygen saturation.

23.

The complexes in this EKG tracing could be described as

a)

(A) Uniform

b)

(B) Monomorphic

c)

(C) Polymorphic

d)

(D) Variegated

24.

Which electrode is shared by leads I and III?

a)

LA

b)

LL

c)

RA

d)

RL

25.

At standard gain a calibration mark will measure

a)

(A) Three large blocks high

b)

(B) Two large blocks high

c)

(C) Four large blocks high

d)

(D) One large block high

26.

A rhythm in which P-P intervals are regular and R-R intervals are regular but there is no clear relationship

between the activity of the atria and ventricles is

a)

(A) Ventricular tachycardia

b)

(B) SA block

c)

(C) Wandering atrial pacemaker

d)

(D) Third-degree heart block

27.

The irregular beat in this EKG tracing is

a)

(A) An escape beat

b)

(B) A premature beat

c)

(C) A junctional beat

d)

(D) A non-conducted beat

28.

Acceptable locations for the LL and RL electrodes include the following (select two):

a)

(A) On the soles of the feet

b)

(B) On the upper thighs

c)

(C) On the lower torso

d)

(D) On the knees

e)

(E) Behind the knees

29.

Before performing an EKG on a patient under contact precautions the technician should

a)

(A) Don a full set of PPE

b)

(B) Don gloves

c)

(C) Ask the patient to place adhesive bandages over any open wounds

d)

(D) Clean the EKG machine and lead wires with disinfectant

30.

An ectopic focus is a group of cells in the heart that initiates an impulse

a)

(A) In an abnormal location

b)

(B) Later than it should be

c)

(C) Earlier than it should be

d)

(D) That does not cause a contraction

31.

Which of these introductions is appropriate for an EKG technician to make?

a)

(A) “I’m Mario and I’ll be doing your test today.”

b)

(B) “I’m Mario Bedoya. I do EKGs.”

c)

(C) “I’m Mario and I’m helping Dr. Hamlin today with EKGs.”

d)

(D) “I’m Mario Bedoya and I’m an EKG technician.”

32.

When placing electrodes for an EKG on a 5-year-old child where should the technician place the

V4 electrode?

a)

(A) On the right side of the chest at the fifth intercostal space at the midclavicular line.

b)

(B) On the left side of the chest at the fifth intercostal space at the midclavicular line.

c)

(C) On the right side of the chest immediately beside the V1 electrode.

d)

(D) On the left side of the chest at the fourth intercostal space just to the left of the sternum.

33.

How many electrodes are placed on the back when conducting a posterior EKG?

a)

(A) All of the electrodes are moved to the back.

b)

(B) All of the precordial lead electrodes are moved to the back.

c)

(C) One electrode is moved to the back.

d)

(D) Three electrodes are moved to the back.

34.

An EKG tracing in which the P waves are not uniform may indicate a dysrhythmia originating in the

a)

(A) Sinus node

b)

(B) Atria

c)

(C) Bundle branches

d)

(D) Purkinje fibers

35.

After leaving the room to give a patient privacy for gowning, the EKG technician knocks and does

not hear a response. She enters cautiously and finds that the patient is unconscious, does not have a

pulse, and is not breathing. What is the best response?

a)

(A) Start CPR immediately.

b)

(B) Go find the cardiologist.

c)

(C) Shout out for someone to call 911 and then start CPR.

d)

(D) Get out the automated external defibrillator.

36.

The bottom row in a 12-lead EKG tracing

a)

(A) Alternates between the bipolar leads

b)

(B) Alternates between the unipolar leads

c)

(C) Shows only lead I

d)

(D) Shows only lead II

37.

This tracing shows a dysrhythmia called

a)

(A) Multiformed atrial tachycardia

b)

(B) Atrial fibrillation

c)

(C) Ventricular fibrillation

d)

(D) Atrial flutter

38.

A QRS complex that measures 4 small boxes wide would be considered

a)

(A) Abnormally wide

b)

(B) Normal

c)

(C) Narrow

d)

(D) Wide but within normal range

39.

When is the best time to count respirations and record a patient’s respiratory rate?

a)

(A) While measuring the patient’s blood pressure

b)

(B) Immediately after measuring radial pulse, while still holding the wrist

c)

(C) When the patient is in the supine position for the EKG

d)

(D) As a final step after recording the EKG

40.

Which of the following would need to be reported to a doctor right away?

a)

(A) A patient with a pacemaker set to fire at 70 BPM has a pulse of 75 BPM.

b)

(B) A patient’s QRS intervals regularly measure 0.12 s.

c)

(C) A patient’s EKG shows a sinus arrest period of four seconds.

d)

(D) A patient’s EKG shows a three-millimeter elevation of the ST segment.

41.

Which of these measures can help reduce artifact during ambulatory monitoring?

a)

(A) Suggesting that the patient wear tight-fitting clothes

b)

(B) Ensuring that the lead wires are pulled taut

c)

(C) Looping the lead wires and securing them with tape

d)

(D) Wrapping the lead wires around to the patient’s back and taping them there

42.

What is the heart rate shown in the strip above?

a)

79 BPM

b)

85 BPM

c)

65 BPM

d)

70 BPM

43.

A blood pressure reading of 145/80 is considered

a)

Hypertensive

b)

Prehypertensive

c)

Hypotensive

d)

Potentially lethal

44.

When a patient’s EKG tracing shows distinct spikes before widened QRS complexes this is a sign

a)

That the patient requires immediate emergency treatment

b)

That the patient has an artificial pacemaker pacing the ventricles

c)

That the patient has an artificial pacemaker pacing the atria

d)

That the patient’s pacemaker is not functioning properly

45.

Which of these questions relates to a patient’s medical history?

a)

(A) “Has anyone in your family ever had heart disease?”

b)

(B) “Are you now or were you ever a smoker?”

c)

(C) “How many alcoholic beverages do you drink per week, on average?”

d)

(D) “Have you ever had surgery of any kind?”

46.

The best approach for performing an EKG on a frightened toddler is to

a)

(A) Explain to the child how the EKG machine works

b)

(B) Assure the child it does not hurt and allow him to stay in his parent’s arms

c)

(C) Perform an EKG on the parent first so he can see it is harmless

d)

(D) Ask the doctor to come in and assist

47.

The waveforms shown in the images above are characteristic of

a)

(A) Bundle branch blocks

b)

(B) SA block

c)

(C) Third-degree heart block

d)

(D) Wenckebach block

48.

What should an EKG technician do before uploading a patient’s EKG to the patient’s EHR?

a)

(A) Call the medical records office to make sure they are ready to receive it.

b)

(B) Confirm that the EKG is free of artifact and that the EHR correctly matches the identity of the

patient.

c)

(C) Discuss any potentially dangerous rhythms with the patient.

d)

(D) Conduct a second EKG so the doctor will have two records to compare.

49.

Semi-Fowler’s position would be an appropriate position for which of the following patients?

a)

A 10-month-old child

b)

A 30-year-old prone to seizures

c)

An elderly man with Parkinson’s disease

d)

An elderly woman with congestive heart failure

50.

When an EKG technician observes a change like the one shown in the strip above his first action

should be

a)

(A) To check the patient’s condition.

b)

(B) To find an AED.

c)

(C) To call the doctor.

d)

(D) To start CPR.

51.

Which of the following are acceptable ways of communicating with a patient who does not speak

English? (Choose two correct answers.)

a)

(A) Bringing in a medical interpreter

b)

(B) Using a translation app on the EKG technician’s phone

c)

(C) Using a web-based medical interpretation service

d)

(D) Using signs and gestures

e)

(E) Speaking through a friend or family member of the patient who speaks both languages fluently

52.

A cardiac rhythm with a name that includes the word tachycardia is

a)

(A) Faster than normal

b)

(B) Slower than normal

c)

(C) Originating below the sinoatrial node

d)

(D) Potentially lethal

53.

Which of the following actions is most likely to correct the artifact shown in the strip above?

a)

(A) Securing the electrodes to the patient’s skin with medical tape.

b)

(B) Asking the patient to place his hands palms-up beneath his buttocks.

c)

(C) Plugging the EKG machine in to a grounded outlet away from other electrical equipment.

d)

(D) Moving the limb lead electrodes closer to the patient’s torso.

54.

What is a heart card?

a)

(A) It is a card carried in the wallet to describe the type of pacemaker a patient has implanted.

b)

(B) It is a card capable of monitoring a patient’s cardiac activity when held over the sternum.

c)

(C) It is a card indicating whether a patient wishes to donate her heart in the case of a lethal accident.

d)

(D) It is a card used to analyze heart rhythm during stress testing.

55.

The path in which electrical signals pass through a healthy heart is

a)

(A) AV node, SA node, bundle branches, bundle of His, Purkinje fibers

b)

(B) Purkinje fibers, bundle branches, bundle of His, AV node, SA node

c)

(C) SA node, AV node, bundle of His, bundle branches, Purkinje fibers

d)

(D) Bundle of His, bundle branches, Purkinje fibers, SA node, AV node

56.

When preparing a patient for an upcoming stress test, which of these statements would be most

appropriate?

a)

(A) “It doesn’t matter what you wear because we will provide a hospital gown and footwear.”

b)

(B) “You should not eat or drink anything starting 24 hours before the test.”

c)

(C) “If you are a smoker you will be given a chance to smoke before the test begins, but cannot

smoke during the test.”

d)

(D) “After the test you will need to avoid exertion.”

57.

Which of the following conditions are potential complications of atrial fibrillation?

(Choose two correct answers.)

a)

Cerebrovascular accident

b)

Hypertension

c)

Arteriosclerosis

d)

Chronic obstructive pulmonary disease

e)

Thrombus formation

58.

An impulse that travels backward in the cardiac conduction system is called

a)

Retrograde

b)

Renegade

c)

Reversed

d)

Recalcitrant

59.

The pattern of complexes shown in the strip above is called

a)

Transposition

b)

Bigeminy

c)

Polymorphism

d)

Trigeminy

60.

Which of the following cardiac rhythms requires immediately alerting a doctor to the patient’s

situation?

a)

Junctional escape rhythm

b)

Second-degree heart block Mobitz type I

c)

Sinus arrhythmia

d)

Ventricular tachycardia

61.

Which of the following are forms of ambulatory monitoring? (Choose three correct answers.)

a)

Continuous monitor

b)

Event monitor

c)

Holter monitor

d)

Computed tomography

e)

Mobile cardiac telemetry

62.

What should an EKG technician always do before applying an ambulatory monitor to a patient?

a)

(A) Ask the doctor to calibrate the monitor

b)

(B) Check that the batteries are fresh

c)

(C) Acquire a new monitor

d)

(D) Complete a brief test run with the monitor

63.

Sharing details of a patient’s health condition with a colleague who is not involved in the patient’s

treatment is a violation of

a)

HIPAA

b)

The HITECH Act

c)

Slander laws

d)

Libel laws

64.

In the image above, the area of the heart shown within the circle is called the

a)

Base

b)

Foundation

c)

Apex

d)

Pinnacle

65.

In sinus arrhythmia the patient’s heart rhythm often changes in relation to

a)

The patient’s blood pressure

b)

The patient’s breathing

c)

The patient’s mood

d)

The patient’s level of anxiety

66.

A run of ventricular tachycardia is occurring when three __________________ appear in a row.

a)

(A) Premature junctional contractions

b)

(B) Ventricular escape beats

c)

(C) Bundle branch blocks

d)

(D) Premature ventricular contractions

67.

If a patient does not have a palpable pulse that patient’s

a)

Heart is not beating

b)

Pulse cannot be felt

c)

Cardiac output is high

d)

EKG will show no electrical activity

68.

Some forms of atrioventricular block are marked by prolonged

a)

PR intervals

b)

QRS complexes

c)

R-R intervals

d)

P-P intervals

69.

What can be said about the P waves in the EKG tracing above?

a)

(A) They are prolonged.

b)

(B) They are not present.

c)

(C) They are hidden in the previous T wave.

d)

(D) They vary in appearance.

70.

Which of these items might be used to prepare a patient’s skin for electrode placement?

(Choose two correct answers.)

a)

(A) A fine-grain nail file

b)

(B) Abrading tape

c)

(C) A washcloth and soapy water

d)

(D) Medical clippers

e)

(E) A disposable razor

71.

During a stress test the EKG technician sees this change in the patient’s EKG. What is the best action

to take?

a)

(A) Continue the test and inform the doctor immediately afterwards.

b)

(B) Stop the test, check the patient’s condition, and call a code.

c)

(C) Stop the test, check the patient’s condition, and alert the doctor.

d)

(D) Stop the test and immediately begin AED use.

72.

Wandering baseline artifact is most often caused by

a)

(A) Reversal of the limb leads

b)

(B) Electrical activity in the room where the test is being conducted

c)

(C) Patient seizures

d)

(D) Inadequate electrode adhesion

73.

If a patient is experiencing a very rapid heart rate the doctor may request that an EKG be performed

a)

(A) With the patient under anesthesia

b)

(B) With the paper speed set to 50 mm/s

c)

(C) With the patient in semi-Fowler’s position

d)

(D) With the gain set to 20 mm/mV

74.

Which of the following cardiac rhythms will have different atrial and ventricular rates?

a)

(A) Junctional tachycardia

b)

(B) Sinus bradycardia

c)

(C) Atrial flutter

d)

(D) Supraventricular tachycardia

75.

Electrical interference may be caused by

a)

(A) Fluorescent lights in the exam room

b)

(B) Sweat on the patient’s skin

c)

(C) Inadequate electrode adhesion

d)

(D) Low battery levels in the EKG machine

76.

A Spanish-speaking patient says that she understands English but seems to be having difficulty

answering the EKG technician’s questions. What should the EKG technician do?

a)

(A) Speak louder

b)

(B) Write her questions down for the patient to read

c)

(C) Try to phrase the questions differently

d)

(D) Contact an interpreter or initiate interpretation service

77.

Which of the following situations is likely to be true of the tracing above?

a)

(A) The electrodes did not have perfect contact with the patient’s skin.

b)

(B) The patient had a cellular phone in his pocket.

c)

(C) The room was illuminated with fluorescent lights.

d)

(D) The patient was experiencing a seizure.

78.

In which of the following situations would electrodes for the leads V2–V6 be placed on the right side

of the patient’s chest? (Choose two correct answers.)

a)

Patient has had a left-sided mastectomy

b)

Patient is eight years old

c)

Patient has dextrocardia

d)

Patient is eight months old

e)

Patient is suspected of having an occluded circumflex artery

79.

What is injected into a patient’s bloodstream during a nuclear stress test?

a)

(A) A drug that simulates the cardiac stress of exercise

b)

(B) A radioactive tracer

c)

(C) A saline solution

d)

(D) A drug that stabilizes irregular heartbeats

80.

Which of the following conditions might be affecting the patient whose EKG tracing is shown above?

a)

(A) Parkinson’s disease

b)

(B) Congestive heart failure

c)

(C) Narcolepsy

d)

(D) Pulmonary embolism

81.

Which electrode may also be called the ground electrode?

a)

Right arm

b)

Left arm

c)

Right leg

d)

Left leg

82.

How are signals from a telemetry pack monitored?

a)

(A) By uploading data from the unit at the end of the monitoring period

b)

(B) By viewing the EKG on an ongoing basis at a central monitoring site

c)

(C) By regularly scheduled visits from the EKG technician to the patient’s hospital room

d)

(D) By generating a printed EKG strip every hour to two hours

83.

At what point should an EKG technician confirm the identity of the patient?

a)

(A) Before delivering the EKG tracing to the doctor or uploading it to the patient’s EHR

b)

(B) Before entering the room to perform the EKG

c)

(C) After introducing himself and before providing any care

d)

(D) After introducing himself and before applying electrodes to the patient

84.

If a patient is experiencing the cardiac rhythm called wandering atrial pacemaker, which wave will

show a number of variations?

a)

The P wave

b)

The U wave

c)

The T wave

d)

The R wave

85.

ST segment depression is

a)

(A) Normal in geriatric patients

b)

(B) An indication of hypertension

c)

(C) An indication of myocardial ischemia

d)

(D) An indication of myocardial infarction

86.

A patient with his left arm amputated at the shoulder will require alternate placement of

a)

(A) The LA electrode

b)

(B) The RA electrode

c)

(C) Both the RA and LA electrodes

d)

(D) All limb electrodes

87.

The EKG technician must wear gloves during EKG testing

a)

(A) If the patient has open wounds on his chest or limbs

b)

(B) If the patient is under droplet precautions

c)

(C) If the patient has known tuberculosis

d)

(D) For every patient

88.

Sinus bradycardia is not of clinical concern unless

a)

The patient is a well-conditioned athlete

b)

The patient’s blood pressure is 100/70 or below

c)

The patient is elderly

d)

The patient shows signs of cardiac compromise

89.

If the R waves on an EKG tracing are too high for the paper, which adjustment needs to be made?

a)

(A) The speed needs to be increased.

b)

(B) The speed needs to be decreased.

c)

(C) The gain needs to be increased.

d)

(D) The gain needs to be decreased.

90.

A supraventricular rhythm may initiate

a)

(A) In the Purkinje fibers

b)

(B) In the atrioventricular node

c)

(C) In the bundle branches

d)

(D) In the bundle of His

91.

The normal range for oxygen saturation is

a)

85–100%

b)

95–100%

c)

90–100%

d)

85–99%

92.

An EKG technician wheels a facility computer terminal in to a patient’s room with the previous

patient’s information still displayed. The terminal screen displays the previous patient’s information

while the EKG technician introduces herself, confirms the patient’s identity, and asks her initial questions.

Which of the following is true?

a)

(A) This is an intentional breach of confidentiality.

b)

(B) This is an unintentional breach of confidentiality.

c)

(C) This is not considered a breach of confidentiality because the EKG technician was unaware that

the information was visible.

d)

(D) Whether or not this is a breach of confidentiality depends on the facility’s policies.

93.

A 57-year-old patient is undergoing an exercise stress test. What is the heart rate the patient must

reach during testing in order for the test to be valid?

a)

163 BPM

b)

220 BPM

c)

114 BPM

d)

139 BPM

94.

When setting up a five-lead EKG test which of the electrodes shown above is not needed?

a)

(A) The white electrode

b)

(B) The black electrode

c)

(C) The green electrode

d)

(D) The yellow electrode

e)

(E) The brown electrode

95.

Which of the following situations is most likely to result in a doctor ordering ambulatory monitoring?

a)

(A) Patient comes to the emergency room experiencing severe chest pain

b)

(B) Patient’s resting EKG is normal but patient reports frequent palpitations

c)

(C) Patient’s resting EKG shows sinus bradycardia but patient is asymptomatic

d)

(D) Patient has a very busy schedule and is unable to come in for a resting EKG

96.

The patient whose EKG tracing is shown above has an artificial pacemaker set to

a)

(A) Pace both the atria and the ventricles

b)

(B) Pace the atria

c)

(C) Pace the ventricles

d)

(D) Pace only on demand

97.

Which cardiac test provides direct information about the mechanical activity of the heart?

a)

(A) Ambulatory monitoring

b)

(B) Electrocardiogram

c)

(C) Echocardiogram

d)

(D) Pharmacologic stress test

98.

An escape beat is a heartbeat that is

a)

Fast

b)

Strong

c)

Early

d)

Late

99.

The patient whose EKG tracing is shown here is experiencing

a)

(A) The normal effects of exercise on the heart

b)

(B) A change from a more dangerous rhythm to a less dangerous rhythm

c)

(C) A change from a less dangerous rhythm to a more dangerous rhythm

d)

(D) The beginning of a myocardial infarction

100.

An EKG shows normal sinus rhythm, but the patient has no pulse. Electrodes are securely in place

and lead wires are connected, and so the technician can assume that the patient is experiencing

a)

(A) Cardiac arrest

b)

(B) Ventricular fibrillation

c)

(C) Pulseless electrical activity

d)

(D) Agonal rhythm

101.

Which of the following PR interval measurements would be most consistent with first-degree heart

block?

a)

260 milliseconds

b)

200 milliseconds

c)

140 milliseconds

d)

100 milliseconds

102.

Which set of heart rhythm names below shows different names for the same rhythm?

a)

(A) Ventricular tachycardia/ventricular fibrillation

b)

(B) Junctional escape rhythm/premature junctional contractions

c)

(C) Sinus arrhythmia/sinus arrest

d)

(D) Wenckebach block/Mobitz type I

103.

The QT intervals shown in the tracing above measure approximately

a)

0.42 s

b)

0.36 s

c)

0.30 s

d)

0.24 s

104.

Torsades de pointes is a variation of

a)

(A) Sinus rhythm

b)

(B) Heart block

c)

(C) Ventricular tachycardia

d)

(D) Ventricular fibrillation

105.

A patient whose EKG shows asystole is conscious and alert. What should the EKG technician do?

a)

(A) Call the doctor

b)

(B) Check that electrodes are secure and all lead wires connected

c)

(C) Acquire a different EKG machine

d)

(D) Administer oxygen for five minutes and then repeat the EKG

106.

Which of the following is common guidance given when setting up Holter monitoring?

a)

(A) Refrain from exercise during the monitoring period.

b)

(B) Refrain from drinking caffeine or alcohol during the monitoring period.

c)

(C) Press the event button only if symptoms seem to be triggered by your activity.

d)

(D) Note the time of any symptoms and any activity/exercise in your diary.

107.

What is the largest artery in the body?

a)

(A) The femoral artery

b)

(B) The carotid artery

c)

(C) The aorta

d)

(D) The brachial artery

108.

The P wave shown in this image is best described as

a)

Biphasic

b)

Inverted

c)

Notched

d)

Pointed

109.

Which form of atrial fibrillation features a higher number of conducted beats?

a)

(A) Atrial fibrillation with rapid ventricular response

b)

(B) Controlled atrial fibrillation

c)

(C) Atrial flutter with 3:1 conduction

d)

(D) Asymptomatic atrial fibrillation

110.

The normal range for body temperature in pediatric patients is

a)

(A) The same as in adult patients

b)

(B) Lower than in adult patients

c)

(C) Higher than in adult patients

d)

(D) Lowest for infants and gradually increasing to adult range as the child ages

111.

Leads aVR, aVL, avF, V1, V2, V3, V4, V5, and V6 are all

a)

(A) Bipolar leads

b)

(B) Contiguous leads

c)

(C) Unipolar leads

d)

(D) Concentric leads

112.

The EKG technician’s scope of practice includes the following actions (choose two):

a)

(A) Selecting the EKG test most appropriate for each patient

b)

(B) Working to remove as much artifact as possible from the EKG tracing

c)

(C) Describing the rhythms that appear on the EKG tracing to the patient

d)

(D) Putting the patient at ease before performing an EKG procedure

e)

(E) Noting possible diagnoses on the EKG before submitting it to the doctor

113.

When are vital signs measured during an exercise stress test?

a)

(A) Before, every 2.5 minutes during, and after the stress test

b)

(B) Before and immediately after the stress test

c)

(C) Before and then 5, 10, and 15 minutes after the stress test

d)

(D) Every five minutes during, and 5, 10, and 15 minutes after the stress test

114.

This strip shows a rhythm that originates

a)

(A) In the SA node

b)

(B) In the atrial tissue

c)

(C) In the junctional tissue

d)

(D) In the ventricles

115.

It is a violation of confidentiality to speak about a patient

a)

(A) With the doctor who ordered an EKG for the patient

b)

(B) With the nurse who is on duty during the performance of a stress test on the patient

c)

(C) With a doctor who works at a different facility but specializes in treating the condition the patient suffers

d)

(D) With the facility’s billing office

116.

Agonal rhythm is named for the fact that it is

a)

(A) Extremely painful

b)

(B) Associated with the throes of death

c)

(C) Generally seen in old age

d)

(D) A sign of certain death

117.

During an exercise stress test the EKG technician sees the EKG changes shown above. These

changes are associated with

a)

Cardiomyopathy

b)

Ischemia

c)

Myocardial infarction

d)

Ventricular tachycardia

118.

In what circumstances should an EKG technician wash hands after conducting an EKG?

a)

(A) After every EKG performed

b)

(B) Only after performing an EKG on a patient under contact precautions

c)

(C) After performing an EKG on a patient who is either under contact precautions or has

open wounds

d)

(D) After performing an EKG on a patient who is under any Transmission-Based precautions

or has open wounds

119.

NSTEMI is a type of heart attack in which

a)

(A) There is no ST segment elevation

b)

(B) ST segment elevation is no greater than 2 mm

c)

(C) ST segment elevation is transient

d)

(D) ST segment depression replaces ST segment elevation

120.

Pulmonary embolism occurs when ________________ enters the lungs.

a)

Fluid

b)

Blood

c)

A blood clot

d)

Mucus

121.

An EKG technician is receiving an error message on the EKG machine and cannot resolve the problem

using the manufacturer’s troubleshooting information. Which department should she contact?

a)

(A) The facility management department

b)

(B) The biomedical engineering department

c)

(C) The nursing department

d)

(D) The operations department

122.

Which of these types of identifying information are best used to confirm a patient's identity?

(Choose two.)

a)

A. Last name

b)

B. Full name

c)

C. Home address

d)

D. Date of birth

e)

E. Facility room number

123.

Which leads all use the right arm electrode?

a)

(A) Leads I, III, and aVL

b)

(B) Leads I, II, and aVR

c)

(C) Leads I, III, and aVR

d)

(D) Leads aVR, V1, and V2

124.

What can be said about the strip shown above?

a)

(A) It shows a pattern of variable conduction.

b)

(B) Every P wave results in a conducted beat.

c)

(C) It shows a pattern of 3:1 conduction.

d)

(D) It shows a pattern of 5:1 conduction.

125.

If an R wave has an amplitude of 5 mm at the standard gain setting, what will its amplitude be at a

1.5 setting?

a)

5 mm

b)

7.5 mm

c)

10 mm

d)

12.5 mm