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Ccma practice ch13 (EKG and cardiovascular testing)

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

A MA is preparing a patient who has shortness of breath for an EKG. In which of the following positions should the assistance place the patient

a)

Prone

b)

Semi-Fowler’s

c)

Supine

d)

Sim’s

2.

An MA is preparing a patient for an EKG. Which of the following instructions should the MA provide?

a)

“Avoid food or drink for 4 hours prior to the test.”

b)

“Remove all clothing from the waist up.”

c)

“Apply moisturizer lotion to the electrode placement sites.”

d)

“Maintain a full bladder for the duration of the test.”

3.

An MA is preparing to perform an EKG recording on a patient. Which of the following information is true of limb leads and electrodes?

a)

Limb leads are unipolar

b)

Leads V1 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

4.

An MA is calibrating an EKG machine. Which of the following should the assistant identify as the standard speed of the recording?

a)

25 mm/second

b)

50mm/second

c)

10mm/second

d)

5mm/second

5.

An MA 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

6.

An MA notes a wandering baseline throughout an EKG tracing. Which of the following electrocardiograph issues could have resulted in this occurrence?

a)

The electrode pads were defective or poorly attached

b)

The machine was missing the grounding prong for the outlet

c)

The machine did not have the proper standardization settings set

d)

The cables tips were loose or had become separated

7.

An MA noticed rhythmic sharp spikes throughout an EKG tracing. Which of the following artifacts is occurring?

a)

Wandering baseline

b)

Interrupted baseline

c)

Interference

d)

Somatic tremor

8.

What is the ratio of applied leads to recorded leads for a standard EKG machine?

a)

10:10

b)

3:6

c)

10:12

d)

9:12

9.

When performing an EKG, an MA noticed a widened QRS complex on the patients EKG strip. Which of the following is a possible cause of this type of artifact?

a)

Atrial Fibrillation

b)

Bradycardia

c)

Sinus dysrhythmia

d)

Premature ventricular contraction

10.

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

a)

Myocardial infarction

b)

Polarization

c)

Premature atrial contraction

d)

Somatic tremor

11.

An EKG tracing shows an unexpected P wave, QRS complex, and T wave configuration. There are five complete cardiac cycles on a 6-second strip. This represents which of the following cardiac rhythms?

a)

Sinus bradycardia

b)

Atrial fibrillation

c)

Ventricular fibrillation

d)

Sinus tachycardia

12.

An MA is providing instructions to a female patient prior to a stress test. Which of the following instructions should the MA include?

a)

“Eat a large meal before coming to the test.”

b)

“You should wear a dress on the day of the test.”

c)

“Take your medications on the day of the test.”

d)

“You can wear sandals when completing the test.”

13.

An MA is providing teaching to a patient who is to undergo Holter monitoring. Which of the following information should the medical assistant include?

a)

“You can place a piece of tape over the electrode if it becomes loose.”

b)

“You can wear the monitor while you take a shower.”

c)

“You should refrain from doing your usual activities.”

d)

“Your diary should focus on your food intake.”

14.

A provider request a rhythm strip in addition to a regular EKG tracing for a patient. The medical assistant should identify that which of the following leads provides the clearest recording of the heart rhythm?

a)

I

b)

II

c)

III

d)

V2

15.

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

a)

Sinus rhythm

b)

Atrial fibrillation

c)

Bradycardia

d)

Tachycardia