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EKG Chapter2

Total questions: 57

Worksheet time: 29mins

Name
Class
Date
1.

In order to get a clear EKG tracing the patient must be lying:

a)

Quietly in the prone position

b)

In the Trendelenburg position

c)

In the SIMS position

d)

In the supine position

2.

Where will the electrodes be placed to record the augmented leads of the 12 lead EKG?

a)

Chest

b)

Arms and legs

c)

Head

d)

Adomen

3.

Which of the following describes how the EKG machine works?

a)

Records the electrical activity of the heart

b)

Makes a picture of the heart

c)

Makes a tracing of the heart and lung activity

d)

Records the impulse from the brain

4.

The EKG machine can pick up interference from which of the following sources?

a)

Other electrical machinery

b)

Electrical wall outlets

c)

The patient

d)

All of the above

5.

To measure the atrial rate on the EKG, you will count which of the following?

a)

The QRS complexes

b)

The P waves

c)

The R waves

d)

The PR intervals

6.

The U do you work in be wave can be defined as which of the following?

a)

Is sometimes seen but not often

b)

It can mean an electrolyte problem (K decrease)

c)

It may be normal for that patient

d)

All of the above are true of the U wave

7.

Which of the following information must be used to label an EKG when the EKG machine does not automatically label the strip?

a)

Patient name and ID number

b)

Time and date the EKG was done

c)

The EKG technician’s initials

d)

All of the above

8.

Which of the following leads are recorded from the 6 chest electrodes?

a)

Lead 1, lead 2, lead 3

b)

AVR, AVL, AVF

c)

Leeds V1-V6

d)

Both A & B

9.

How many leads are recorded strictly from the four extremities electrodes?

a)

6

b)

4

c)

12

d)

10

10.

The standardization of the EKG machine on each machine tells the technician which of the following?

a)

Testing of the amplifier sensitivity

b)

Stylus response

c)

Check of the instruments settings

d)

All of the above

11.

When were the technician need to adjust the paper speed?

a)

When the heart rate is rapid

b)

When certain segments of a complex are close together

c)

Always win the patient is having bradycardia

d)

Both A & B

12.

V4 is considered which of the following?

a)

Bipolar, limb lead

b)

Argumentative or unipolar limb lead

c)

Chest or precordial lead

d)

None of the above

13.

V6 is considered which of the following?

a)

Bipolar, limb lead

b)

Augmented or unipolar limb lead

c)

Chest or precordial lead

d)

None of the above

14.

V3 is considered which of the following?

a)

Bipolar, limb lead

b)

Augmented or unipolar limb lead

c)

Chest or precordial lead

d)

None of the above

15.

Which of the following is the internationally accepted standard speed for the EKG recording?

a)

50 mm/sec

b)

20 mm/sec

c)

75 mm/sec

d)

25 mm/sec

16.

V 1 is considered which of the following?

a)

Bipolar, limb lead

b)

augmented or unipolar limb lead

c)

Chest or precordial lead

d)

None of the above

17.

If there is a lot of interference on the EKG tracing, which of the following could the technician do to help eliminate the interference?

a)

Plug the EKG machine into another outlet

b)

Have the patient try to hold still, and lay on his hands

c)

Switch the frequency response setting to filter

d)

All of the above

18.

Lead 1 is considered which of the following

a)

Bipolar limb lead

b)

Augmented or unipolar limb lead

c)

Chest or precordial lead

d)

None of the above

19.

Which limb is positive in the AVF lead?

a)

Right arm

b)

Left arm

c)

Right leg

d)

left leg

20.

The R wave can be defined as which of the following?

a)

It represents the depolarization of the ventricles. It represents a ventricular impulse.

b)

It represents the depolarization of the atria’s when the atria’s begin to contract

c)

First positive inflection in the QRS complex

d)

Is measured from the beginning of the Q wave where the wave is completed

21.

The QRS complex can be defined as which of the following?

a)

Is measured from the beginning of the queue wave through where the wave is completed

b)

A long wave, following QRS during repolarization of the ventricles

c)

It represents the depolarization of the ventricles. It represents a ventricular impulse.

d)

First positive area produces by the depolarization of the ventricles

22.

The T wave can be defined as which of the following?

a)

First positive area produced by the depolarization of the ventricles

b)

A long wave, following QRS during repolarization of the ventricles

c)

Isoelectric portion of the interval that precedes ventricular depolarization

d)

It represents the depolarization of the ventricles. It represents a ventricular impulse.

23.

A rhythm strip is which of the following?

a)

Is in addition to the 12 leads

b)

Ordered by the doctor

c)

Helps the doctor see the complete rhythm of the heart

d)

All of the above

24.

The ventricle scale of the ECG paper measures which of the following?

a)

Size

b)

Time

c)

Voltage

d)

All of the

25.

In lead three, which of the following electrical impulses are recorded?

a)

Right arm and left arm

b)

Right arm and left leg

c)

Left arm and left leg

d)

Right leg and left leg

26.

How many electrodes make up the 12 lead EKG?

a)

12

b)

10

c)

14

d)

8

27.

The standard leads are are comprised of which of the following leads?

a)

AVR, AVL, AVF

b)

Lead one, two and three

c)

V leads

d)

Both A & B

28.

When the monitor shows a straight line, you should begin troubleshooting by checking which of the following?

a)

Attachment of the lead wire

b)

On off switch

c)

Lead selector switch

d)

All of the above

29.

Which wave form would not be seen in a normal ECG?

a)

P wave

b)

QRS

c)

V wave

d)

T wave

30.

Which of the patient limbs are the ground lead?

a)

Right leg

b)

Left leg

c)

Right arm

d)

Left arm

31.

A positive wave will be pointing in which of the following directions?

a)

Upward

b)

Downward

c)

Towards the negative connection

d)

Away from the negative connection

32.

Poor electrode contact can cause which of the following?

a)

Wandering baseline

b)

Intermittent loss of signal

c)

False low rate alarms

d)

All of the above

33.

Multi channel recordings…

a)

Take more time

b)

Take less time

c)

Are not necessary

d)

None of the above

34.

A small wave, sometimes appearing between the T wave, and the P wave is which of the following?

a)

V wave

b)

U wave

c)

W wave

d)

M wave

35.

The device that detects skin voltage is which of the following?

a)

Amplifier

b)

Galvanometer

c)

Sensor

d)

None of the above

36.

Leads 1,2 and 3 are the_____ leads.

a)

Augmented

b)

Chest

c)

Standard

d)

Limb

37.

The greatest disadvantage of using sensor paste over gel or cream is which of the following?

a)

It affects accuracy

b)

It cannot be used on chest leads

c)

It dries hard, and you have to thoroughly clean after use

d)

There are no disadvantages

38.

You are recording lead 1 and notice a negative R wave, what would you do?

a)

Ignore it and continue recording

b)

Stop recording and call the doctor

c)

Stop recording and check to be sure the correct lead wires are connected to the sensors

d)

Stop recording and reapply. The lead wires the same way they were

39.

In what order are the waves named?

a)

T wave, QRS wave, P wave

b)

P wave, QRS wave, T wave

c)

P wave, Q wave, R wave, S wave, T wave

d)

P wave, QRS wave, ST segment, T wave

40.

When sensor paste is allowed to accumulate on the sensors, it will cause which of the following?

a)

A variety of artifacts

b)

Better conduction

c)

Irritation to the patient skin

d)

None of the above

41.

The medical term meaning relating to the heart and lungs is which of the following?

a)

Cardiopulmonary

b)

Cardiovascular

c)

Cardiolungular

d)

Cardiorenal

42.

PAT is an abbreviation that standards for which of the following?

a)

pulmonary atrial tearing

b)

Paroxysmal Auricular Tamponade

c)

Partial Anomalous Tachycardia

d)

Paroxysmal Atrial Tachycardia

43.

AF is an abbreviation that stands for which of the following?

a)

Immediately

b)

Transmitting EKG signals via radio waves

c)

Coming from a focus outside the normal

d)

Atrial fibrillation

44.

Telemetry is a term that refers to which of the following?

a)

Immediately

b)

Transmitting EKG signals via radio waves

c)

Coming from a focus outside the normal

d)

Atrial fibrillation

45.

SA node is an abbreviation that stands for which of the following?

a)

Sinus arrest

b)

Singular atrium

c)

Sinoatrial

d)

Simple arrest

46.

The medical term meaning relating to the heart and blood vessels is which of the following?

a)

Cardiovascular

b)

Cardiopulmonary

c)

Cardiorenal

d)

Cardiohemovascular

47.

Impulses, traveling through the heart, upper chambers ( the atria) are delayed in the area between the upper and lower chambers ( the AV node) and fail to make the ventricles beat at the right moment.

a)

Ablation

b)

First-degree heart block

c)

second-degree heart block

d)

Third-degree heart block

48.

An arrhythmia (abnormal heartbeat) in the ventricle characterized by a very fast heartbeat.

a)

Arteritis

b)

Arteriosclerosis

c)

Ventricular tachycardia

d)

Ventricular fibrillation

49.

A portable device for recording heartbeats over a period of 24 hours or more.

a)

Sphygmomanometer

b)

Holter monitor

c)

Stethoscope

d)

Pacemaker

50.

Rapid, uncoordinated contractions of individual heart muscle fibers. The heart chamber involved can’t contract all at once and pumps blood inefficiently, if at all.

a)

Restenosis

b)

Fibrillation

c)

Flutter

d)

Palpitation

51.

The “natural” pacemaker of the heart. The node is a group of specialized cells in the top of the right atrium which produces that electrical impulses that travel down to eventually reach the ventricular muscle, causing the heart to contract.

a)

Lipoprotein

b)

Pancreas

c)

Sinus (SA) node

d)

Alveoli

52.

Blueness of skin caused by insufficient oxygen in the blood.

a)

Endocardium

b)

Homocysteine

c)

Ischemia

d)

Cyanosis

53.

WNL is abbreviation for which of the following?

a)

Within natural limits

b)

Within normal limits

c)

Without natural limits

d)

Without normal limits

54.

The second sound heard when taking blood pressure is which of the following?

a)

Venous pressure

b)

Diastolic pressure

c)

Systolic pressure

d)

Carotid pressure

55.

PMI is the abbreviation for which of the following?

a)

Premature irritability

b)

Posterior myocardial infraction

c)

Posterior myocardial insufficiency

d)

Premature myocardial infraction

56.

Palpitation is which of the following?

a)

Rapid, throbbing or fluttering of the heart

b)

Weak, slow fluttering of the heart

c)

Calm and resting heart

d)

Arrest

57.

One complete heartbeat, combining the contraction and relaxation phases is known as which of the following?

a)

Base lien cycle

b)

ECG cycle

c)

Electrode cycle

d)

Cardiac rhythm