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WorksheetsEKG EXAM #2 11/14/22 REMEDIATION
Total questions: 150
Worksheet time: 2hrs 38mins
Premature Atrial Complexes (PACs) have what kind of rhythm?
Irregular with premature beats
Regular with premature beats
Irregular with delayed beats
Regular with delayed
A Wandering Atrial Pacemaker are usually what kind of rate?
60-100
101-180
0-60
varying range
Atrial Tachycardia are what kind of rate?
60-100
101-180
150-250
varying range
Using the 6 second strip method, what is the HR of this EKG?
50
52
55
58
Interpret this Rhythm:
Normal sinus rhythm
Ventricular fibrillation
Sinus Brady with PAC's
Sinus Bradycardia
Name this rhythm
Multifocal Atrial Tachycardia
Wandering Atrial Pacemaker
Atrial Flutter
Atrial Fibrillation
Name this rhythm
Multifocal Atrial Tachycardia
Wandering Atrial Pacemaker
Trigeminy
Bigeminy
An EKG tech is performing a standard 12 lead EKG for a patient who is experiencing an accelerated junctional rhythm. Which of the following speed settings should the technician use?
5 mm/second
10 mm/second
25 mm/second
50 mm/second
Which of the following EKG machine functions should an EKG tech use to control and regulate the height of EKG waveforms on the tracing?
Speed
Output display
Artifact filter
Gain
In a healthy patient, which of the following is the expected shape and direction of the P wave in lead II?
Peaked and upright
Peaked and inverted
Rounded and inverted
Rounded and upright
An EKG Tech should run a strip for at least how long to identify the apprpriate rate and rhythm?
2 seconds
4 seconds
6 seconds
8 seconds
How should an EKG tech resolve a wandering baseline on an EKG?
Relieve tension from the lead wires.
Clean the lead wires after each use.
The technician should provide the patient with a blanket to help resolve somatic tremor on the EKG tracing, which is caused by involuntary muscle movements or shivering.
Electronic devices in the vicinity of the EKG equipment and leads can result in AC interference on the EKG tracing.
The smallest box on an EKG strip represents which of the following lengths of time?
0.02 seconds
0.04 seconds
0.10 seconds
0.40 seconds
How should an EKG tech resolve an interrupted baseline on an EKG?
Relieve tension from the lead wires.
Clean the lead wires after each use.
The technician should provide the patient with a blanket to help resolve somatic tremor on the EKG tracing, which is caused by involuntary muscle movements or shivering.
Electronic devices in the vicinity of the EKG equipment and leads can result in AC interference on the EKG tracing.
How should an EKG tech resolve a somatic tremor on an EKG?
Relieve tension from the lead wires.
Clean the lead wires after each use.
The technician should provide the patient with a blanket to help resolve somatic tremor on the EKG tracing, which is caused by involuntary muscle movements or shivering.
Electronic devices in the vicinity of the EKG equipment and leads can result in AC interference on the EKG tracing.
How should an EKG tech resolve an AC interference on an EKG?
Relieve tension from the lead wires.
Clean the lead wires after each use.
The technician should provide the patient with a blanket to help resolve somatic tremor on the EKG tracing, which is caused by involuntary muscle movements or shivering.
Electronic devices in the vicinity of the EKG equipment and leads can result in AC interference on the EKG tracing.
If an EKG Tech is performing a standard 12 lead EKG and they notice that none of the leads are giving a reading, which lead should be checked first?
Right arm
Left arm
Right leg
Left leg
Which limb reads leads I and III and the augmented limb leads
Right arm
Left arm
Right leg
Left leg
Which limb reads leads I and II and the augmented limb leads
Right arm
Left arm
Right leg
Left leg
Which limb reads leads II and III and the augmented limb leads.
Right arm
Left arm
Right leg
Left leg
Which lead is placed to the right of the patient's sternum in the 4th intercostal space?
Lead V1
Lead I
Lead aVR
Lead II
Using the 6 second method, calculate the ventricular rate
30/min
40/min
50/min
60/min
An EKG tech notes that a patient is experiencing a variation in respirations that correlates with the EKG tracing. Which of the following irregularities does this indicate?
Sinus arrest
Sinus dysrhythmia
Tachycardia
Bradycardia
For which of the following patients would you receive a somatic tremor artifact?
A 60-year-old patient who is sweating profusely
A 20-year-old patient who is experiencing a seizure
A 10-year-old patient who is watching TV
A 30-year-old patient who is using a cell phone
What is the correct placement for lead V4?
The fifth intercostal space at the midclavicular line
The fourth intercostal space at the midaxillary line
The fifth intercostal space at the midaxillary line
The fourth intercostal space at the midclavicular line
Which of the following electrodes is used to create leads I, II and aVr?
Left arm
Right arm
Left leg
Right leg
Which of the following electrodes is used to create leads I and III?
Left arm
Right arm
Left leg
Right leg
Which of the following electrodes is used to create leads II and III.?
Left arm
Right arm
Left leg
Right leg
Which of the following electrodes involves the ground lead and has no polarity?
Left arm
Right arm
Left leg
Right leg
Which of the following methods can be used to calculate a regular or irregular rhythm?
6-second method
P-P method
1500 method
300 method
Which of the following is the most accurate for measuring regular rhythms.?
6-second method
P-P method
1500 method
300 method
In which location should the technician place the V6 electrode?
Right midclavicular space
Left midclavicular space
Right midaxillary line
Left midaxillary line
In which location should the technician place the V6 electrode on the right midaxillary line for a patient who has dextrocardia.?
Right midclavicular space
Left midclavicular space
Right midaxillary line
Left midaxillary line
In which location should the technician place the V4 electrode on the left midclavicular space?
Right midclavicular space
Left midclavicular space
Right midaxillary line
Left midaxillary line
Which of the following intervals should be used to determine the regularity of ventricular depolarization?
P-P wave interval
R-R wave interval
QT interval
PR interval
Which of the following methods should an EKG tech use to calculate a person's heart rate from an EKG tracing?
Calculate the mean rate and divide 1,500 by that rate.
Count the number of small boxes in two cardiac cycles.
Divide 300 by the number of large boxes between two R waves.
Count the number of large boxes between P and T waves.
If a person has below the knee amputation on the left leg, where should the technician place the right leg electrode?
On the lower right foot
On the lower right abdomen
On the lower left torso
On the lower right leg
An EKG tech is preparing to perform a 12 lead EKG tracing on a patient who has a heart rate of 150/min. Which of the following speed controls should the technician select?
5 mm/second
10 mm/second
25 mm/second
50 mm/second
What is the most commonly used paper speed for an EKG?
5 mm/second
10 mm/second
25 mm/second
50 mm/second
Calculate the heart rate using the 1500 method
40/min
53/min
68/min
75/min
Which of the following groups creates Einthoven's Triangle?
Leads V4, V5, and V6
Leads V1, V2, and V3
Leads aVR, aVL, and aVF
Leads I, II, and III
Which of the following is the result of an atrial depolarization?
T wave
QRS complex
P wave
U wave
If a PR interval spans across 4 small boxes. An EKG Tech should recognize that this represents which of the following durations?
0.08 seconds
0.12 seconds
0.16 seconds
0.2 seconds
Atrial Fibrillation have which of the following characterictics on an EKG tracing?
R-R interval is irregularly irregular
Clearly defined T waves
P-P interval occurs regularly
Prolonged QRS duration
An EKG Technician receives this initial reading on an EKG. What actions should the technician take?
Ensure that the ground wire is attached to the patient properly.
Examine the cables for damage.
Instruct the patient to breathe slowly and deeply.
Mark the tracing as the patient's baseline in the medical record.
Identify the following rhythm
Electrical interference
Somatic tremor
Wandering baseline
Interrupted baseline
Which of the following describes a complete cardiac cycle in a healthy heart?
P wave, Q wave, and ST segment
P wave, QRS complex, and T wave
P wave, QRS complex, and QT interval
P wave, QRS complex, and P wave
Which type of interference is represented by the photo?
Broken Recording
60second interference
Wandering Baseline
Somatic Tremor
Which type of interference is represented by the photo?
Broken Recording
60second interference
Wandering Baseline
Somatic Tremor
How many small square are in each large square of EKG paper?
5
10
20
25
Every large square on EKG paper represents
0.04 sec
0.20 sec
5 mm
0,5 mv
A medical assistant is preparing a patient who has shortness of breath for at EKG. In which of the following positions should be assistant place the patient?
Prone
Semi- Fowler's
Supine
Sims'
Leads AVL,AVR and AVF are
bipolar
unipolar
augmented
tracing
Identify this rhythm
Supra-ventricular tachycardia
Atrial fibrillation
Sinus tachycardia
Atrial flutter
Identify this rhythm
Supraventricular tachycardia
Sinus tachycardia
Atrial fibrillation
Normal Sinus Rhythm
Identify this rhythm
Sinus Tachycardia
Atrial fibrillation
Atrial flutter
Normal Sinus Rhythm
Identify this rhythm
Sinus tachycardia
Normal Sinus Rhythm
Supraventricular Tachycardia
Atrial fibrillation
EKG Strip?
Sinus Arrest
Sinus Arrhythmia
Uni-focal pvcs
Multi focal pvcs
EKG Strip?
Sinus Arrest
Sinus Arrhythmia
Uni-focal pvcs
Multi focal pvcs
What typically happens to the rhythm after a pause in sinus arrest?
Cardiac Arrest
Usurpation
Escape
Ventricular Fibrillation
When the atrium takes over as the pacemaker of the heart, what is this action called?
Arrest
Usurpation
Escape
Fibrillation
Which characteristic of cardiac cells gives them the ability to send electrical impulses through the heart?
Contractility
Conductivity
Automaticity
Excitability
Which characteristic of cardiac cells gives them the ability to create impulses without any outside stimulation.?
Contractility
Conductivity
Automaticity
Excitability
Which characteristic of cardiac cells gives them the ability to contract the cardiac muscle?
Contractility
Conductivity
Automaticity
Excitability
Which characteristic of cardiac cells gives them the ability to respond to electrical impulses through depolarization?
Contractility
Conductivity
Automaticity
Excitability
What dominant pacemaker cells act as the conduction system in the heart?
Sinoatrial Node
Atrial Ventricular Node
Ventricles
Left Atrium
If the SA node fails, what will take its place?
Sinoatrial Node
Atrial Ventricular Node
Ventricles
Left Atrium
If the Atrial Ventricular node fails, what will take its place?
Sinoatrial Node
Atrial Ventricular Node
Ventricles
Left Atrium
A medical assistant is performing an EKG on a patient whose heart rate is 105 BPM. The assistant should identify this finding as an indication of which of the following conditions?
Tachycardia
Bradycardia
Sinus Rhythm
Atrial Fibrillation
A medical assistant is performing an EKG on a patient whose heart rate is 55 BPM. The assistant should identify this finding as an indication of which of the following conditions?
Tachycardia
Bradycardia
Sinus Rhythm
Atrial Fibrillation
A patient is experiencing electrocardiogram changes. Which wave should the nurse recognize as representing ventricular repolarization?
Q wave
R wave
S wave
T wave
A patient is admitted for diagnosis of an electrocardiogram abnormality. Which wave should the nurse plan care based upon changes in the patient’s ventricular depolarization?
P wave
QRS complex
U wave
T wave
The nurse is analyzing a client’s electrocardiogram tracing. Which of the following complexes is not normally seen on an electrocardiogram tracing?
P wave
QRS complex
T wave
U wave
Leads AVL,AVR and AVF are
bipolar
unipolar
augmented
tracing
A provider requests 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?
I
II
III
V2
which of the following is the normal PR interval
0.12-0.20 MM of voltage
0.12 -0.20 per second
0.16 -0.20 MM of voltage
0.02- 0.08 per second
Times where the conduction cells are “resistant” to stimuli.
Refractory Periods
Absolute Periods
Relative Periods
Supernormal Periods
Times where the cell cannot accept another impulse, still dealing with the last one.
Refractory Periods
Absolute Periods
Relative Periods
Supernormal Periods
Times where the cells strong stimulus will result in depolarization, but not as strong.
Refractory Periods
Absolute Periods
Relative Periods
Supernormal Periods
The Line from which waves and complexes take off.
Isoelectric Line
Usurpation
Escape
Fibrillation
The measurement of time between waves and complexes. (flat line)
Isoelectric Line
Segment
Interval
Fibrillation
The measurement of time that includes waves and complexes.
Isoelectric Line
Segment
Interval
Fibrillation
What should the default gain on an EKG machine be set to?
5 mm
10 mm
20 mm
25 mm
_________is unwanted interference.
Artifact
Somatic Tremors
Wandering Baseline
60 Second interference
This artifact is caused by a patient shivering and can be corrected by giving them a blanket
Somatic Tremor
Baseline Sway or wandering baseline
Broken Recording
60 second interference
This artifact can be removed by unplugging other machines close by, turning off phones,
Somatic Tremor
Baseline Sway or wandering baseline
Broken Recording
60 second interference
This artifact is caused by lotion or sweat on the skin.
Somatic Tremor
Baseline Sway or wandering baseline
Broken Recording
60 second interference
This artifact is due to bad wires, loose electrodes or cable.
Broken Recording
60second interference
Wandering Baseline
Somatic Tremor
When should a medical professional be concerned with sinus arrest?
When it lasts less than 6 seconds
When it lasts more than 6 seconds
When it lasts more than 10 seconds
When it lasts less than 10 seconds
After performing an ECG on an adult client, the nurse reports that the PR interval reflects normal sinus rhythm. What is the PR interval for a normal sinus rhythm?
0.05 and 0.1 seconds.
0.12 and 0.2 seconds.
0.15 and 0.3 seconds.
0.25 and 0.4 seconds.
A nurse is caring for a client who's experiencing sinus bradycardia with a pulse rate of 40 beats/minute. The client's blood pressure is 80/50 mm Hg and the client reports dizziness. Which medication does the nurse anticipate administering to treat bradycardia?
Atropine
Dobutamine
Amiodarone
Lidocaine
The QRS duration must be ___ seconds or less
0.11
0.12
0.13
0.20
0.25
What is the hear rate of this ECG rhytm?
40
70
100
130
What is the difference between sinus arrest and sinus block?
The rate
The width of the P waves
The number of pauses in the rhythm
The number of skipped P waves
What is this rhythm?
Sinus Bradycardia
Junctional Escape Rhythm
Bigeminy
Multiform PACs
Occurs when the natural pacemaker site shifts between SA node, the atria, and/or the AV node.
1st Degree AV Block
SA Block
Sinus Pause
Wandering Atrial Pacemaker
For the above strip, what is the EKG rhythm?
Sinus Tachycardia
Supraventricular Tachycardia
Junctional Tachycardia
Premature Atrial Contraction
For the above strip, what is the EKG rhythm?
Asystole
Sinus Tachycardia
Paroxysmal Supraventricular Tachycardia
Junctional Tachycardia
For the above strip, what is the EKG rhythm?
Normal Sinus Rhythm with PVC
Normal Sinus Rhythm with PAC
Normal Sinus Rhythm
Normal Sinus Rhythm with AVB
Name this Rhythm
Atrial Fibriallation
Sinus Tachycardia
Supraventricular Tachycardia
Multifocal Atrial Tachycardia
Name this Rhythm
Sinus Block
Sinus Arrest
Normal Sinus Rhythm w/ PAC's
Wandering Atrial Pacemaker
Name this Rhythm
Sinus Block
Sinus Arrest
Normal Sinus Rhythm w/ PAC's
Wandering Atrial Pacemaker
A normal sinus rhythm may be characterized by which of the following characteristics?
P wave duration more than 110 milliseconds
P wave that is rounded and downright
P wave with an amplitude of more than 2.5 mm
A narrow QRS Complex
A patient with hypothyroidism or a sedentary lifestyle might have an EKG reading of
Sinus Bradycardia
Sinus Tachycardia
Sinus Dysrhythmia
Sinus Arrest
A patient with hyperthyroidism or exercising normally may experience
Sinus Bradycardia
Sinus Tachycardia
Sinus Dysrhythmia
Sinus Arrest
This is a slight irregularity in the EKG rhythm associated with normal breathing patterns?
Sinus Bradycardia
Sinus Tachycardia
Sinus Dysrhythmia
Sinus Arrest
This is a normal EKG rating but the heart rate is greater than 100 BPM?
Sinus Bradycardia
Sinus Tachycardia
Sinus Dysrhythmia
Sinus Arrest
This is a normal EKG rating but the heart rate is less than 60 BPM?
Sinus Bradycardia
Sinus Tachycardia
Sinus Dysrhythmia
Sinus Arrest
This is considered a break in the normal EKG pattern where the SA node failed to fire
Sinus Bradycardia
Sinus Tachycardia
Sinus Dysrhythmia
Sinus Arrest
Which of the following is a characteristic of the sinoatrial (SA) Node?
It can spontaneously generate an electrical impulse.
It has an intrinsic rate of 40 to 60/min.
It is located at the atrioventricular (AV) junction.
It allows time for the ventricles to fill.
Identify this rhythm
Sinus tachycardia
Normal Sinus Rhythm
Supraventricular Tachycardia
Atrial fibrillation
Which applies to Sinus Rhythm?
Regular rhythm
60 bpm to 100 bpm
Irregular rhythm
less than 60 bpm
101 bpm - 180 bpm
Name this rhythm...
Normal SInus Rhythm
Sinus Bradycardia
Sinus Tachycardia
Atrial Flutter
Name this rhythm...
Normal Sinus Rhythm
2nd degree heart block
Sinus Bradycardia
Normal PR Interval
Normal QRS Interval
P wave is upright and uniform.
There is one p wave before each QRS complex.
Rhythm is regular.
Rate is 72.
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
Normal PR Interval
Normal QRS Interval
P wave is upright and uniform.
There is one p wave before each QRS complex.
Rhythm is regular.
Rate is 122.
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
Normal PR Interval
Normal QRS Interval
P wave is upright and uniform.
There is one p wave before each QRS complex.
Rhythm is irregular.
Rate is 65.
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
Normal PR Interval
Normal QRS Interval
P wave is upright and uniform.
There is one p wave before each QRS complex.
Rhythm is regular.
Rate is 48.
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrythmia
What is the hear rate of this ECG rhytm?
40
70
100
130
This rhythm would be interpreted as
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
I am a rhythm with a rate of 104. I am irregular and my p waves are missing. Who am I?
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
none of the above
I am a rhythm with a rate of 94. I am irregular. My PR interval is normal. There is a QRS after each P wave. Who am I?
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
none of the above
I am a rhythm with a rate of 113. I am regular. My PR interval is 0.12 seconds. There is a QRS is 0.08 and there is a QRS complex after each P wave. Who am I?
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
none of the above
I am a rhythm with a rate of 53. I am regular. My PR interval is 0.14 seconds. There is a QRS is 0.10 seconds and there is a QRS complex after each P wave. Who am I?
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
none of the above
I am a rhythm with a rate of 73. I am regular. My PR interval is 0.18 seconds. There is a QRS is 0.10 seconds and there is a QRS complex after each P wave. Who am I?
sinus rhythm
sinus tachycardia
sinus bradycardia
sinus arrhythmia
none of the above
An ECG rhythm strip shows a ventricular rate of 46, a regular rhythm, a PR interval of 0.14 second, a QRS duration of 0.06, and one upright P wave before each QRS. This rhythm is:
Sinus rhythm
Sinus bradycardia
Sinus arrest
Sinoatrial block
An ECG rhythm strip shows a ventricular rate of 128, a regular rhythm, a PR interval of 0.16 second, a QRS duration of 0.08, and one upright P wave before each QRS. This rhythm is:
Sinus arrhythmia
Sinus bradycardia
Sinus rhythm
Sinus tachycardia
Sinus Rhythm
Sinus Brady
Junctional
WPW
The following strip is a 6 second strip. What EKG rhythm is displayed here?
Atrial Fibrillation
Asystole
Normal Sinus Rhythm
Sinus Tachycardia
Represents the delay or interruption, intermittent or permanent, of the electrical impulse from SA node to the atria.
1st Degree AV Block
Sinus Pause
Sino-Atrial Block
Sinus Arrest
Medical condition where SA node ceases to generate the electrical impulses that normally stimulate the tissues for heart conduction.
Sinus Arrhythmia
1st Degree AV Block
Sinus Arrest
Sino-Atrial Block
What is the purpose of the valves in the heart?
To keep the blood flowing in only one direction
To prevent pathogens from entering the heart
To separate the heart into two sides
To control how fast the heart beats
Which chamber of the heart contracts to send blood to the pulmonary artery and lungs?
Left Atrium
Right Atrium
Right Ventricle
Left Ventricle
Which chamber of the heart contracts to send oxygenated blood through the aortic valve and out to the body's cells?
Left Atrium
Right Atrium
Right Ventricle
Left Ventricle
Which chamber of the heart receives oxygenated blood from the lungs?
Left Atrium
Right Atrium
Right Ventricle
Left Ventricle
What is the relaxation phase of a heartbeat?
systole
diastole
fibrillation
flutter
What is the contraction phase of a heartbeat?
systole
diastole
fibrillation
flutter
What part of the myocardium is the thickest?
RIght Atrium
Left Atrium
Right Ventricle
Left Ventricle
Where are the dominant pacemaker cells located in the heart?
RIght Atrium
Left Atrium
Right Ventricle
Left Ventricle
What layer is the innermost layer of the heart?
Pericardium
Epicardium
Myocardium
Endocardium
What layer is the outermost layer of the heart?
Pericardium
Epicardium
Myocardium
Endocardium
What layer is the thickest layer of the heart, and it is responsible for the contraction of the muscle.?
Pericardium
Epicardium
Myocardium
Endocardium
What layer serves as a support system for the heart and contains a small amount of fluid to prevent friction between the layers of the heart?
Pericardium
Epicardium
Myocardium
Endocardium
What term refers to heart rate and essentially means anything that can change it?
Chronotrophy
Inotrophy
Repolarization
Dromotrophy
