WorksheetsEKG EXIT TICKET 3/9/23
Total questions: 191
Worksheet time: 2hrs 36mins
Which of the following would be considered correct for the average liter of bloods that is pumped by the heart in a 24 hour period?
7000-9000 liter
1000-2000 liter
2000-4000 liter
3000-5000 liter
Which of the following would be considered the main function of the pulmonary vein?
To carry the oxygenated blood to the left atrium.
To carry the deoxygenated blood back to the left atrium.
To carry the deoxygenated blood back to the right atrium.
To carry the oxygenated blood back to the right atrium.
Of the following statements, which would be considered correct regarding how to determine if the problem is lead reversal or dextrocardia?
With dextrocardia there will be no R wave progression in leads V1-V6.
With lead reversal, there will be R wave progression in leads V1-V6.
With lead reversal, there will be no R wave progression in the leads V1-V6.
With dextrocardia there will be R wave progression in leads V1-V6.
The nurse is reading the patients history which states the patient has atriomegaly. Which of the following would be the meaning?
The patient has atrium that are enlarged.
The patients sinuses are inflamed.
The patient has several blood clots.
The patient needs a psychiatric consultation.
Which of the following would be considered measurable with sinus tachycardia?
QRS
PR intervals
BOTH ANSWERS ARE CORRECT
NEITHER ANSWER IS CORRECT
Of the following terms, which would be considered correct for the movement away from the isoelectric line with an upward deflection or a downward deflection?
Complex
Waveform
Interval
Segment
Basic sinus rhythms would include?
Atrial fibrillation
Sinus tachycardia
Normal sinus rhythm
Ventricular Fibrillation
With an ECG, which of the following would be considered the correct term for the dips and spikes?
Projections
Chambers
Waveforms
None of the Answers are correct
Which of the following would be considered the correct term if the QRS complexes are different in size?
Torsades de Pointes
Controlled ventricular tachycardia
Polymorphic ventricular tachycardia
None of the answers are correct
Which of the following EKG machine functions should an EKG technician use to control and regulate the height of EKG waveforms on the tracing?
Speed
Output display
Artifact filter
Gain
Which of the following methods should a EKG technician use when removing hair from electrode placement sites for telemetry monitoring?
Dry shave
Wet shave
Tape
Clippers
An EKG technician notes periods of sinus arrest on a patient's EKG tracing. The technician should consider the sinus arrest to be a medical emergency when the arrest reaches which of the following durations?
6 sec
4 sec
3 sec
1 sec
Which of the following lead groups are bipolar leads?
Leads aVR, aVL, and aVF
Leads I, II, and III
Leads V1, V2, and V3
Leads V4, V5, and V6
An EKG technician is performing a second standard 12-lead EKG on a patient immediately following the first test. For which of the following reasons should the technician recognize that resting tab electrodes should not be used for more than two consecutive EKG tracings?
The electrodes cannot conduct the signal after two EKG tracings
The electrodes will not conduct accurately after two EKG tracings
The electrodes need to be cleaned after two EKG tracings
The electrodes will not re-adhere to the skin after being removed between tracings
In which of the following locations should an EKG technician place the electrode for leavd V5?
On the left midaxillary line, horizontal to lead V4
On the left anterior axillary line, horizontal to lead V4
On the left midclavicular line, fifth intercostal space
On the right margin of the sternum, fourth intercostal space
b. On the left anterior axillary line, horizontal to lead V4
An EKG
An EKG technician is working with a patient who has a below-the-knee amputation of the left leg. In which of the following locations 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
Which of the following methods should an EKG technician use to store electrodes when not in use?
Loose in the EKG cart
In a folded paper bag
In an open plastic bag
In the original, foil-lined packaging
d. In the original, foil-lined packaging
A serial EKG
A serial EKG tracing shows a rhythm that does not match the last tracing that the EKG technician performed. Which of the following actions should the technician take first?
Connect the patient to a different EKG machine.
Report the finding to the provider
Verify proper lead placement
Perform a maintenance check on the machine
Which of the following statements made by an EKG technician correctly prepares the patient for telemetry monitoring?
"I will clean your skin with an alcohol pad"
"You may feel a slight warming sensation after the electrodes are placed on the skin"
"A mild rash or skin redness should be expected around the electrodes after 24 hours."
"Electrodes will be replaced once per week while you're in the hospital."
An EKG technician is performing a standard 12-lead EKG on a patient who is 4 years old. In which of the following locations should the technician place the V6 electrodes?
Right midclavicular space
Left midclavicular space
Right midaxillary line
Left midaxillary line
Which of the following sections of the EKG tracing should an EKG technician use to measure the QRS complex?
End of the Q wave to the beginning of the S wave
Beginning of the Q wave to the beginning of the S wave
End of the Q wave to the beginning of the T wave
Beginning of the Q wave to the end of the S wave
An EKG technician observes varying R-R intervals on an EKG for a 2-year-old patient. Which of the following statements made by the technician would be correct?
"Irregular rhythms are rarely seen in children"
"This is life threatening. I must notify the physician immediately"
"The irregularity is normal and is a result of respiration"
"The rhythm is likely atrial fibrillation and requires elective cardioversion"
An EKG technician is recording a patient's radial pulse rate and finds the pulse to be irregular. The provider then takes the patient's apical pulse. The technician should recognize that which of the following locations is used for this assessment?
Between the larynx and the left sternocleidomastoid muscle
Between the fifth and sixth ribs, at the left midclavicular line
The antecubital aspect of the left or right elbow
The thumb side of the left wrist
Which of the following descries 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
An EKG technician is preparing to perform an EKG for a patient who does not speak the same language as the technician. Which of the following actions hsould the technician take to avoid miscommunication with the patient?
Have a member of the patient's family translate
Point and use other forms of nonverbal communicatio
Rely on materials printed in the patient's native language
Have a bilingual staff member translate
An EKG technician is instructing a patient about the use of a transtelephonic monitor with loop memory. Which of the following instructions should the technician include?
"Press the record button on the device when you begin to feel dizzy or have chest pain"
"Remove the monitor when connecting to the phone or internet to send the recording to the central monitoring location"
"Record a notation in your diary that describes the time and the activity that you were doing when the pain started"
"Contact the technician at the central monitoring station whenever you begin to experience chest pain
In a health adult 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
Which of the following responses should an EKG technician make to a patient in an outpatient clinic who is upset that the technician cannot share the results of the tracing?
"I'm sorry, but I only run the strip. I'm not trained to know what's on it."
"I understand your frustration. My role as the technician is to conduct the test correctly. The provider is qualifies to interpret the results"
"I know it's difficult to wait, but from what I can see, you have nothing to worry about."
"I wish could help you. Some providers allow technicians to discuss the tracing, but your provider won't let me communicate results to patients."
An EKG technician is preparing a patient for a scheduled standard 12-lead EKG. Which of the following actions should the technician take?
. Assist the patient into Sims' position before a placing the electrodes
Apply an oil-free moisturizer to adhere the electrodes to the skin
Use an alcohol pad to cleanse the electrode placement sites.
Select the most muscular site for electrode placement
Which of the following factors can produce an artifact that appears as uniform. small spikes on an EKG tracing?
Corroded leads
Improper grounding
Poor skin preparation
Patient movement
Which of the following pulse points is most frequently used to check an adult's patient's pulse during cardiopulmonary resuscitation (CPR)?
Popliteal
Carotid
Temporal
Dorsalis pedis
An EKG technician is caring for a patient in a provider's clinic who asks why the technician performs a standard 12- lead EKG as part of the physical examination. Which of the following responses should the technician make?
"The test is used to determine whether your heart is receiving enough blood"
"The results can be used to determine if changes have occurred since your last EKG."
"It is use to show your heart's rhythm for the past week"
"This test is used to measure your heart's stroke volume for the duration of the EKG."
An EKG technician is monitoring a patient who is undergoing an exercise stress test. Which of the following findings should indicate to the technician that the patient is experiencing an adverse reaction?
Increase in blood pressure from 110/70 to 120/78 mm Hgb.
An oxygen saturation of 95%
Presence of sinus tachycardia with a regular R-R interval
Report of tingling sensations in the lower extremities
Which of the following positions is appropriate for a patient during a nuclear stress test while the camera is scanning?
Supine with the arms at the side
Supine with the arms above the head
Right-side lying with the arms slightly extended
Sitting upright with the head tilted back.
Which of the following statements should an EKG technician include when preparing a patient for an upcoming exercise stress test?
"Be sure to eat a light meal 6 to 8 hours prior to the test"
"Wear tight clothing around your lower abdominal area so the electrodes stay in place."
"Refrain from caffeine, smoking, or alcohol for at least 3 hours prior to the test."
"The procedure should take about 10 to 15 minutes."
Which of the following patient finding indicates myocardial infarction?
Cyanosis
Facial drooping
Arm weakness
Aphasia
When performing an EKG on an infant, in which of the following locations should the EKG technician place the electrode for lead V3R?
Between V2 and V4 on the right side of the chest
Fourth intercostal space on the right side of the chest
Between V2 and V4 on the left side of the chest
Fourth intercostal space on the left side of the chest
When placing electrodes on the patient for telemetry, in which of the following locations should an EKG technician place the ground electrode?
On the right upper arm
On the left upper arm
On the left lower leg
On the right lower leg
An EKG technician is called to the emergency department to perform a standard 12-lead EKG on a patient. When the technician arrives, the patient is attached to a 5-lead monitor. Which of the following actions should the technician take?
Apply the electrodes for the 12-lead EKG around the 5-lead electrodes
Remove the electrodes for the 5-lead monitor before attaching the electrodes for the 12-lead EKG
Attach seven electrodes and then perform the 12-lead EKG
Cancel the 12-lead EKG because the patient is attached to a 5-lead monitor.
An EKG technician is reviewing a tracing for a patient who has a ventricular pacemaker. Which of the following rhythm patterns should the technician expect after a pacing spike?
Regular P waves
AV delay between 0.12 and 0.16 sec
QRS interval between 0.06 and 0.10 sec
Wide QRS interval
When performing a posterior EKG, which of the following is the correct location for placement of lead V8?
Left midscapular line
Right midscapular line
Right posterior axillary line
Left posterior axillary line
Which of the following is the result of atrial depolarization?
T wave
QRS complex
P wave
U wave
An EKG technician is preparing to perform a standard 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
While performing a standard 12-lead EKG, an EKG technician notices that none of the leads are giving a reading. Which of the following limbs should the technician check first when correcting this problem?
Right arm
Left arm
Right leg
Left leg
An EKG technician has performed an EKG on a patient. Which of the following actions by the technician would protect the patient's health information in accordance with HIPAA regulations?
Sending the EKG in an encrypted electronic file to the patient's employer
Using corrective fluid on the patient's name, address, and physical description on the EKG printout
Restricting the patient's access to the EKG file
Hand delivering the EKG to the patient's provider
An EKG technician is preparing to explain the EKG procedure to a pediatric patient. Which of the following terms should the technician use when explaining the electrodes?
Stickers
Electrodes
Conduction devices
Leads
A patient has a prescription to wear a Holter monitor for 24 hr. Which of the following statements by the patient indicates an understanding of home care instructions?
"I can turn the Holter monitor off in order to shower or bathe"
"I should record spontaneous symptoms unrelated to an activity"
"I should not replace electrodes that come loose"
"I should avoid daily activities that might trigger heart abnormalities"
An EKG technician should recognize that which of the following is characteristic of the EKG tracing for a patient who has atrial fibrillation?
R-R interval is irregularly irregular
Clearly defined T waves
P-P interval occurs regularly
Prolonged QRS duration
An EKG technician should recognize that which of the following situations is an allowable disclosure of patient information according to HIPAA guidelines?
Patients write their names on a basic sign in sheet at the registration desk
An employer calls the clinic to verify an employee's excused absence
A patient can read the demographics screen of another patient's electronic chart while checking in at the desk
An employee gives a coworker access to their username and password to retrieve a patient's laboratory report.
An EKG technician hears another staff member making derogatory comments about a patient's appearance. This is an example of which of the following torts?
Libel
Assault
Slander
Battery
An EKG technician is measuring the intervals on an EKG tracing. Which of the following is an expected finding of impaired conduction through the AV node?
Decreased QT interval
Prolonged QRS interval
Prolonged QT interval
Prolonged PR interval
For which of the following reasons should an EKG technician instruct a patient to wear loose-fitting clothing while wearing a Holter monitor?
To reduce artifact on the tracing
To increase the height of the waveforms
To increase the width of the waveforms
To minimize patient self-consciousness
An EKG technician working at a central monitoring station notes that a patient has a rhythm of ventricular tachycardia. Which of the following actions should the technician take first?
Prepare for defibrillation of the patient
Document the rhythm in the patient's medical record
Notify a licensed practitioner to evaluate the patient
Verify the time of the last dose of the patient's cardiac medications.
For which of the following types of heart block should an EKG technician observe the patient for signs and symptoms of decreased cardiac output that could lead to cardiac arrest?
First degree AV block
Second-degree AV block, Mobitz I
Second degree AV block, Mobitz II
Third degree AV block
Which of the following leads i s created when an EKG technician places the electrode to the right of the patient's sternum at the fourth intercostal space?
Lead V1
Lead I
Lead aVR
Lead MCL2
An EKG technician is performing an exercise stress test when the patient becomes unresponsive with no breathing or pulse. The technician uses an automated external defibrillator (AED) to administer a shock to the patient. Which of the following instructions should the technician expect next?
Check the patient for responsiveness
Resume performing CPR on the patient
Check the patient's airway
Monitor the patient's pulse
An EKG technician is preparing to perform a standard 12-lead EKG for a healthy adult patient. In which of the following positions should the technician place the patient for testing
Left later position
Trendelenburg position
Right lateral position
Supine position
An EKG technician is entering a patient's history into the electronic health record. Which of the following statements by the patient should the technician enter into the social history section?
"I have smoked cigarettes for a long time"
"My parents both had heart attacks"
"I had an appendectomy 1 year ago"
"I had chicken pox when I was 10 years old"
Which of the following methods should an EKG technician use to calculate a patient's heart rate from the 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
An EKG technician is performing a standard 12-lead EKG for a patient. The technician should identify that which of the following information is recorded by lead I?
Electrical activity between the right arm and left leg
Electrical activity between the right arm and left arm
Electrical activity between the left arm and leg leg
Electrical activity between the right leg and left leg
Which of the following leads is created between the left arm and left leg?
Lead aVL
Lead aVF
Lead III
Lead I
Which of the following waves should an EKG technician use to determine the regularity of the ventricular rate?
U wave
T wave
R wave
P wave
For which of the following patients should an EKG technician expect the provider to prescribe a chemical stress test?
A patient who is 35 years old and requires interpretive services
A patient who is 40 years old and is unable to walk due to the presence of a full leg cast
A patient who is 55 years old and has been talking anticoagulants for a period of 1 year
A patient who is 60 years old and has a history of coronary artery disease
An EKG technician is performing a standard 12-lead EKG for a patient who is experiencing 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
An EKG technician is performing a standard 12-lead EKG for an adult patient who is in the hospital. The patient becomes unresponsive, stops breathing, and does not have a pulse. Which of the following actions should be technician take first?
Place the patient in the recovery position
Start chest compressions
Provide two breaths to the patient
Retrieve the automated external defibrillator
Which of the following methods can be used to calculate both regular and irregular rhythms?
6-second method
P-P method
1500 method
300 method
Which of the following vital sign changes during an exercise stress test should indicate to an EKG technician that an adult patient is experiencing distress?
A decrease in temperature from 37.3° to 36.9°C (99.1° to 98.4°F)
An increase in pulse rate from 76 to 84/min
An increase in blood pressure from 120/80 to 128/84 mm HG
An increase in respirations from 18 to 36/min
An EKG technician is obtaining a pulse rate for a 2-year-old patient. Which of the following pulse rates should the technician recognize as within the expected reference range for this patient?
60/min
75/min
120/min
150/min
An EKG technician is caring for a patient who is experiencing heart palpitations. Which of the following interventions should the technicians expect the provider to prescribe?
Vasodilator medication
Holter monitor
Cardiac inotropic medication
Chemical stress test
An EKG technician is performing an exercise stress test to evaluate a patient for coronary vascular disease. Which of the following actions should technician take regarding this procedure?
Report unexpected dysrhythmias during the test
Evaluate the need for the patient to follow an exercise program
Prescribe oxygen if the patient reports shortness of breath during the test
Instruct the patient to cease cardiac medications after the test
An EKG technician should recognize that which of the following is the most commonly used paper speed for an EKG?
5 mm/second
10 mm/second
25 mm/second
50 mm/second
An EKG technician is reviewing the EKG tracing of a patient who has a ventricular pacemaker and notes that the patient's heart rate is 76/min. The pacemaker is set to a rate of 70/min. Which of the following should the technician expect to observe on the patient's tracing if the pacemaker is operating as intended.
Pacer spikes are immediately followed by P waves.
Pacer spikes appear just after ever QRS complex
.Pacer spikes appear just prior to every QRS complex
Pacer spikes do not appear on the tracing
An EKG technician is reviewing an EKG tracing and notes asystole. Which of the following actions should the technician take first.
Check the electrodes and leads
Check the patient
Call for help
Contact the provider
An EKG technician should recognize that which of the following signs are often present when a patient is experiencing ventricular tachycardia?
Multiple premature ventricular contractions in a row
Decreased heart rate
Absence of R-R interval
Narrow QRS complexes on the EKG tracing
Which of the following findings is consistent with bradycardia?
Hyperventilation
Blood pressure of 100/80 mm Hg
Cold and clammy skin
Pulse rate of 140/min
After completing a standard 12-lead EKG on a patient, which of the following actions should an EKG technician take next?
Remove the electrodes and assist the patient to a sitting position
Remove the EKG tracing from the machine and provide privacy for the patient to get dressed.
Check that the tracing is free from artifacts and then disconnect the patient from the machine.
Tell the patient that the test is complete and the provider will be in shortly
An EKG technician is preparing to enter an inpatient room to perform a standard 12-lead EKG. Which of the following actions should the technician take for a patient who is prescribed contact precautions?
Wear an N-95 mask if there is a potential exposure to blood.
Disinfect the EKG machine immediately prior to entering the room.
Remove gloves before leaving the patient's room
Keep the door to the patient's room closed.
In which of the following situations is it acceptable for an EKG technician to share a patient's protected health information?
An inquiry for training purposes for the quality assurance office.
A discussion with the patient's provider in the cafeteria
A conversation with an EKG technician from a sister facility
An unencrypted text message exchange with the patient's provider
An EKG technician is preparing a patient for a standard 12-lead EKG. Which three leads should the technician place at the same horizontal level?
Leads V1, V2, and V3
Leads V2, V3, and V4
Leads V3. V4, and V5
Leads V4, V5, and V6
An EKG technician should recognize that a PR interval that spans four small boxes on the EKG paper has which of the following durations?
0.08 seconds
0.12 seconds
0.16 seconds
0.2 seconds
An EKG technician is performing a stress test for a patient. Which of the following EKG changes indicates that the patient is beginning to show signs of myocardial ischemia?
PR interval of 0.16 seconds
QRS complex of 0.10 seconds
Depressed ST segment
Presence of U wave
Which of the following lead groups forms Einthoven's triangle?
Leads V4, V5, and v6
Leads V1, V2, and V2
Leads aVR, aVL, and aVF
Leads I, II, and III
An EKG technician has a prescription to perform an EKG tracing on an older adult patient who is unconscious upon arrival at the emergency department. Which of the following actions should the technician take?
Wait for the patient's adult child to arrive at the emergency department to obtain consent.
Assume implied consent because the patient's condition is critical.
Check the patient's insurance to ensure the EKG procedure is covered
Wait for the provider to arrive before performing the EKG.
An EKG technician is performing an exercise stress test for a patient who exhibits ventricular fibrillation on the EKG tracing. Which of the following actions should the technician take first?
Determine if the patient is responsive
Check the patient for breathing
Begin chest compressions
Apply automated external defibrillator (AED) pads.
For which of the following patients should an EKG technician expect to see somatic interference on the EKG tracing?
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.
Which of the following is the most effective technique for an EKG technician to use to verify that a patient understands the Holter monitor instructions?
Ask the patient if they understand the instructions
Have the patient repeat the instructions back
Watch the patient for signs of understanding
Have the patient complete a test about the instructions
When applying a Holter monitor, how many monitor leads are placed on the patient?
Five
Six
10
12
An EKG technician is speaking with a patient on the phone. The patient is wearing a Holter monitor and reports severe chest pain and shortness of breath. Which of the following actions should the technician take?
Have someone call emergency services while remaining on the call with the patient
Remind the patient to document the incident in the patient diary
Place the patient on hold and consult with the patient's provider.
Tell the patient to hang up the phone and call emergency services
An EKG technician is caring for a patient who is admitted to an inpatient facility for chest pain. Which of the following actions should the technician take when performing a series of EKG readings for this patient?
Replace the electrodes between each reading
Apply conductive gel to electrodes before application
Apply silver electrodes that can be checked daily
Rotate electrode positioning daily to reduce skin irritation
An EKG technician notes a standard 12-lead EKG tracing shows an interrupted baseline. The technician knows that this artifact is most likely caused by which of the following?
Improper skin preparation
Patient tremors
Improper grounding
Lead corrosion
An EKG technician is education a patient about home use of an ambulatory monitor. Which of the following actions should the technician instruct the patient to take if any electrodes become loose?
Use an alcohol swab to wipe dirt and oils from the skin
Apply surgical tape to the electrodes to keep them in placeskin
Shave hair from the sites and replace the electrodes
Apply fresh electrodes from the same manufacturer
Which of the following is cause for discontinuing a stress test?
Increased diaphoresis
Shortened PR interval
Increased heart rate
ST segment elevation
A thin spike before the P wave indicates that a pacemaker has been implanted to pace which of the following?
Atria
Ventricles
Early repolarization
Late repolarization
During an exercise stress text, a patient reports heaviness on his chest and becomes diaphoretic. The EKG technician should recognize the findings as manifestations of which of the following conditions?
Transient ischemic attack
Cerebrovascular accident
Congestive heart failure
Myocardial infarction
Which of the following sites is the most accurate for an EKG technician to use when measuring a patients body temperature?
Oral
Axillary
Temporal
Tympanic
Which of the following actions should an EKG technician perform for a patient immediately before an exercise stress test?
Measure blood pressure and obtain an EKG while the patient is supine, sitting, and standing up.
Ensure the patient has taken all prescription medications per usual administration schedule
Use soap and water to shave the skin prior to electrode placement
Confirm the patient has not had anything to eat or drink for 6 hr before the test
Which of the following arteries is the best location for an EKG technician to use to measure the heart rate for an adult patient following an exercise stress test?
Radial
Carotid
Femoral
Brachial
An EKG technician should follow which of the following recommendations regarding infection control practices in health care settings?
Artificial nails should be no longer than 1.27 cm (0.5 in) in length
Use an alcohol-based hand rub if there is visible
Remove soiled gloves prior to touching uncontaminated surfaces
Wear the same gloves while performing different procedures on the same patient
When performing a stress test, an EKG technician should recognize that the test can be stopped when the patient reaches what percentage of their target heart rate?
25% to 40%
45% to 60%
65% to 80%
85% to 100%
Which of the following activities should an EKG technician instruct a patient to record in the Holter monitor diary?
Bike riding
Swimming
Driving
Sleeping position
Which of the following is cause for discontinuing a stress test
exercis increasess the temperature which the potential for perspiration
AV conduction and heart rate usually accelerates with exertio
an increase in heart rat is a natural response to exercise
ST segment indicates severe myocardial ischemia and injury
Which of the following actions should an EKG technician perform on EKG cables to prevent the transmission of microorganisms
sterilize with heat
clean with acetone
wipe with disinfectant
soak with alcohol
The Q, R, and S waves together represent contraction of?
Atrium and Ventricles
Ventricles
Atrium
Ventricles and P. Fibers
A medical assistant is preparing a patient for an EKG. In which of the following locations should the assistant place the V4 lead?
5th intercostal space at the anterior axillary line
5th intercostal space at the midaxillary line
Midway between V3 and V5
5th intercostal space at the midclavicular line
Which is the first group of leads to be recorded on an electrocardiogram?
Augmented leads
Leads I, II, and III
aVR, aVL, and aVF
Leads V1 thru V6
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?
Right arm
Left Chest
Left arm
Right Chest
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?
Left chest
In the axillary
Right deltoid
Left deltoid
Which electrode is placed on the 4th intercostal space of the left sternal border?
V1
V2
V3
V6
When performing a 12 lead EKG on a patient, which lead is used as a ground to help decrease interference?
LA
LL
RA
RL
Which anatomical landmark is the location for the V6 lead?
Midaxillary Line
Midclavicular Line
5th intercostal space
4th intercostal space
The body’s deoxygenated blood enters the right atrium via which blood vessel?
Aorta
Inferior & Superior Vena Cava
Pulmonary artery
Pulmonary Vein
A narrowing of the valve between the left atrium and left ventricle is the narrowing of what valve?
Tricuspid Valve
Pulmonary Valve
Mitral Valve
Aortic Valve
The blood flows from the heart to the lungs via which blood vessel?
Pulmonary Artery
Pulmonary Vein
Aorta
Pulmonary Aorta
Which arteries supply blood to the heart muscle?
Coronary Veins
Coronary Vena Cava
Coronary Artieries
Coronary Node
The valve in the heart between the right atrium and right ventricle?
Tricuspid Valve
Pulmonary Valve
Mitral Valve
Aortic Valve
The natural pacemaker of the heart?
AV Node
VA Node
SA Valve
SA Node
What term describes the absence of electrical activity in the heart?
Junctional
Cardiac EKG
Asysotle
Diastyole
What term refers to an electrical event that coincides with contraction?
Polarization
Repolarization
Depolarization
Unpolartization
In the sequence of the electrical stimulation of the heart, what part of the conduction system is stimulated after the SA node?
PV Node
Bundle of His
Purkinje FIbers
AV Node
When performing a 12 lead EKG, the CCMA should explain to the patient that the machine is recording what?
Structural activity of the heart
Electrical activity of the heart
Functional zones of the heart
Valve action of the heart
A CCMA is performing a 12-lead EKG and notices the patient’s heart rate is 44 bpm. What does this heart rate reflect?
Hypertension
Hypercardia
Tachycardia
Bradycardia
What rhythm is commonly associated with a inverted P wave?
Mitral fibrilation
Ventral relaxation
Junctional
Jointional
Sweat and lotion on a patient’s skin can interfere with the signal going to the EKG machine causing what?
Wandering Baseline
Wandering QRS complex
AC Interference
Asystole
When performing an EKG someone in the room uses a mobile phone what type of interference might be noticed on the strip?
AZ Interference
AT Interference
AC Interference
AD Interference
How many electrodes do you attach to the patient for a 12 lead EKG?
9
10
11
12
In a standard EKG, how many leads make up the standard or bipolar leads?
6
10
12
3
If a patient has dextrocardia which leads require placement modification for this patient?
Standard
Unipolar
Augmented
Precordial
What is the state of cellular rest and is represented by a flatline on an EKG strip?
Somatic tremor
Repolarization
Depolarization
Polarization
A CCMA is preparing a patient who has shortness of breath for an EKG. In which position should the patient be placed.
Prone
Semi-Fowler's
Supine
Sims'
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?
Sinus rhythm
Atrial fibrillation
Bradycardia
Tachycardia
Which of the following information is true of limb leads and electrodes?
Limb leads are unipolar
Leads V! through V6 are limb leads
Limb leads are placed on the fleshy areas of the skin
The left leg lead wire serves as the ground
A patient care technician is reinforcing teaching with a patient who has an order for an EKG. Which of the following statements by the patient indicates an understanding of the procedure?
“I should feel no pain or discomfort from this procedure.”
“This procedure should last about 30 minutes.”
“I should apply lotion to my skin before the procedure.”
“It’s okay for me to talk and ask questions during the procedure.”
While performing an EKG, a patient care technician suspects alternating current (6o-cycle) interference. Which of the following actions should the technician take?
Give the patient a blanket.
Unplug nearby electrical equipment.
Ask if the patient has a pacemaker
Re-prep the skin
The tracing below is an example of which of the following?
Second-degree heart block, type II
Second-degree heart block, type I
Third-degree heart block
First-degree heart block
Which of the following actions should a patient care technician take when applying electrodes to a patient for an EKG?
Ensure that the patient’s skin is clean and dry
Clean the patient’s skin using iodine.
Clean the area using sterile technique
Ensure that the patient’s entire chest is shaved
When applying electrodes on a patient for a Holter monitor, a patient care technician should place the green lead
At the left sternal border, third rib.
On the upper posterior, left rib cage.
On the lower lateral, right rib cage
At the right sternal border, first rib
Which of the following artifacts is indicated by the tracing below?
Electrical interference
Reversed leads
Loose electrodes
Wandering baseline
The following artifact is displayed on the EKG. To resolve this, the patient care technician should do which of the following?
Restart the EKG machine to recalibrate
Inspect electrodes and wires for secure connection
Try another electrical outlet
Reposition the patient to a lateral side-lying position.
A patient care technician is preparing a patient for an EKG. The patient reports having bilateral breast implants about 1 year ago. How would the technician apply these chest leads?
Apply V1 and V2 on the patient’s back toward the right side and record this information on the tracking.
Apply V4, V5 and V6 closer to the patient’s midaxillary line.
Apply V4, V5 and V6 closer to the patient midclavicular line.
Apply V1 and V2 and the 2nd or 3rd intercostal space and record this information on the tracing.
14. The tracing is an example of which of the following?
a. Supraventricular tachycardia
b. Sinus bradycardia
c. Sinus tachycardia
d. Supraventricular bradycardia
A patient care technician is replacing the paper on an EKG machine. Which of the following steps should the technician take first?
Run paper in the machine.
Check the next EKG tracing for accuracy.
Align the paper properly.
Thread the paper though the roller to the outside of the machine.
A patient care technician is monitoring a patient who goes into asystole. Which of the following actions should the technician take first?
Initiate CPR.
Measure vital signs.
Use an automatic external defibrillator (AED).
Perform a 12-lead EKG.
98. Which of the following finding on the tracing below should the patient care technician be most concerned with?
The irregular rhythm
The ST segment elevation
The QT interval
The variable shape of the P waves
92. A patient care technician is performing an EKG for a patient who is 1 day postoperative following a right leg above-the knee amputation. In which of the following places should the technician place the right lower limb electrode?
Left lower leg
Right upper limb
Right lower abdomen
Left upper thigh
84. Which of the following EKG findings differentiates accelerated idioventricular rhythm from junctional rhythm?
Accelerated idioventricular rhythm has P waves.
The ventricular rate in accelerated idioventricular rhythm is slower than junctional rhythm.
Junctional rhythm has P waves.
Accelerated idioventricular rhythm has wide QRS complexes.
60. Identify the rhythm in the tracing below.
Multifocal atrial tachycardia
Atrial fibrillation
Wandering atrial pacemaker
Atrial flutter with variable conduction
32. A patient has difficulty understanding why she needs an ambulatory monitor after having an EKG 48 hr prior. Which of the following is an appropriate explanation by the patient care technician?
"An ambulatory monitor records differently than an EKG."
"Your doctor wants to study your heart over a longer period of time."
"It is standard practice to attach an ambulatory monitor shortly after an EKG."
"I cannot discuss why you have to wear an ambulatory monitor. You'll have to discuss that with your doctor."
29. A patient presents alert and oriented, but a patient care technician finds that all the waveforms are negative in Lead I. The technician should check the cable connections for which of the following lib electrodes?
Left leg and right leg
Left arm and left leg
Right arm and left leg
Right arm and left arm
25. Which of the following abnormalities is accociated with large U waves on the EKG?
Increased sodium level
Increased potassium level
Decreased sodium level
Decreased potassium level
10. A patient care technician has just obtained a 12-lead EKG from a patient. When should the technician clean and disinfect reusable EKG equipment?
At the end of each day
Immediately after each patient
At the beginning of each shift
Once per week
A PCT is caring for a patient who has ventricular tachycardia and becomes unresponsive.
Which of the following actions does the technician take first?
Measure the patient's respiratory rate
Begin CPR.
Print an EKG rhythm strip.
Obtain an automated external defibrillator.
A PCT should identify the EKG tracing below as which of the following artifacts?
Interrupted baseline
AC interference
Somatic tremor
Wandering baseline
A patient care technician is caring for a patient who has hear failure.
Which of the following should the technician identify as an indication of left ventricular failure?
Hypotension
Pulmonary edema
Ascites
Jugular vein distention
A PCT is preparing to perform a 12-lead EKG for a patient who is pregnant.
Into which of the following positions should the technician assist the patient?
Slightly on the left side.
Supine
Lithotomy
Slightly on the right side
A PCT is performing a 12-lead EKG for a patient.
The technician should use which of the following as a reference to compare the cardiac complexes during a cardiac cycle on an EKG tracing?
Speed control
Lead selector
Calibration marks
Artifact filter
A PCT is providing instructions to a patient who is about to undergo an EKG.
Which of the following statements should the technician make?
"You should empty your bladder prior to the test."
"You will receive the results from me after the test is complete."
"You should put your hospital gown on with the opening in the back."
"You should increase your heart rate before the test by completing a high-intensity workout.".
A PCT identifies P waves are present, but there are missing QRS complexes on a patient’s EKG tracing.
Which of the following actions should the technician take first?
Measure the patient's vital signs
Report the rhythm to the nurse.
Repeat the EKG.
Prepare to initiate cardiopulmonary resuscitation.
In which of the following locations should a CCMA place the V5 lead?
At the fourth intercostal space to the right of the sternal border
Halfway between V2 and V4
At the anterior axillary line on the same horizontal level as V4
At the fifth intercostal space at the mid-clavicular line
A CCMA should identify that which of the following artifacts is present in the tracing below?
Wandering baseline
Somatic tremor
AC interference
Interrupted baseline
A patient care technician is preparing a patient for an EKG. Which of the following actions should the technician take?
Request that the patient pull their shirt up.
Allow the patient to wear a bracelet.
Ask the patient to turn off any electronic devices.
Inform the patient to expect minor shocks.
All of the following are normal findings for an infant patient EXCEPT:
A short PR interval
A shortened QRS complex
A heart rate of 150
A heart rate below 100
What rules of HIPPA protect patients' rights?
Privacy and security rules
Medical practitioner rules
Patient advocacy rules
Privacy and confidentiality rules
Under what circumstances con your medical information NOT be shared by your provider
If a police report is required
If requested by your employer
To protect public health
To improve the coordination of your care
What is the normal time of a QRS complex?
0.12 to 0.15 seconds
0.06 to 0.1 seconds
0.05 seconds
0.12 to 0.2 seconds
The sinus node is firing at a rate of 70 bpm; however, the AV node begins to fire at a rate of 80 bpm. What is occurring?
Ventricular Tachycardia
Usurpation
Cardiac Arrest
Escape
Which of the following tempratures would be expected in a hypothermic patient?
96 degrees Fahrenheit
99 degrees Fahrenheit
94.8 degrees Fahrenheit
97.8 degrees Fahrenheit
The only lead that a STEMI cannot be seen.
V1
aVR
aVF
LL
Also known as the baseline, it is best determined by drawing a line between the end of the T and beginning of the P wave.
P wave
isoelectric line
SA node
Av node
Widened QRS complexes on an EKG tracing are signs of
Myocardial infarction
A ventricular dysrhythmia
An atrial dysrhythmia
Hypertension
The rhythm shown in this tracing is known as
(A) Sinus arrest
(B) Sinus bradycardia
(C) Normal sinus rhythm
(D) Sinus arrhythmia
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) When a patient asks the technician for an interpretation of the EKG right after it is performed.
(B) When the technician is delivering the completed EKG and the patient’s chart to the cardiologist
who ordered the test.
(C) When a colleague asks for information about a relative’s health.
(D) When the patient’s insurance company calls to confirm that an EKG was ordered and conducted.
(E) When the patient’s employer calls to ask if he is fit to continue working.
This patient would require no changes to positioning or electrode placement:
(A) An elderly man with orthopnea
(B) A 35-year-old woman who is 20 weeks pregnant
(C) An 8-year-old child
(D) A 40-year-old man with a full cast on his right leg
What would be the best method for calculating the rate shown in the strip above?
(A) Small block method
(B) 300 method
(C) Six-second method
(D) 1500 method
Which of these electrodes is not involved in creating Einthoven’s triangle?
(A) Right arm
(B) Left arm
(C) Right leg
(D) Left leg
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?
5 mm
7.5 mm
10 mm
12.5 mm
Which leads all use the right arm electrode?
(A) Leads I, III, and aVL
(B) Leads I, II, and aVR
(C) Leads I, III, and aVR
(D) Leads aVR, V1, and V2
Which of these types of identifying information are best used to confirm a patient's identity?
(Choose two.)
A. Last name
B. Full name
C. Home address
D. Date of birth
E. Facility room number
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) The facility management department
(B) The biomedical engineering department
(C) The nursing department
(D) The operations department
Pulmonary embolism occurs when ________________ enters the lungs.
Fluid
Blood
A blood clot
Mucus
NSTEMI is a type of heart attack in which
(A) There is no ST segment elevation
(B) ST segment elevation is no greater than 2 mm
(C) ST segment elevation is transient
(D) ST segment depression replaces ST segment elevation
In what circumstances should an EKG technician wash hands after conducting an EKG?
(A) After every EKG performed
(B) Only after performing an EKG on a patient under contact precautions
(C) After performing an EKG on a patient who is either under contact precautions or has
open wounds
(D) After performing an EKG on a patient who is under any Transmission-Based precautions
or has open wounds
During an exercise stress test the EKG technician sees the EKG changes shown above. These
changes are associated with
Cardiomyopathy
Ischemia
Myocardial infarction
Ventricular tachycardia
It is a violation of confidentiality to speak about a patient
(A) With the doctor who ordered an EKG for the patient
(B) With the nurse who is on duty during the performance of a stress test on the patient
(C) With a doctor who works at a different facility but specializes in treating the condition the patient suffers
(D) With the facility’s billing office
This strip shows a rhythm that originates
(A) In the SA node
(B) In the atrial tissue
(C) In the junctional tissue
(D) In the ventricles
When are vital signs measured during an exercise stress test?
(A) Before, every 2.5 minutes during, and after the stress test
(B) Before and immediately after the stress test
(C) Before and then 5, 10, and 15 minutes after the stress test
(D) Every five minutes during, and 5, 10, and 15 minutes after the stress test
Leads aVR, aVL, avF, V1, V2, V3, V4, V5, and V6 are all
(A) Bipolar leads
(B) Contiguous leads
(C) Unipolar leads
(D) Concentric leads
The P wave shown in this image is best described as
Biphasic
Inverted
Notched
Pointed
What is the largest artery in the body?
(A) The femoral artery
(B) The carotid artery
(C) The aorta
(D) The brachial artery
Torsades de pointes is a variation of
(A) Sinus rhythm
(B) Heart block
(C) Ventricular tachycardia
(D) Ventricular fibrillation
Which set of heart rhythm names below shows different names for the same rhythm?
(A) Ventricular tachycardia/ventricular fibrillation
(B) Junctional escape rhythm/premature junctional contractions
(C) Sinus arrhythmia/sinus arrest
(D) Wenckebach block/Mobitz type I
An escape beat is a heartbeat that is
Fast
Strong
Early
Late