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Chapters 6, 7, & 8 ECG Quiz

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

Which of the following is a function of an ECG?

a)

To measure cardiac muscle hypertrophy

b)

To identify cardiac output

c)

To measure the mechanical contraction of the heart

d)

To detect previous myocardial events

2.

What is the purpose of the grounding electrode?

a)

To capture any heart irregularities

b)

To capture any arrhythmias

c)

To measure heart muscle activity

d)

To reduce electrical interference from outside of the body

3.

The electrode for what lead is placed on the right side of the sternum at the 4th intercostal space?

a)

Lead V3

b)

Lead V4

c)

Lead V1

d)

Lead V2

4.

What is the universal precordial lead color for the electrode placed in the 5th intercostal space at the mid-axillary line?

a)

Orange

b)

Red

c)

Yellow

d)

Purple

5.

The first three limb leads are identified as Lead I, Lead II, and Lead III and are all what type of leads?

a)

Augmented

b)

Bipolar

c)

Ground

d)

Unipolar

6.

Which of the following can be made of foam, cloth, or wet gel and come in various sizes from neonate, infant, pediatric, and adult?

a)

Electrodes

b)

Leads

c)

Cables

d)

Clips

7.

Why are ECG electrodes attached to the skin?

a)

To help with the conduction of the sound

b)

To measure heart muscle activity

c)

To transfer the sound

d)

To capture any patient events

8.

On an ECG, what measures the direction and intensity of voltage being discharged by the heart at a specific time?

a)

Leads

b)

Clips

c)

Cables

d)

Electrodes

9.

Leads v4, v5, and v6 may be moved to the posterior axillary line thru the paraspinal line (v7, v8, v9) if the physician wants an alternate heart view based on suspected damage in what part of the heart?

a)

Posterior

b)

Right atria

c)

Right ventricle

d)

Anterior

10.

In placing precordial leads, be sure to affix all the electrodes on the left side of the sternum with the exception of which lead?

a)

V1

b)

V2

c)

V3

d)

V4

11.

Precordial leads v2-v6 may be moved to the right side of the sternum if the physician wants an alternate heart view based on suspected damage in what part of the heart?

a)

Posterior

b)

Right ventricle

c)

Left ventricle

d)

Anterior

12.

On a normal ECG, the electrical current in Leads I, II, and III are all moving in what direction?

a)

Upward

b)

Left

c)

Downward

d)

Right

13.

Which of the following means that the health care practitioner has discussed the procedure, the risks, and the benefits of the ECG and allowed the patient to clarify any questions?

a)

Implied consent

b)

Necessary consent

c)

Informed consent

d)

Legal consent

14.

What is the only lead where it is acceptable to place the electrode over a bone?

a)

Lead V3

b)

Lead V2

c)

Lead V4

d)

Lead V1

15.

According to the North American limb lead color code, what color is used for the left leg (LL)?

a)

Red

b)

White

c)

Green

d)

Black

16.

When would informed consent occur?

a)

After performing the procedure and while explaining the next steps to the patient

b)

When the patient cannot provide written consent

c)

In any non-emergency clinical situation

d)

In a medical emergency

17.

What type of leads provide three views from a central point of the heart but only two of the views are of a heart wall?

a)

Modified leads

b)

Augmented leads

c)

Standard limb leads

d)

Precordial leads

18.

Which of the following occurs during a normal PR segment?

a)

Deflection

b)

Atrial fibrillation

c)

Atrial depolarization

d)

Atrial tachycardia

19.

When there is no electrical activity occurring within the heart, the ECG strip will show as a solid flat line called the ________.

a)

isoelectric line

b)

waveform

c)

depolarization loop

d)

missing wave

20.

Which of the following precordial lead errors does this ECG tracing represent?

a)

​Reversal of V1 and V6


b)

​Reversal of V1 and V2


c)

​Reversal of right arm and right leg leads


d)

​Both arms and legs limb leads reversed


21.

What type of waveforms cross the isoelectric line with part of the waveform being upright and part of the waveform appears as inverted?

a)

Fluttered

b)

Notched

c)

Fibrillated

d)

Biphasic

22.

Which of the following is calculated by using the horizontal axis on an ECG strip?

a)

Amplitude

b)

Heart phases

c)

Heart rate

d)

Heart rhythm

23.

The measurement of a wave starts when the wave departs the ___________.

a)

baseline

b)

isoelectric line

c)

vertical axis

d)

horizontal axis

24.

When the heart rhythm or heart rate is consistently or predictably irregular or abnormal, or absent, it is known as a(n) ___________.

a)

arrhythmia

b)

sinus rhythm

c)

atrial systole

d)

ventricular systole

25.

During what segment will the atria and ventricles be relaxed, which means the heart is in a diastolic state?

a)

PRI interval

b)

TP segment

c)

PR segment

d)

ST segment

26.

Calculate the heart rate for the ECG tracing below.

a)

60 bpm

b)

85 bpm

c)

115 bpm

d)

150 bpm

27.

__________ is the strength or magnitude of the action potential.

a)

Duration

b)

Repolarization

c)

Amplitude

d)

Conduction

28.

Stress, exercise, general health, previous cardiac events, even sleeping can all alter the heart rate. What type of heart rate does the ECG tracing in the figure below represent?

a)

Normal sinus rhythm

b)

Tachycardia

c)

Bradycardia

d)

Atrial fibrillation

29.

When the sinoatrial node begins the electrical impulse, which of the following waves is created on the grid as both the right and left atria are depolarized?

a)

R wave

b)

Q wave

c)

P wave

d)

S wave

30.

Which of the following is defined as a measurable, regularly recurring, impulse of the heart?

a)

Heart contractility

b)

Arrhythmia

c)

Heart rhythm

d)

Heart phases

31.

The ventricular relaxation phase that is represented by the T wave is also called _________.

a)

ventricular diastole

b)

ventricular depolarization

c)

atrial systole

d)

ventricular systole

32.

Which of the following shows up on an ECG tracing as a curved or spiked line either above or below the isoelectric line?

a)

Complex

b)

Wave

c)

Interval

d)

Segment

33.

Another term for baseline is ________ line.

a)

isoelectric

b)

reference

c)

neutral

d)

zero

34.

A(n) ________ on the ECG strip is a “time period” with no electrical activity occurring between waves, and if normal, looks like a flat line.

a)

artifact

b)

deflection

c)

interval

d)

segment

35.

What heart condition do the waves in the ECG tracing below represent?

a)

Atrial Flutter

b)

Junctional Arrhythmia

c)

Atrial Fibrillation

d)

Atrial Tachycardia

36.

Which of the following cardiac medications would be given if the indication is an acute coronary syndrome?

a)

Dopamine

b)

Lidocaine

c)

Vasopressin

d)

Nitroglycerin

37.

The primary difference between the sinus tachycardia and atrial tachycardia is found in the appearance of which of the following ECG tracings?

a)

ST segment

b)

P wave

c)

R wave

d)

T wave

38.

What heart condition do the waves in the ECG tracing below represent?

a)

Junctional Arrhythmia

b)

Atrial tachycardia

c)

Atrial flutter

d)

Atrial fibrillation

39.

What type of heart rates occur more commonly in infants, children, and young adults who are anxious or extremely fatigued?

a)

Ventricular asystole

b)

Supraventricular tachycardia

c)

Ventricular fibrillation

d)

Idioventricular rhythm

40.

Which of the following is the absence of any ventricular activity, no depolarization, no pulse, no blood is flowing through the heart, no cardiac output?

a)

Ventricular asystole

b)

Ventricular tachycardia

c)

Ventricular fibrillation

d)

Ventricular arrhythmia

41.

Which medication may be given to correct a bradycardic rhythm?

a)

amiodarone

b)

nitroglycerine

c)

atropine

d)

lidocaine

42.

What type of pacemaker ECG reading does the tracing below represent?

a)

Atrial Pacing

b)

Ventricular Pacing

c)

Dual Chamber Pacing

d)

Biventricular Pacing

43.

__________ is defined as a decrease in oxygenated blood flow to the heart muscle.

a)

Atrial arrhythmia

b)

Myocardial infarction

c)

Necrosis

d)

Ischemia

44.

In a pacemaker ECG, if a spike appears by itself with no P wave and no QRS complex, it is called a(n) __________.

a)

Over sensing

b)

Loss of capture

c)

Failure to pace

d)

Under Sensing

45.

Blockage of one or more coronary arteries that supply blood to the left ventricle is usually the cause of which of the following?

a)

Ventricular fibrillation

b)

Aneurysm

c)

Acute myocardial infarction

d)

Sudden cardiac arrest

46.

The ECG tracing below shows P prime (P’) wave presentations for what type of rhythm?

a)

Normal sinus rhythm

b)

Junctional tachycardia rhythm

c)

Ventricular tachycardia rhythm

d)

Sinus tachycardia rhythm

47.

Failure of the heart to pump oxygenated blood efficiently causing cardiopulmonary arrest, is an example of what type of cardiac compromise?

a)

Mechanical malfunction

b)

Coronary artery disease

c)

Electrical malfunction

d)

Injury

48.

Which of the following cardiac medications would be given if the indication is bradycardia?

a)

Nitroglycerin

b)

Adenosine

c)

Atropine

d)

Amiodarone

49.

Which of the following conditions is where the heart muscle cannot contract even though electrical activity appears on the ECG?

a)

Pulseless electrical activity

b)

Idioventricular rhythm

c)

Ventricular fibrillation

d)

Premature ventricular complex

50.

When medication no longer controls tachycardia, which of the following may be implanted into the patient to control these life-threatening arrhythmias?

a)

Synchronous pacemaker

b)

Implantable cardioverter defibrillator

c)

Transcutaneous pacemaker

d)

Asynchronous pacemaker