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EKG Practice Exam #1

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

In which of the following locations should an EKG technician place the leads for a resting EKG tracing for a patient who is in an immobile fetal position?

a)

On the patient's back

b)

On the patient's right side

c)

On the standard sites

d)

On the limbs only

2.

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?

a)

60/min

b)

75/min

c)

120/min

d)

150/min

3.

An EKG technician should recognize that a rhythm strip should be at least how many seconds long to accurately identify rate and rhythm?

a)

2 seconds

b)

4 seconds

c)

6 seconds

d)

8 seconds

4.

In which of the following locations should an EKG technician place the electrodes for V7, V8, and V9?

a)

Evenly spaced on the back between the axillary line and the vertebral column at the fifth intercostal space

b)

Evenly spaced on the right chest between the sternum and the right axillary line at the fifth interctal space

c)

On the axillary plane at the fifth intercostal space

d)

Evenly spaced on the left chest between the sternum and the left axillary line at the fifth intercostal space

5.

An EKG technician should follow which of the following recommendations regarding infection control practices in health care settings?

a)

Artificial nails should be no longer than 1.27 cm (0.5 in) in length

b)

Use an alcohol-based hand rub if there is visible contamination on the hands

c)

Remove soiled gloves prior to touching uncontaminated surfaces

d)

Wear the same gloves while performing different procedures on the same patient

6.

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?

a)

Prepare for defibrillation of the patient

b)

Document th erhythm in the patient's medical record

c)

Notify a licensed practitioner to evaluate the patient

d)

Evaluate the patient

7.

An EKG technician obtains a pulse oximetry reading of 88% from a patient. Which of the following terms should the technician use to describe the patient's condition?

a)

Rales

b)

Hypoxemia

c)

Hemoptysis

d)

Orthopnea

8.

An EKG technician is reviewing the EKG tracing of a patient who has ventricular hypertrophy. Which of the following findings should the technician expect?

a)

An ST segment depression is seen with ischemia, injury, or infarction

b)

Increases amplitude of the QRS complex

c)

Prolongation of the PR interval

d)

Irregularity of the P-P interval

9.

An EKG technician is caring for a patient who is experiencing heart palpitations. Which of the following interventions should the technician expect the provider to prescribe?

a)

Vasodilator medication

b)

Holter monitor

c)

Cardiac inotropic medication

d)

Chemical stress test

10.

Which of the following sites is the most appropriate for an EKG technician to use when taking the pulse of an infant?

a)

Brachial artery

b)

Carotid artery

c)

Femoral artery

11.

Which of the following actions should an EKG technician take when preparing a patient for a standard 12-lead EKG?

a)

Encourage the patient to ask questions during the procedure

b)

Instruct the patient to hold their breath

c)

Place electrodes over the patient's chest hair

d)

Have the patient remove any jewelry

12.

An EKG technician should recognize that which of the following signs are often present when a patient is experiencing ventricular tachycardia?

a)

Multiple premature ventricular contractions in a row

b)

Decreased heart rate

c)

Absence of R-R interval

d)

Narrow QRS complexes on the EKG tracing

13.

Which of the following methods can be used to calculate both regular and irregular rhythms?

a)

6-second method

b)

P-P method

c)

R-R method

d)

4-second method

14.

An EKG technician is preparing to perform a 12-lead EKG for a patient who has dextrocardia. In which of the following locations should the technician place the electrode for lead V1?

a)

Right sternal border, fourth intercostal space

b)

Left sternal border, fourth intercostal space

c)

Left mid-clavicular line, fifth intercostal space

d)

Right mid-clavicular line, fifth intercostal space

15.

An EKG technician is providing instructions to a patient who is to wear a cardiac event monitor at home. Which of the following statements by the patient indicates an understanding of the instructions?

a)

"I can take showers while wearing this monitor"

b)

"The monitor will keep track of all my daily activities"

c)

"I can continue to use my electric blanket while wearing the monitor"

d)

"I will continue to do my daily walk to the grocery store"