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WorksheetsEKG CHAPTER 13 Review
Total questions: 20
Worksheet time: 10mins
What is ambulatory monitoring?
Ambulatory monitoring is a process of recording an ECG tracing while the patient performs daily activities.
Ambulatory monitoring is a method of measuring blood pressure only during sleep.
Ambulatory monitoring is a technique used to monitor brain activity during surgery.
Ambulatory monitoring is a process of recording heart rate only during exercise.
How long is ambulatory monitoring usually recorded?
24-48 hours
1-2 hours
72-96 hours
1 week
How many leads wires are generally required for Holter monitoring?
3-5 leads
1 lead
10-12 leads
8 leads
What does a patient record in their ambulatory monitoring diary?
Activities, Symptoms, Abnormal sensations
Medications only
Dietary intake only
Sleep patterns only
Blood pressure readings only
Should the patient be encouraged to move around and perform all normal daily activities while being monitored?
Yes. In fact, the test is not as valuable if the patient alters their normal activity.
No. The patient should remain in bed at all times during monitoring.
Only light activities are allowed, but strenuous activities should be avoided.
The patient should avoid any movement and rest completely.
CET’s responsibilities during ambulatory monitoring include:
Applying and removing the monitor, instructing the patient, and ensuring proper functioning of the device.
Diagnosing cardiac conditions based on the monitor results.
Prescribing medication for arrhythmias.
Performing surgical procedures related to cardiac monitoring.
Why is ambulatory monitoring used?
- To capture abnormal heart rhythms (dysrhythmias) when symptoms do not occur during 12-lead or stress ECGs
- To measure blood pressure response to exercise
- To diagnose lung diseases
- To assess kidney function
What patient symptoms might the physician order ambulatory monitoring to evaluate?
Chest pain, Light-headedness, Syncope, Dizziness, Palpitations
Fever, Cough, Sore throat, Runny nose, Headache
Abdominal pain, Nausea, Vomiting, Diarrhea, Constipation
Joint pain, Swelling, Redness, Stiffness, Warmth
What type of patient is not a good candidate for an ambulatory monitor?
Dementia or confused patients
Young healthy adults
Patients with mild headaches
Athletes in training
When would a patient use an event marker during ambulatory monitoring?
To mark the ECG tracing when the patient is experiencing symptoms
To start the ambulatory monitoring device
To record the patient's blood pressure
To signal the end of the monitoring period
Mrs. Hansen has an ambulatory monitor in place. What instructions do you give her regarding the electrodes?
Ensure the electrodes remain firmly attached to the skin at all times.
Remove the electrodes before showering and reapply them afterward.
Change the electrode positions every few hours.
Disconnect the monitor when feeling discomfort.
Continuous monitoring is:
A one-time assessment of a system.
The ongoing observation and analysis of system activities to detect problems or changes.
A process that occurs only during system installation.
A method of backing up data regularly.
What is an event marker?
The event marker records a mark on the ECG tracing when the patient presses it. This is used to mark the tracing when a patient event happened.
It is a device that automatically starts the ECG recording when the patient falls asleep.
It is a sensor that measures the patient's heart rate continuously.
It is a button that turns off the ECG machine during a test.
What should the patient do after pressing the event marker?
The patient should make a diary entry describing the event.
The patient should immediately call emergency services.
The patient should turn off the device.
The patient should remove the event marker from their body.
What is meant by intermittent ambulatory monitoring?
Intermittent recording records only while the patient is experiencing symptoms.
It continuously records the heart rate for 24 hours.
It is a type of blood pressure monitoring done only at night.
It is a method of monitoring oxygen saturation during exercise.
What type of monitoring is done in real time (tracing is being viewed as it happens)? Fill in the blank: ____________
Telemetry monitoring
Batch monitoring
Offline monitoring
Periodic monitoring
Which monitoring device can be worn on the wrist and records a bipolar lead I ECG tracing?
Symptom Event Monitor
Holter Monitor
Implantable Loop Recorder
Chest Strap Heart Rate Monitor
Which type of monitoring device can be implanted under the skin with a single lead?
Loop recorder
Holter monitor
Pacemaker
Event monitor
Which type of monitoring device can hold up to 96 hours of data and allows licensed practitioners to capture significant cardiac events even when the patient is not experiencing symptoms?
MCOT (Mobile Cardiac Outpatient Telemetry)
Holter monitor
Event recorder
Implantable loop recorder
Which type of ambulatory monitoring device is often used in a hospital?
Telemetry monitoring
Holter monitor
Event recorder
Ambulatory blood pressure monitor
