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EKG 25-26

Total questions: 29

Worksheet time: 15mins

Name
Class
Date
1.

Which does a stress test measure?

a)

How efficiently blood moves through the heart and lungs.

b)

How well exercise relieves a person's anxiety.

c)

How the heart reacts to the increased need for oxygen during exercise.

d)

How the brain reacts to situations that cause fear.

2.

What is the purpose of the patient diary in Holter monitoring?

a)

Inform the patient of what items to avoid during the test.

b)

Supply a link to patient activity at the time of any abnormal results.

c)

Remind the patient about heart-healthy behaviors.

d)

Provide a place to document the results of the test.

3.

How many electrodes does a Holter monitor have?

a)

2

b)

3

c)

Up to 5

d)

Up to 12

4.

What does the assistant monitor for the patient throughout a stress test?

a)

Vital signs

b)

Oxygen saturation

c)

Physical appearance

d)

All of the Above

5.

What should the assistant do after seeing an urgent problem on an ECG tracing?

a)

Share the information with the patient right away.

b)

Notify the physician right away.

c)

Look in the patient's chart for an explanation.

d)

All of the above.

6.

What is the term for a heart rate of less than 60 beats per minute?

a)

Sinus bradycardia

b)

Atrial arrhythmia

c)

Ventricular arrhythmia

d)

Sinus tachycardia

7.

What is the formula for calculating heart rate using the QRS complexes?

a)

Calculate the average voltage of the QRS complexes.

b)

Count the length of time between QRS complexes.

c)

Count the height of the strongest QRS complex and divide by the length of time.

d)

Count the number of QRS complexes in 6 seconds and multiply by 10.

8.

Which of these arrhythmias will result in death without immediate treatment?

a)

PAC

b)

PVC

c)

Ventricular Fibrillation

d)

Atrial Fibrillation

9.

What is the normal paper speed for an ECG tracing?

a)

5 mm per second

b)

10 mm per second

c)

25 mm per second

d)

50 mm per second

10.

What type of ECG artifact is caused by muscle movement, such as shivering?

a)

AC interference

b)

Wandering baseline

c)

Somatic tremor

d)

Interrupted baseline

11.

One small square on ECG tracing paper _______.

a)

is 1 mm by 1 mm

b)

represents 0.2 seconds

c)

represents 0.04 seconds

d)

is 2 mm by 2 mm

e)

represents 0.1 mV

12.

If ECG artifacts are seen on Leads I and II, what is the likely source of interference?

a)

Left arm electrode

b)

Left leg electrode

c)

Right arm electrode

d)

All of the above

13.

When should the stylus move up on the paper 10 small squares and remain at that level for 2 small squares?

a)

Standard calibration

b)

One-half standardization

c)

Double standardization

d)

All of the above

14.

Which part of an ECG machine moves against the tracing paper to record the waves of the ECG cycle?

a)

Stylus

b)

Electrodes

c)

Amplifier

d)

Galvanometer

15.

The lines between which leads form Einthoven's triangle?

a)

Augmented

b)

Precordial

c)

Standard

d)

None of the above

16.

Which of these items are placed on the patient's limbs and chest in an ECG to detect impulses?

a)

Stylus

b)

Galvanometer

c)

Amplifier

d)

Electrodes

17.

Which limb electrode is used as a reference point and is not part of the ECG recording?

a)

Right arm (RA)

b)

Left arm (LA)

c)

Right leg (RL)

d)

Left leg (LL)

18.

Where are the electrodes that precordial leads monitor placed?

a)

Abdomen

b)

Legs

c)

Chest

d)

Arms

19.

After the first precordial electrode is placed, what is the correct order for the next three electrodes?

a)

V2, then V3, then V4.

b)

V3, then V2, then V4.

c)

V2, then V4, then V3.

d)

There is no recommended order.

20.

Which chamber of the heart contracts to send oxygenated blood through the aortic valve and out to the body's cells?

a)

Left atrium

b)

Left ventricle

c)

Right atrium

d)

Right ventricle

21.

Any condition that causes the heart to function abnormally is called what?

a)

Heart attack

b)

Cardiac arrest

c)

Heart disease

d)

Cardiac compromise

22.

Which of these tissues is known as the body's "natural pacemaker?"

a)

AV node

b)

SA node

c)

Purkinje fibers

d)

Bundle of His

23.

Which chamber of the heart receives oxygenated blood from the lungs?

a)

Left atrium

b)

Left ventricle

c)

Right atrium

d)

Right ventricle

24.

What is the contraction phase of a heartbeat?

a)

Impulse

b)

Diastole

c)

Cardiac

d)

Systole

25.

What is the leading cause of death in American adults?

a)

Heart disease

b)

Diabetes

c)

Angina

d)

Stroke

26.

The stiffening of blood vessels due to fatty plaque buildup is called ____________.

a)

acute coronary syndrome

b)

atherosclerosis

c)

myocardial ischemia

d)

cardiac arrest

27.

Which component of the ECG cycle shows ventricular depolarization?

a)

V

b)

QRS

c)

T

d)

P

28.

A reduction in blood flow to the heart is called ____________.

a)

cardiac arrest

b)

myocardial ischemia

c)

atherosclerosis

d)

acute coronary syndrome

29.

When does cardiac arrest occur?

a)

When blood to the heart causes intense chest pains

b)

When blood flow to the heart is blocked

c)

When the heart stops beating unexpectedly

d)

When the heart functions abnormally