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NHA CET
NHA CET
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Questions
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1
Which of the following actions should the tech take when performing a stress test?
Administer oxygen prior to test
Allow the patient to wear jewelry during test
Apply lotion before placing electrodes
Shave areas with excess body hair before applying electrodes
2
What is the most important action an EKG tech should do to break the chain of infection?
Sanitize exam table.
Wearing PPE
Wash hands
Disinfecting EKG leads
3
Which of the following can result in an interrupted baseline on an EKG tracing?
Corroded lead wires
Crossed lead wires
Hair on the skin under the electrodes
Involuntary muscle movements
4
Where would you place the electrode for V5 on a patient with dextrocardia?
fourth intercostace space on right side of sternum
fifth intercostal space on left side of sternum
Right anterior axillary line, fifth intercostal space
Midwqay between V4 and V6 on left side of chest
5
Which electrode is used to create leads I, II, and aVR?
Right arm
Left arm
Left leg
Right leg
6
What type of test should the EKG tech expect to be prescribed to a patient having heart palpitations?
Vasodilator medication
Holter Monitor
Cardiac inotropic medication
Chemical stress test
7
Which of the following artifacts is described as the tracing drifting away from the center of the paper?
Interrupted baseline
Wandering baseline
AC interference
Somatic tremor
8
An EKG tech notes a positive deflection of the waveforms on lead aVR. Which steps should the tech take?
Remove tension from lead wires
Immediately print the EKG results
Verify lead and electrode placement
Reposition the patient on the exam table
9
Which of the following locations would a tech place the ground electrode on a 5 lead holter monitor?
Over the manubrium
Left lower abdomen
Over the fourth intercostal space
Right lower abdomen
10
An EKG tech hears another staff member making derogatory comments about a patient. What is this an example of?
Battery
Slander
Libel
Assault
11
Where should an EKG tech place the leads of a resting EKG tracing on a patient who is in an immoble fetal position
On the standard sites
On the limbs only
On the patients back
On the patients righ side
12
During a stress test, a patient becomes nauseated and vomits blood tinged fluide. Where would you dispose of this?
Biohazard bag
Trash can
Soiled utility sink
Sharps container
13
which of the following heart rates is expected for an adolescent?
62 / BPM
100 / BPM
120 / BPM
80 / BPM
14
Which of the following actions should a tech take when preparing a patient for a exercise stress test?
Administer oxygen to the patient prior to testing
Allow the patient to wear jewelry during the test
Shave areas with excessive body hair before applying electrodes
Administer moisturizing lotion before applying electrodes
15
Which action is the most important to break the chain of infection
Wearing PPE
Disinfecting the EKG leads
Washing your hands
Sanitizing the table
16
Which of the followng tracings on an EKG can indicate a prior myocardial infarction?
Prolonged PR interval
Pathogenic Q waves
Narrow QRS complex
Small P waves
17
Which of the following changes t the settings of an EKG machine will double the height of the tracing it produces?
25 mm/second
20 mm/mV
10 mm/mV
50 mm/second
18
Which of the following locations should an EKG tech place the electrode for V5?
On the left midaxillary line, horizontal to V4
On the left anterior axillary line, horizontal to V4
On the left midclavicular line, fifth intercostal space
On the right margin of the sternum fourth intercostal space
19
Following best practices, how frequently should an EKG tech disinfect lead wires and clips?
At the end of every shift
Once every hour
Once weekly
After each use
20
A tech notices the calibration mark measures 10 mm high and 10 mm wide. Which of the following settings is being used?
0.5 mm/mV
2 mm/mV
2 mm/mV
50 mm/second
21
What term describes the RYTHM of the pulse
Weak
Irregular
Bounding
Strong
22
A tech applies a pulse oximety device to a patient undergoing a stress test. What is the pulse oximetry measuring?
Oxygen saturation
Cardiac rhythm
Respiratory rate
Cardiac output
23
Which of the following is the correct elad placement for an exercise stress test?
Precordial leads arenot used for exercise stress test
Lead placement is the same as a 12 lead EKG
Limb leads are placed on the torso
Limb leads are not used for exercise stress test
24
Which speed is the most commonly used for an EKG?
60 mm/second
10 mm/second
5 mm/second
25 mm/second
25
How many seconds long does the EKG strip need to be to accuratly identify rate and rhythm?
2 seconds
8 seconds
4 seconds
6 seconds
26
Which term should be used on a patient who has an O2 of 88%?
Hypoxemia
Hemoptysis
Rales
Orthopnea
27
For which type of heart block would you want to monitor a patients sigs and symptoms of decreased cardiac output?
Third degree AV block
Second degree AV block, Mobits 2
First degree AV block
Second degree AV block, Mobits 1
28
Which of the following signs is present on a patient experiencing ventricular tachycardia?
Multiple premature ventricular contractions
Narrow QRS complex
Decreased heart rate
Absence of R-R interval
29
Which healthcare professional is responsible for communicating the EKG results?
The RN
The EKG tech
The CMA
The Cardiologist
30
Which of the following is a type of continuous monitoring in an inpatient facility?
Holter Monitoring
Loop memory monitoring
Telemetry monitoring
Postsymptom event monitoring
31
Which of the following findings indicate a myocardial infaction
Arm weakness
Facial drooping
Cyanosis
Aphasia
32
Which of the following signs is a symptom of cardiac distress?
BP 138/78
Respiration 24 per min
Heart rate 100 BPM
SA O2 82%
33
What is the duration of the QT interval for the following tracing?
0.06 seconds
0.51 seconds
0.12 seconds
0.35 Seconds
34
Which of the following tests uses a gamma camera?
Exercise stress test
Nuclear stress test
Stress echocardiogram
Chemical stress test
35
Where should V1 electrode be placed?
Midaxillary line at the same level as V4
Anterior axillary line at sam horizontal level as V4
Fourth intercostace space at right sternal border
Fifth intercostal space at midclavicular line
36
Which of the following should an EKG Tech expect for a patient who is experiencing cardiopulmonary compromise
Sudden weight loss
Persistent chest discomfort
Warm, Dry Skin
Hypertension
37
Which of the following arrhythmias is shown in this ECG tracing?
Ventricular pacemaker
Atrial Flutter
Sinus tachycardia
Accelerated junctional rhythm
38
Which term describes an EKG technicians writing defamatory comments in a patient's chart?
Slander
Libel
Battery
Assault
39
A Pt states "My chest has been hurting for 2 days." Which of the following represents restatement?
Your chest has been hurting?
You seem concerned about some pain
Have you had this kind of pain before?
Tell me more about your chest pain
40
Which of the following instructions should an EKG tech include when prepping a patient for a stress test?
You should fast for 24 hours
You can use tobacco up to 1 hour prior to the test
You should avoid taking beta-blockers for the rest of the day
You can drink caffeine up to 30 min before the test
41
Which of the following stress tests uses a gamma camera?
Nuclear stress test
Chemical stress test
Stress echocardiogram
Excercise stress test
42
What findings on this tracing should an EKG tech identify as unexpected?
The QT interval
The shape of the P wave
ST-segment elevation
The irregular rhythm
43
Where should the electrode for the right leg be placed on a patient with a below the knee left leg amputation?
on the lower left torso
on the lower right leg
On the lower right foot
On the lower right abdomen
44
Which of the following is the expected shape and direction of the P wave in lead II in a healthy adult patient?
Peaked and upright
Rounded and inverted
Peaked and inverted
Rounded and upright
45
A thin spike before the P wave indicates that a pacemaker has been implanted pace ...
The ventricles
The Atria
46
An EKG tech is preparing for a standard 12-lead EKG. What is the correct placement for lead V4?
The fourth intercostal space at the midclavicular line
The fourth intercostal space at the midaxillary line
The fifth intercostal space at the midclavicular line
The fifth intercostal space at the midaxillary line
47
Which of the following actions should be taken to reduce artifacts associated with tremors related parkinson's disease?
Raise the head of the bed to semi-fowlers
Have the patient place their hands palms down under their buttocks
48
EKG technicians can give the results to the patient
True
False
49
What action should an EKG tech take immediately after attaching the telemetry lead wires to the electrode?
Place patient in correct anatomical position
Tape lead wires to the patient's skin to prevent tension on electrodes
Check wire colors to ensure correct attachement
Check a baseline EKG tracing for monitor clarity
50
Which intervals should be used to determine the regularity of ventricular depolarization?
R-R Wave interval
P-P Wave interval
PR interval
QT interval
51
Where would information about a prior surgery go in a patients health history?
Past medical history
Review of symptoms
Family history
Social history
52
Which of the following sites should a tech palpaate the patients pulse prior to initiating CPR?
Temporal
Carotid
Femoral
radial
53
You are performing a 12 lead EKG on a patient with a below the knee left leg amputation. Which action should be taken?
Place left leg electrode on left thigh and right leg below the knee
Place both leg electrodes below the knee on the right leg
Place both leg electrodes on patients thighs
Place left leg electrode on amputation site
54
Which of the following should an EKG Tech expect for a patient who is experiencing cardiopulmonary compromise
Sudden weight loss
Warm, Dry Skin
Hypertension
Persistent chest discomfort
55
Where would you place an electrode on a patient with a below the knee amputation of the left leg?
on the lower right abdomen
on the lower left torso
On the right lower foot
on the lower right leg
56
What is an expected finding of impaired conduction through the AV node when measuring intervals on an EKG?at
Decreased QT intervals
Prolonged QRS intervals.
Prolonged QT intervals
Prolonged PR intervals
57
Which of the following leads is located at the intersection of the midclavicular line and the fifth intercostal space?
V4
V2
V6
V5
