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