the patient is attached to a 5-lead monitor. Which of the following actions should the technician take?

Remove the electrodes for the 5 lead before attaching the 12 leads

How to reduce anxiety for a 9 year old when having to perform A 12 LEAD EKG

Allow the child to touch the equipment before the procedure

For which of the following patients should an EKG technician expect the provider to prescribe a chemical stress test?

A patient who is 40 years old and is unable to walk

Which of the following actions should the technician take first on the EKG tracing for ventricular fibrillation

Determine if the patient is responsive

which of the following locations is used to find the apical pulse?

Between the fifth and sixth ribs and the left midclavicular line

The most effective technique for an EKG technician to use to verify that a patient understands the Holter monitor

Have the patient repeat the instructions back

After completing a standard 12-lead EKG on a patient, which of the following actions should an EKG technician take next?

Check the tracing is free from artifacts than disconnect the patient

EKG on an infant, which of the following locations should the EKG technician place the electrode for lead V3R?

Between v2 and v4 on the right side of the chest

The patient is wearing a Holter monitor and reports severe chest pain and shortness of breath what should you do next

Have someone call emergency service

Which of the following methods should an EKG technician use to store electrodes when not in use?

in the original foil lined packaging

which of the following situations is it acceptable for an EKG technician to share a patient's PHI

An inquiry for training purposes

which of the following situations is acceptable for an EKG technician to share a patient's protected health information?

An inquiry for training purposes form the quality assurance office

Which of the following findings should indicate to the technician that the patient is experiencing an adverse reaction?

Report of tingling sensations in the lower extremities

Which of the following actions should an EKG technician perform for a patient immediately before an exercise stress test

Measure the blood pressure and obtain an EKG , supine sitting standing up

which of the following is characteristic of the EKG tracing for a patient who has atrial fibrillation?

R-R interval is irregularly irregular

Which of the following actions should the technician instruct the patient to take if any electrodes become loose?

Apply surgical tape to the electrodes to keep them in place

Which of the following statements made by an EKG technician correctly prepares the patient for telemetry monitoring?

I will clean your skin with an alcohol pad

Which of the following actions should the technician take?

Ensure that the ground wire is attached to the patient properly

Which of the following statements by the patient should the technician enter into the social history section?

I have smoked cigarettes for a long time

Which of the following actions should the technician take for a patient who is prescribed contact precautions?

Remove gloves before leaving the patient's room

Which of the following methods should an EKG technician use to calculate a patient's heart rate from the EKG tracing?

Divide 300 by the number of large boxes

Which of the following statements by the patient indicates an understanding of home care instructions?

I should record spontaneous symptoms unrelated to an activity

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Practice test 5 EKG

100 termsStudBud Administration62 plays

Test your knowledge on the fundamentals of EKG interpretation and lead placement

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Questions 100

Answers

1
what is the heart rate
280
180
200
300
2
Which of the following findings is consistent with bradycardia?
Blood pressure of 100/80 mm hg
Cold and clammy skin
pulse rate of 140/min
Hyperventilation
3
Which of the following resting heart rates is within the expected reference range.
15/min
80/min
185/min
120/min
4
the patient is attached to a 5-lead monitor. Which of the following actions should the technician take?
Cancel the 12 lead EKG because the patient is attached to the lead monitor
Apply the electrodes for the 12 leads around the 5 leads
Attach 7 electrodes and the preform the 12 lead ekg
Remove the electrodes for the 5 lead before attaching the 12 leads
5
location for an EKG technician to use to measure the heart rate for an adult patient following an exercise stress test?
Femoral
Radial
Carotid
Brachial
6
How to reduce anxiety for a 9 year old when having to perform A 12 LEAD EKG
Wait 15 mins before entering the child's room
Give the child the option to ask their patient to leave the room
Allow the child to touch the equipment before the procedure
Explain the procedure to the child using medical terminology
7
what is the heart rate
54
40
80
55
8
Which of the following is the result of atrial depolarization?
U wave
T wave
P wave
QRS complex
9
The most accurate for an EKG technician to use when measuring the body temperature of a young child?
Tympanic
Temporal
Axillary
Oral
10
what is the heart rate
30
60
180
70
11
For which of the following patients should an EKG technician expect the provider to prescribe a chemical stress test?
A patient who is 55 years old and have been taking anticoagulants
A patient who is 40 years old and is unable to walk
A patient who is 35 years old and requires interpretive services
A patient who is 60 years old and has a HX or coronary artery disease
12
Which of the following leads is created between the left arm and left leg?
Lead aVF
Lead III
Lead I
Lead aVL
13
Which of the following actions should the technician take first on the EKG tracing for ventricular fibrillation
Check the patient for breathing
Apply automated external defibrillator pads
Determine if the patient is responsive
Begin chest compressions
14
Which of the following is the result of atrial depolarization?
P wave
T wave
U wave
QRS Complex
15
which of the following locations is used to find the apical pulse?
Between the larynx and the left sternocleidomastoid muscle
Between the fifth and sixth ribs and the left midclavicular line
The antecubital aspect of the left or right elbow
The thumb side of the left wrist
16
Which of the following findings on the tracing should an EKG technician identify as an unexpected finding?
The QT interval
The variable shape of the Pwave
The irregular rhythm
The ST segment elevation
17
Identify the rhythm in the tracing below.
Wandering atrial Pacemaker WAT
Atrial Fibrillation AF
Multifocal atrial tachycardia MAT
Atrial Flutter with variable conduction
18
The patient for signs and symptoms of decreased cardiac output that could lead to cardiac arrest?
Third degree AV block
Second degree AV block Mobitz II
Second degree AV block Mobitz I
First degree AV block
19
The most effective technique for an EKG technician to use to verify that a patient understands the Holter monitor
Watch the patient for signs of understanding
Have the patient repeat the instructions back
Ask the patient if they understand the instructions
Have the patient complete a test about the instructions
20
Which of the following waves should an EKG technician use to determine the regularity of the ventricular rate?
P wave
R wave
U wave
T wave
21
PR interval that spans four small boxes on the EKG paper has which of the following durations?
0.2 seconds
0.12 seconds
0.08 seconds
0.16 seconds
22
After completing a standard 12-lead EKG on a patient, which of the following actions should an EKG technician take next?
Remove the Electrodes and assist the patient to sit up
Remove the EKG tracing from the machine and provide privacy
Check the tracing is free from artifacts than disconnect the patient
Tell the patient that the test is complete and the provider will be in
23
Calculate the heart rate in the tracing below using the 1500 method.
68/min
40/min
53/min
75/min
24
How to break the chain of infection
Sanitizing the examination table
Wearing PPE
Disinfecting the EKG leads
Washing hands
25
Which of the following is an expected finding of impaired conduction through the AV node?
Prolonged PR interval
Prolonged QRS interval
Prolonged QT interval
Decreased QT interval
26
EKG on an infant, which of the following locations should the EKG technician place the electrode for lead V3R?
Fourth intercostal space on the left side of the chest
Between v2 and v4 on the left side of the chest
Fourth intercostal space on the right side of the chest
Between v2 and v4 on the right side of the chest
27
which of the following locations should an EKG technician place the ground electrode? Telemetry
on the right lower leg
On the right upper arm
on the left lower leg
on the left upper arm
28
Interrupted baseline. The technician knows that this artifact is most likely caused by which of the following?
Improper skin preparation
Patient tremors
Lead corrosion
Improper grounding
29
The patient is wearing a Holter monitor and reports severe chest pain and shortness of breath what should you do next
Tell the patient to hang up the phone and call 911
Place the patient on hold
Have someone call emergency service
Remind the patient to document the incident
30
what is the heart rate
60
80
110
86
31
Which of the following methods should an EKG technician use to store electrodes when not in use?
Loose in the EKG cart
in an open plastic bag
in the original foil lined packaging
In a folded paper bag
32
What is the heart rate
60
140
80
75
33
which of the following situations is it acceptable for an EKG technician to share a patient's PHI
A conversation with an EKG tech from a sister facility
A discussion with the patient's provider in the cafe
An unencrypted test message exchange with the patients provider
An inquiry for training purposes
34
When applying a Holter monitor, how many monitor leads are placed on the patient?
10
Five
Six
12
35
which of the following situations is acceptable for an EKG technician to share a patient's protected health information?
A discussion with the patients provider in the cafeteria
An inquiry for training purposes form the quality assurance office
A conversation with an ekg technician from a sister facility
An unencrypted test message exchange with the patient's provider
36
Which of the following patient conditions during a stress test would require and emergency stop
heart rate of 148/min
Nausea
syncope
Fatigue
37
Which of the following findings should indicate to the technician that the patient is experiencing an adverse reaction?
Presence of sinus tachycardia with a regular R-R interval
Report of tingling sensations in the lower extremities
Increase in blood pressure from 110/70 to 120/78 mm hg
An oxygen saturation of 95%
38
Which of the following actions should an EKG technician perform for a patient immediately before an exercise stress test
Confirm the patient has not had anything to eat or drink for 6 hours
Use soap and water to shave the skin prior to electrode placement
Measure the blood pressure and obtain an EKG , supine sitting standing up
Ensure the patient is taking all prescription medication
39
which of the following is characteristic of the EKG tracing for a patient who has atrial fibrillation?
R-R interval is irregularly irregular
P-P interval occurs regularly
Prolonged QRS duration
Clearly defined T waves
40
what is the heart rate
60
120
80
50
41
Which of the following actions should the technician instruct the patient to take if any electrodes become loose?
Apply fresh electrodes from the same manufacturer
Shave hair from the sites and re-position the electrodes
Use an alcohol swab to wipe dirt and oils from the skin
Apply surgical tape to the electrodes to keep them in place
42
The pulse oximetry device provides information about which of the following test parameters
oxygen saturation
Cardiac output
Respiratory rate
Cardiac rhythm
43
Which of the following statements made by an EKG technician correctly prepares the patient for telemetry monitoring?
A mild rash or skin redness should be expected around the electrodes
You may feel a slight warming sensation after the electrodes are placed
Electrodes will be replaced once per week while you're in the hospital
I will clean your skin with an alcohol pad
44
Which of the following actions should the technician take?
instruct the patient to breath slowly and deeply
Mark the tracing as the patient's baseline in the medical record
Examine the cables for damage
Ensure that the ground wire is attached to the patient properly
45
Which pulse is used during cardiopulmonary resuscitation (CPR)?
Dorsalis Pedis
Popliteal
Carotid
Temporal
46
Which of the following rhythm patterns should the technician expect after a pacing spike?
Wide QRS interval
Regular P waves
AV delay between 0.12 and 0.16 seconds
QRS interval between 0.06 and 0.10 seconds
47
Which of the following statements by the patient should the technician enter into the social history section?
I had an appendectomy 1 year ago
I had chicken pox when i was 10 years old
My parents both had a heart attack
I have smoked cigarettes for a long time
48
Which of the following actions should the technician take for a patient who is prescribed contact precautions?
Keep the door to the patients room closed
Disinfect the ekg machine immediately prior to entering the room
Remove gloves before leaving the patient's room
Wear an N-95 mask if there is a potential exposure to blood
49
Which of the following methods should an EKG technician use to calculate a patient's heart rate from the EKG tracing?
Calculate the mean rate and divide 1500 by the rate
Count the number of small boxes in two cardiac cycles
Divide 300 by the number of large boxes
Count the number of large boxes between P and T waves
50
Which of the following statements by the patient indicates an understanding of home care instructions?
I can turn the Holter monitor off in order to shower
I should record spontaneous symptoms unrelated to an activity
I should not replace electrodes that come loose
I should avoid daily activates that might trigger heart abnormalities
51
Which of the following artifacts is shown in the tracing below?
Electrical interference
Wandering baseline
Somatic tremor
Interrupted baseline
52
Which of the following limbs should the technician check first when correcting this problem?
Left arm
Right leg
Left leg
Right arm
53
Which instructions should the tech tell the patient before a stress test.
You should avoid taking beta blockers on the day of the test
You can use tobacco products up to 1 hour prior to starting the test.
You should fast 24 hours prior to starting the test
drink caffeinated beverages up to 30 minutes prior to starting the test
54
Which position should your patient be in for an EKG
Supine position
Left lateral position
Right lateral position
Trendelenburg position
55
Which of the following accurately describes the rhythm?
Junctional Rhythm
First degree AV heart block
Seconds-degree AV heart block Mobitz type II
Normal sinus rhythm
56
A drift on the EKG paper is a sign of which artifact
Somatic tremor
Wandering baseline
Interrupted baseline
AC interference
57
Patient has a rhythm of ventricular tachycardia. Which of the following actions should the technician take first?
Document the rhythm on the patient's medical record
Prepare for defibrillation of the patient
Notify a licensed practitioner to evaluate the patient
Verify the time of the last dose of the patient's cardiac medications
58
transtelephonic monitor with loop memory. Which of the following instructions should the technician include?
Remove the monitor when connecting to the phone or internet
Record a notation in your diary when the pain starts
press the record button on the device when you begin to feel chest pain
Contact the technician at the central monitoring station
59
In which of the following locations should the technician place the V6 electrode? patient is 9 years old
Left midaxillary line
Right midclavicular space
Right midaxillary line
left midclavicular space
60
Which of the following actions should the technician take for a standard EKG
Apply an oil-free moisturizer to adhere the electrodes to the skin
Assist the patient into Sim's position before placing the electrodes
Select the most muscular site for the electrode placement
Use an alcohol pad to cleanse the electrode placement sites
61
Which of the following responses should the technician make when a patient ask why they need and EKG done.
The test is used to determine whether your heart is receiving enough blood
It is used to show your hearts rhythm for the past week
This test is used to measure your hearts stroke volume for the duration
The results can be used to determine if changes have occurred
62
Which of the following describes a complete cardiac cycle in a healthy heart?
P wave, Q wave, ST segment
P wave, QRS complex, P wave
P wave, QRS complex, T wave
P wave , QRS complex, QT interval
63
Patient is experiencing heart palpitations. The technician should expect the provider to prescribe?
Chemical Stress test
Cardiac inotropic medication
Holter monitor
Vasodilator medication
64
A thin spike before the P wave indicates that a pacemaker has been implanted to pace which of the following?
Early Repolarization
Ventricles
Atria
Late repolarization
65
After completing a standard 12-lead EKG on a patient, which of the following actions should an EKG technician take next?
Check the tracing is free from artifacts and then disconnect the patient
Tell the patient that the test is complete and the provider will be in soon
Re move the electrodes and assist the patient to a sitting position
Remove the EKG tracing from the machine and provide privacy for the patient
66
Which of the following sections of the EKG tracing should an EKG technician use to measure the QRS complex?
End of the Q wave to the beginning of the T wave
Beginning of the Q wave to the beginning of the S wave
End of the Q wave to the beginning of the S wave
Beginning of the Q wave to the end of the S wave
67
Which of the following lead groups forms Einthoven's triangle?
leads avr, avl and avf
leads I, II and III
leads v1, v2 and v3
Leads v4,v5 and v6
68
What is the heart rate
80
72
60
70
69
Which lead is on the right side of the patient's sternum at the fourth intercostal space?
lead I
Lead v1
Lead MCL2
Lead aVR
70
what is the heart rate
110
70
80
90
71
derogatory comments about a patient's appearance is considered which tort law
Libel
Battery
Slander
Assault
72
Recognize that the test can be stopped when the patient reaches what percentage of their target heart rate?
25%-40%
65%-80%
85%-100%
45%-60%
73
Resting tab electrodes should not be used for more than two consecutive EKG tracings?
The electrodes cannot conduct the signal after two EKG tracings
The electrodes will not conduct accurately after two EKG tracings
The electrodes need to be cleaned after two EKG tracings
The electrodes will not re-adhere to the skin
74
Which of the following speed controls should the technician select?
25 mm/second
50 mm/second
5 mm/ second
10 mm/second
75
How to respond to a patient who is upset that the technician cannot share the results of the tracing?
I wish i could help you
I understand your frustration, the provider will interpret the results
I know it's difficult to wait but everything looks fine
I am sorry but I only run the strip
76
Which should you expect the provider to prescribe when a patient is having palpitations?
Cardiac inotropic medication
Vasodilator medication
Holter Monitor
Chemical stress test
77
Which of the following locations should the technician place a cloth hand towel that is soiled by vomit
Sharps container
Trash can
Biohazard bag
Soiled utility sink
78
Which of the following speed settings should the technician use?
50 mm/second
25 mm/second
10mm/second
5 mm/second
79
When performing a posterior EKG, which of the following is the correct location for placement of lead V8?
Right midscapular line
Left midscapular line
Left posterior axillary line
Right posterior axillary line
80
What should the EKG technician include when preparing a patient for an upcoming exercise stress test?
The procedure should take about 10-15 minutes
be sure to eat a light meal 6-8 hours prior to the test
Refrain from caffeine, smoking or alcohol for 3 hours prior to the test
wear tight clothing around your lower abdominal area
81
rhythm that does not match the last tracing Which of the following actions should the technician take first?
Verify proper lead placement
Perform a maintenance check on the machine
Report the finding to the provider
Connect the patient to a different EKG machine
82
which of the following signs are often present when a patient is experiencing ventricular tachycardia?
Decreased heart rate
Multiple premature ventricular contractions in a row
Absence of R-R interval
Narrow QRS complexes on the EKG tracing
83
Which would protect the patient's health information in accordance with HIPAA regulations?
using corrective fluid on the patients name, address
Sending the EKG in an encrypted electronic file to the patient's employer
Restricting the patient's access to the EKG file
Hand delivering the EKG to the patient's provider
84
unconscious patient upon arrives at the emergency department. Which of the following actions should the technician take?
Wait for the provider to arrive before performing the EKg
Wait for the patient's adult child to arrive at the emergency department
Assume implied consent
Check the patient's insurance to ensure the EKG procedure is covered
85
After using the AED which of the following instructions should the technician except next
Check the patient for responsiveness
Monitor the patient's pulse
Check the patient's airway
Resume performing CPR on the patient
86
Which of the following actions should the technician take when performing a series of EKG readings for this patient?
Apply conductive gel to electrodes before application
Apply silver electrodes that can be checked daily
Rotate electrode positioning daily to reduce skin irritation
Replace the electrodes between each reading
87
EKG machine functions that control and regulate the height of EKG waveforms on the tracing?
Gain
Speed
Artifact filter
Output display
88
Which of the following actions is a technical safeguard for maintaining patient privacy
Enabling automatic log off from the electronic health record
Using a computer privacy screen when entering patient information
Including a confidentiality disclosure on emails that contain PHI
Using a person specific passwrd to access the EHR
89
Which of the following patient findings indicates myocardial infarction?
Arm weakness
Cyanosis
Facial drooping
Aphasia
90
Which of the following EKG changes indicates that the patient is beginning to show signs of myocardial ischemia?
Depressed ST segment
QRS complex of 0.10 seconds
PR interval of 0.16 seconds
Presence of a U wave
91
Which heart block have symptoms of decreased cardiac output that could lead to cardiac arrest?
Third degree AV block
Second degree AV block Mobitz II
Second degree AV block Mobitz I
First degree AV block
92
what is the heart rate
100
80
90
60
93
Which of the following actions should the technician take?
Administer rescue breathing
Defibrillate the patient
Begin chest compressions
Notify the provider
94
Which of the following lead groups are bipolar leads?
Leads I, II, and III
Leads aVR, aVL, and aVF
Leads V1, V2 and V3
Leads V4, V5 and V6
95
Which of the following is the arrhythmia shown in the EKG tracing below?
Sinus tachycardia
Atrial Flutter
Accelerated Junctional Rhythm
Ventricular pacemaker
96
Which three leads should the technician place at the same horizontal level?
Leads v1, v2 and v3
leads v2, v3 and v4
leads v3, v4 and v5
Leads v4, v5 and v6
97
Which of the following factors can produce an artifact that appears as uniform, small spikes on an EKG tracing?
Corroded leads
Patient movement
Poor skin preparation
improper grounding
98
My chest has been hurting for 2 days. Which example shows the tech is using active listening
You seem concerned about your pain
You have been having chest pain
Tell me more about your pain
Have you have this kind of pain before
99
Which of the following activities should an EKG technician instruct a patient to record in the Holter monitor diary?
Sleep position
Bike riding
Swimming
Driving
100
below-the-knee amputation of the left leg. Where should you place the right leg electrode?
on the lower right leg
on the lower right abdomen
on the lower left torso
On the lower right foot

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