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