EKG tech at a central monitoring station notes that a pt has a rhythm of ventricular tachycardia. What should tech do?

Notify a licensed practitioner to evaluate the patient

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

Perform BP and EKG while the patient is supine, sitting, and standing up.

Where can the apical pulse be found?

Between the fifth and sixth ribs, at the left midclavicular line

An EKG tech is preparing to see a pt that speaks another language, what should the tech do to avoid miscommunication?

Have a bilingual staff member translate

Which of the following sections of the EKG tracing should an EKG technician use to measure the QRS complex?

Beginning of the Q wave to the end of the S wave

What vital sign changes during an exercise stress test should indicate that a pt is experiencing distress?

An increase in respirations from 18 to 36/min

Why resting tab electrodes should not be used for more than two consecutive EKG tracings?

The electrodes will not conduct accurately after two EKG tracings

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 between two R waves

An EKG tech is preparing a pt for a standard 12-lead EKG. Which of the following actions should the technician take?

Use an alcohol pad to cleanse the electrode placement sites.

What statement made by pt demonstrates an understanding of how to prepare for exercise stress test

"I can smoke the night before the exam"

When performing an EKG on an infant, where should the EKG tech place the electrode for lead V3R?

Between V2 and V4 on the right side of the chest

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

In the original, foil-lined packaging

What reason should an EKG technician instruct a patient to wear loose-fitting clothing while wearing a Holter monitor

To reduce artifact on the tracing

An EKG tech should recognize that which situation is an allowable disclosure of patient information according to HIPAA?

Patients write their name on a basic sign in sheet at the registration desk

A pt is prescribed to wear a Holter monitor for 24 hr. What statement by the patient indicates an understanding?

"I should record spontaneous symptoms unrelated to an activity"

For which of the following patients should an EKG technician expect to see somatic interference on the EKG tracing?

A 20-year-old patient who is experiencing a seizure

EKG tech should recognize that these signs are often present when a pt is experiencing ventricular tachycardia

Multiple premature ventricular contractions in a row

An EKG tech is educating a pt on use of an ambulatory monitor. What action should pt take for loose electrode

Apply surgical tape to the electrodes to keep them in place

How can EKG technician verify that a patient understands the Holter monitor instructions?

Have the patient repeat the instructions back

What instructions should an EKG tech include for a pt using a transtelephonic monitor with loop memory?

"Press the record button on the device when you begin to feel symptoms"

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"

EKG tech arrives to perform a 12-lead EKG on a pt who is already attached to a 5-lead EKG. What action should EKG take?

Remove electrodes for the 5-lead monitor before the 12-lead EKG

EKG tech is on the phone with a Holter monitor pt who has severe chest pain and SOB. What should tech do?

Have someone call emergency services while still on call with the patient

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Answers

1
EKG tech is measuring intervals on an EKG tracing. Which is an expected finding of impaired conduction through AV node?
Prolonged PR interval
Prolonged QT interval
Prolonged QRS interval
Decreased QT interval
2
Which artery is the best for an EKG tech to use to measure the HR for an adult patient following a stress test?
Radial
Carotid
Femoral
Brachial
3
Which lead is created when EKG tech places the electrode to the right of pt's sternum at the fourth intercostal space?
Lead V1
Lead MCL2
Lead aVR
Lead I
4
EKG tech at a central monitoring station notes that a pt has a rhythm of ventricular tachycardia. What should tech do?
Document the rhythm in 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.
5
An EKG tech is performing a stress test for a pt. Which EKG change indicates myocardial ischemia?
Presence of U wave
PR interval of 0.16 seconds
QRS complex of 0.10 seconds
Depressed ST segment
6
Which of the following lead groups are bipolar leads?
Leads I, II, and III
Leads V1, V2, and V3
Leads aVR, aVL, and aVF
Leads V4, V5, and V6
7
When placing electrodes on the pt for telemetry, where should an EKG technician place the ground electrode?
On the right upper arm
On the left lower leg
On the left upper arm
On the right lower leg
8
Which of the following actions should an EKG technician perform for a pt immediately before an exercise stress test?
Use soap and water to shave the skin prior to electrode placement
Ensure the patient has taken all prescription medications per usual
Confirm patient hasn't had anything to eat or drink for 6 hr before test.
Perform BP and EKG while the patient is supine, sitting, and standing up.
9
Where can the apical pulse be found?
The thumb side of the left wrist
Between the fifth and sixth ribs, at the left midclavicular line
Between the larynx and the left sternocleidomastoid muscle
The antecubital aspect of the left or right elbow
10
Which of the following sites is the most accurate for an EKG tech to use when measuring a patients body temperature?
Axillary
Oral
Temporal
Tympanic
11
An EKG tech is preparing to see a pt that speaks another language, what should the tech do to avoid miscommunication?
Rely on materials printed in the patient's native language
Have a bilingual staff member translate
Point and use other forms of nonverbal communication
Have a member of the patient's family translate
12
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
13
An EKG tech is caring for a pt who is experiencing heart palpitations. Which intervention should the tech expect?
Cardiac inotropic medication
Chemical stress test
Vasodilator medication
Holter monitor
14
What vital sign changes during an exercise stress test should indicate that a pt is experiencing distress?
An increase in pulse rate from 76 to 84/min
A decrease in temperature from 37.3° to 36.9°C (99.1° to 98.4°F)
An increase in respirations from 18 to 36/min
An increase in blood pressure from 120/80 to 128/84 mm HG
15
For a standard 12-lead EKG, which three leads should the tech place at the same horizontal level
Leads V4, V5, and V6
Leads V2, V3, and V4
Leads V3. V4, and V5
Leads V1, V2, and V3
16
Why 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 need to be cleaned after two EKG tracings
The electrodes will not conduct accurately after two EKG tracings
The electrodes will not stick to the skin after being removed
17
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 1,500 by that rate
Count the number of large boxes between P and T waves
Count the number of small boxes in two cardiac cycles
Divide 300 by the number of large boxes between two R waves
18
EKG tech should recognize that the stress test can be stopped when the pt reaches what percentage of target rate"
25% to 40%
85% to 100%
65% to 80%
45% to 60%
19
Which of the following leads is created between the left arm and left leg?
Lead aVF
Lead aVL
Lead I
Lead III
20
An EKG technician should recognize that which of the following is the most commonly used paper speed for an EKG?
50 mm/second
25 mm/second
10 mm/second
5 mm/second
21
Tech hears a staff member making derogatory comments about a pt. This is an example of which of the following torts?
Slander
Battery
Libel
Assault
22
An EKG tech is preparing a pt for a standard 12-lead EKG. Which of the following actions should the technician take?
Select the most muscular site for electrode placement
Use an alcohol pad to cleanse the electrode placement sites.
Apply an oil-free moisturizer to adhere the electrodes to the skin
Assist the patient into Sims' position before a placing the electrodes
23
What statement made by pt demonstrates an understanding of how to prepare for exercise stress test
"I cannot take my insulin the morning of the test"
"I should fast for 8 hours prior to the test"
"I can drink coffee two hours before the test"
"I can smoke the night before the exam"
24
Which EKG machine functions should an EKG tech use to control and regulate the height of EKG waveforms on the tracing
Speed
Artifact filter
Output display
Gain
25
Which of the following factors can produce an artifact that appears as uniform. small spikes on an EKG tracing?
Improper grounding
Poor skin preparation
Corroded leads
Patient movement
26
Which of the following lead groups forms Einthoven's triangle?
Leads I, II, and III
Leads V1, V2, and V2
Leads aVR, aVL, and aVF
Leads V4, V5, and v6
27
When performing an EKG on an infant, where should the EKG tech place the electrode for lead V3R?
Between V2 and V4 on the left side of the chest
Fourth intercostal space 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
28
Which of the following methods should an EKG technician use to store electrodes when not in use?
In the original, foil-lined packaging
In a folded paper bag
In an open plastic bag
Loose in the EKG cart
29
When performing a posterior EKG, which of the following is the correct location for placement of lead V8?
Left posterior axillary line
Right midscapular line
Right posterior axillary line
Left midscapular line
30
Which type of heart block should the tech observe pt for decreased cardiac output that could lead to cardiac arrest?
Second degree AV block, Mobitz II
Third degree AV block
First degree AV block
Second-degree AV block, Mobitz I
31
What reason should an EKG technician instruct a patient to wear loose-fitting clothing while wearing a Holter monitor
To increase the width of the waveforms
To minimize patient self-consciousness
To increase the height of the waveforms
To reduce artifact on the tracing
32
An EKG tech should recognize that which situation is an allowable disclosure of patient information according to HIPAA?
An employer calls the clinic to verify an employee's excused absence
Patients write their name on a basic sign in sheet at the registration desk
A pt can read the demographics screen of another pt's EHR at check-in
An employee gives a coworker access to their login to retrieve a pt's lab
33
An EKG tracing shows an interrupted baseline. What was likely the cause?
Improper grounding
Improper skin preparation
Lead corrosion
Patient tremors
34
A pt is prescribed to wear a Holter monitor for 24 hr. What statement by the patient indicates an understanding?
"I should record spontaneous symptoms unrelated to an activity"
"I should avoid activities that might trigger heart abnormalities"
"I should not replace electrodes that come loose"
"I can turn the Holter monitor off in order to shower or bathe"
35
EKG tech notices idioventricular rhythm on EKG, what should the tech do first?
Ask another tech to run an EKG
Call for help and stay with pt
Submit the reading and tell the provider that it's ready for interpretation
Tell pt there are significant findings. Ask if she feels any different
36
For which of the following patients should an EKG technician expect to see somatic interference on the EKG tracing?
A 60-year-old patient who is sweating profusely
A 10-year-old patient who is watching TV
A 30-year-old patient who is using a cell phone
A 20-year-old patient who is experiencing a seizure
37
During an exercise stress test, a pt reports heaviness on chest and becomes diaphoretic. What might this represent?
Transient ischemic attack
Congestive heart failure
Myocardial infarction
Cerebrovascular accident
38
Which pulse point is most frequently used to check an adult patient's pulse during cardiopulmonary resuscitation (CPR)?
Dorsalis pedis
Popliteal
Carotid
Temporal
39
Which of the following waves should an EKG technician use to determine the regularity of the ventricular rate?
R wave
U wave
T wave
P wave
40
What is used to ensure that the EKG machine is functioning properly?
Speed
Callibration
Artifact filter
Gain
41
In a healthy adult patient, which of the following is the expected shape and direction of the P wave in lead II?
Rounded and upright
Peaked and upright
Rounded and inverted
Peaked and inverted
42
Which of the following methods can be used to calculate both regular and irregular rhythms?
300 method
6-second method
1500 method
P-P method
43
EKG tech should recognize that these signs are often present when a pt is experiencing ventricular tachycardia
Absence of R-R interval
Decreased heart rate
Narrow QRS complexes on the EKG tracing
Multiple premature ventricular contractions in a row
44
An EKG tech is educating a pt on use of an ambulatory monitor. What action should pt take for loose electrode
Apply surgical tape to the electrodes to keep them in place
Apply fresh electrodes from the same manufacturer
Shave hair from the sites and replace the electrodes
Use an alcohol swab to wipe dirt and oils from the skin
45
How can EKG technician verify that a patient understands the Holter monitor instructions?
Ask the patient if they understand the instructions
Watch the patient for signs of understanding
Have the patient complete a test about the instructions
Have the patient repeat the instructions back
46
What instructions should an EKG tech include for a pt using a transtelephonic monitor with loop memory?
"Remove the monitor when connecting to the phone to send recording to CMS"
"Press the record button on the device when you begin to feel symptoms"
"Note in your diary the time and activity you were doing when pain started"
"Contact the tech at the CMS when you begin to experience chest pain"
47
Which of the following is cause for discontinuing a stress test?
ST segment elevation
Shortened PR interval
Increased diaphoresis
Increased heart rate
48
What leads record electrical activity of the septal wall?
Leads I and V6
Leads V1 and V2
Leads III and aVF
Leads aVL and V5
49
Which of the following statements by the patient should the technician enter into the social history section?
"My parents both had heart attacks"
"I had an appendectomy 1 year ago"
"I have smoked cigarettes for a long time"
"I had chicken pox when I was 10 years old"
50
EKG tech arrives to perform a 12-lead EKG on a pt who is already attached to a 5-lead EKG. What action should EKG take?
Remove electrodes for the 5-lead monitor before the 12-lead EKG
Apply the electrodes for the 12-lead EKG around the 5-lead electrodes.
Attach seven electrodes and then perform the 12-lead EKG
Cancel the 12-lead EKG because the patient is attached to a 5-lead monitor.
51
EKG tech is on the phone with a Holter monitor pt who has severe chest pain and SOB. What should tech do?
Place the patient on hold and consult with the patient's provider.
Remind the patient to document the incident in the patient diary.
Tell the patient to hang up the phone and call emergency services
Have someone call emergency services while still on call with the patient
52
EKG tech is performing an exercise stress test for a pt who exhibits v-fib on the EKG tracing. What should the tech do?
Determine if the patient is responsive
Apply automated external defibrillator (AED) pads.
Check the patient for breathing
Begin chest compressions
53
EKG tech should recognize that which of the following is characteristic of the EKG tracing showing atrial fibrillation
P-P interval occurs regularly
R-R interval is irregularly irregular
Prolonged QRS duration
Clearly defined T waves
54
While performing a 12-lead EKG, tech notices that none of the leads are giving a reading. What limb should be checked?
Left arm
Right leg
Right arm
Left leg
55
Which of the following is the result of atrial depolarization?
U wave
T wave
QRS complex
P wave
56
What blood pressure reading is within reference range for an adolescent pt?
98/78mm Hg
60/40mm Hg
78/48mm Hg
86/60mm Hg
57
If tech is having trouble visualizing chest movement, how should the tech obtain accurate respiratory rate?
Instruct the pt to take deeper breaths so they are easier to count
Place hand on middle of pt's back to count the respirations
Document that respiratory rate could not be assessed
Estimate respiratory rate based on pulse
58
Which of the following actions should the technician take for a patient who is prescribed contact precautions?
Wear an N-95 mask if there is a potential exposure to blood.
Remove gloves before leaving the patient's room
Disinfect the EKG machine immediately prior to entering the room.
Keep the door to the patient's room closed.
59
EKG tech has a prescription to perform EKG on an older pt who's unconscious upon arrival at the ED. What should tech do?
Wait for the pt's adult child to arrive to obtain consent.
Wait for the provider to arrive before performing the EKG.
Assume implied consent because the patient's condition is critical.
Check the patient's insurance to ensure the EKG procedure is covered
60
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"
"A mild rash or skin redness should be expected after 24 hours."
"Electrodes will be replaced once per week while you're in the hospital."
"You may feel a slight warming sensation after the electrodes are placed"
61
For which of the following patients should an EKG technician expect the provider to prescribe a chemical stress test?
A patient who is 60 years old and has a history of coronary artery disease
A patient who is 35 years old and requires interpretive services
A pt who is 55 years old and has been talking anticoagulants for 1 year
A pt who is 40 years old and is unable to walk due to full leg cast
62
EKG tech is performing a standard 12-lead EKG for a pt. What information is recorded by lead I?
Electrical activity between the right arm and left leg
Electrical activity between the right leg and left leg
Electrical activity between the left arm and leg leg
Electrical activity between the right arm and left arm
63
What statement should an EKG technician include when preparing a patient for an upcoming exercise stress test?
"Avoid caffeine, smoking, or alcohol for at least 3 hrs prior to test."
"Be sure to eat a light meal 6 to 8 hours prior to the test"
"Wear tight clothing so the electrodes stay in place."
"The procedure should take about 10 to 15 minutes."
64
Which of the following patient finding indicates myocardial infarction?
Facial drooping
Cyanosis
Arm weakness
Aphasia
65
An EKG tech has a pt who has a below-the-knee amputation of left leg. Where should tech put right leg electrode?
On the lower left torso
On the lower right foot
On the lower right leg
On the lower right abdomen
66
A serial EKG doesn't match the results of the previous EKG. What should tech do first?
Perform a maintenance check on the machine
Connect the patient to a different EKG machine.
Verify proper lead placement
Report the finding to the provider
67
An EKG tech is reviewing a tracing for a pt with a ventricular pacemaker. What should be expected after pacing spike?
Regular P waves
AV delay between 0.12 and 0.16 sec
Wide QRS interval
QRS interval between 0.06 and 0.10 sec
68
Where should EKG tech obtain an infant's pulse?
Temporal artery
Carotid artery
Brachial artery
Femoral artery
69
What is the expected reference range for respiratory rate of a newborn infant?
30-49/min
12-19/min
50-59/min
20-29/min
70
An EKG technician should follow which recommendations regarding infection control practices in health care settings?
Remove soiled gloves prior to touching uncontaminated surfaces
Use alcohol-based hand rub if there is visible contamination on the hands.
Wear same gloves while performing different procedures on the same patient
Artificial nails should be no longer than 1.27 cm (0.5 in) in length
71
How should an EKG tech refer to the electrodes when performing an EKG on a pediatric patient?
Stickers
Conduction devices
Leads
Electrodes
72
An EKG tech is performing a standard 12-lead EKG on a pt who is 4 years old. Where should V6 be placed?
Right midclavicular space
Left midaxillary line
Right midaxillary line
Left midclavicular space
73
EKG tech should recognize that a PR interval that spans four small boxes has which of the following durations?
0.08 seconds
0.16 seconds
0.2 seconds
0.12 seconds
74
Which pulse rate is expected for a 2-year-old pt?
75/min
150/min
60/min
120/min
75
EKG tech is caring for a pt who is admitted to an inpatient facility for chest pain. What should the tech do?
Apply silver electrodes that can be checked daily
Apply conductive gel to electrodes before application
Replace the electrodes between each reading
Rotate electrode positioning daily to reduce skin irritation
76
What action should EKG tech take when storing cables to prevent transmission of microorganisms?
Sanitize cables with alcohol gel
Clean the cables with soap and water
Wipe cables with disinfectant
Sanitize cables with heat
77
What should you prepare the skin with if you notice the skin is diaphoretic?
Prepare the site with antiperspirant
Cleanse the site with plain water
Apply ultrasound gel to the site
Apply petroleum gel to the site
78
What can indicate that a pt is experiencing an adverse reaction?
An oxygen saturation of 95%
Presence of sinus tachycardia with a regular R-R interval
Increase in blood pressure from 110/70 to 120/78 mm Hg
Report of tingling sensations in the lower extremities.
79
What method should a EKG technician use when removing hair from electrode placement sites for telemetry monitoring?
Dry shave
Tape
Wet shave with soap and water
Clippers
80
What condition would prevent a pt from being able to participate in an exercise stress test?
Congestive heart failure
Moderate hypertension
Mitral stenosis
Coronary artery disease
81
EKG tech has performed an EKG on a pt. Which action by the technician would protect the pt's health info by HIPAA
Hand delivering the EKG to the patient's provider
Sending the EKG in an encrypted electronic file to the patient's employer
Restricting the patient's access to the EKG file
Using corrective fluid on the pt's name, address, and personal information
82
How should the EKG tech respond to a pt who is upset that the tech will not share the results of the EKG?
"Some providers allow techs to discuss the tracing, but not your provider"
"From what I can see, you have nothing to worry about."
"My role as the tech is to conduct test correctly. The provider interprets"
"I'm sorry, I only run the strip. I'm not trained to know what's on it."
83
In which of the following locations should an EKG technician place the electrode for lead V5?
On the right margin of the sternum, fourth intercostal space
On the left midaxillary line, horizontal to lead V4
On the left anterior axillary line, horizontal to lead V4
On the left midclavicular line, fifth intercostal space
84
Pt's HR is 76/min, ventricular pacemaker is set to 70/min, what should technician expect to see?
Pacer spikes appear just after ever QRS complex
Pacer spikes do not appear on the tracing
Pacer spikes appear just prior to every QRS complex
Pacer spikes are immediately followed by P waves.
85
Which of the following findings is consistent with bradycardia?
Blood pressure of 100/80 mm Hg
Hyperventilation
Cold and clammy skin
Pulse rate of 140/min
86
An EKG technician is preparing a standard 12-lead EKG for a healthy adult patient. What position should the pt be in?
Supine position
Left later position
Right lateral position
Trendelenburg position
87
Pt becomes unresponsive, no breathing or pulse during stress test. After AED shock, what should tech expect to do?
Check the patient for responsiveness
Monitor the patient's pulse
Check the patient's airway
Resume performing CPR on the patient
88
An EKG tech is performing a standard 12-lead EKG tracing on a pt with HR of 150/min. Which speed should tech select?
5 mm/second
50 mm/second
10 mm/second
25 mm/second
89
EKG tech is performing an exercise stress test to evaluate a pt for coronary vascular disease. What should tech do?
Prescribe oxygen if the patient reports shortness of breath during the test
Instruct the patient to cease cardiac medications after the test
Evaluate the need for the patient to follow an exercise program
Report unexpected dysrhythmias during the test
90
After completing a standard 12-lead EKG on a patient, which of the following actions should an EKG technician take next?
Tell the pt that the test is complete and the provider will be in shortly
Remove the EKG tracing from the machine and allow pt to dress
Remove the electrodes and assist the patient to a sitting position
Check that the tracing is free from artifacts and then disconnect the pt.
91
When applying a Holter monitor, how many monitor leads are placed on the patient?
Twelve
Six
Ten
Five
92
An EKG tech is reviewing an EKG tracing and notes asystole. Which of the following actions should the tech take first.
Check the patient
Check the electrodes and leads
Call for help
Contact the provider
93
Which of the following positions is appropriate for a patient during a nuclear stress test while the camera is scanning?
Sitting upright with the head tilted back.
Supine with the arms at the side
Supine with the arms above the head
Right-side lying with the arms slightly extended
94
Which of the following descries a complete cardiac cycle in a healthy heart?
P wave, Q wave, and ST segment
P wave, QRS complex, and QT interval
P wave, QRS complex, and P wave
P wave, QRS complex, and T wave
95
While performing standard EKG, pt becomes unresponsive with no breathing or pulse, what should tech do first?
Place the patient in the recovery position
Start chest compressions
Retrieve the automated external defibrillator
Provide two breaths to the patient
96
Which situation is it acceptable for an EKG technician to share a patient's protected health information?
An unencrypted text message exchange with the patient's provider
A conversation with an EKG technician from a sister facility
An inquiry for training purposes for the quality assurance office.
A discussion with the patient's provider in the cafeteria
97
Which of the following activities should an EKG technician instruct a patient to record in the Holter monitor diary?
Driving
Swimming
Bike riding
Sleeping position
98
An EKG tech observes varying R-R intervals on an EKG for a 2-year-old patient. Which statement would be correct?
"The rhythm is likely a-fib and requires elective cardioversion"
"This is life threatening. I must notify the physician immediately"
"Irregular rhythms are rarely seen in children"
"The irregularity is normal and is a result of respiration"
99
When should the EKG tech consider the sinus arrest to be a medical emergency?
3 sec
1 sec
6 sec
4 sec
100
EKG tech is caring for a pt who asks why the EKG is part of his physical exam. How should tech respond?
"This test measures your heart's stroke volume."
"Results are used to determine if there are changes since your last EKG."
"The test is used to determine whether your heart receives enough blood"
"It is use to show your heart's rhythm for the past week"
101
A thin spike before the P wave indicates that a pacemaker has been implanted to pace which of the following?
Atria
Early repolarization
Late repolarization
Ventricles
102
What speed setting should EKG tech use on a pt with accelerated junctional rhythm?
5 mm/second
25 mm/second
50 mm/second
10 mm/second
103
In which order should EKG tech document pt's vital signs?
Temperature, pulse, respirations, blood pressure
Respirations, blood pressure, temperature, pulse
Blood pressure, respirations, pulse, temperature
Pulse, temperature, blood pressure, respirations

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