A Tech notices accelerated idioventricular rhythm, what should they do first?

call for help and stay with the patient

What should a Tech say to an 8 yr old preparing for an EKG?

I'm going to put some stickers on your arms, legs and belly

A Tech is talking to a pt on the phone wearing a Holter, feeling short of breath and chest pain

Tech should have someone call EMS while on the phone with pt

When entering an inpatient room where there is contact precautions, the tech should

remove gloves before leaving the patient room

Pt tells the Tech she doesn't understand why she needs a Holter after an EKG two days ago

Provider wants to study the heart for longer period of time

How should the Tech respond to a pt who wants to know the results of their EKG?

I'm sorry I conduct the test and the provider interprets it.

A pt getting a Holter Monitor tells the Tech she runs 5 mi per day. What should the Tech say?

You should continue exercising as normal

What should an EKG Technician do when preparing a patient for a standard 12-lead EKG?

Have the patient remove any jewelry

What can the Tech do to help visualize respirations on a patient?

Place a hand on the pt's back to count the respirations

While performing exercise stress test with elevated ST segments, what is the Tech observing

signs of acute myocardial injury

A Tech is entering the pt's social history into record, which statement should be added?

I have smoked cigarettes for a long time

Which of the following locations should a Tech place leads for V7, V8, and V9

between axillary line and vertebral column, 5th intercostal

Tech is reviewing a pt who has ventricular hypertrophy, what are the findings?

Increased amplitude of the QRS complex

In a pt with dextrocardia where should the Tech place V1?

left sternal border, fourth intercostal space

Which of the following actions should a tech take to reduce artifact on a Holter monitor?

Use stress loops on leads to reduce tension

Which actions should the Tech take immediately after attaching telemetry leads to electrodes

check wire colors and identifications for correct attachment

Pt is going home with 48hr Holter monitor. Which statement means they understand instructions

I should activate the event monitor if I have chest pain

A monitor tech notices a patient shows ventricular tachycardia what should they do first?

notify a licensed practitioner to evaluate the patient

Which of the following statements correctly prepares the patient for telemetry monitoring?

I will clean your skin with an alcohol pad

How should the Tech store electrodes when not in use?

in the original, foil-lined packaging

A Tech is performing an EKG on a pt 35 wks gestation which position should the pt be in?

slightly on left side with a pillow supporting the right hip

A Tech is giving instructions for a loop monitor, which instructions should the tech include?

Press the record button when you feel dizzy or chest pain

A Tech notices a QRS complex too tall to fit on EKG paper, what should the Tech do?

change the gain control to 5 mm/mV

A Tech should recognize the following signs when a pt is having ventricular tachycardia

multiple premature ventricular contractions in a row

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WVUP PCT 102 ECG Study Guide

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Questions 90

Answers

1
A Tech notices accelerated idioventricular rhythm, what should they do first?
ask another Tech to run another EKG
call for help and stay with the patient
Tell the pt the results and ask if they feel different
upload the tracing and tell provider EKG is ready to read
2
Which locations should the Tech place the leads on a patient in an immovable fetal position?
on the patients back
on the patients right side
on the standard sites
on the limbs only
3
Which artery should be used during an exercise stress test to measure heart rate on an adult
femoral
brachial
radial
carotid
4
What should a Tech say to an 8 yr old preparing for an EKG?
I'm going to apply adhesive electrodes to your extremities
I'm going to put some stickers on your arms, legs and belly
I need you to hold still while I attach these wires to you
I'm going to conduct an electrocardiogram on your heart
5
The presence of which of the following can indicate a previous myocardial infarction?
small p waves
narrow QRS complexes
pathologic Q waves
prolonged PR interval
6
A Tech is talking to a pt on the phone wearing a Holter, feeling short of breath and chest pain
Remind pt to document in incident diary
Tell pt to hang up and call EMS themselves
Place pt on hold and consult with pt's provider
Tech should have someone call EMS while on the phone with pt
7
When entering an inpatient room where there is contact precautions, the tech should
disinfect the machine prior to entering the room
wear an n-95 mask if there is exposure to blood
keep the door to the patients room closed
remove gloves before leaving the patient room
8
What is the most common speed for an EKG tracing?
50 mm/second
5 mm/second
25 mm/second
10 mm/second
9
Which of the following speed settings should be used on a pt with accelerated junctional rhythm
5 mm/second
50 mm/second
10 mm/second
25 mm/second
10
Tech should recognize recording of the septal wall by which leads?
leads aVL and V5
leads V1 and V6
leads V1 and V2
leads III and aVF
11
Pt tells the Tech she doesn't understand why she needs a Holter after an EKG two days ago
An ambulatory monitor works differently than an EKG
Provider wants to study the heart for longer period of time
Provider wants another test before he tells you his concerns
Standard practice to have ambulatory monitor after an EKG
12
Which activities should the Tech tell the pt to record in the Holter monitor diary
driving
bike riding
sleeping position
swimming
13
Which of the following terms is a Tech writing defamatory comments in a pt chart
Assault
Battery
Libel
Slander
14
When doing an EKG on a pt with a heart rate of 150 bpm, which speed control should be used
5 mm/second
10 mm/second
50 mm/second
25 mm/second
15
How should the Tech respond to a pt who wants to know the results of their EKG?
I'm sorry I conduct the test and the provider interprets it.
I know it's difficult to wait but I don't see anything wrong
I'm sorry I only run the strip. I'm not trained to know it.
Your doctor won't let me discuss results with you.
16
During a stress test a pt reports chest heaviness and diaphoresis, what could this be?
transient ischemic attack
congestive heart failure
cerebrovascular accident
myocardial infarction
17
A pt getting a Holter Monitor tells the Tech she runs 5 mi per day. What should the Tech say?
Make sure to increase your cardiac medications
Take someone with you while running just in case
You should ask your provider if you can still exercise
You should continue exercising as normal
18
A pt has a left leg below-the-knee amputation, where should the rt leg electrode be placed?
on the lower right abdomen
on the lower right foot
on the lower right leg
on the lower left torso
19
When placing electrodes on pt for telemetry where should the ground electrode be placed
on the right upper arm
on the left upper arm
on the left lower leg
on the right lower leg
20
A tech hears another staff member talking badly about a patient's appearance. What is this?
Slander
Assault
Libel
Battery
21
What should an EKG Technician do when preparing a patient for a standard 12-lead EKG?
Encourage the patient to ask questions during the procedure
Have the patient remove any jewelry
Place electrodes over the patient's chest hair
Instruct the patient to hold their breath
22
Tech notices pt has variation in respiration correlates with tracing. What irregularity is it?
tachycardia
sinus arrest
bradycardia
sinus dysrhythmia
23
What can the Tech do to help visualize respirations on a patient?
Tell the pt to take deeper breaths so they are easier to see
Place a hand on the pt's back to count the respirations
Estimate the respiratory rate based on the assessed pulse
Document the respiratory rate could not be assessed
24
What should be used for loose hairs required after hair removal for electrode placement?
use friction and dry gauze pad to remove loose hairs
use soap and water to wash away loose hairs
use chlorihexidine to cleanse and remove loose hairs
use tape to remove loose hairs
25
A Tech measures a pt's pulse ox at 88%. What is the term used to describe this condition?
Rales
Hemoptysis
Orthopnea
Hypoxemia
26
While performing exercise stress test with elevated ST segments, what is the Tech observing
expected EKG changes due to hypokalemia
signs of acute myocardial injury
signs of pulmonary embolism
expected EKG changes as a result of running
27
Techs recognize that patients are restricted from certain activities wearing a Holter Monitor?
Smoking
Yoga
Showering
Sexual Activity
28
An EKG Technician should recognize which of these as the correct pulse rate for a 2 year old?
75/min
60/min
120/min
150/min
29
Which of the following methods can be used to calculate both regular and irregular rhythms
P-P method
1500 method
300 method
6-second method
30
A Tech is entering the pt's social history into record, which statement should be added?
I had chicken pox when I was 10 years old
I had an appendectomy a year ago
My parents both had heart attacks
I have smoked cigarettes for a long time
31
Which of the following locations should a Tech place leads for V7, V8, and V9
on the frontal plane at 6th intercostal space
on the axillary plane at 5th intercostal space
Rt chest between sternum & rt axillary line 5th intercostal
between axillary line and vertebral column, 5th intercostal
32
Which site is most accurate for a Tech recording a pt body temperature?
oral
axillary
tympanic
temporal
33
A Tech eliminates artifact by plugging into a different outlet, what caused the interference
wandering baseline
interrupted baseline
somatic tremor
AC interference
34
Tech is reviewing a pt who has ventricular hypertrophy, what are the findings?
ST segment depression of 2 mm
Prolongation of the PR interval
Irregularity of the P-P interval
Increased amplitude of the QRS complex
35
Which of the following patient conditions indicates myocardial infarction?
aphasia
cyanosis
facial drooping
arm weakness
36
In a pt with dextrocardia where should the Tech place V1?
left sternal border, fourth intercostal space
right sternal border, fourth intercostal space
right mid-clavicular line, fifth intercostal space
left mid-clavicular line, fifth intercostal space
37
Tech is documenting the pulse of a pt. Which term should be used to describe the pulse?
Irregular
Strong
Weak
Bounding
38
Which of the following actions should a tech take to reduce artifact on a Holter monitor?
Have patient wear tight fitting clothes to hold electrodes
Ensure patient hasn't eaten for 2 hrs
Use stress loops on leads to reduce tension
Instruct the patient to replace any loose electrodes
39
A thin spike before the P wave indicates a pacemaker to be pacing which of the following?
early repolarization
ventricles
late repolarization
atria
40
Which actions should the Tech take immediately after attaching telemetry leads to electrodes
place the pt in correct anatomical position
check wire colors and identifications for correct attachment
check a baseline EKG tracing for monitor clarity
tape the lead wires to the pt skin to prevent disconnection
41
Pt is going home with 48hr Holter monitor. Which statement means they understand instructions
I can use moisturizing lotion around the electrodes
I should only record activities that cause chest pain
I am able to shower or bathe
I should activate the event monitor if I have chest pain
42
A monitor tech notices a patient shows ventricular tachycardia what should they do first?
prepare for defibrillation of the patient
document the rhythm in the patients medical record
verify the time and last dose of pt's cardiac medications
notify a licensed practitioner to evaluate the patient
43
A pt has a ventricular pacemaker, which pattern should the Tech expect after the spike?
regular p waves
QRS interval between .06 and 0.10 seconds
wide QRS interval
AV delay between .12 and .16 seconds
44
Which of the following statements correctly prepares the patient for telemetry monitoring?
A mild rash should be expected around the electrodes
I will clean your skin with an alcohol pad
Electrodes are replaced once a week in the hospital
You may feel a warming sensation when electrodes are placed
45
How should the Tech store electrodes when not in use?
in an open plastic bag
in a folded paper bag
in the original, foil-lined packaging
loose in the EKG cart
46
A Tech is performing an EKG on a pt 35 wks gestation which position should the pt be in?
partially upright with legs supported
supine with head elevated
supine with feet flat on the table
slightly on left side with a pillow supporting the right hip
47
A Tech is giving instructions for a loop monitor, which instructions should the tech include?
Press the record button when you feel dizzy or chest pain
Contact central monitoring when you have chest pain
Record in diary the time and activity when the pain started
Remove the monitor when connecting to the phone or internet
48
When measuring intervals on an EKG, which indicates impaired conduction through the AV node?
prolonged QT interval
prolonged PR interval
prolonged QRS interval
decreased QT interval
49
During a stress test, which of the following should the Tech report to the provider?
increased respiratory rate
decreased heart rate
decreased premature beats
increased sweating
50
A Tech notices a QRS complex too tall to fit on EKG paper, what should the Tech do?
change the gain control to 5 mm/mV
change the paper speed to 10 mm/second
change the gain control to 20 mm/mV
change the paper speed to 50 mm/second
51
A Tech should recognize the following signs when a pt is having ventricular tachycardia
decreased heart rate
multiple premature ventricular contractions in a row
narrow QRS complexes on the EKG tracing
absence of R-R interval
52
An EKG Tech recognizes that the smallest box on EKG paper represents which length of time
0.40 seconds
0.02 seconds
0.04 seconds
0.10 seconds
53
During a stress test, the Tech notices the pt hyperventilating what should they do first?
administer oxygen to the pt
slow down the test
stop the exercise portion of the test
check the pts respiratory rate
54
For which of the following should the EKG Tech expect to see somatic interference on the EKG?
20 year-old patient experiencing a seizure
30 year-old patient using a cell phone
60 year-old patient sweating profusely
10 year-old patient watching tv
55
Technician is performing stress test and pt shows v fib, which should the Tech do first?
apply AED pads
begin chest compressions
check the pt for breathing
determine if the pt is responsive
56
An EKG Tech should recognize which of the following is normal BP for an adolescent patient?
98/78 mm Hg
60/44 mmHg
78/48 mm Hg
86/60 mm Hg
57
For which of the following should the Tech stop an exercise stress test?
sweating
dizziness
electrode detachment
increased respiratory rate
58
Which differentiates accelerated idioventricular rhythm with junctional rhythm?
irregular rhythm shows accelerated idioventricular rhythm
accelerated idioventricular rhythm has p waves
accelerated idioventricular rhythm has wide QRS complexes
Ventricular rate is slower than junctional rhythm
59
Which of the following methods should the Tech use to calculate the heart rate from an EKG?
Calculate the mean rate and divide 1500 by that rate
Count the number of small boxes in two cardiac cycles
Count the number of large boxes between P and T waves
Divide 300 by the number of large boxes between two R waves
60
Which is the most appropriate site for a Tech to take the pulse of an infant?
brachial artery
radial artery
femoral artery
carotid artery
61
A rhythm strip should be at least how many seconds to accurately identify rate and rhythm?
4 seconds
6 seconds
8 seconds
2 seconds
62
What is the correct placement for V4?
fourth intercostal space at midaxillary line
fifth intercostal space at the midaxillary line
fourth intercostal space at midclavicular line
fifth intercostal space at midclavicular line
63
Correct position for a pt during a nuclear stress test while camera is scanning
sitting upright with the head tilted back
supine with arms at the side
right-side lying with arms slightly extended
supine with arms above the head
64
EKG Tech is caring for a patient with palpitations, what will the dr prescribe?
Cardiac Inotropic medication
Chemical Stress Test
Holter monitor
Vasodilator medication
65
Which statement should the tech include when preparing a patient for an exercise stress test?
The procedure should take about 10 to 15 minutes.
Be sure to eat a light meal 6-8 hours before the test.
No caffeine, alcohol or smoking for 3 hrs prior to the test.
Wear tight clothes to keep the electrodes in place.
66
Which heart block should Tech observe pt for decreased cardiac output that could lead to arrest
Second-degree AV block - Mobitz Type II
First-degree AV block
Second-degree AV block - Mobitz Type I
Third-degree AV block
67
A Tech is performing an EKG on a 9 yr old pt, where does the Tech place the V6 electrode?
left midaxillary line
right midclavicular space
right midaxillary line
left midclavicular space
68
An EKG Technician is performing a stress test. Which actions should the Tech take?
Instruct the patient to stop cardiac medications after test
Prescribe oxygen for shortness of breath during the test
Report unexpected dysrhythmias during the test
Evaluate the patient's need for an exercise program
69
Which statement indicates patient understanding of wearing an event monitor at home?
I can continue to use my electric blanket with the monitor.
If the batteries fail, I will replace them myself.
I can take showers while wearing this monitor.
The monitor will keep track of all of my daily activities.
70
Which of the following actions should the Tech take to resolve wandering baseline?
clean the lead wires after each use
provide a blanket for the patient
have the patient remove any personal electronic devices
release tension from the lead wires
71
Which limb should be checked first if the tech performing the EKG notices no leads recording?
Right arm
Right leg
Left Arm
Left Leg
72
A Tech observes ST segment depression and T wave inversion, what should the Tech suspect?
myocardial injury
myocardial ischemia
heart block
myocardial infarction
73
How does the Tech protect the patient's private health information?
using corrective fluid on pt name, address, DOB
sending the EKG in an encrypted file to pt employer
restricting the pt access to the EKG file
hand-delivering the EKG to pt provider
74
Which of the following is an adverse reaction during an exercise stress test?
an oxygen saturation of 95%
reports of tingling sensation in lower extremeties
increase in blood pressure from 110/70 to 120/78 mm Hg
presence of sinus tachycardia with a regular R-R interval
75
For an exercise stress test which leads should be placed on the right lower side anterior torso
Lead RL
Lead RA
Lead V6
Lead V1
76
Which of the following is an allowable disclosure of patient information
A pt can read other pt information at the registration desk
Employee gives another employee log in information
patients write their names on a basic sign in sheet
an employer calls the clinic to verify patient absence
77
What is the expected reference range for body temperature of an adult pt?
35.3o C to 36o C (95.6o F to 96.8o F)
36.1o C to 36.4o C (96.9o F to 97.5o F)
36.4 C to 37.5C (97.6 F to 99.6 F)
37.3o C to 37.6o C (99.1o F to 99.7o F)
78
Which of the following can the Tech use to adjust the height of the EKG waveforms
gain
output display
speed
artifact filter
79
While performing a 5-lead EKG, Lead II and III are not reading. Which limb should be checked?
Left leg
Right arm
Left arm
Right leg
80
Which of the following leads is created between the left arm and left leg?
lead aVL
lead I
lead III
lead aVF
81
A Tech recognizes electrical interference on an EKG is a result of
insufficient skin preparation
expired electrodes
patient movement
crossed lead wires
82
In a healthy adult pt the expected shape and direction of the p wave in lead II is
rounded and upright
peaked and inverted
rounded and inverted
peaked and upright
83
Which lead is created when the electrode is put the right of the sternum 4th intercostal space
lead VI
Lead MCL2
Lead I
Lead aVR
84
An EKG technician should go by the following recommendations for infection control practices
wear same gloves performing different procedures on same pt
artificial nails should be no longer than 0.5 in in length
use alcohol based hand rub for obvious hand contamination
remove soiled gloves before touching uncontaminated surfaces
85
Which intervals should be used to determine the regularity of ventricular depolarization
R-R wave interval
P-P wave interval
PR interval
QT interval
86
Which of the following electrodes creates leads I, II, and aVR?
Left leg
Right arm
Right leg
Left arm
87
When performing an EKG, Tech should identify the correct information being recorded by lead I
electrical activity between left leg and right leg
electrical activity between left arm and left leg
electrical activity between right arm and left arm
electrical activity between right arm and left leg
88
Why should resting tab electrodes not be used for more than two EKG tests in a row?
electrodes will not re-adhere to skin after being removed
electrodes need to be cleaned after two EKG tracings
electrodes cannot conduct the signal after two EKG tracings
electrodes won't conduct accurately after two EKG tracings
89
A Tech finds a pt's pulse to be irregular. Where would the Tech then take the apical pulse?
the antecubital aspect of the left or right elbow
between the fifth and sixth ribs, at the midclavicular line
between the larynx and the sternocleidomastoid muscle
the thumb side of the left wrist
90
When performing a posterior 12-lead EKG which lead should be placed on the paraspinous border?
Lead V8
Lead V7
Lead V7R
Lead V9

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