Which of the following statements would indicate the patient understands Holter monitoring?

I should wear the monitor continuously even during exercise

You are planning to clean Which action should you plan to take?

Wipe the equipment with a soft cloth moistened with disinfectant.

Which of the following indicates pt understanding for a stress test?

Wear comfortable clothing and shoes to the test

What is the correct order of a complete cardiac cycle in the normal heart?

P wave, QRS complex, and T wave

Which of the following describes proper limb lead placement for a 12-lead EKG?

Limb leads are applied to wrists and ankles

What modification to lead placement is made for stress testing?

Limb leads are moved to pts torso

What is the correct lead placement for V4?

5th intercostal space midclavicular line

Which is the correct lead placement for V5?

Anterior axillary line, 5th intercostal space

Which of the following modifications should be made for a two-year old child?

move the limb lead to the torso

An EKG technician is about to perform an EKG on a 3 yo. Which is an appropriate action to take?

Tell the child it will not hurt

Which statement indicates the need for further instruction regarding a Holter monitor?

If leads come loose I will reattach them

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EKG Review

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Answers

1
The pumping chambers of the heart.
Venules
Atria
Ventricles
Aorta
2
Repairs on an EKG machine should be done by who?
The Laboratory technician
Biomedical Technician
Handy Manny
The EKG Technician
3
Which of the following statements would indicate the patient understands Holter monitoring?
I should wear the monitor continuously even during exercise
If I feel symptoms then I should attach the monitor
I have a pacemaker so I cant wear a monitor
Remove the monitor when I exercise
4
While doing an EKG the pt becomes unresponsive, stops breathing and has no pulse. You should
retrieve the AED
Place pt in recovery position
start chest compressions
perform rescue breathing
5
You are planning to clean Which action should you plan to take?
Wipe the equipment with a soft cloth moistened with acetone.
Wipe the equipment with a soft cloth moistened with disinfectant.
Prepare the quipment to undergo fluid sterilzation.
Prepare the equipment to undergo heat sterilization.
6
Convex ST segments indicate
CVA
MI
TIA
Ischemia
7
Artifact caused by frayed wires...
Wandering Baseline
Electrical interferrence
Somatic tremor
60-cycle interferrence
8
Repolarization means
Contraction
Relaxation
AV node firing
SA Node firing
9
Normal paper speed is
50mm/sec
25mm/sec
10mm/sec
20mm/sec
10
In order for the EKG tech to regulate the output or height of waveforms, he should adjust what?
Sensitivity
Stylus
Speed
Calibration
11
These leads read lateral wall involvment.
Leads I, aVL, V5, V6
V7-V9
II, III, aVF
V1, V2
12
Which of the following is the most accurate site for a temperature?
Tympanic
Thermal Scan
Rectal
Oral
13
Which of the following indicates pt understanding for a stress test?
Practice for the test by jogging 20 minutes daily
Wear comfortable clothing and shoes to the test
Discontinue normal medications
Eat a small meal right before the test
14
Artifact caused by poor lead connection, lotion on skin, or hair under electrode...
Somatic tremor
Electrical interferrence
60-cycle interferrence
Wandering baseline
15
The atrioventicular valve on the right side of the heart.
Pulmonary Semilunar Valve
Mitral Valve
Bicuspid Valve
Tricuspid Valve
16
When reviewing Holter monitoring results, the CET notices long pauses. This could be caused by
Movement of electrodes
Dead battery
Loose connection of the leads
Monitor was placed in water
17
Which of the following is most likely consistent with bradycardia?
BP 150/90
HR >100
Hyperventilation
cold/clammy skin
18
Atypical vertical projections in the EKG are likely caused by what?
Intrinsic vertical anomaly
Intrinsic R waves
Defibrillator spikes
Pacemaker spikes
19
After the MD explains the procedure, Mr. Smith signs paperwork to allow the test. This is...
Implied consent
negligence
Informed consent
the law
20
When performing a stress test, patient c/o heaviness in chest and becomes diaphoretic. You...
Stop the test immediately
Call 911
Begin CPR
Nothing, this is normal
21
Which is the correct section to measure for the QRS complex?
Beginning of QR to end of RS
End of Q to beginning of S
Beginning of Q to beginning of S
beginning of Q to end of S
22
Which of the following heart block is most serious?
Second Degree Type II
First Degree
Second Degree Type I
Third Degree
23
Which of the following are bipolar leads?
V1, V2, and V3
aVR, aVL, and aVF
V4, V5, V6
I, II, and III
24
Depolariazation means
Relaxation
AV node firing
SA Node firing
Contraction
25
What is the correct order of a complete cardiac cycle in the normal heart?
P wave, QRS complex, and T wave
P wave, QRS complex, U wave
P wave, Q wave, and ST segment
P wave, T wave, RS segment
26
When performing a posterior EKG, where would you place V8?
left posterior axiallary line
left midscapular line
right posterior axillary line
right midscapular line
27
Which of the following describes proper limb lead placement for a 12-lead EKG?
Limb leads are all unipolar and should be placed on trunk
Precise placement does not effect EKG
limb leads can be placed anywhere on torso
Limb leads are applied to wrists and ankles
28
Artifact caused by patient shivering, seizures, or hyperventilation...
Somatic tremors
Broken Recording
60-cycle interferrence
Wandering Baseline
29
The right side of the heart is...
Deoxygenated
Oxygenated
stronger than the left
weaker than the left
30
Artifact caused by too many appliances being plugged in to one outlet...
Wandering baseline
Broken recording
60-cycle interferrence
Electrical Interferrence
31
The QRS is too tall to fit on the paper. You should...
Change the gain to 2
Change the paper speed to 50mm/sec
Change the gain control to 1/2
Change the paper speed to 25mm/sec
32
What modification to lead placement is made for stress testing?
Limb lead is applied to right leg to act as a ground
Limb leads are moved to pts torso
In Lead II left leg is positive while right arm is negative
V6 is placed at 5th intercostal space midclavicular line
33
What is the correct lead placement for V4?
5th intercostal space midclavicular line
5th intercostal space midaxillary line
4th intercostal space at the midclavicular line
4th intercostal space at the midaxillary line
34
Which of the following are augmented leads?
V1, V2, V3
I, II, III
V4, V5, V6
aVR, aVL, and aVF
35
Normal pulse rate for an infant is...
40-60
60-100
80-150
100-160
36
Which is the correct lead placement for V5?
Left of sternum, 4th intercostal space
Anterior axillary line, 5th intercostal space
right of sternum, 4th intercostal space
Midaxillary line, 5th intercostal space
37
Which of the following intervals determines ventricular regularity?
R-R
PR
P-P
QT
38
For a normal patient, which describes the QRS complex anticipated in V4?
Completely positive
Increased duration
Half positive, half negative
Completely negative
39
Which of the following modifications should be made for a two-year old child?
Reverse the limb leads
Place the chest leads on the left back
move the limb lead to the torso
Place the chest leads on the lower chest
40
MI can often be seen by the presence of what on the EKG?
physiologic q waves
pathologic q waves
m-shaped p waves
minor p waves
41
The receiving chambers of the heart.
Ventricles
Atria
Venules
Aorta
42
A patient has ventricular tachycardia & becomes unresponsive. What action should you take first?
Print an EKG rhythm strip.
Obtain an automated external defibrilator.
Begin CPR
Measure the patient's respiratory rate.B
43
You should identify the EKG tracing below as which of the following artifacts?
Interrupted baseline
Somatic tremor
Wandering baseline
Interference
44
Which is the correct sensitivity setting to create a 5mm standardization mark?
1/2
1/4
1
2
45
An EKG technician is about to perform an EKG on a 3 yo. Which is an appropriate action to take?
Tell the child it will not hurt
Ask the parent to step out of the room
Restrain the child
Have the parent hold the child on their lap
46
This is an example of medical history for a patient.
Pt exercises on a regular basis
Pt smokes a pack a day
Pt takes medication for hypertention
Pt has diabetes
47
The R-R interval on a patient's tracing has 5 big boxes. What is the patient's heart rate?
75/min
80/min
40/min
60/min
48
This is an example of surgical history for a patient.
Pt had a tonsilectomy at age 3
Pt smokes a pack a day
Pt exercises on a regular basis
Pt takes one aspirin per day
49
During stress test, patient reports fatigue and you observe the following rhythm. You should..
begin chest compressions
administer rescue breathing
Notify the physician
defibrillate the patient
50
Which of the following can cause sinus arrhythmia in children?
SA node firing above 100/min
decreased O2 levels
Respiration of the patient
patient's pacemaker
51
Which statement indicates the need for further instruction regarding a Holter monitor?
If leads come loose I will reattach them
I should sponge bathe while wearing monitor
I will contact the office if machine malfunctions
I'll keep track of activity in a daily journal
52
A tracing has a PR interval of 0.28. How many milliseconds is this?
160 milliseconds
120 milliseconds
280 milliseconds
240 millisoconds
53
Which of the following correctly prepares the patient for telemetry monitoring?
"You may cleanse the skin with alcohol"
You may feel a warming sensation after electrodes are placed
Electrodes will be replaced every 24 hrs while in the hosp
A mild rash may occur at electrode sites
54
Which of these signs should you be concerned with during a stress test?
Decreased heart rate
Decreased premature beats
Increased respiratory rate
Diaphoresis
55
These leads read septal involvement
II, III, aVF
V7-V9
V1, V2
V5, V6
56
EKG Tech observes ST segment elevation in several leads. What should they suspect?
NSR
Myocardial Infarction
Heart Block
Myocardial Ischemia
57
You are obtaining an EKG from a patient with chest pain. What change in waveform indicates a myocardial infarction?
Upright T waves
ST segment elevation
P wave inversion
Q waves less than one-third the height of the R wave
58
Which of the following would describe proper skin preparation prior to applying electrodes?
cleanse with alcohol, remove any hair, abrade epidermis
Apply an adhesive to the skin
Have pt apply electrodes prior to exercise
Cleanse with soap and water
59
CP, diaphoresis, SOB, Hypotension are all signs of what condition?
Myocardial Infarction
Ischemia
Laziness
Hypertension
60
Whcih of the following patients should not recieve a stress test?
82 yo c/o occasional "racing heart"
54 yo with unrelieved CP & ST elevation
67 yo with normal EKG
74 yo with history of MI
61
You observe peaked, hyper acute T waves and concave ST segments. This indicates...
Hypokalemia
Signs of a PE
Signs of Myocardial Ischemia
Normal changes from running
62
For a five lead EKG, where should the red lead be placed?
Upper right shoulder
Upper left shoulder
Lower left torso
Lower right torso
63
After completing EKG, the tech should...
Remove the electrodes and help pt sit up
Remove the tracing and leave exam room so pt can dress
Tell pt how EKG looks and tell them the dr will be in soon
Check the tracing to make sure it is clear of artifact
64
The atrioventricular valve on the left side of the heart.
Tricuspid Valve
Bicuspid Valve
Pulmonary semilunar valve
Aortic semilunar valve
65
You are preparing to perform a 12-lead EKG for a patient with a heart rate of 225/min. Use what paper-speed settings?
5 mm/second
50 mm/second
10 mm/second
25 mm/second
66
Which of the following should you be most concerned about on an EKG tracing?
ST segment elevation
Irregular rhythm
QT interval
variable shape of p waves
67
The patient should be educated to not eat, drink, or smoke for three hours prior to which test?
Telemetry monitoring
Stress Test
Holter monitoring
EKG
68
Normal pulse rate for a child is...
70-120
60-100
40-60
100-160
69
Which of the following is an appropriate place to take an infants pulse?
Radial artery
Brachial artery
Carotid artery
Femoral artery
70
You are preparing a patient for an EKG. Which action should you take?
Ask the patient to turn off any electronic devices.
Allow the patient to wear a bracelet.
Request that the patient pull their shirt up.
Inform the patient to expect minor shocks.
71
EKG Tech observes ST segment depression in several leads. Which should they suspect?
Heart Block
Myocardial Injury
Myocardial Ischemia
Myocardial Infarction
72
Thin spikes before the P wave indicate that a pacemaker was implanted to pace what?
Atria
Early depolarization
Early repolarization
Ventricles
73
In which of the following locations should you place the V5 lead?
At the fifth intercostal space at the midclavicular line.
Halfway between V2 and V4.
At the anterior axillary line on the same horizontal level as V4.
At the fourth intercostal space, to the right of the sternal border.
74
A patient is experiencing cardiopulmonary compromise. What structure is the natural pacemaker of the heart?
Atrioventricular node (AV node)
Purkinje fibers
Sinoatrial node (SA node)
Bundle of His
75
This is an example of social history for a patient.
Pt smokes a pack a day
Pt c/o CP
Tonsilectomy
Grandfather had hypertension
76
Which of the following is the only way to calculate both regular and irregular rhythms?
1500 method
300 method
R-R interval
six second method
77
During a stress test the patient appears to be hyperventilating. You should...
Stop the exercise portion of the test
Administer O2
Slow down the test
Check their respiratory rate
78
Mr. Smith is taking Metaprolol for hypertension. What is a common side effect?
Tachycardia
Severe headache
Constipation
Hypotension
79
Which of the following would be a reason to discontinue a stress test?
ST segment elevation
Increased HR
Increased diaphoresis
Shortened PR interval
80
Waveforms are negative in lead I but patient is A&O x 3. You should check leads between...
right arm, left arm
left leg, left arm
left leg, right arm
right arm, left leg
81
Which of the following statements would indicate understanding for a Holter Monitor test?
"I will push the button before taking meds"
"I will push the button after I jog"
"I will push the button after every meal"
"I will push the button if I experience discomfort"
82
During stress test, pt c/o diziness. After stopping the test, you should...
Administer O2
Obtain vital signs
Notify the physician
Contact patient's spouse
83
Which of the following parts of the EKG machine regulates the height of the waveforms on the tracing?
Artifact filter
Gain control
Electrodes
Lead selector
84
The PR interval is .48. How many milliseconds is this?
480 milliseconds
820 milliseconds
520 milliseconds
780 milliseconds

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