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EKG Quiz

Terms in this set (84)

1. Which of the following is used to assess the atrial rhythm regularity on an EKG?
P-P Interval
Prior to an EKG, a patient notifies the EKG technician that she has a history of a murmur. The technician should recognize the patient's murmur could be caused by which of the following conditions?
mitral valve backflow
4. Which of the following statements by the patient about Holter monitor testing demonstrates an understanding of the procedure?
"I can sleep in any position that I want while wearing the Holter monitor"
5. Which of the following monitoring systems should an EKG technician use for a Holter monitoring?
5 lead system
6. which of the following procedure should an EKG technician perform on each patient prior to starting an exercise stress test?
apply electrodes to the patient extremities
7. A technician should recognize which of the following as an abnormal waveform related to myocardial injury?
Q wave 1/2 size of the highest R wave in that lead
8. when performing a 12 lead EKG, The EKG technician should explain to the patient that the machine is recording which of the following?
electrical activity of the heart
9. while preparing a patient who has fragile skin for telemetry monitoring, which of the following measures should a technician take?
decreased pressure when abrading the skin
10. A patient who is unconscious experiences loss of cardiac output due to quivering of the ventricles. A technician observes rhythm with the absence of organized electrical activity on the patient's tracing. which of the following rhythms is present?
ventricular fibrillation
11. which of the following information must be included on an EKG strip?
name and identification number
12. A technician is obtaining an adult patient's heart rate. which of the following heart rates should indicate to the technician that the patient has bradycardia?
50/min
13. A loose electron would most likely produce which of the following conditions?
wandering baseline
14. A technician is performing an EKG on a patient who is experiencing atrial fibrillation. in order to calculate the patient's heart rate. which of the following methods should the technician use?
6 second method
15. A technician performs an EKG and determines the rhythm is third-degree atrial ventricular block. which of the following actions should the technician take?
assess for symptoms of low cardiac output
16. an EKG technician is preparing a patient for a Holter monitor. how many electrodes should the technician place on the patient?
5
17. A technician is performing an EKG on a patient who has been ventricular pacing. which of the following should the technician expect to see on the tracing.
A pacing spike followed by a wide QRS complex
18. when performing an EKG, a technician notices a flat line tracing on the monitor. which of the following actions should the technician take first?
check the patient
20. a three electrode placement on the patient in telemetry unity usually provides which of the following leads?
lead II
21. an EKG technician is preparing to perform an exercise stress test for a patient. which of the following is required entry for the technician to upload into the electronic health record?
informed consent
22. which of the following anatomical landmarks starts in the center of the axilla and runs down the side of the chest?
midaxillary line
23. an EKG technician is performing an EKG on a patient who becomes pale and reports dizziness. The monitor reveals a sinus rhythm. which of the following action should the technician take first?
notify a licensed practitioner
24. . which of the following actions is necessary to ensure a quality EKG recording is produced?
Check the alligator clips for residual electrolyte jail after each use
25. which of the following is a characteristic of a normal p wave?
smooth and round
26. A stress test must be stopped when the patient experiences which of the following?
Decrease in blood pressure
27. A technician completes a quality EKG tracing in his preparing to place it in the medical record. which of the following must be present on the completed tracing?
The patient's medical record number
28. A constant PR interval of 0.28 seconds indicates which of the following types of heart block?
first-degree block
29. an EKG technician receives a fax with a cover page that contains the statement "confidential and protected health information" on it protected health information is covered by which of the following acts?
Health insurance portability and accountability act
30. an EKG technician is placing a V4 lead on a six year old patient. which of the following is appropriate locations for placement of the lead?
The midclavicular line
31. A technician is responsible for which of the following tasks?
cleaning the EKG machine
32. A technician is collecting a Holter monitor to a patient who asks why their heart is being monitored. which of the following responses by the technician is appropriate?
"your provider will answer all of your questions after the test"
33. after performing a nonstandard EKG on a patient, the gain setting should be returned to which of the following as the standard setting?
10 mm/mV
34. which of the following lengths describes a PR interval that is within normal limits?
0.12 to 0.20 seconds
35. what is the correct placement of the limb electrodes for a patient who has an amputated limb?
above the amputated site, and in the same location on the opposite limb
36. which of the following information should an EKG technician include when instructing a patient about Holter monitor use?
symptoms should be documented in the diary provided
37. A technician is teaching a patient about Telemetry monitoring. which of the following statements by the patient indicates an understanding of the teaching?
I will leave the monitor on while i sleep
38. which of the following should an EKG technician use to obtain the oxygen saturation of a patient?
pulse oximeter
40. A male patient is preparing for an EKG procedure and states "it's against my religion to be disrobe in front of a female technician." which is the following actions should the female EKG technician take?
ask a male technician to perform the procedure
41. an EKG technician who is following standard precautions should wear required personal protective equipment in which of the following situations?
administering an EKG for a patient who has nonintact skin
42. an EKG technician is preparing to perform telemetry monitoring on a patient. in which of the following locations to the tech attach the electrodes?
Chest
43. The P wave on an EKG represents which of the following events in the cardiac cycle?
start of the atrial depolarization
44. which of the following is a standard paper speed on the EKG machine?
25 mm/second
45. which of the following is a strategy for safeguarding patient information in a providers office?
using medical record numbers to identify the patients
47. which of the following is an appropriate statement to prepare a patient for a stress test?
you may experience mild shortness of breath
48. during an exercise stress test a technician should observe the patient for which of the following?
fatigue
49. which of the following represents ventricular depolarization?
QRS complex
50. which of the following should an EKG technician do to increase the amplitude of a very small wave on a 12 lead recording?
increase the gain on the machine
51. an EKG technician is preparing a patient for a Holter monitor. which of the following information should the tech include?
you will be able to go home with the monitor
52. A PR interval is measured from which of the following?
The beginning of the P-wave to the beginning of the QRS complex
53. A technician is performing an EKG on a patient. which of the following findings is a primary indication of cardiac ischemia?
Pectoral angina
54. an EKG technician should recognize which of the following as a possible sign of an adverse reaction during exercise stress testing?
weakness
55. An EKG technician is monitoring a patient during the stresses in notices that the patient's blood pressure is elevated. which of the following actions should the technician take?
continue to monitor the patient
56. which of the following should the EKG technician use to prepare a patient who has a hairy chest for an EKG tracing?
A clipper to remove hair
57. an EKG technician is training a newly certified technician to properly maintain the EKG machine. which of the following statements by the newly certified tech indicates a need for further training?
I should cover the machine or close the lid when not in use
58. an EKG technician is monitoring a patient who experiences symptoms of angina during a treadmill stress test. which of the following is an appropriate action for the technician to take?
ask the physician for direction
59. a tech is teaching a patient who has a prescription to wear a Holter monitor for 24 hours due to shortness of breath. what information would the tech include?
you should document any activity in your diary
61. an EKG technician is entering information into the medical record of a patient who has just had an EKG. which of the following information should the technician enter into the record?
modified lead placement details
62. which of the following is a result of increasing the gain control setting on an EKG machine?
an increase in the amplitude of the tracing
63. which of the following rhythms is commonly associated with an inverted P wave?
atrial
64. which of the following represents a normal sinus rhythm?
60 to 100
65. an EKG technician does not see any deviation from baseline on the monitor. what type of line is the technician observing?
Isoelectric
66. An EKG tech is asked to mount an EKG for a patient chart. The standard record would include which of the following?
Lead II
67. which of the following is an EKG technician calculating when dividing 300 by the number of large boxes between R waves?
Heart rate
69. if the electrodes are dried out which of the following was most likely be viewed on an EKG tracing?
wandering baseline
70. A tech must document which of the following information in a patient's electric medical record regarding an EKG procedure?
date and time of the EKG
71. an EKG technician is preparing a patient for a 12 lead EKG. which of the following limb electrodes produces an aVF reading?
left leg
72. on a 5 lead Holter monitoring, the black lead is located?
on the left side, V4/V5 area, centered over the rib
73. which of the following instructions should the EKG technician provide to patient using a Holter monitor?
Enter the time in various activity into the diary
74. t-wave inversion indicates which of the following?
myocardial ischemia
75. which of the following is the correct polarity for lead III tracing?
left arm negative, left leg positive
76. which of the following terms describes a pounding or racing of the heart, such that the patient is aware of their heartbeat?
palpation
77. an EKG technician is preparing a patient for an EKG and notices that the patient is grabbing their chest and reporting chest pain. The patient has a heart rate of 45/min. The technician should suspect which of the following conditions?
Low cardiac output
78. while preparing a patient who has Parkinson's disease for an EKG, a technician instruct the patient to place his hands under his buttocks. which of the following artifacts is the tech trying to avoid by using this method?
somatic artifact
79. which of the following findings describes the absence of electrical activity in the heart?
Asystole
80. an EKG tech should explain to a patient the blood flow from the heart to the lungs via which of the following blood vessels?
pulmonary arteries
81. A tech is preparing to perform an EKG on a patient who had a below the elbow amputation of the right arm. In which of the following locations should the check place the RA lead on the patient?
right deltoid
82. for which of the following conditions should the EKG Tech place V3 lead to the right side of the sternum?
Dextrocardia
83. The Einthoven triangle is formed by which of the following leads?
bipolar leads
84. which of the following leads is created between the right arm and left arm?
lead I
85. an EKG tech is obtaining vital signs for an adult patient prior to the routine procedure. The technician is unable to obtain a radial pulse. which of the following pulses should the tech attempt to obtain next?
carotid pulse
86. which of the following is used to determine ventricular heart rate?
R-R interval
87. A patient has a heart rate of 110/min. which of the following settings should the EKG tech adjust?
speed
88. which of the following personal protective equipment should an EKG technician use when administering an EKG for a patient with droplet precautions?
Gown
89. A technician performs an EKG on a patient in the emergency department. later that evening a family member of the patient overhears the technician at the public location discussing the patient's poor hygiene. which of the following has the tech violated?
HIPAA
90. following an EKG, a patient asks the technician "should I be worried about the results of my EKG", which of the following responses should the technician make?
i'm not authorized to discuss the results
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