NHA CET Practice Test 2.0 A 24/25

What action should the EKG technician take when preparing a patient for a standard 12-lead EKG?

have the patient remove any jewelry.

while performing a standard 12-lead EKG, an EKG technician notices that none of the leads are giving a reading, which of the following limbs should the technician check first when correcting this problem?

Right leg

What should an EKG technician include when preparing a patient for an upcoming exercise stress test?

"Refrain from caffeine, smoking, or alcohol for at least 3 hours prior to the test"

an EKG technician hears another staff member making derogatory comments about it patient's appearance, this is an example of _____.

Slander

while performing a 5-lead EKG, an EKG technician notices that lead II and lead III are not yielding a reading, which of the following limbs should the technician check to correct to correct the error?

Left leg

an EKG technician is preparing a patient for a holter monitor placement. what action should the technician take to reduce the chances of artifacts on the tracing?

use stress loops on the electrodes to reduce tension on the leads

an EKG technician is caring for a patient who is experiencing heart palpitations. which intervention should the technician expect the provider to prescribe?

Holter monitor

an EKG technician should recognize that a blood pressure readings of 98/78 mm Hg is within the expected reference range for an __________ patient?

adolescent

What an EKG technician should expect to see on the EKG tracing of a 20 year old patient who is experiencing a seizure.

somatic interference

an EKG technician is instructing a patient about a transtelephonic event monitor using a Heart Card monitoring device. Where should the patient apply the card to activate it during an event?

over the middle to lower part of the sternum

An EKG technician is performing an exercise stress test to evaluate a patient for coronary vascular disease. What should a technician do during this procedure?

report unexpected dysthymias during the test

How should an EKG technician prepare the patient for application of the electrodes for a standard 12-lead EKG?

use a razor or clippers to remove the patient's hair.

Using the tracing below, measure the PR interval

0.28 seconds

made by an EKG technician correctly compares the patient for telemetry monitoring?

"I will clean your skin with an alcohol pad"

An EKG technician is preparing a patient for a standard 12-lead EKG. Which of the following is a correct placement for lead V4?

The fifth intercostal space at the midclavicular line

An EKG technician should recognize that patients are restricted from performing which of the following activities while wearing a Holter monitor

Showering

Which of the following statements should an EKG technician make when preparing an eight-year-old patient for a standard 12- lead EKG

"I am going to apply some stickers to your belly, arms, and legs for the test"

An EKG technician is preparing a patient for an exercise stress test. Which of the following leads should technician placed on the right lower side of the anterior torso

Lead RL

And EKG technician is obtaining a pulse rate for a two-year-old patient. Which of the following pulse rate should the technician recognize as within the expected reference range for this patient?

120/min

Which of the following actions should the EKG technician wondering baseline on a patient's EKG tracing?

Relieve tension from the lead wires

an EKG technician is performing an exercise stress test for a patient and observes the following rhythm on the monitor. Which of the following accurately describes the rhythm?

Second-degree AV heart block Mobitz type II

Which of the following is the best location for EKG technician to use to measure the heart rate for an adult patient following an exercise stress test

Radial

During an exercise stress test, the patient reports heaviness on his chest and becomes diaphoretic. The EKG technician should recognize these findings as manifestations of which of the following conditions?

Myocardial infarction (heart attack)

an EKG technician is performing an exercise stress test for a patient. For which of the following findings should the technician expect the provider to stop the test?

Dizziness

Identify the rhythm in the tracing below:

atrial fibrillation

Using the 6 Second method calculate the approximate ventricular rate in the tracing below.

40/min

An EKG technician is preparing to enter an inpatient room to perform a standard 12-lead EKG. Which of the following actions should technician take for a patient who is prescribed contact precautions?

Remove gloves before leaving the patient's room

An EKG technician should recognize that a rhythm strip should be at least how many seconds long to accurately identify rate and rhythm?

6 seconds

Which of the following responses should an EKG technician make to a patient in an outpatient clinic who is upset that the technician cannot share the results of the tracing?

I understand your frustration. My role as the technician is to conduct the test correctly. The provider is qualified to interpret the results

An EKG technician should recognize that which of the following signs are often present when a patient is experiencing ventricular tachycardia?

Multiple premature ventricular contractions in a row

An EKG technician is working with a patient who has a below-the-knee amputation of the left leg. In which of the following locations should the technician place the right leg electrode?

On the lower right abdomen

An EKG technician is an outpatient facility is obtaining a patient's vital sign and is having trouble visualizing the patient's chest movement. Which of the following actions should the technician take to obtain an accurate respiratory rate for the patient?

Place a hand on the middle of the patient's back to count the respiration

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 technician is performing a standard 12-lead EKG for a patient who is experiencing accelerated junctional rhythm. Which of the following speed settings should the technician use?

25 mm/second

An EKG technician is recording a patient's radial pulse rate and finds the pulse to be irregular. The provider then takes the patients apical pulse. The technician should recognize that which of the following locations is used for this assessment?

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

An EKG technician is reviewing a tracing for a patient who has a ventricular pacemaker. Which of the following rhythm patterns should the technician expert after a pacing spike?

Wide QRS interval

Calculate the ventricular rate in the tracing below using the 1500 method.

150/min

An EKG technician is preparing a patient for the application of a Holter monitor. The patient tells the technician that she runs about 5 miles each day. Which of the following responses should the technician make?

"You should continue exercising as usual while wearing the monitor"

A thin spike before the P wave indicates that a pacemaker has been implanted to pace which of the following?

Atria

Which of the following electrodes is used to create leads I, II, and aVR?

Right arm

An EKG technician is measuring the intervals on a EKG tracing. Which of the following is an expected finding of impaired conduction through the AV node?

Prolonged PR interval

An EKG technician is performing a standard 12-lead EKG on a patient who's is 4 years old. In which of the following locations should the technician place the V6 electrode?

Left midaxillary line

An EKG technician is performing a posterior 12-lead EKG for a patient. Which of the following leads should the technician place along the paraspinous border ?

Lead V9

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

In the original, foil-lined packaging

An EKG technician working at a central monitoring station notes that a patient has a rhythm of ventricular tachycardia. Which of the following actions should the technician take first?

Notify licensed practitioner to evaluate the patient

An EKG technician should follow which of the following recommendations regarding infection control practices in health care settings?

Remove soiled gloves prior to touching uncontaminated surfaces

An EKG technician is speaking with a patient on the phone. The patient is wearing a Holter monitor and reports severe chest pain and shortness breath. Which of the following actions should the technician take?

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

Which of the following terms describes an EKG technician writing defamatory comments in a patient's chart?

Libel

An EKG technician should recognize that electrical interference on a 12-lead EKG tracing is most likely a result of which of the following?

Crossed lead wires

An EKG technician is performing a second standard 12-lead EKG on a patient immediately following the first test. For which of the following reasons should the technician recognize that resting tab electrodes should not be used for more than two consecutive EKG tracing?

The electrode will not conduct accurately after two EKG tracings

An EKG technician is Evaluating a standard 12-lead EKG tracing during a recording. The technician should recognize that electrical activity of the septal wall is recorded by which of the following leads?

Lead V1 and V2

Which of the following sites is the most accurate for an EKG technician to use when measuring a patient's body temperature?

Temporal

An EKG technician is providing instructions to a patient who is to wear a cardiac event monitor at home. Which of the following statements by the patient Indicates an understanding of the instruction?

"I will continue to do my daily walk to the grocery store"

An EKG technician is performing an exercise stress test for a patient. Which of the following findings should the technician report to the provider?

Decrease heart rate

An EKG technician is preparing to perform a 12-lead EKG for a patient who has dextrocardia. In which of the following locations should the technician place the electrode for lead V1?

Left sternal border, fourth intercostal space

An EKG technician is preparing to obtain a standard 12-lead EKG tracing for a patient who is 35 weeks of gestation. In which of the following positions should the technician place the patient?

Slightly on the left side with a pillow supporting the right hip

An EKG technician should identify that which of the following is an expected reference range for the body temperature of an adult patient?

36.5°C to 37.2°C (97.7°F to 99.0°F)

An EKG technician obtains a pulse oximetry reading of 80% from a patient. Which of the following terms should the technician uses to describe the patient's condition?

Hypoxemia

An EKG technician is Instructing patient about the use of a transtelephonic monitor with the loop memory. Which of the following instructions should the technician include?

"Press the record button on the device when you begin to feel dizzy or have chest pain"

Which of the following EKG findings differentiates accelerated idioventricular rhythm form junctional rhythm?

Accelerated idioventricular rhythm has wide QRS complexes

An EKG technician notices an accelerated idioventricular rhythm on a tracing. Which of the following actions should the technician take next?

Call for help and stay with the patient

An EKG tech is entering a patient's history into the electronic health record. Which of the following statements by the patient should the tuck enter into social history?

"I have smoked cigarettes for a long time"

An EKG technician should recognize that which of the following is the most commonly used paper speed for an EKG?

25 mm/second

Which of the following is correct regarding the EKG below?

The heart rate is 75/min

The presence of which of the following on an EKG tracing can indicate a previous Myocardial infarction?

Pathologic Q waves

Which of the following actions should the EKG technician take immediately after attaching the telemetry lead wires to the electrodes?

Check the wire colors and identifications to ensure attachment to the correct electrodes.

Which of the following methods can be used to calculate both regular and irregular rhythms?

6-second method

an EKG tech is preparing to perform a 12-lead EKG for a patient. The technician should identify that which of the following information is recorded by Lead I?

Electrical activity between the right arm and left arm

An EKG technician has performed an EKG on a patient. Which of the following actions by the technician would protect the patient's health information in accordance with HIPAA regulations?

Hand-delivering the EKG to the patient's provider

For which of the following types of heart block should an EKG technicina observe tthe patient for signs and symptoms of decreased cardiac output that could lead to cardiac arrest?

Third-degree AV block

Which of the following leads is create a between the left arm and left leg?

Lead III

A patient tells the EKG technician that she does not understand why she'd needs in ambulatory monitor after having a standard 12 lead EKG 2 days ago. Which of the following responses should the technician make?

"You're provider wants to study your heart over a longer period of time"

Which of the following activities should an EKG technician instruct a patient to record in the Holter monitor diary?

bike riding

Which of the following sites is the most appropriate for an EKG technician to use when taking the pulse of an infant

Brachial artery

And EKG technician notes that the patient is experiencing a variation in respirations that correlates with the EKG tracing which of the following irregularities does this indicate

Sinus Dysrhythmia

When an EKG technician is obtaining a pulse from a patient, which of the following terms should the technician used to document the rhythm of the pulse?

Irregular

And EKG technician is providing instructions for a patient who is going home with a Holter monitor for 48 hours which of the following statements indicate that the patient understands the instructions?

"I should activate the event marker if I have chest pain"

In which of the following locations should an EKG technician place the electrodes for leads V7, V8, and V9?

evenly spaced on the back between the axillary line and the vertebral column at the 5th intercostal space

During an exercise stress test, the patient reports fatigue. The EKG technician observes the tracing below. Which of the following actions should the technician take?

Notify the provider.

A during an exercise stress test, an EKG technician notices that the patient appears to be hyperventilating. Which of the following actions should the technician take first?

Check the patient's respiratory rate

An EKG technician is performing an exercise stress test for a patient who exhibits ventricular fibrillation on the EKG tracing. Which of the following actions should the technician take first?

Determine if the patient is responsive.

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

Which of the following EKG machine functions should an EKG technician use to control and regulate the height of EKG waveforms on the tracing?

Gain

An EKG technician is preparing to perform a standard 12-lead EKG tracing on a patient who has a heart rate of 150/min. Which of the following speed controls should the technician select?

50 mm/second

Which of the following leads is created when an EKG technician places the electrode to the right of the patient's sternum at the fourth intercostal space?

Lead V1

An EKG technician is reviewing the EKG tracing of a patient who has venticual hypertrophy. Which of the following findings should the technician expect?

Increased amplitude of the QRS complexs

An EKG technician notes that the QRS complex is too tall to fit on the EKG paper. Which of the following actions should the technician take?

Change the gain control to 5 mm/mV

an EKG technician should recognize that the smallest box on EKG graph paper represents which of the following lengths of time?

0.04 seconds

Which other fine patient findings indicates myocardial infarction

Cyanosis

Which of the following intervals should be used to determine the regularity of ventricular depolarization?

R-R wave interval

An EKG technician eliminates an artifacty on a 3-lead EKG tracing by plugging the machine into a differnt wall outlet. Which of the following caused the aritfact?

AC interfance

When placing electrodes on the patient for telemetry, in which of the following location should in EKG technician placed the ground electrode?

on the right lower leg

An EKG technician observes ST segment depression and T wave inversion in multiple leads. Which of the following should the technician suspect?

Myocardial ischemia

While performing an exercise stress test on a patient, a technician observes elevated ST segments. The technician should identify these findings as which of the following?

signs of acute myocardial injury

in which of the following locations should and EKG technician place the leads for a resting EKG tracing for a patient who is in an immobile fetal position?

On the patient's back

An EKG technician obtains the below tracing on a patient. Which of the following dysrhythmias should the technician recognize?

Bundle branch block

An EKG technician should recognize that which of the following situations is an allowable disclosure of patient information according to HIPAA guidlines?

Patient write their names on basic sign in sheet at the registration desk

Which of the following positions is appropriate for a patient during a nuclear stress test while the camera is scanning?

Supine with arms above the head

An EKG technician as monitoring a patient who is undergoing an exercise stress test. Which of the following findings should indicate to the technician is experiencing it in adverse reaction?

Report of tingling sensations in the lower extremities

After completing a standard 12-lead EKG on a patient, which of the following actions should an EKG technician take next?

Check that the tracing is free from artifacts and then disconnect the patient from the machine.