EKG Technician Practice Exam Flashcards

Vocabulary flashcards based on the EKG technician practice certificate test answers provided in the transcript.

Ventriculary Tachycardia (Central Monitoring Station Action)

Notify a licensed practitioner to evaluate the patient.

Post-Stress Test Heart Rate Site

The radial artery is the best location for an adult patient.

8-Year-Old Patient EKG Preparation Statement

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

Factor for Stopping an Exercise Stress Test

Dizziness.

Accelerated Junctional Rhythm Speed Setting

$25\,mm/second$.

Limb to Check for Lead II and Lead III Reading Errors

Left Leg.

Hypoxemia

A condition indicated by a pulse oximetry reading of $88\%$.

Atrial Pacemaker EKG Indicator

A thin spike before the P wave.

Contact Precautions Step

Remove Gloves before leaving the patients room.

Apical Pulse Assessment Location

Between the $5th$ & $6th$ ribs at the left midclavicular line.

Speed Control for Heart Rate of $150/min$

$50\,mm/second$.

Respiratory Rate Assessment (Difficulty Visualizing)

Place a hand on the middle of the patient’s back to count the respirations.

Regularity of Ventricular Depolarization Interval

R-R wave interval.

Preparation for Electrode Application

Use a razor or clippers to remove the patient’s hair.

Telemetry Ground Electrode Location

On the right lower leg.

Transtelephonic Monitor with Loop Memory Instructions

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

Telemetry Monitoring Skin Preparation

"I will clean your skin with an alcohol pad."

Adverse Stress Test Reaction Sign

Report of tingling sensations in the lower extremities.

Accelerated Idioventricular Rhythm Next Action

Call for help and stay with the patient.

Expected Adolescent Blood Pressure

$98/78\,mmHg$.

Exercise Stress Test Finding to Report

Decreased heart rate.

Myocardial Ischemia Indicators

ST segment depression and T wave inversion in multiple leads.

Left Leg Amputation Electrode Placement

On the lower right abdomen.

Jewelry Protocol for Standard EKG

Have the patient remove any jewelry.

Dextrocardia Lead V1 Placement

Left sternal border, fourth intercostal space.

Septal Wall Leads

Leads V1 and V2.

Heart Palpitations Intervention

Holter monitor.

Rhythm recognition (Finding 28)

Bundle branch block.

Child Body Temperature Site

Temporal.

Infection Control (Gloves)

Remove soiled gloves prior to touching uncontaminated surfaces.

Paraspinous Border Posterior Lead

Lead V9.

Unused EKG Electrode Storage

In the original, foil-lined packaging.

Action Following EKG Completion

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

Ambulatory Monitor Requirement Explanation

"Your provider wants to study your heart over a longer period of time."

Exercise Guidance for Holter Monitor

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

Ventricular Rate (1500 method)

$150/min$.

Ventricular Tachycardia Physical Sign

Multiple premature ventricular contractions in a row.

Stress Test Lead RL Placement

Placed on the right lower side of the anterior torso.

Lead III Formation

Created between the left arm and left leg.

Ventricular Rate (6-second method)

$40/min$.

Gain Adjustment for Tall Waves

Change the gain control to $5\,mm/mV$ if the QRS complex is too tall to fit on the paper.

Atrial Fibrillation (AF)

The rhythm identified in tracing 42.

Minimum Identifying Rhythm Strip Length

$6\,seconds$.

Pulse Rhythm Documentation

Irregular.

HIPAA Allowable Disclosure Example

Patients write their names on a basic sign-in sheet at the registration desk.

Slander

Making derogatory comments about a patient’s appearance verbally.

Holter Monitor Restriction

Showering.

Most Common EKG Paper Speed

$25\,mm/second$.

Electrode for Leads I, II, III, and aVR

Right arm.

Second-degree AV heart block Mobitz type II

Rhythm shown during an exercise stress test in question 50.

Technician Response for Result Communication

State that the role is to conduct the test correctly and only the provider is qualified to interpret the results.

Lead I Recording Path

Electrical activity between the right arm and left arm.

Sinus Dysrhythmia Tracing Match

A variation in respirations that correlates with the EKG tracing.

Evaluation of Coronary Vascular Disease Action

Report unexpected dysrhythmias during the test.

Hyperventilation Action (Exercise Stress Test)

Report unexpected dysrhythmias during the test.

Regular and Irregular Rhythm Calculation Method

$6\text{-second}$ method.

Lead V4 Placement

The fifth intercostal space at the midclavicular line.

P Wave in Lead II (Healthy Adult)

Rounded and upright.

Patient Information Protection Action (HIPAA)

Hand-delivering the EKG to the patient’s provider.

Cyanosis

A patient finding indicating myocardial infarction.

Pulse rate (300 method)

Divide $300$ by the number of large boxes between two R waves.

Somatic Interference Patient Profile

A $20\text{-year-old}$ patient experiencing a seizure.

Cardiac Event Monitor Understanding (Statement)

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

PR Interval (Measurement 64)

$28\,seconds$.

Exercise Stress Test Restriction Statement

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

9-Year-Old Lead V6 Placement

Left midaxillary line.

Adult Body Temperature Range

$36.5^{\circ}$ to $37.2^{\circ}C$ ($97.7^{\circ}$ to $99.0^{\circ}F$).

Heart Card Monitor Symptom Placement

Over the middle to lower part of the sternum.

Wandering Baseline Resolution

Relieve tension from the lead wires.

Gain

The EKG machine function that controls the height of EKG waveforms.

Nuclear Stress Test Scanning Position

Supine with the arms above the head.

$35\text{-week}$ Pregnant Patient EKG Position

Supine with the arms above the head.

Primary Limb to Check for No Readings

Right leg.

Pathologic Q waves

Technician finding on EKG tracing indicating a previous myocardial infarction.

Appropriate Site for Infant Pulse

Brachial artery.

Holter Pain Event Response

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

Family History Entry (Transcript Example)

"I have smoked cigarettes for a long time."

Ventricular Hypertrophy Tracing Finding

Increased amplitude of the QRS complex.

Holter Monitor Diary Activity Entry

Bike riding.

Exercise Stress Test Notification Action

Notify the provider if a patient reports fatigue and shows tracing abnormalities.

Leads V7, V8, and V9 Placement

Evenly spaced on the back between the axillary line and the vertebral column at the fifth intercostal space.

Holter Monitor Event Marker Activation

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

Ventricular Fibrillation Initial Technician Action

Determine if the patient is responsive.

Smallest Box Time Length (Finding 84)

Determine if the patient is responsive.

Electrical Interference Cause

Crossed lead wires.

Elevated ST Segments Meaning

Signs of acute myocardial injury.

Libel

Writing defamatory comments in a patient’s chart.

Third-degree AV block Monitoring

Observe for signs of decreased cardiac output that could lead to cardiac arrest.

$2\text{-year-old}$ Pulse Reference Range

$120/min$.

AC Interference Cause

Plugging the machine into an improper wall outlet.

Immobile Fetal Position Lead Placement

On the patient's back.

Impaired AV Node Conduction Indicator

Prolonged PR interval.

Resting Tab Electrode Usage Limit

The electrodes will not conduct accurately after two EKG tracings.

Ventricular Pacemaker Post-Spike Pattern

Wide QRS interval.

Lead V1 Site

Right sternal border in the fourth intercostal space.

EKG Tracing Recognition ($75/min$)

The heart rate is $75/min$.

Myocardial Infarction Manifestations (Stress Test)

Chest heaviness and becoming diaphoretic.

Artifact Reduction for Holter Placement

Use stress loops on the electrodes to reduce tension on the leads.

Accelerated Idioventricular Rhythm Distinction

It has wide QRS complexes compared to junctional rhythm.

Initial Step After Attaching Telemetry Lead Wires

Check a baseline EKG tracing for monitor clarity.