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1/TF
Which of the following results in improved understanding, improved self-advocacy, increased compliance, and better patient outcomes?
Risk management
Informed consent
Satisfaction surveys
Patient education
Patient education
2/TF
Which of the following controls regulates the output of height of ECG waveform?
Speed
Signal processor
Output display
Gain
Gain
3/TF
Which of the following leads are bipolar?
Precordial leads
Limb leads I-III
Limb leads IV-VI
Limb leads I-VI
Limb leads I-III
Limb leads (bipolar)
I, II, III
Augmented Limb leads (unipolar)
aVR, aVL, aVF
Precordial leads / chest leads (unipolar)
V1-V6
4/TF
Multifocal atrial tachycardia appears most often in patients with which of the following conditions?
Congestive heart failure
Chronic pulmonary disease
Digoxin toxicity
Hypotension
Chronic pulmonary disease
Chronic Obstructive Pulmonary Disease,
Pulmonary hypertension increases cardiac workload on the R-atrium/ventricle.
It results in structural and electrical remodeling of the heart, particularly affecting the atria where MAT originates
5/TF
The entire network of specialized nervous tissue that extends through the ventricles is known as which of the following?
Cardiac conduction system
Bachmann’s Bundle
His-Purkinje system
Fasciculi system
His-Purkinje system
SA node
AV node
Bundle of His
Bundle branches
(Fasciculi on LBB)
Purkinje fibers
7/TF
At least how long of an ECG tracing of P wave are measured to determine whether the P waves are occurring regularly or irregularly?
3 second
6 seconds
10 seconds
1 minute
10 seconds
8/TF
The physical action of ventricular contraction in reality continues how long compared to the QRS complex that represents it?
Lesslong
As long
Longer
QRS does not represent this
Longer
While the QRS complex marks the start of the ventricular depolarization, it does not cover the entire duration of the subsequent mechanical contraction of the ventricles.
10/TF
When performing an ECG recording on a patient, the technician observes frequent PVC’s. Which of the following would not be considered signs or symptoms for the patient that is experiencing this arrhythmia?
No symptoms at all
Dizziness
Feeling of a forceful beat
Headaches
Headaches
3/T1
If single-lead monitoring is performed, which of the following information would it not gather?
The patient’s heart rate
The age of the patient
The length of conduction in different parts of the heart
If the heartbeat is regular or irregular
The age of the patient
4/T1
Which of the following would be considered the color of the chest leads?
White
red
Brown
Green
Brown
6/T1
When ECG technician is making entries in the patient’s medical records regarding their ECG, which of the following would not be included?
The patient’s medical history
The identification of the patient
Diagnostic test result
The height and weight of the patient
The height and weight of the patient
8/T1
High-voltage artifact potentials are generally interpreted by the monitor as QRS complexes and activate the high-rate alarm in a monitoring problem known as which of the following?
Muscle tremor alarm
False high-rate alarm
Telemetry-related interference
False low-rate alarm
False high-rate alarm

13/T1
An accurate word that the technician can use in place of electrodes to keep from instilling fear in the adult patient would be which of the following?
Plug
Stickers
Sensors
Recorders
Sensors
17/T1
When a compensatory pause does not occur, the premature ventricular contraction is called which of the following?
Uniform
Diminished
Interpolated
Aberrant
Interpolated
Reason 1. The ectopic impulse is generated and clears out quickly enough that the heart's natural pacemaker (the SA node) isn't reset.
Reason 2 The electrical signal travels in a way that allows the next normal sinus beat to arrive exactly on time
18/T1
The left bundle branch splits into two branches known as which of the following?
Capillaries
Fibers
Nodes
Fasciculi
Fasciculi
20/T1
Which of the following is the weight of the human heart?
6-11 oz
8-12 oz
10-15 oz
12-17 oz
8-12 oz
24/T1
When examining a rhythm strip from an AAI pacemaker patient, each spike is immediately followed by which of the following?
Wide QRS complex
T wave
P-wave complex
Narrow QRS complex
P-wave complex
27/T1
Atrial tachycardia is characterized by which of the following?
Extended QRS complex
Three or more successive ectopic atrial beats at a rate of >100 bpm
Normal sinus P wave
Three or more successive ectopic atrial beats at a rate of 250 to 300 bpm
Three or more successive ectopic atrial beats at a rate of >100 bpm
29/T1
As a result of bradycardia, which of the following tends to diminish?
Vagal stimulation
Automaticity
Metabolic demands
Oxygenation
Automaticity
33/T1
Which of the following acts as an safety mechanism to protect the heart from ventricular standstill?
Premature ventricular contractions
Idioventricular rhythm
Torsades de pointe
Asystole
Idioventricular rhythm
38/T1
A maneuver to purposely activate the baroreceptors in the carotid arteries to slow a rapid heart rate is known as which of the following?
Carotid sinus massage
Carotid sinus activation
Carotid receptor massage
Carotid receptor activation
Carotid Sinus massage

40/T1
The overall form and structure of a wave on a rhythm strip is known as which of the following?
Vagal tone
Palpitations
J point
Morphorogy
Morphology
41/T1
ECG lead II produces a positive deflection, and the positive electrode should be placed on which of the following?
Right leg
Left leg
Right arm
Left arm
Left leg
42/T1
How many different types of atrial tachycardia are there?
One
Two
Three
Four
Three
Atrial Tachycardia with Block
A specific heart rhythm where the upper heart chambers (atria) beat rapidly (150–250 bpm), but the AV node acts as a safety filter, preventing every electrical impulse from reaching the ventricles
Multifocal Atrial Tachycardia
Paroxysmal Atrial Tachycardia
43/T1
An arrhythmia that has a PR interval of less than 0.12 second originated where in the heart?
SA node
Atria
Ventricles
AV junction
AV junction
44/T1
Ventricular repolarization is represented by which of the following cardiac complex waves?
P
A
Q
T
T wave
50/T1
Which of the following changes would most directly decrease peripheral blood flow by reducing effective ventricular contraction and cardiac output?
Arterial oxygen saturation
Ventricular electrical activity
Mitral valve regurgitation severity
Peripheral vascular resistance
Ventricular electrical activity
52/T1
The typical dosage of Atropine that is administered to the patient that is experiencing symptomatic bradycardia would be considered which of the following?
0.01 mg
0.5 mg
10mg
5 g
0.5 mg
53/T1
The space which is between the lungs that contain the heart would be considered the ____?
Myocardium
Epicardium
Mediastinum
Pericardium
Mediastinum

56/T1
Which of the following is not one of the common causes of junctional escape?
Vagal stimulation
Sick sinus syndrome
Digoxin toxicity
Stroke
Stroke
Common causes of junctional rhythm
Sick sinus syndrome
Vagal stimulation
Electrolyte imbalances
Digoxin toxicity
MI
Rheumatic heart disease
58/T1
The T wave’s peak represents which of the following?
Relative refractory period of ventricular repolarization
End of ventricular depolarization
End of ventricular conduction
Presence of myocardial infarction or ischemia
Relative refractory period of ventricular repolarization

59/T1
Prolonged PR Intervals are associated with which of the following?
Junctional arrhythmias
Conduction delays
Pre-excitation syndromes
Speeding through the atria
Conduction delays
62/T1
If a P wave has an amplitude of> 2.5 mm in lead II or >1.5 mm in V1, which of the following may be indicated?
Left atrial enlargement
Retrograde atrial depolarization
Right atrial enlargement
Reverse or retrograde conduction
Right atrial enlargement

64/T1
When measuring ventricular regularity on a 12-lead ECG and R waves are absent or not clearly visible, which point is preferred for measuring successive ventricular cycles?
P wave peak (atrial depolarization)
Q wave onset (initial downward deflection of the QRS)
S wave nadir (deepest negative deflection of QRS)
J point (junction of the QRS complex and the ST segment)
S wave nadir
(deepest negative deflection of the QRS)
Q onset can be useful if it’s consistently sharp, but initial deflections may be slurred or variable;
S wave nadir is generally a more reproducible ventricular marker when R is absent
74/T1
Which of the following do atrial arrhythmias result from?
Impulses that originate outside the SA node
Impulses that originate from the SA node
Ventricular conditions
Atrial conditions
Impulses which originate outside the SA node
77/T1
Which of the following is mainly caused by an irritable spot or focus that happens outside of the SA node?
Sinus arrest
SA block
Sinus bradycardia
Premature atrial contractions
Premature atrial contractions
PAC usually caused by an irritable spot.
85/T1
Is the sequence method of calculating atrial rate, the technician must memorize a series of numbers to assign to which of the following?
P waves that peak on heavy black lines
P waves that peak below heavy black lines
The heavy black lines between P waves
The light black lines between P waves
The heavy black lines between P waves
86/T1
Two sets of chemicals in the sympathetic nervous system that are highly influenced by this system include which of the following?
Acetylcholine and baroreceptors
Norepinephrine and epinephrine
Calcium and potassium
Sodium and calcium
Norepinephrine and epinephrine
(naw-reh-puh-NEH-fruhn)
Primary chemicals driving the sympathetic nervous system and the acute “fight-or-flight” stress response.
89/T1
How many electrodes would a unipolar lead have?
three
One
Four
Six
One
90/T1
During repolarization, which of the following ventricular myocytes charges must recover in order to be depolarized again?
Resting positive charge
Active negative charge
Resting negative charge
Active positive charge
Resting negative charge
93/T1
Saying words correctly would be considered ____ and speaking clearly would be considered ____?
Pronunciation / enunciation
Enunciation / pronunciation
Enunciation / formally
Speaking / enunciation
Pronunciation / Enunciation
A requisition for an ECG procedure must include the reason for the exam and all of the following except?
Patient identification information
Patient vital signs
Patient medications
Patient weight and height
Patient weight and height
98/T1
Of the following, which would be considered the appropriate term for an individual that helps the patient seek information and resources?
Nurse aide
Nurse practitioner
Nurse manager
Patient advocate
Patient advocate
3/T2
The force the heart has to push against would be considered the _________?
Preload
Cardiac output
Conductivity
Afterload
Afterload
4/T2
Predisposing factors for the development of PVC’s would include all of the following except?
Normal potassium and magnesium
Hypokalemia
Digoxin toxicity
Caffeine
Normal potassium and magnesium
6/T2
In regards to the Glasgow coma scoring system, if the patient opens their eyes to pain, is confused, and move to localized pain, which of the following would be considered the correct score?
6
15
11
12
11
11/T2
Which of the following is commonly triggered by ineffective contact between the patient’s skin and the electrode-leadwire system?
False low-rate alarm
Muscle tremors
False high-rate alarm
Telemetry monitoring
False low-rate alarm
12/T2
If an impulse from outside pathway other than the bundle of His causes depolarization of the ventricles, it can cause which of the following?
Junctional tachycardia
Accelerated junctional rhythm
Ventricular arrhythmias
Junctional arrhythmias
Ventricular arrhythmia
15/T2
Which of the following is common cause of Wandering Atrial Pacemaker?
Increased Vagal Tone
Digoxin toxicity
Diabetes mellitus
Lupus erythematosus
Increased vagal tone
(e.x., during sleep, in athletes, with pulmonary disease)
16/T2
Simply stretching the outer layer of the skin can produce which of the following?
Large baseline shifts
Electrical signals
Asystole
Tachycardia
Electrical signals
18/T2
Sinus arrest occurs when the sinoatrial (SA) node fails to generate an impulse. Which of the following is a recognized cause of sinus arrest?
Increased sympathetic stimulation
Hyperthyroidism
Heart disease producing SA node ischemia or fibrosis
Minimal doses of beta-adrenergic blockers
Heart disease producing SA node ischemia or fibrosis (sick sinus syndrome)
20/T2
Which of the following can cause the atria and ventricles to beat out of sync due to longer-than-normal conduction?
Retrograde conduction
Re-entry events
Compensatory beat
Ectopy
Retrograde conduction
Retrograde conduction (VentriculoAtrial conduction):backward electrical direction of travel
The backward movement of electrical signals in the heart, traveling from the ventricles or the node back up into the atria.
This triggers inverted retrograde P waves on an ECG and can lead to arrhythmias like pacemaker-medicated tachycardia.
Retrograde conduction is a feature of a junctional rhythm
21/T2
In left bundle branch block the QRS complex is greater than 0.12 seconds because the ventricles are activated in which of the following ways?
Simltaneously
Sequentially
Spontaneously
Segmentally
Sequentially
Right ventricle first, then the left
25/T2
Sick sinus syndrome’s prognosis is considered worse if atrial fibrillation occurs due to the possibility of which of the following?
Thromboembolic complications
Prolonged pauses
Syncope
Sinus arrest
Thromboembolic complications
SSSS > A fib > Clots
29/T2
Which of the following shows the electrical changes in a myocardial cell during the depolarization-repolarization cycle?
Conduction system
Impulse pathway
Action potential curve
Myocardial change chart
Action potential curve
Action Potential Curve: A graph illustrating the rapid changes in voltage across a cell membrane over time.
33/T2
AAI pacemaker s are not used in which of the following conditions?
Sinus bradycardia
Atrial standstill
AV block
Sick sinus syndrome
AV block
35/T2
Which of the following types of permanent pacing requires cardiac surgery to place wires?
Transcutaneous pacing
Epicardial pacing
Transvenous pacing
Defibrillator pacing
Epicardial pacing
Transcutaneous pacing: Non-invasive patch electrode
Transvenous Pacing: inserting lead.
36/T2
An electronic record of a patient’s health information that is created and maintained by a single healthcare provider or organization and is used for care during one or more encounters is best described as which of the following?
Electronic medical record
Electronic health record
Personal health record
Health information exchange
Electronic Medical Record
37/T2
Which type of sinoatrial block involves a regular rhythm with pauses until a whole PQRST complex is blocked?
First degree
Second degree type I
Second degree type II
Third degree
Second degree type II
38/T2
Which of the following is not a cause of temporary AV block?
Cardiomyopathy
Myocardial infarction
Cardiac surgery
Calcium channel blockers
Cardiomyopathy
Cause of AV block
Digoxin
Myocardial Infarction (temporary)
Cardiac surgery (temporary)
Calcium channel blockers
39/T2
Which type of lead wire should be attached prior to the electrode being placed on the patient’s chest?
Clip-on
Contact
Snap-on
Twist-on
Snap-on
43/T2
Which of the following is the most common cause of junctional tachycardia?
Congenital disease in children
Posterior or inferior wall myocardial infarction or ischemia
Digoxin toxicity
Swelling of the AV junction following heart surgery
Digoxin Toxicity
44/T2
Which of the following is not a condition that can disrupt electrolyte shifts?
Metabolic acidosis
Hypoxia
Myocarditis
Depressant drug intoxication
Depressant drug intoxication
Metabolic acidosis >acid buildup
Hypoxia >acid-base disturbance
Myocarditis >inflammation of muscle alter electrolytes management
46/T2
Which of the following is not a cause of permanent AV block?
Congenital abnormalities
Digoxin toxicity
Myocardial Infarction
Cardiomyopathy
Digoxin toxicity
51/T2
The NB should only be employed when absolutely necessary for which of the following reasons?
It requires patient movement during the exam
The filter reduces interference
The filter will distort the ECG reading
The filter increases interference
The filter will distort the ECG reading
distort=alter contaminate
The option "the filter reduces interference" is incorrect because it describes what the filter does, not the reason to restrict its use.
59/T2
Which of the following will happen when the current is traveling perpendicular to the lead?
Wave is deflected in both directions
Wave is deflected down
Wave is flat
Wave is deflect up
Wave is deflect up
78/T2
During diastole, when the ventricles relax, it allows for which of the following to occur?
Pushes blood out of the ventricles
Pushes the blood out of the superior vena cava
Allows the atria to create space for receiving more blood
None of the above
Allows to the atria to create space for receiving more blood
81/T2
Which of the following is not typically one of the cause of ventricular fibrillation?
Myocardial infarction
Angina
Myocardial ischemia
Underlying heart disease
Angina
84/T2
In the QRS complex, which of the following is represented by the S wave?
Conduction of the electrical impulse through both ventricles
Conduction of the electrical impulse down the interventricular septum
Conduction of the electrical impulse to the left ventricle
The end of ventricular depolarization and the beginning of ventricular repolarization
Conduction of the electrical impulse through both ventricles
Q wave: interventricular septum.
R wave: Ventricular apex and large main walls
S wave: Basal regions of both ventricles
90/T2
The intrinsic firing rate of the Bundle of His would be considered which of the following?
70-85 bpm
40-60 bpm
60-80 bpm
20-45 bpm
40-60 bpm
60-80 bpm = SA node
40-60 bpm = AV node & Bundle of His
20-40 bpm = Purkinje Fibers
97/T2
The act of leaving a patient's chart open or out in an area where other patients or visitors can see it is a breach of which of the following?
Ethics
HIPAA
Confidentiality
All of the above
All of the above
4/T3
If a patient is experiencing sinus bradycardia and is symptomatic, which of the following would this rhythm not be the cause of?
Chest pain
Shortness of breath
Diarrhea
Hypotension
Diarrhea
symptoms NOT caused by Sinus Brady
5/T3
Which of the following will cause the baseline to have an uneven, coarsely jagged appearance that obscures the waveforms on the ECG?
Telemetry monitoring
Wandering baseline
Electrical interference
Muscle tremors
Muscle tremors
(somatic tremors)
coarsely jagged(粗くギザギザした)
obscures (不明瞭な)
6/T3
Of the following, which would not be considered a potential cause for a patient to experience breathlessness?
Severe pulmonary edema
Cardiac arrhythmias
Osteoporosis
Pericarditis
Osteoporosis
Osteoporosis: a condition that cause bones to become weak and brittle
7/T3
The lateral leads would be considered which of the following?
III
aVF
I
V2
I
11/T3
Which of the following would be considered concurrent with the end of ventricular systole?
T wave
R wave
Q wave
S wave
T wave
QRS is V-depolarization (signal to contract)
Mechanical functions=Ventricular systole
The end of ventricular systole coincides with the beginning of ventricular repolarization, which is marked by the T wave.
Thus, the T wave occurs concurrently(同時に) with the end of ventricular systole.
14/T3
Which of the following controls increases or decreases the size of the EKG tracing on the rhythm paper?
LCD display
Standardization
Speed
Gain
Gain.
It’s about height
20/T3 [ ECG Fundamentals ]
What is unique about the T wave on a rhythm strip with ventricular tachycardia?
Missing from the waveform
Inverted from normal
Opposite direction from QRS complex
Nothing
Opposite direction from QRS complex
21/T3 [ ECG Fundamentals ]
Vagal maneuvers and medications, such as which of the following, can be employed to slow the heart rate in symptomatic junctional tachycardia patients?
Adenosine
Amiodarone
Digoxin
Verapamil
Adenosine

22/T3
Rhythm strip (HR 200, Regular, No P)
Asystole
Atrial flutter
Atrial tachycardia
Atrial fibrillation
Atrial Tachycardia
It’s not A-flutter 1:1 because
Presence of P waves (with intervals)
HR is too slow. Atrial Tachycardia should be 100-250bpm. Aflutter 1:1 should be 250-350 bpm
They are not Flutter wave
It’s not A fib RVR, because
Regularity
presence of P wave (with interval)
have’s P wave, not flutter wave.
24/T3 [ ECG Fundamentals ]
When sinus arrhythmia is related to respiration, there will be which of the following with inspiration?
Increase in heart rate
Decrease in heart rate
Regularity in heart rate
Pause in heart rate
Increase in heart rate
(inspiration=inhale » inhale increase heart rate)
26/T3 [ ECG Fundamentals ]
The time between the end of depolarization and repolarization of the ventricles would be considered which of the following?
PR interval
QT interval
PP segment
ST segment
ST segment
27/T3 [ ECG Fundamentals ]
Sinus tachycardia can worsen myocardial ischemia by increasing the heart’s demand for which of the following?
Oxygen
Electrical impulse
Blood
Rest
Oxygen
Heart muscle works harder
More oxygen needed
but can’t get it because HR too fast, so cell begin to die
28/T3
Third-degree AV block is most commonly classified as which of following?
Drug-induced (caused by medication)
Surgery-induced (resulting from surgery or procedural injury)
Congenital (Present at birth)
Acquired degenerative or disease-related (due to progressive conduction)
Acquired degenerative or disease-related
(They all can be cause)
30/T3
Premature Atrial Contractions are rarely dangerous but in a patient with which of the following conditions, they can serve as an early sign of heart failure or electrolyte imbalance?
Nonconductor premature atrial contractions
Hypoxia
Acute myocardial infarction
Pulmonary disease
Acute myocardial infarction
PAC on MI can trigger the R-on-T phenomenon and lead to V-tach.
On ECG, “Sinus rhythm with acute ST elevation and frequent PACs”
33/T3 [ ECG Fundamentals ]
Asystole must be confirmed in more than one lead due to the fact that it closely resembles which of the following?
Fine ventricular fibirillation
Sinus pause
AV block
Artiact
Fine ventricular fibrillation
because its visual similarity to Asystole
34/T3 [ ECG Fundamentals ]
How many pulmonary veins does the human body contain?
2
3.
4
5
4
4 pulmonary veins connected to the left atrium
Right Superior
Right Inferior
Left Superior
Left Inferior

37/T3
All of the following medications could cause bradycardia except?
Beta-adrenergic blocker
Digoxin
Amiodarone
NSAIDs
NSAIDs
Non-Steroidal Anti-Inflammatory Drugs
39/T3 [ ECG Fundamentals ]
Chest lead electrodes always which of the following?
Negative
Neutral
Positive
Horizontal
Positive
Chest leads = V1-V6
43/T3
Repolarization is an electrical phenomenon that immediately follows depolarization and appears on the electrocardiogram as which of the following?
Spike
Inverted Spike
Broad hump
Narrow hump
Broad hump
as T wave
45/T3 [ ECG Fundamentals ]
Which of the following would be NOT considered the most commonly used leads for arrhythmia monitoring?
Lead 2
V1
V4
MCL1
V4
Lead II is the best
46/T3 [ ECG Fundamentals ]
The atrial relax and fill with blood during which of the following?
Systole
Asystole
Diastole
Cardistole
Diastole
48/T3
If the Q wave is absent, the QRS complex should be measured from the beginning of which wave?
P
R
S
T
R
50/T3
Which of the following is the cell’s ability to transmit electrical impulses?
Automaticity
Excitability
Elasticity
Conductivity
Conductivity
Conductivity: the ability of nerve and muscle cells to transmit electrical signals across their membranes.
51/T3
The AV node’s primary function is to do which of the following?
Instigate electrical impulse
Redirect impulses
Delay impulses
All of the above
Delay impulse
57/T3
Which of the following leads would have a depression of the ST segment if the patient has experienced a posterior AMI?
V3
aVL
III
V6
V3
Posterior = V1, V2, V3,
61/T3
Cardiac valves which have half-mooned shaped cusps would be considered which of the following?
Pulmonic valves
Tricuspid valves
Mitral valves
Both B and C
Pulmonic valves
AV valves = Tricuspid / Mitral valves
Semilunar = Pulmonic /Aortic valves
62/T3
The recovery period for the ventricle conductive fibers is represented by which of the following?
U wave
T wave
QT interval
QRS complex
U wave
= The recovery period for the Ventricle conductive fibers (=Purkinje fibers and bundle branches)
63/T3
The correct range for the rate for atrial tachycardia would be considered which of the following?
150-250 bpm
80-100 bpm
150-300 bpm
150-180 bpm
150-250 bpm
Atrial tachycardia = 150-250 bpm
67/T3
Which of the following would not be considered a primary characteristic of a cardiac cell?
Conductivity
Automaticity
Communicatability
Contractility
Communicatability
(Primary characteristics relevant to cardiac cells are
conductivity
automaticity
contractility
excitability)