ekg test questions

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

Radial

An EKG technician working at a central monitoring station notes that a patient has a rhythm of ventricular tackycardia. Which of the following actions should the technician take 1st?

Notify a license practitioner to evaluate the patient

Which of the following statements should an EKG technician make some preparing ane 8 year old patient for a standard 12 lead EKG

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

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

dizziness

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 performing a standard 12 lead EKG for a patient who's experiencing accelerated Junctional rhythm. Which of the following speed settings should the technician use?

25 mm/second

While performing a 5 lead EKG and EKG technician notices that lead to and lead 3 are not yielding a reading. Which of the following limbs should the technician check to correct the error?

left leg

an EKG tech should recognize that a PR interval that spans four small boxes on the EKG paper has which of the following duration?

0.16 seconds

which of the following statements should an EKG tech include when preparing a patient for an upcoming excerise stress test?

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

for which of the following reasons should an EKG tech instruct a patient to wear loose-fitting clothing while wearing a Holyer monitor?

to reduce artifact on the tracing

an EKG tech is preforming a 2nd standard 12-lead EKG on a patient immediately following the 1st test. for which of the following reasons should the tech recognize that resting tab electrodes shouldn't be used for more than 2 consecutive EKG tracings?

the electrodes will not conduct accurately after 2 EKG tracings

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

wide QRS interval

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

Hand delivering the EKG to the patients provider

An EKG technician is preparing to perform in the EKG for a patient who does not speak the same language as a technician. Which of the following actions should the technician take it to avoid miss communication with the patient?

Have a bilingual staff member translate

An EKG technician notes a standard 12 lead EKG tracing shows an interrupted baseline. The technician knows that this artifact is most likely caused by which of the following?

Lead corrosion

A serial EKG tracing shows a rhythm that does not match the last tracing that the EKG technician performed. Which of the following actions should the technician take 1st?

Report the finding to the provider

Which of the following a lead groups form Einthovens triangle

Leads VI, V2 & V3

Which of the following actions should an EKG technician performed for a patient immediately before an exercise stress test?

Measure blood pressure and obtain and EKG while the patient is supine sitting and standing up

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

atria

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

multiple premature ventricular contractions in a row

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

Supine with the arms above the head

An EKG technician is preparing a patient for a standard 12 lead EKG. Which of 3 lead should the technician have on the same horizontal level?

Leads V4, V5, & V6

Which other fine patient findings indicate myocardial infarction

cyanosis

in which of the following locations should an EKG tech place the electrode for lead V5?

on the left anterior axillary line, horizontal to lead V4

During an exercise test, a 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

An EKG technician is preparing A patient for a scheduled standard 12 lead EKG. Which of the following actions should the technician take?

Use an alcohol pad to cleanse the electro placement sites

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

120/min

In which of the following situations is acceptable for an EKG technician to share a patient protected health information?

An inquiry for training purposes for the quality assurance office

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

Atria

Which of the following lead groups are bipolar leads?

Leads I, II & III

When performing a posterior EKG which of the following is the correct location for placement lead V8?

Left midscapular line

An EKG technician is performing a stress has for a patient. Which of the following EKG changes indicates that the patient is beginning to show signs of myocardial ischmia?

Depressed ST segment

Which of the following EKG machine functions should and EKG technician used to control and regulate the height of EKG at wave forms on the tracing?

Gain

An EKG technician is preparing to enter an in patient Room to perform a standard 12 lead EKG. Which of the following actions should the technician take for a patient who is prescribed contact precaution?

Remove gloves before leaving the patients road

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 5th and 6th ribs, at the midclavicular line

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

50 mm/second

An EKG technician is an outpatient facility is obtaining a patient's vital signs and as 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 respirations

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

R-R wave interval

An EKG tech is preparing to apply electrodes for a standard 12-lead EKG to a patient who needs hair removal. Once the hair removed is complete, which of the following methods should be used to remove the loose hairs prior to electrode placement?

use tape to remove loose hairs

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 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 statements made by EKG technician correctly prepares the patient for telemetry monitoring?

I will clean your skin with an alcohol pad

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?

Presence of sinus tachycardia with the regular RR interval

In 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 technician that should recognize that which of the following blood pressure readings is within the expected reference range for an adolescent patient?

86/60 mm Hg

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

decreased heart rate

An EKG technician observes ST segment depression and T wave inversion in multiple leads on a patient's EKG tracing. Which of the following should the technician suspect?

myocardial ischemia

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 tech. c place the right leg electrode?

Lower Right abdomen

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

left eternal border, 4th intercoastal space

an EKG tech is preparing to perform a 12-lead EKG tracing during a recording. the tech should recognize that electrical activity of septal wall is recorded by which of the following leads?

Leads V1, &V2

An EKG tech is caring for a patient who is experiencing heart palpitations. Which of the following interventions should technician expect the provider to prescribe?

holter monitor

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

temporal

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 as 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 used to store electrodes when not in use?

in an open plastic bag

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

Check That the tracing is free from artifacts and then disconnect The patient from the machine

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

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

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 and a row

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

Lead RL

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

Lead III

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 a rhythm strip should be at least how many seconds long to accurately identify rate and rhythm?

6 seconds

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

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

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

An EKG technician here is another staff member making derogatory comments about a patient's appearance. This is an example of which of the following torts?

Slander

An EKG technician should recognize that patients are restricted to performing which of the following activities while wearing a holter monitor?

showering

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

25 mm/sec

which of the following electrodes is used to create leads I, II & aVR?

right arm

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

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

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 one?

Electrical activity between the right arm and left arm

An EKG technician notes that a patient as experience a variation and respirations that correlates with an EKG tracing. Which of the following irregularities does this indicate?

Sinus dysthymia

An EKG technician is performing in exercise stress has to evaluate a patient for coronary vascular disease. Which of the following actions should technician take regarding this procedure?

Report unexpected dysthymia during the test

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 1st?

Check the patient's respiratory rate

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. which of the following is the correct placement for lead V4?

The 5th intercostal space at the mid clavicular line

in a healthy adult patient which of the following is expected shape and direction of the P wave in lead II?

Rounded and inverted

Which of the following methods shouldn't EKG technician used to calculate a patient's heart rate from the EKG tracing?

Divided 300 by the number of large boxes between 2 R waves

For which of the following patients should an EKG technician expect to see somatic interference on an EKG tracing?

A at 20 year old patient who is experiencing a seizure

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

If the batteries fail I will replace them myself

An EKG technicians performing a standard 12 lead EKG on a patient who is 9 years old. In which of the following locations should the technician place the V6 electrode?

Right mid axillary line

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 to 37.2

An EKG technician is Instructing a patient about a transtelephonic event monitor using a heart card monitoring device. To which of the following sites should the patient applied that card to active the it during an event?

Over the middle to lower part of the sternum

Which of the following actions should the EKG technician take to resolve a wandering bass line on a patient's EKG tracing?

Relieve tension from the lead wires

Which of the following EKG machine function shouldn't EKG technician used to control and regulate the height of EKG wave forms on the tracing?

gain

an EKG tech is preparing to perform a 12-lead EKG For a patient who is at 35 weeks of gestation. In which of the following positions should the technician placed the patient?

Slightly on the left side with a pillow supporting the right

While performing a standard 12 lead EKG, in technician notice is that none of the leads are giving a reading. Which of the following limbs should to technician check 1st when correcting this problem?

Right leg

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

pathologic Q waves

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

Brachial artery

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 of breath. Which of the following actions should the technician take?

Have someone call emergency services while remaining on the call 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 is reviewing the EKG tracing for a patient who has ventricular hypertrophy. Which of the following findings should the tech expect?

Increased amplitude of the QRS complex

An ekg technician is preparing to apply electrodes to a patient for a standard 12-lead EKG. Which of the following methods should the technician use to prepare the patient for the application of the electrodes

cleanse the patient's skin with povidone-iodine

Which of the following actions should a EKG technician take when preparing a patient for a standard 12-lead EKG?

Have the patient remove any jewelry

which of the following sites is the most accurate for an EKG technician to use when measuring the body temperature of a young child?

temporal

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 fifth intercostal space.

An EKG technician is providing instructions for a patient who is going home with a Holter monitor for 48 hr. Which of the following statements indicates the patient understands the instructions?

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

as 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

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

cross lead wires

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

sign of acute myocardial injury