EKG EXAM C

Which of the following is the order in which the EKG technician should document a patient's vital signs?

Temperature, pulse, respirations and blood pressure

An EKG technician should recognize that the Purkinje fibers serve which of the following purposes?

Carry electrical impulses directly to ventricular muscle tissue

Which of the following rhythms is characterized by upright P waves, narrow QRS complexes, and a ventricular rate between 60 and 100/min?

Sinus Rhythm

An EKG technician is administering an exercise stress test to a patient and notes the patient's heart rhythm shows a depressed ST segment. Which of the following actions should the technician take first?

Discontinue the Test

A patient presents alert and oriented, but an EKG technician finds that all the waveforms are negative in lead I. The technician should check the cable connections for which of the following limb electrodes?

Right arm and Left arm

An EKG technician has just provided patient education prior to an exercise stress test. Which of the following statements made by the patient indicates an understanding of the preparation?

“I can smoke the night before the exam”

For a healthy adult patient, which of the following describes the pattern of the anticipated QRS complex in lead V4?

Biphasic

The atypical vertical projections in the EKG below are likely the results of which of the following?

Pacemaker spikes

An EKG technician notices that the waveforms on an EKG are very close together and the patient has an unusually rapid heart rate. To spread out the tracing, the technician should change the paper speed to which of the following?

50 mm/second

An EKG technician is observing a patient during an exercise stress test. Which of the following symptoms should the technician immediately report to the provider?

Headache

Which of the following is correct regarding the EKG below?

The heart rate is 75/min

Which of the following actions should an EKG technician take before storing EKG cables to prevent the transmission of microorganisms?

Wipe the cables with disinfectant?

Which of the following actions should an EKG technician take when a patient who is unable to read is scheduled for a stress test and must sign an informed consent form?

Verify the patient’s understanding of the procedure

An EKG technician is educating a patient on when to push the event button while wearing a Holter monitor. Which of the following statements indicates patient understanding?

I will push the event button if I’m experiencing dizziness

Which of the following actions by the EKG technician demonstrates compliance with HIPAA regulations?

The technician uses a privacy screen on the computer to prevent others from viewing the monitor

An EKG technician detects a U wave and the patient reports chest pain and discomfort. Which of the following actions should the technician take?

Notify the patient’s provider

Which of the following actions should an EKG technician take when a patient who is unable to read is scheduled for a stress test and must sign an informed consent form?

Verify the patient’s understanding of the procedure

An EKG technician is preparing a patient for an exercise stress test. In which of the following locations should the technician place the RL electrode?

Right lower abdomen

An EKG technician is preparing a patient for cardiac monitoring and notices that a patient’s skin is diaphoretic. Which of the following actions should the technician take?

Prepare the site with antiperispirant

Measure the QT interval in the tracing below

720 milliseconds

An EKG technician is preparing a 5-year-old child for a standard 12-lead EKG. Which of the following actions should the technician take?

Allow the child to apply the electrodes on a doll before the procedure

A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following actions should the EKG technician take first?

Call for help and begin CPR

An EKG technician is administering an exercise stress test to an adult patient. Which of the following findings should the technician identify as an indication that the patient is experiencing an adverse reaction to the stress test?

An increase in respiratory rate from 16/min to 34/min

Which of the following can cause sinus arrhythmia?

The patient’s respirations

What is the EKG gain of the tracing below?

10 mm/mV

Which of the following is used to ensure the EKG machine is working properly?

Calibration

In which of the following locations should the EKG technician place the electrodes for a 3-lead ambulatory monitor?

On the right shoulder, the left shoulder and the left abdomen

An EKG technician is preparing to transport a patient for an EKG. The patient is prescribed droplet precautions. Which of the following personal protective equipment (PPE) should the technician apply to the patient?

Simple Face Mask

An EKG technician should recognize that which of the following situations could result in wandering baseline artifact on an EKG tracing?

Loose electrodes

An EKG technician should recognize that which of the following is the expected reference range for the respiratory rate of a newborn patient?

30 to 49/min

An EKG technician is applying a Holter monitor for a patient. Which of the following is the final step the technician should take when applying a Holter monitor?

Document the procedure in the patient’s health record

An EKG technician is preparing to perform an exercise stress test on a patient. Which of the following findings in a patient's medical history would prevent the patient from participating in an exercise stress test?

Congestive heart failure

Which of the following is the most likely cause of the artifact in the tracing below?

Electrical interference

The R-R interval on a patient's tracing has five large boxes. Which of the following is the patient's heart rate?

60/min

Which of the following is the maximum number of tracings that an EKG technician can obtain on the same patient using a single set of disposable electrodes?

Two

Which of the following waves is absent from the tracing below?

P wave

Which of the following is the electrode charge combination for the limb leads for a standard 12-lead EKG?

Right arm negative pole, left arm positive pole, and left leg positive pole

Which of the following waves should an EKG technician measure to evaluate for atrial depolarization?

P wave

An EKG technician is providing instructions for a patient who is scheduled for an exercise stress test. Which of the following instructions should the technician include?

You should avoid wearing shoes with high heels for this test

An EKG technician is performing a standard 12-lead EKG for a patient who has a below the knee amputation of the left leg. The technician should modify and document the lead placement for this patient in which of the following ways?

Place the lower left extremity lead on the left groin

An EKG technician is monitoring the pulse of a 50 year old patient during an exercise stress test. The provider uses an 85% multiplier for this patient. Which of the following is the target heart rate for submaximal exercise for this patient?

145/min

An EKG technician is preparing a patient for an exercise stress test. Which of the following statements should the technician make before the test?

This procedure requires informed consent

An EKG technician is preparing a patient for a transtelephonic ambulatory monitor. Which of the following monitors can the patient wear for 30 days or longer and can record cardiac event information from before, during, and after an episode?

Loop-memory monitor

What is the name of the arrhythmia in the EKG tracing below?

Atrial Fibrillation

Which of the following describes the correct electrode placement for lead V5?

Anterior axillary line, fifth intercostal space

An EKG technician is preparing to use an automatic external defibrillator (AED). After turning on and attaching the AED to the patient, which of the following actions should the technician take next?

Stand clear from the patient and allow the AED to analyze

Into which of the following positions should the EKG technician assist a patient to undergo a standard 12-lead EKG?

Supine

Which of the following artifacts can appear as drifting away from the center on an EKG tracing?

Wandering Baseline

An EKG technician is entering information about a patient's lifestyle and occupation into the electronic health record (EHR). The technician should enter this information into which of the following sections of the EHR?

Social history

An EKG technician is preparing to obtain a patient's blood pressure reading. The patient reports jogging to the facility "to get some exercise." Which of the following actions should the technician take?

Have the patient rest before taking the blood pressure reading and document it in the EHR

Which of the following actions should the EKG technician take to resolve the artifact in the EKG tracing below?

Have the patient place their hands under their buttocks, palms down

An EKG technician is reviewing the EKG tracing for a patient who has a pacemaker. The technician should recognize that which of the following alterations is being recorded on the patient's rhythm strip?

Loss of capture