EKG NHA UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS RATED A+
✔✔When performing a posterior EKG, which of the following is the correct location for
placement of lead V8? - ✔✔Left midscapular line
✔✔Which of the following signs should the EKG technician be concerned about in a
patient undergoing stress testing? - ✔✔Decreased heart rate
✔✔Which of the following statements made by the EKG technician correctly prepares
the patient for telemetry monitoring? - ✔✔"You may clean the skin with an alcohol pad."
✔✔A technician is preparing a patient for a 12-lead EKG. Which of the following is the
correct placement for lead V4? - ✔✔The 5th intercostal space at the midclavicular line
✔✔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 has just provided patient education prior to a stress test. Which
of the following statements made by the patient indicates an understanding of the
preparation? - ✔✔"I may smoke the night before the exam."
✔✔Which of the following can cause sinus arrhythmia in children? - ✔✔The respiration
of the patient
✔✔For 5-lead electrode placement for ambulatory monitoring, where should the EKG
technician place the green ground electrode? - ✔✔On a rib on the lower right side
✔✔Which of the following is the most appropriate site for taking the pulse of an infant in
CPR? - ✔✔Brachial artery
✔✔Repairs on an EKG machine should be performed by which of the following? - ✔✔A
biomedical technologist
✔✔In a normal patient, which of the following is the expected shape and direction of the
P wave in lead II? - ✔✔Rounded and upright
✔✔Which lead is created between the left arm and left leg? - ✔✔III
✔✔Which of the following symptoms would be the cause for an EKG technician to stop
a stress test? - ✔✔Dizziness
✔✔For a 5-lead EKG, where should the red lead be placed? - ✔✔Lower left torso
, ✔✔For which patient would an EKG technician expect to see somatic interference on
the EKG monitor? - ✔✔20 year old man seizing
✔✔Which of the following statements made by a new EKG technician regarding artifact
demonstrates a knowledge deficit? - ✔✔"Electrical interference on the EKG is not
caused by cell phones."
✔✔A myocardial infarction can often be detected by the presence of which of the
following in an EKG tracing? - ✔✔Pathologic Q waves
✔✔An EKG technician is measuring the intervals on an EKG tracing. Which of the
following is an anticipate finding of impaired conduction through the AV node? -
✔✔Prolonged PR interval
✔✔Which of the following EKG changes is associated with myocardial injury? - ✔✔ST
segment elevation
✔✔Which of the following is the most accurate site for measuring a patient's body
temperature? - ✔✔Rectum
✔✔A patient has been ordered to wear a Holter monitor for 24 hours. Which of the
following statements from the patient would indicate understanding of home-care
instructions? - ✔✔"I should record spontaneous symptoms unrelated to an activity"
✔✔Which of the following is cause for discounting a stress test? - ✔✔ST segment
elevation
✔✔Which of the following actions should an EKG technician perform on EKG cables to
prevent the transmission of microorganisms? - ✔✔Wipe with disinfectant
✔✔When performing the EKG, a technician notices that none of the leads are giving a
reading. Which limb should the technician check first to correct the problem? - ✔✔Right
leg
✔✔When performing an EKG on an infant, where should the technician place the
electrode for lead V3R? - ✔✔Between V2 and V4 on the right side of the chest
✔✔Which of the following is a reason that a patient should wear loose-fitting clothing
while wearing a Holter monitor? - ✔✔To reduce artifact
SOLUTIONS RATED A+
✔✔When performing a posterior EKG, which of the following is the correct location for
placement of lead V8? - ✔✔Left midscapular line
✔✔Which of the following signs should the EKG technician be concerned about in a
patient undergoing stress testing? - ✔✔Decreased heart rate
✔✔Which of the following statements made by the EKG technician correctly prepares
the patient for telemetry monitoring? - ✔✔"You may clean the skin with an alcohol pad."
✔✔A technician is preparing a patient for a 12-lead EKG. Which of the following is the
correct placement for lead V4? - ✔✔The 5th intercostal space at the midclavicular line
✔✔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 has just provided patient education prior to a stress test. Which
of the following statements made by the patient indicates an understanding of the
preparation? - ✔✔"I may smoke the night before the exam."
✔✔Which of the following can cause sinus arrhythmia in children? - ✔✔The respiration
of the patient
✔✔For 5-lead electrode placement for ambulatory monitoring, where should the EKG
technician place the green ground electrode? - ✔✔On a rib on the lower right side
✔✔Which of the following is the most appropriate site for taking the pulse of an infant in
CPR? - ✔✔Brachial artery
✔✔Repairs on an EKG machine should be performed by which of the following? - ✔✔A
biomedical technologist
✔✔In a normal patient, which of the following is the expected shape and direction of the
P wave in lead II? - ✔✔Rounded and upright
✔✔Which lead is created between the left arm and left leg? - ✔✔III
✔✔Which of the following symptoms would be the cause for an EKG technician to stop
a stress test? - ✔✔Dizziness
✔✔For a 5-lead EKG, where should the red lead be placed? - ✔✔Lower left torso
, ✔✔For which patient would an EKG technician expect to see somatic interference on
the EKG monitor? - ✔✔20 year old man seizing
✔✔Which of the following statements made by a new EKG technician regarding artifact
demonstrates a knowledge deficit? - ✔✔"Electrical interference on the EKG is not
caused by cell phones."
✔✔A myocardial infarction can often be detected by the presence of which of the
following in an EKG tracing? - ✔✔Pathologic Q waves
✔✔An EKG technician is measuring the intervals on an EKG tracing. Which of the
following is an anticipate finding of impaired conduction through the AV node? -
✔✔Prolonged PR interval
✔✔Which of the following EKG changes is associated with myocardial injury? - ✔✔ST
segment elevation
✔✔Which of the following is the most accurate site for measuring a patient's body
temperature? - ✔✔Rectum
✔✔A patient has been ordered to wear a Holter monitor for 24 hours. Which of the
following statements from the patient would indicate understanding of home-care
instructions? - ✔✔"I should record spontaneous symptoms unrelated to an activity"
✔✔Which of the following is cause for discounting a stress test? - ✔✔ST segment
elevation
✔✔Which of the following actions should an EKG technician perform on EKG cables to
prevent the transmission of microorganisms? - ✔✔Wipe with disinfectant
✔✔When performing the EKG, a technician notices that none of the leads are giving a
reading. Which limb should the technician check first to correct the problem? - ✔✔Right
leg
✔✔When performing an EKG on an infant, where should the technician place the
electrode for lead V3R? - ✔✔Between V2 and V4 on the right side of the chest
✔✔Which of the following is a reason that a patient should wear loose-fitting clothing
while wearing a Holter monitor? - ✔✔To reduce artifact
