EKG CERTIFICATION EXAMS WITH CORRECT
ANSWERS /MULTIPLE CHOICE
1. Which of the following waves on an EKG tracing relates to electrical activity in the
atria?
(A)The Q wave
(B) The T wave
(C) The P wave
(D)The R wave - ANSWER-(C) The P wave
2. Which of these questions is an appropriate way of checking one patient identifier
before performing an EKG test?
(A)"Is your name George Disher?"
(B) "What is your last name, George?"
(C) "Can you please state your first and last names?"
(D)"Are your initials G.D.?" - ANSWER-(C) "Can you please state your first and
last names?"
3. Widened QRS complexes on an EKG tracing are signs of
(A)Myocardial infarction
(B) A ventricular dysrhythmia
(C) An atrial dysrhythmia
(D)Hypertension - ANSWER-(B) A ventricular dysrhythmia
4. A patient is nearing the target heart rate during an exercise stress test when he
becomes diaphoretic and complains of intense chest pain. Which response from the
EKG technician is best?
(A)Stop the test and alert the doctor immediately.
(B) Tell the patient to hold on just a bit longer since hitting the target heart rate
will provide better information about why he's experiencing chest pain.
(C) Stop the test and begin CPR immediately.
, (D)Continue the test while administering oxygen. - ANSWER-(A) Stop the test
and alert the doctor immediately.
5. The rhythm shown in this tracing is known as
(A)Sinus arrest
(B) Sinus bradycardia
(C) Normal sinus rhythm
(D)Sinus arrhythmia - ANSWER-(B) Sinus bradycardia
6. Under which of the following circumstances can an EKG technician discuss the
details of a patient's EKG or treatment? (Choose two correct answers.)
(A)When a patient asks the technician for an interpretation of the EKG right
after it is performed.
(B) When the technician is delivering the completed EKG and the patient's chart
to the cardiologist who ordered the test.
(C) When a colleague asks for information about a relative's health.(D) When the
patient's insurance company calls to confirm that an EKG was ordered and
conducted.
(D)When the patient's employer calls to ask if he is fit to continue working. -
ANSWER-(B) When the technician is delivering the completed EKG and the
patient's chart to the cardiologist who ordered the test.
(E) When the patient's insurance company calls to confirm that an EKG was
ordered and conducted.
7. Which of these sentences demonstrates patient understanding of directions for
Holter monitoring?
(A)"I will call the office each time I experience symptoms."
(B) "I will cover the electrodes, lead wires, and monitor with plastic when I swim
or shower."
(C) "I will change the electrodes every 12 hours."
(D)"I will make a note in the diary when I exercise." - ANSWER-(D) "I will make
a note in the diary when I exercise."
, 8. This patient would require no changes to positioning or electrode placement:
(A)An elderly man with orthopnea
(B) A 35-year-old woman who is 20 weeks pregnant
(C) An 8-year-old child
(D)A 40-year-old man with a full cast on his right leg - ANSWER-(B) A 35-year-
old woman who is 20 weeks pregnant
9. What would be the best method for calculating the rate shown in the strip above?
(A)Small block method
(B) 300 method
(C) Six-second method
(D)1500 method - ANSWER-(C) Six-second method
10. Which of these electrodes is not involved in creating Einthoven's triangle?
(A)Right arm
(B) Left arm
(C) Right leg
(D)Left leg - ANSWER-(C) Right leg
11. The PR intervals in this tracing could be described as
(A)Concurrently identical
(B) Progressively retrograde
(C) Progressively prolonged
(D)Consecutively distorted - ANSWER-(C) Progressively prolonged
12. An intellectually disabled adult patient is frightened of the EKG machine and does
not want to lie down for the test. What should the EKG technician do?
(A)Gently but firmly assist the patient to lie down.
(B) Tell the patient she will give him a lollipop after the test is over.
(C) Offer to show the machine to the patient and answer any questions.
(D)Reschedule the test for a later time. - ANSWER-(C) Offer to show the
machine to the patient and answer any questions.
ANSWERS /MULTIPLE CHOICE
1. Which of the following waves on an EKG tracing relates to electrical activity in the
atria?
(A)The Q wave
(B) The T wave
(C) The P wave
(D)The R wave - ANSWER-(C) The P wave
2. Which of these questions is an appropriate way of checking one patient identifier
before performing an EKG test?
(A)"Is your name George Disher?"
(B) "What is your last name, George?"
(C) "Can you please state your first and last names?"
(D)"Are your initials G.D.?" - ANSWER-(C) "Can you please state your first and
last names?"
3. Widened QRS complexes on an EKG tracing are signs of
(A)Myocardial infarction
(B) A ventricular dysrhythmia
(C) An atrial dysrhythmia
(D)Hypertension - ANSWER-(B) A ventricular dysrhythmia
4. A patient is nearing the target heart rate during an exercise stress test when he
becomes diaphoretic and complains of intense chest pain. Which response from the
EKG technician is best?
(A)Stop the test and alert the doctor immediately.
(B) Tell the patient to hold on just a bit longer since hitting the target heart rate
will provide better information about why he's experiencing chest pain.
(C) Stop the test and begin CPR immediately.
, (D)Continue the test while administering oxygen. - ANSWER-(A) Stop the test
and alert the doctor immediately.
5. The rhythm shown in this tracing is known as
(A)Sinus arrest
(B) Sinus bradycardia
(C) Normal sinus rhythm
(D)Sinus arrhythmia - ANSWER-(B) Sinus bradycardia
6. Under which of the following circumstances can an EKG technician discuss the
details of a patient's EKG or treatment? (Choose two correct answers.)
(A)When a patient asks the technician for an interpretation of the EKG right
after it is performed.
(B) When the technician is delivering the completed EKG and the patient's chart
to the cardiologist who ordered the test.
(C) When a colleague asks for information about a relative's health.(D) When the
patient's insurance company calls to confirm that an EKG was ordered and
conducted.
(D)When the patient's employer calls to ask if he is fit to continue working. -
ANSWER-(B) When the technician is delivering the completed EKG and the
patient's chart to the cardiologist who ordered the test.
(E) When the patient's insurance company calls to confirm that an EKG was
ordered and conducted.
7. Which of these sentences demonstrates patient understanding of directions for
Holter monitoring?
(A)"I will call the office each time I experience symptoms."
(B) "I will cover the electrodes, lead wires, and monitor with plastic when I swim
or shower."
(C) "I will change the electrodes every 12 hours."
(D)"I will make a note in the diary when I exercise." - ANSWER-(D) "I will make
a note in the diary when I exercise."
, 8. This patient would require no changes to positioning or electrode placement:
(A)An elderly man with orthopnea
(B) A 35-year-old woman who is 20 weeks pregnant
(C) An 8-year-old child
(D)A 40-year-old man with a full cast on his right leg - ANSWER-(B) A 35-year-
old woman who is 20 weeks pregnant
9. What would be the best method for calculating the rate shown in the strip above?
(A)Small block method
(B) 300 method
(C) Six-second method
(D)1500 method - ANSWER-(C) Six-second method
10. Which of these electrodes is not involved in creating Einthoven's triangle?
(A)Right arm
(B) Left arm
(C) Right leg
(D)Left leg - ANSWER-(C) Right leg
11. The PR intervals in this tracing could be described as
(A)Concurrently identical
(B) Progressively retrograde
(C) Progressively prolonged
(D)Consecutively distorted - ANSWER-(C) Progressively prolonged
12. An intellectually disabled adult patient is frightened of the EKG machine and does
not want to lie down for the test. What should the EKG technician do?
(A)Gently but firmly assist the patient to lie down.
(B) Tell the patient she will give him a lollipop after the test is over.
(C) Offer to show the machine to the patient and answer any questions.
(D)Reschedule the test for a later time. - ANSWER-(C) Offer to show the
machine to the patient and answer any questions.
