NHA EKG Certification Test

NHA EKG Certification Test All Answers Correct After completing an EKG on a patient, which of the following should the tech perform next? Ans- Before disconnecting patient from the machine, check that the tracing is free from artifacts Communication with members of the health care team can be accomplished through which of the following methods? Ans- Electronic health record and verbal exchange During a stress test an EKG technician notices the patient to be hyperventilating. Which of the following is an appropriate course of action for the technician? Ans- Check the patient's respiratory rate During a stress test, an EKG tech notices the patient appears to be hyperventilating. Which of the following course of action for the tech? Ans- Check the patient's respiratory rate An EKG has a 2 mm ST elevation in leads I, AVL, V5, and V6. What type of infarction would this represent? Ans- Lateral infarction An EKG tech detects a U wave and the patient reports chest pain and discomfort. What actions should the tech take? Ans- Notify the patient's provider An EKG tech had just provided patient education prior to a stress test. What statement made by the patient indicates an understanding of the preparation? Ans- I may smoke the night before my exam EKG tech 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? Ans- I can smoke the night before the exam An EKG tech is an outpatient facility is obtaining a patient's vital signs and is having trouble visualizing the patient.'s chest movement. Which of the following actions should the tech take to obtain an accurate respiratory rate for the patient? Ans- Place a hand on the middle of the patient's back to count the respirations An EKG tech is asked to obtain a right-sided EKG on a patient with suspected acute myocardial infarction of the inferior wall. Which of the following leads is most sensitive and specific to right ventricular ischemia? Ans- V4R An EKG tech is performing an exercise stress test for a patient. Which of the following findings should the tech expect the provider to stop the test? Ans- Dizziness An EKG tech is performing a posterior 12- lead ELG for a patient. Which of the following leads should the tech place along the paraspinous border? Ans- Lead V9 An EKG tech is performing a standard 12-lead EKG for a patient who has a below the knee amputation left leg. The tech should modify and document the lead placement for this patient in which of the following ways? Ans- Place the lower extremity lead on the left groin An EKG tech is preparing a patient for an exercise stress test. Which of the following leads should the tech place on the right lower side of the anterior torso? Ans- Lead RL An EKG tech is preparing a patient for holter monitor placement. Which of the following activities should the tech take to reduce the chance of artifacts on the tracing? Ans- Use stress loops on the electrodes to reduce tension on the leads An EKG tech is preparing a patient for the application of a holter monitor. The patient tells the tech she runs 5 miles each day. Which of the following responses should the tech make? Ans- You should continue exercise as usual while wearing the monitor An EKG tech 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? Ans- Congested heart failure An EKG tech is applying a holter monitor for a patient. Which of the following in the final step should the tech take when applying a holter monitor? Ans- Document the procedure in the patient's health record An EKG tech is evaluating a standard 12-lead EKG tracing during a recording. The tech should recognize that electrical activity of the septal wall is recorded by which of the following leads? Ans- Leads V1 and V2 An EKG tech notices that the waveforms on an EKG are very close together and the patient has an usually rapid heart rate m. In order to spread out the tracing, the tech should change the paper speed to which of the following? Ans- 50 mm An EKG tech is measuring the intervals on an EKG tracing. Which of the following is an anticipated finding of impaired conduction through the AV node? Ans- Prolonged PR interval An EKG tech releases information about a patient diagnosis to the patient's employer. Which of the following patient's rights was violated? Ans- Patient confidentiality An EKG tech notes that the QRS complex to too tall to fit on the EKG paper. Which of the following actions should the tech take? Ans- Change the gain control to 5 mm/mv An EKG tech notices an accelerated idioventricular rhythm on a tracing. Which of the following actions should the tech take next? Ans- Call for help and stay with the patient An EKG tech observes ST segment depression and T wave inversion in multiple leads on a patient. Which of the following should the tech suspect? Ans- Myocardial ischemia An EKG tech should recognize that a rhythm strip should be at least how many seconds long to identify rate and rhythm? Ans- 6 seconds An EKG tech should recognize that which of the following is expected reference range for the respiratory rate of a newborn patient? Ans- 30 to 49/min An EKG tech should recognize that which of the following situations could result in wandering baseline artifact on an EKG tracing? Ans- Loose electrodes Electrical interference on an EKG would most likely be a result of which of the following? Ans- A frayed wire For 5-lead electrode placement for ambulatory monitoring, where should the EKG tech place the green ground electrode? Ans- On the rib on the lower right side For a normal patient, which of the following describes the pattern of the anticipated QRS complex in V4? Ans- Half positive, half negative If there is a below the knee amputation of the left leg, where do you put the right leg electrode? AnsLower right thigh In a normal patient, which of the following is the expected shape and direction of the P wave in lead II? Ans- Round and upright In what position should a EKG tech assist a patient to undergo a 12 lead EKG? Ans- Supine In which of the following situations is it acceptable for a CET to share a patient's protected health information? Ans- An inquiry from the quality assurance office A patient follows an EKG tech to the examination room, voluntarily undresses from the waist up, and lies on the examination table. Which of the following types of consent is the patient giving? Ans- Implied A patient has difficulty understanding why she needs an ambulatory monitor after having an EKG two days prior. Which of the following is an appropriate explanation by the EKG tech? Ans- Your doctor wants to study your heart over a longer period of time A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following should the EKG technician do first? Ans- Call for help and begin CPR A patient presents alert and oriented, but a EKG tech finds that all the waveforms are negative in lead I. The tech should check the cable connections for which of the following limb electrodes? Ans- Right arm and left arm Patients are restricted from doing which of the following while wearing a holter monitor? Ans- Taking a shower A patient tells the EKG tech that she does not understand why she needs an ambulatory monitor after having a 12-lead EKG 2 days ago. Which of the following response should the tech make? Ans- Your provider wants to study your heart over a longer period of time A thin spike before the P wave indicates that the pacemaker has been implanted to pace which of the following? Ans- Atria What is the site for measuring a heart rate for a 5 year old patient? Ans- Brachial pulse What is the expected heart rate for ages 3-5 years old? Ans- 80-120 bpm What is the heart rate of a adult (older than 15 years old) Ans- 60-100 bpm What is the lead between the left arm and left leg? Ans- Lead III What lead is created by the placement of the electrode located to the right of the sternum in the 4th intercostal space? Ans- V1 When applying a holter monitor, how many monitor leads are placed on the patient? Ans- 5 When measuring a 28 year old patient, which site do you use to