NHA NOW EKG Technician Practice Test

NHA NOW EKG Technician Practice Test 2023 Which of the following EKG machine functions should an EKG technician use to control and regulate the height of EKG waveforms on the tracing? a. Speed b. Output display c. Artifact filter d. Gain Ans- d. Gain Which of the following methods should a EKG technician use when removing hair from electrode placement sites for telemetry monitoring? a. Dry shave b. Wet shave c. Tape d. Clippers Ans- d. Clippers An EKG technician notes periods of sinus arrest on a patient's EKG tracing. The technician should consider the sinus arrest to be a medical emergency when the arrest reaches which of the following durations? a. 6 sec b. 4 sec c. 3 sec d. 1 sec Ans- a. 6 sec Which of the following lead groups are bipolar leads? a. Leads aVR, aVL, and aVF b. Leads I, II, and III c. Leads V1, V2, and V3 d. Leads V4, V5, and V6 Ans- b. Leads I, II, III An EKG technician is performing a second standard 12-lead EKG on a patient immediately following the first test. For which of the following reasons should the technician recognize that resting tab electrodes should not be used for more than two consecutive EKG tracings? a. The electrodes cannot conduct the signal after two EKG tracings b. The electrodes will not conduct accurately after two EKG tracings c. The electrodes need to be cleaned after two EKG tracings d. The electrodes will not re-adhere to the skin after being removed between tracings Ans- b. The electrodes will not conduct accurately after two EKG tracings In which of the following locations should an EKG technician place the electrode for leavd V5? a. On the left midaxillary line, horizontal to lead V4 b. On the left anterior axillary line, horizontal to lead V4 c. On the left midclavicular line, fifth intercostal space d. On the right margin of the sternum, fourth intercostal space Ans- b. On the left anterior axillary line, horizontal to lead V4 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 technician place the right leg electrode? a. On the lower right foot b. On the lower right abdomen c. On the lower left torso d. On the lower right leg Ans- b. On the lower right abdomen Which of the following methods should an EKG technician use to store electrodes when not in use? a. Loose in the EKG cart b. In a folded paper bag c. In an open plastic bag d. In the original, foil-lined packaging Ans- d. In the original, foil-lined packaging 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 first? a. Connect the patient to a different EKG machine. b. Report the finding to the provider c. Verify proper lead placement d. Perform a maintenance check on the machine Ans- c. Verify proper lead placement Which of the following statements made by an EKG technician correctly prepares the patient for telemetry monitoring? a. "I will clean your skin with an alcohol pad" b. "You may feel a slight warming sensation after the electrodes are placed on the skin" c. "A mild rash or skin redness should be expected around the electrodes after 24 hours." d. "Electrodes will be replaced once per week while you're in the hospital." Ans- a. "I will clean your skin with an alcohol pad" An EKG technician is performing a standard 12-lead EKG on a patient who is 4 years old. In which of the following locations should the technician place the V6 electrodes? a. Right midclavicular space b. Left midclavicular space c. Right midaxillary line d. Left midaxillary line Ans- d. Left midaxillary line Which of the following sections of the EKG tracing should an EKG technician use to measure the QRS complex? a. End of the Q wave to the beginning of the S wave b. Beginning of the Q wave to the beginning of the S wave c. End of the Q wave to the beginning of the T wave d. Beginning of the Q wave to the end of the S wave Ans- d. Beginning of the Q wave to the end of the S wave An EKG technician observes varying R-R intervals on an EKG for a 2-year-old patient. Which of the following statements made by the technician would be correct? a. "Irregular rhythms are rarely seen in children" b. "This is life threatening. I must notify the physician immediately" c. "The irregularity is normal and is a result of respiration" d. "The rhythm is likely atrial fibrillation and requires elective cardioversion" Ans- c. "The irregularity is normal and is a result of respiration" An EKG technician is recording a patient's radial pulse rate and finds the pulse to be irregular. The provider then takes the patient's apical pulse. The technician should recognize that which of the following locations is used for this assessment? a. Between the larynx and the left sternocleidomastoid muscle b. Between the fifth and sixth ribs, at the left midclavicular line c. The antecubital aspect of the left or right elbow d. The thumb side of the left wrist Ans- b. Between the fifth and sixth ribs, at the left midclavicular line Which of the following descries a complete cardiac cycle in a healthy heart? a. P wave, Q wave, and ST segment b. P wave, QRS complex, and T wave c. P wave, QRS complex, and QT interval d. P wave, QRS complex, and P wave Ans- b. P wave, QRS complex, and T wave An EKG technician is preparing to perform an EKG for a patient who does not speak the same language as the technician. Which of the following actions hsould the technician take to avoid miscommunication with the patient? a. Have a member of the patient's family translate b. Point and use other forms of nonverbal communication c. Rely on materials printed in the patient's native language d. Have a bilingual staff member translate Ans- d. Have a bilingual staff member translate An EKG technician is instructing a patient about the use of a transtelephonic monitor with loop memory. Which of the following instructions should the technician include? a. "Press the record button on the device when you begin to feel dizzy or have chest pain" b. "Remove the monitor when connecting to the phone or internet to send the recording to the central monitoring location" c. "Record a notation in your diary that describes the time and the activity that you were doing when the pain started" d. "Contact the technician at the central monitoring station whenever you begin to experience chest pain Ans- a. "Press the record button on the device when you begin to feel dizzy or have chest pain" In a health adult patient, which of the following is the expected shape and direction of the P wave in lead II? a. Peaked and upright b. Peaked and inverted c. Rounded and inverted d. Rounded and upright Ans- d. Rounded and upright Which of the following responses should an EKG technician make to a patient in an outpatient clinic who is upset that the technician cannot share the results of the tracing? a. "I'm sorry, but I only run the strip. I'm not trained to know what's on it." b. "I understand your frustration. My role as the technician is to conduct the test correctly. The provider is qualifies to interpret the results" c. "I know it's difficult to wait, but from what I can see, you have nothing to worry about." d. "I wish could help you. Some providers allow technicians to discuss the tracing, but your provider won't let me communicate results to patients." Ans- b. "I understand your frustration. My role as the technician is to conduct the test correctly. The provider is qualifies to interpret the results" An EKG technician is preparing a patient for a scheduled standard 12-lead EKG. Which of the following actions should the technician take? a. Assist the patient into Sims' position before a placing the electrodes b. Apply an oil-free moisturizer to adhere the electrodes to the skin c. Use an alcohol pad to cleanse the electrode placement sites. d. Select the most muscular site for electrode placement Ans- c. Use an alcohol pad to cleanse the electrode placement sites. Which of the following factors can produce an artifact that appears as uniform. small spikes on an EKG tracing? a. Corroded leads b. Improper grounding c. Poor skin preparation d. Patient movement Ans- b. Improper grounding Which of the following pulse points is most frequently used to check an adult's patient's pulse during cardiopulmonary resuscitation (CPR)? a. Popliteal b. Carotid c. Temporal d. Dorsalis pedis Ans- b. Carotid An EKG technician is caring for a patient in a provider's clinic who asks why the technician performs a standard 12- lead EKG as part of the physical examination. Which of the following responses should the technician make? a. "The test is used to determine whether your heart is receiving enough blood" b."The results can be used to determine if changes have occurred since your last EKG." c. "It is use to show your heart's rhythm for the past week" d. "This test is used to measure your heart's stroke volume for the duration of the EKG." Ans- b."The results can be used to determine if changes have occurred since your last EKG." An EKG technician is monitoring a patient who is undergoing an exercise stress test. Which of the following findings should indicate to the technician that the patient is experiencing an adverse reaction? a. Increase in blood pressure from 110/70 to 120/78 mm Hg b. An oxygen saturation of 95% c. Presence of sinus tachycardia with a regular R-R interval d. Report of tingling sensations in the lower extremities. Ans- d. Report of tingling sensations in the lower extremities. Which of the following positions is appropriate for a patient during a nuclear stress test while the camera is scanning? a. Supine with the arms at the side b. Supine with the arms above the head c. Right-side lying with the arms slightly extended d. Sitting upright with the head tilted back. Ans- b. Supine with the arms above the head Which of the following statements should an EKG technician include when preparing a patient for an upcoming exercise stress test? a. "Be sure to eat a light meal 6 to 8 hours prior to the test" b. "Wear tight clothing around your lower abdominal area so the electrodes stay in place." c. "Refrain from caffeine, smoking, or alcohol for at least 3 hours prior to the test." d. "The procedure should take about 10 to 15 minutes." Ans- c. "Refrain from caffeine, smoking, or alcohol for at least 3 hours prior to the test." Which of the following patient finding indicates myocardial infarction? a. Cyanosis b. Facial drooping c. Arm weakness d. Aphasia Ans- a. Cyanosis When performing an EKG on an infant, in which of the following locations should the EKG technician place the electrode for lead V3R? a. Between V2 and V4 on the right side of the chest b. Fourth intercostal space on the right side of the chest c. Between V2 and V4 on the left side of the chest d. Fourth intercostal space on the left side of the chest Ans- a. Between V2 and V4 on the right side of the chest When placing electrodes on the patient for telemetry, in which of the following locations should an EKG technician place the ground electrode? a. On the right upper arm b. On the left upper arm c. On the left lower leg d. On the right lower leg Ans- d. On the right lower leg