EKG Technician Practice Test

EKG Technician Practice Test Complete Answers Which of the following waves on an EKG tracing relates to electrical activity in the atria?P-wave Which of these questions is an appropriate way of checking one patient identifier before performing an EKG test?"Can you please state your first and last names?" Widening QRS complexes on an EKG tracing are signs ofa ventricular dysrhythmia Under which of the following circumstances can an EKG technician discuss the details of a patient's EKG or treatment?When the technician is delivering the completed EKG and the patient's chart to the cardiologist that ordered the test When the patient's insurance company calls to confirm that an EKG was ordered and conducted Which of these sentences demonstrates patient understanding of directions for Holter monitoring?I will make a note in the diary when I exercise This patient would require no changes to positioning or electrode placementa 35-year old women who is 20 weeks pregnant Which of these electrodes is not involved in creating Einthoven's triangle?Right leg 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?Offer to show the machine to the patient and answer any questions Which leads will show changes if an EKG technician has reversed the right and left arm leads?Leads I and aVR An EKG technician sees pacing spikes on a patient's EKG but no electrical activity following the spikes.This is likely due to a pacemaker error known asfailure to capture Which of the following should patients be advised not to do before an early-morning resting EKG?apply lotion or bath oil Which of these series represents the depolarization and depolarization of the ventricles?QRS complex, T-wave What type of stress is likely to be performed on a patient who does not have the use of their legs?pharmacologic stress test Narrow and wide are words often used to describeQRS complexes Under which of these circumstances may an EKG technician share her interpretation of an EKG with the patient?The EKG technician must not share her interpretation with the patient Measuring vital signs includeschecking pulse, regularity of heart rhythm, blood pressure, and oxygen saturation Which electrode is shared by leads I and III?LA at standard gain a calibration mark will measuretwo large blocks high acceptable locations for the LL and RL electrodes include the followingon the upper thighs on the lower torso before performing an EKG on a patient under precautions the technician shoulddon gloves an ectopic focus is a group of cells in the heart that initiates an impulsein an abnormal location which of these introductions is appropriate for an EKG technician to make?im Mario Bedoya and I'm an EKG technician when placing electrodes for on a 5-year old child where should the technician place the V4 electrode?on the right side of the cheat at the fifth intercostal space at the midclavicular line how many electrodes are placed om the back when conducting a posterior EKG?three electrodes are moved to the back an ekg tracing in which the p waves are not uniform may indicate a dysthymia originating in theatria after leaving the room to give the patient privacy for downing, the EKG technician knocks and does not hear a response. She enters cautiously and finds that the patient is unconscious, does not have a pulse and is not breathing. What is the best responseshout out for someone to call 911 and start car the button row in a 12-lead ekg tracingshows only lead II a QRS complex that measures 4 small boxes wide would be consideredabnormally wide when is the best time to count respirations and record a patient's respiratory rate?immediately after measuring radial pulse, while still holding the wrist which of the following would need to be reported to a doctor right awaya patient's ekg shows a three-millimeter elevation of the ST segment which of these measures can help reduce artifact during ambulatory monitoring?looping the lead wires around the patient's back and taping them there a blood pressure reading of 145/80 is consideredhypertensive when a patient's ekg tracing shows distinct spikes before widened QRS complexes this is a signthat the patient has an artificial pacemaker pacing the ventricles which of these questions relates to a patient's medical history?have you ever had surgery of any kind? the best approach for performing an EKG on a frightened toddler is toassure the child it does not hurt and allow him to stay in his parents arm What should an EKG technician do before uploading a patient's EKG to the patient's eHR?confirm that the ekg is free of artifact and the eHR correctly matches the identity of the patient semi-fowler's position would be an appropriate position for which of the following patients?an elderly woman with congestive heart failure which of the following are acceptable ways of communicating with a patient who does not speak English?bringing in a medical interpreter using web-based medical interpretation service a cardiac rhythm with a name that includes the word tachycardia isfaster than normal what is a heart card?it is a card capable of monitoring a patient's cardiac activity when held over the sternum the path in which electrical signals pass through a healthy heart issa node ave node bundle of HIS bundle of branches purkinje fibers when preparing a patient for an upcoming stress test, which of these statements would be most appropriateafter the test you will need to avoid exertion Which of the following conditions are potential complications of atrial fibrillationcerebrovascular accident thrombus formation an impulse that travels backwards in the cardiac conduction system calledretrograde which of the following cardiac rhythms requires immediately altering a doctor to the patient's condition?ventricular tachycardia which of the following are forms of ambulatory monitoring?event monitor holter monitor mobile cardiac telemetry what should an ekg technician always do before applying an ambulatory monitor to a patient?check that the batteries are fresh sharing details of a patients health condition with a colleague who is not involved in the patient's treatment is a violation ofHIPPA in the sinus arrhythmia the patient's heart rhythm often changes in relation tothe patient's breathing A run of ventricular tachycardia is occurring when three ____ appear in a rowthe patient's breathing if a patient does not have a palpable pulse that patient'spulse cannot be felt some forms of atrioventricular block are marked by prolongedPR intervals which of these items might be used to prepare a patient's skin for electrode placement?abrading tape wandering baseline artifact is most often caused byinadequate electrode adhesion if a patient is experiencing a very rapid heart the doctor may request that an EKG be performedwith the paper speed set at 50 mm/s which of the following cardiac rhythms will have different atrial and ventricular rates?atrial flutter electrical interference may be caused byfluorescent lights in the exam room a Spanish speaking patient says that she understands English but seems to be having difficulty answering the EKG technician's questions. what should the EKG technician do?contact an interpreter or initiate interpretation Service in which of the following situations would electrodes for the leads V2-V6 be placed on the right side of the patient's chest?patient is eight months old dextocardia what is injected into a patient's bloodstream during a nuclear stress test?a radioactive tracer which electrode may be called the ground electrode?right leg how are signals from a telemetry pack monitored?by viewing the EKG on an ongoing basis at a central monitoring site at what point should an EKG technician confirm the identity of the patient?after introducing himself and before providing any care if a patient is experiencing the cardiac rhythm called wandering atrial pacemaker, which wave will show a number of variations?the p wave st segment depression isan indication of myocardial ischemia a patient with his left arm amputated at the shoulder will require alternate placement ofboth the ra and la electrodes the ekg technician must wear gloves during the ekg testingif the patient has open wounds on his chest or limbs sinus bradycardia is not of clinical concern unlessthe patient slows signs of cardiac compromise if the r waves on an ekg tracing are too high for the paper, which adjustment needs to be madethe gain needs to be decreased a supraventricular rhythm may intiatein the atrioventricular node the normal range for oxygen saturation is95-100% an EKG technician wheels a facility computer terminal in to a patient;x room with the previous patient's information still displayed.The terminal screen displays the previous patient's information while the EKG technician introduces herself, confirms the patient's identity, and asks her initial questions. Which of the following is true?an uninentional breach of confidentality which of the following situations is most likely to result in a doctor ordering ambulatory monitoring?patient's resting EKG is normal but patient reports frequent palpitations Which cardiac test provides direct information about the mechanical activity of the heart?echocardiogram an escape beat is a heartbeat that islate an ekg shows a normal sinus rhythm, but the patient has no pulse. electrodes securely in place and lead wires are connected, and so the technician can assume that the patient is experiencingcardiac arrest which of the following pr interval measurements would be most consistent with first- degree heart block?260 milliseconds torsades de pointes is a variation ofventricular tachycardia a patient whose EKG shows a systole is conscious and alert. What should the EKG technician do?check that the electrodes are secure and all lead wires connected which of the following is common guidance given when setting up Holter monitoring?note the time of any symptoms and any activity/excercise in your diary what is the largest artery in the body?the aorta