CERTIFIED EKG TECHNICIAN NEWEST 2024 ACTUAL EXAM 230 QUESTIONS AND CORRECT DETAILED
ANSWERS
Which of the following actions should an EKG technician take when preparing a patient for a standard
12-lead EKG? - (answer) Have the patient remove any jewelry. (The technician should have the patient
remove any jewelry prior to the EKG because jewelry will cause AC interference on the EKG tracing.)
While performing a standard 12-lead EKG, an EKG technician notices that none of the leads are giving a
reading. Which of the following limbs should the technician check first when correcting this problem? -
(answer) Right Leg(The technician should check the right leg electrode because all leads share this
electrode.)
Which of the following statements should an EKG technician include when preparing a patient for an
upcoming exercise stress test? - (answer) "Refrain from caffeine, smoking, or alcohol for at least 3
hours prior to the test."
(The technician should instruct the patient to avoid caffeine, nicotine, and alcohol for at least 3 hr prior
to a cardiac stress test.)
An EKG technician hears another staff member making derogatory comments about a patient's
appearance. This is an example of which of the following torts? - (answer) Slander. (Slander is the
defamation of a person by spoken word. Slander is both illegal and unethical.)
While performing a 5-lead EKG, an EKG technician notices that lead II and lead III are not yielding a
reading. Which of the following limbs should the technician check to correct the error? - (answer) Left
leg. (The left leg is involved in recording electrical activity in leads II and III. Therefore, the technician
should check the left leg electrode to correct this error.)
An EKG technician is preparing a patient for Holter monitor placement. Which of the following actions
should the technician take to reduce the chance of artifacts on the tracing? - (answer) Use stress loops
on the electrodes to reduce tension on the leads. (The technician can use stress loops to relieve tension
on the leads, which will reduce artifacts.)
An EKG technician is caring for a patient who is experiencing heart palpitations. Which of the following
interventions should the technician expect the provider to prescribe? - (answer) Holter monitor. (A
Holter monitor is typically prescribed for patients who experience palpitations, syncope, dizziness, chest
pain, lightheadedness, or are taking antidysrhythmics.)
,CERTIFIED EKG TECHNICIAN NEWEST 2024 ACTUAL EXAM 230 QUESTIONS AND CORRECT DETAILED
ANSWERS
An EKG technician should recognize that which of the following blood pressure readings is within the
expected reference range for an adolescent patient? - (answer) 98/78 mm Hg. (This blood pressure
reading is within the expected reference range for an adolescent.)
For which of the following patients should an EKG technician expect to see somatic interference on the
EKG tracing? - (answer) A 20-year-old patient who is experiencing a seizure. (A 20-year-old patient who
is experiencing a seizure.)
An EKG technician is instructing a patient about a transtelephonic event monitor using a Heart Card
monitoring device. To which of the following sites should the patient apply the card to activate it during
an event? - (answer) Over the middle to lower part of the sternum. (The technician should instruct the
patient to apply the card over the middle to the lower part of the sternum to activate the monitor.)
an EKG technician is performing exercise stress test to evaluate i'll be patient for coronary vascular
disease. which of the following actions should a technician take regarding this procedure? - (answer)
Report unexpected dysrhythmias during the test. (The technician should report changes in the EKG
tracing during the test.)
an EKG technician is preparing to apply electrodes to a patient for a standard 12-lead EKG. which of the
following methods should the technician use to prepare the patient for application of the electrodes? -
(answer) Use a razor or clippers to remove the patient's hair. (The technician should clip or shave the
patient's hair to increase electrode adherence to the patient's skin.)
which of the following statements made by an EKG technician correctly compares the patient for
telemetry monitoring? - (answer) "I will clean your skin with an alcohol pad." (The technician should
cleanse the patient's skin with either soap and water or an alcohol pad.)
An EKG technician is preparing a patient for a standard 12-lead EKG. Which of the following is a correct
placement for lead V4? - (answer) The fifth intercostal space at the midclavicular line.
(This is the correct placement for lead V4.)
An EKG technician should recognize that patients are restricted from performing which of the following
activities while wearing a Holter monitor? - (answer) Showering. (MY ANSWER
, CERTIFIED EKG TECHNICIAN NEWEST 2024 ACTUAL EXAM 230 QUESTIONS AND CORRECT DETAILED
ANSWERS
The technician should instruct the patient not to take showers or tub baths while wearing the monitor
because water could damage the monitor.)
Which of the following statements should an EKG technician make when preparing an eight-year-old
patient for a standard 12- lead EKG? - (answer) "I am going to apply some stickers to your belly, arms,
and legs for the test."
(Using the word 'stickers' to describe the electrodes is appropriate when preparing children for EKG
monitoring. The technician should use simple terms that the child can understand and avoid the use of
technical words like electrodes, EKG, or electrocardiogram.)
An EKG technician is preparing a patient for an exercise stress test. Which of the following leads should
technician placed on the right lower side of the anterior torso? - (answer) Lead RL.(The technician
should place the right leg lead on the right lower side of the anterior torso.)
And EKG technician is obtaining a pulse rate for a two-year-old patient. Which of the following pulse rate
should the technician recognize as within the expected reference range for this patient? - (answer)
120/min. (The technician should recognize that the expected reference range for a child who is 1 to 2
years of age is a pulse rate of 80 to 140/min.)
Which of the following actions should the EKG technician wandering baseline EKG tracing? - (answer)
Relieve tension from the lead wires.
(To resolve a wandering baseline, the technician should relieve tension from the lead wires to ensure
there is an effective connection to the EKG machine.)
Second-degree AV heart block Mobitz type II - (answer) A second-degree AV heart block Mobitz type II
has some P waves without a QRS complex, but the PR interval is constant.
Normal sinus rhythm - (answer) A normal sinus rhythm has a P wave followed by a normal QRS
complex. This does not describe the rhythm shown on the tracing.
First-degree AV heart block - (answer) A first-degree AV heart block has a P wave, but it has a
consistently prolonged PR interval, followed by the QRS complex. This does not describe the rhythm
shown on the tracing.
ANSWERS
Which of the following actions should an EKG technician take when preparing a patient for a standard
12-lead EKG? - (answer) Have the patient remove any jewelry. (The technician should have the patient
remove any jewelry prior to the EKG because jewelry will cause AC interference on the EKG tracing.)
While performing a standard 12-lead EKG, an EKG technician notices that none of the leads are giving a
reading. Which of the following limbs should the technician check first when correcting this problem? -
(answer) Right Leg(The technician should check the right leg electrode because all leads share this
electrode.)
Which of the following statements should an EKG technician include when preparing a patient for an
upcoming exercise stress test? - (answer) "Refrain from caffeine, smoking, or alcohol for at least 3
hours prior to the test."
(The technician should instruct the patient to avoid caffeine, nicotine, and alcohol for at least 3 hr prior
to a cardiac stress test.)
An EKG technician hears another staff member making derogatory comments about a patient's
appearance. This is an example of which of the following torts? - (answer) Slander. (Slander is the
defamation of a person by spoken word. Slander is both illegal and unethical.)
While performing a 5-lead EKG, an EKG technician notices that lead II and lead III are not yielding a
reading. Which of the following limbs should the technician check to correct the error? - (answer) Left
leg. (The left leg is involved in recording electrical activity in leads II and III. Therefore, the technician
should check the left leg electrode to correct this error.)
An EKG technician is preparing a patient for Holter monitor placement. Which of the following actions
should the technician take to reduce the chance of artifacts on the tracing? - (answer) Use stress loops
on the electrodes to reduce tension on the leads. (The technician can use stress loops to relieve tension
on the leads, which will reduce artifacts.)
An EKG technician is caring for a patient who is experiencing heart palpitations. Which of the following
interventions should the technician expect the provider to prescribe? - (answer) Holter monitor. (A
Holter monitor is typically prescribed for patients who experience palpitations, syncope, dizziness, chest
pain, lightheadedness, or are taking antidysrhythmics.)
,CERTIFIED EKG TECHNICIAN NEWEST 2024 ACTUAL EXAM 230 QUESTIONS AND CORRECT DETAILED
ANSWERS
An EKG technician should recognize that which of the following blood pressure readings is within the
expected reference range for an adolescent patient? - (answer) 98/78 mm Hg. (This blood pressure
reading is within the expected reference range for an adolescent.)
For which of the following patients should an EKG technician expect to see somatic interference on the
EKG tracing? - (answer) A 20-year-old patient who is experiencing a seizure. (A 20-year-old patient who
is experiencing a seizure.)
An EKG technician is instructing a patient about a transtelephonic event monitor using a Heart Card
monitoring device. To which of the following sites should the patient apply the card to activate it during
an event? - (answer) Over the middle to lower part of the sternum. (The technician should instruct the
patient to apply the card over the middle to the lower part of the sternum to activate the monitor.)
an EKG technician is performing exercise stress test to evaluate i'll be patient for coronary vascular
disease. which of the following actions should a technician take regarding this procedure? - (answer)
Report unexpected dysrhythmias during the test. (The technician should report changes in the EKG
tracing during the test.)
an EKG technician is preparing to apply electrodes to a patient for a standard 12-lead EKG. which of the
following methods should the technician use to prepare the patient for application of the electrodes? -
(answer) Use a razor or clippers to remove the patient's hair. (The technician should clip or shave the
patient's hair to increase electrode adherence to the patient's skin.)
which of the following statements made by an EKG technician correctly compares the patient for
telemetry monitoring? - (answer) "I will clean your skin with an alcohol pad." (The technician should
cleanse the patient's skin with either soap and water or an alcohol pad.)
An EKG technician is preparing a patient for a standard 12-lead EKG. Which of the following is a correct
placement for lead V4? - (answer) The fifth intercostal space at the midclavicular line.
(This is the correct placement for lead V4.)
An EKG technician should recognize that patients are restricted from performing which of the following
activities while wearing a Holter monitor? - (answer) Showering. (MY ANSWER
, CERTIFIED EKG TECHNICIAN NEWEST 2024 ACTUAL EXAM 230 QUESTIONS AND CORRECT DETAILED
ANSWERS
The technician should instruct the patient not to take showers or tub baths while wearing the monitor
because water could damage the monitor.)
Which of the following statements should an EKG technician make when preparing an eight-year-old
patient for a standard 12- lead EKG? - (answer) "I am going to apply some stickers to your belly, arms,
and legs for the test."
(Using the word 'stickers' to describe the electrodes is appropriate when preparing children for EKG
monitoring. The technician should use simple terms that the child can understand and avoid the use of
technical words like electrodes, EKG, or electrocardiogram.)
An EKG technician is preparing a patient for an exercise stress test. Which of the following leads should
technician placed on the right lower side of the anterior torso? - (answer) Lead RL.(The technician
should place the right leg lead on the right lower side of the anterior torso.)
And EKG technician is obtaining a pulse rate for a two-year-old patient. Which of the following pulse rate
should the technician recognize as within the expected reference range for this patient? - (answer)
120/min. (The technician should recognize that the expected reference range for a child who is 1 to 2
years of age is a pulse rate of 80 to 140/min.)
Which of the following actions should the EKG technician wandering baseline EKG tracing? - (answer)
Relieve tension from the lead wires.
(To resolve a wandering baseline, the technician should relieve tension from the lead wires to ensure
there is an effective connection to the EKG machine.)
Second-degree AV heart block Mobitz type II - (answer) A second-degree AV heart block Mobitz type II
has some P waves without a QRS complex, but the PR interval is constant.
Normal sinus rhythm - (answer) A normal sinus rhythm has a P wave followed by a normal QRS
complex. This does not describe the rhythm shown on the tracing.
First-degree AV heart block - (answer) A first-degree AV heart block has a P wave, but it has a
consistently prolonged PR interval, followed by the QRS complex. This does not describe the rhythm
shown on the tracing.
