EKG NHA ALL 2027 ANSWERS AND QUESTIONS SET
A+
✔✔Which of the following actions should the EKG technician take to resolve a
wandering baseline on a patients EKG tracing?
1. Relieve tension from the lead wires
2. clean the lead wires after each use
3. provide a blanket to the patient
4. have the patient remove any personal electrical devices - ✔✔1. relive the tension
from the lead wires
✔✔Which of the following arteries is the best location for an EKG technician to use to
measure the heart rate for an adult patient following an exercise stress test?
1. Radial
2. Carotid
3. Femoral
4. Brachial - ✔✔1. radial
✔✔During an exercise stress test, a patient reports heaviness on his chest and
becomes diaphoretic. The ekg technician should recognize these findings as
manifestations of which of the following conditions?
1. Transient ischemic attack
2. cerebrovascular accident
3. congestive heart failure
4. myocardial infarction - ✔✔4. myocardial infarction
✔✔An ekg technician is performing an exercise stress test for a patient. For which of
the following findings should the technician expect the provider to stop the test?
1. electrode detachment
2. dizziness
3. sweating
4. increased respiratory rate - ✔✔2. dizziness
,✔✔An ekg technician is preparing to enter an inpatient room to perform a standard 12
lead ekg. Which of the following actions should the technician take for a patient who is
prescribed contact precautions?
1. wear an N-95 mask If there is a potential exposure to blood
2. Disinfect the ekg machine immediately prior to entering the room
3. remove gloves before leaving the patients room
4. keep the door to the patients room closed - ✔✔3. remove gloves before leaving the
patients room
✔✔An ekg technician should recognize that a rhythm strip should be at least how many
seconds long to accurately identify rate and rhythm?
1. 2 seconds
2. 4 seconds
3. 6 seconds
4. 8 seconds - ✔✔3. 6 seconds
✔✔which of the following responses should an ekg technician make to a patient in an
outpatient clinic who is upset the the technician cannot share the results of the tracing?
1. I'm sorry but I only run the stip. I'm not trained to know whats on it
2. I understand your frustration. My role as the technician is to conduct the test
correctly. The provider is qualified to interpret the result
3. I know its difficult to wait, but from what I can see, you have nothing to worry about
4. I wish I could help you. some providers allow technicians to discuss the tracing, but
your provider won't let me communicate results to patients - ✔✔2. I understand your
frustration
✔✔An ekg technicien should recognize that which of the following signs are often
present when a patient is experiencing vtach?
1. multiple PVCs in a row
2. decrease heart rate
3. absence of R-R interval
4. narrow QRS complex - ✔✔1. Multiple PVCs in a row
✔✔An EKG tech is working with a patient who has a below the knee amputation on the
left leg. Where should the tech place the right leg electrode?
1. lower right foot
2. lower right abdomen
3. lower left torso
4. lower right leg - ✔✔2. lower right abdomen
✔✔An ekg tech in an outpatient facility is obtaining a patients vital signs and is having
trouble visualizing the patients chest movements. Which of the following actions should
the tech take to obtain an accurate respiratory rate for the patient?
1. instruct the patient to take deeper breaths so they are easier to count
2. document that the respiratory rate could not be assessed
, 3. place a hand on the middle of the patients back to count the rate
4. estimate a respiratory rate based on the pulse - ✔✔3. place hand on the middle of
the back
✔✔Which of the following methods should an egg tech use to calculate a patients heart
rate from the leg tracing?
1. calculate the mean rate and divide 1500 by that rate
2. count the number of small boxes in two cardiac cycles
3. Divide 300 by the number of large boxes between two r waves
4. count the number of large boxes between p and t waves - ✔✔3. divide 300
✔✔An ekg tech is preforming a standard 12 lead ekg for a patient who is experiencing
accelerated junctional rhythm. Which of the following speed settings should the tech
use?
1. 5mm/sec
2. 10 mm/sec
3. 25 mm/sec
4. 50 mm/sec - ✔✔25 mm/sec
✔✔An ekg tech is recording a patients radial pulse rate and finds the pulse to be
irregular. The provider then takes the patients apical pulse. The tech should recognize
which of the following locations is used to this technique?
1. between the larynx and the sternoclediomastoid
2. between the fifth and sixth ribs, at the left midclavicular line
3. elbow
4. the thumb side of the left wrist - ✔✔2. between the 5th and 6th ribs
✔✔An ekg tech is reviewing a tracing for a patient who has a ventricular pacemaker.
Which of the following rhythms should the tech expect after the pacing spike?
1. regular p waves
2. Av dealt between .12 and .16 secs
3. QRS interval between .6 and .10 secs
4. wide QRS - ✔✔4. wide QRS
✔✔An ekg tech is preparing a patient for the application of a Holter Monitor. The patient
tells the tech that she runs about 5 miles each day. Which of the following responses
should the tech make?
1. you should continuing exercising as usual while wearing the monitor
2. make sure to increase your cardiac meds
3. talk to your provider
4. take someone with you while running - ✔✔1. continue to exercise as normal
✔✔A thin spike before the P wave indicates that the pacemaker has been implanted to
pace which of the following?
1. atria
A+
✔✔Which of the following actions should the EKG technician take to resolve a
wandering baseline on a patients EKG tracing?
1. Relieve tension from the lead wires
2. clean the lead wires after each use
3. provide a blanket to the patient
4. have the patient remove any personal electrical devices - ✔✔1. relive the tension
from the lead wires
✔✔Which of the following arteries is the best location for an EKG technician to use to
measure the heart rate for an adult patient following an exercise stress test?
1. Radial
2. Carotid
3. Femoral
4. Brachial - ✔✔1. radial
✔✔During an exercise stress test, a patient reports heaviness on his chest and
becomes diaphoretic. The ekg technician should recognize these findings as
manifestations of which of the following conditions?
1. Transient ischemic attack
2. cerebrovascular accident
3. congestive heart failure
4. myocardial infarction - ✔✔4. myocardial infarction
✔✔An ekg technician is performing an exercise stress test for a patient. For which of
the following findings should the technician expect the provider to stop the test?
1. electrode detachment
2. dizziness
3. sweating
4. increased respiratory rate - ✔✔2. dizziness
,✔✔An ekg technician is preparing to enter an inpatient room to perform a standard 12
lead ekg. Which of the following actions should the technician take for a patient who is
prescribed contact precautions?
1. wear an N-95 mask If there is a potential exposure to blood
2. Disinfect the ekg machine immediately prior to entering the room
3. remove gloves before leaving the patients room
4. keep the door to the patients room closed - ✔✔3. remove gloves before leaving the
patients room
✔✔An ekg technician should recognize that a rhythm strip should be at least how many
seconds long to accurately identify rate and rhythm?
1. 2 seconds
2. 4 seconds
3. 6 seconds
4. 8 seconds - ✔✔3. 6 seconds
✔✔which of the following responses should an ekg technician make to a patient in an
outpatient clinic who is upset the the technician cannot share the results of the tracing?
1. I'm sorry but I only run the stip. I'm not trained to know whats on it
2. I understand your frustration. My role as the technician is to conduct the test
correctly. The provider is qualified to interpret the result
3. I know its difficult to wait, but from what I can see, you have nothing to worry about
4. I wish I could help you. some providers allow technicians to discuss the tracing, but
your provider won't let me communicate results to patients - ✔✔2. I understand your
frustration
✔✔An ekg technicien should recognize that which of the following signs are often
present when a patient is experiencing vtach?
1. multiple PVCs in a row
2. decrease heart rate
3. absence of R-R interval
4. narrow QRS complex - ✔✔1. Multiple PVCs in a row
✔✔An EKG tech is working with a patient who has a below the knee amputation on the
left leg. Where should the tech place the right leg electrode?
1. lower right foot
2. lower right abdomen
3. lower left torso
4. lower right leg - ✔✔2. lower right abdomen
✔✔An ekg tech in an outpatient facility is obtaining a patients vital signs and is having
trouble visualizing the patients chest movements. Which of the following actions should
the tech take to obtain an accurate respiratory rate for the patient?
1. instruct the patient to take deeper breaths so they are easier to count
2. document that the respiratory rate could not be assessed
, 3. place a hand on the middle of the patients back to count the rate
4. estimate a respiratory rate based on the pulse - ✔✔3. place hand on the middle of
the back
✔✔Which of the following methods should an egg tech use to calculate a patients heart
rate from the leg tracing?
1. calculate the mean rate and divide 1500 by that rate
2. count the number of small boxes in two cardiac cycles
3. Divide 300 by the number of large boxes between two r waves
4. count the number of large boxes between p and t waves - ✔✔3. divide 300
✔✔An ekg tech is preforming a standard 12 lead ekg for a patient who is experiencing
accelerated junctional rhythm. Which of the following speed settings should the tech
use?
1. 5mm/sec
2. 10 mm/sec
3. 25 mm/sec
4. 50 mm/sec - ✔✔25 mm/sec
✔✔An ekg tech is recording a patients radial pulse rate and finds the pulse to be
irregular. The provider then takes the patients apical pulse. The tech should recognize
which of the following locations is used to this technique?
1. between the larynx and the sternoclediomastoid
2. between the fifth and sixth ribs, at the left midclavicular line
3. elbow
4. the thumb side of the left wrist - ✔✔2. between the 5th and 6th ribs
✔✔An ekg tech is reviewing a tracing for a patient who has a ventricular pacemaker.
Which of the following rhythms should the tech expect after the pacing spike?
1. regular p waves
2. Av dealt between .12 and .16 secs
3. QRS interval between .6 and .10 secs
4. wide QRS - ✔✔4. wide QRS
✔✔An ekg tech is preparing a patient for the application of a Holter Monitor. The patient
tells the tech that she runs about 5 miles each day. Which of the following responses
should the tech make?
1. you should continuing exercising as usual while wearing the monitor
2. make sure to increase your cardiac meds
3. talk to your provider
4. take someone with you while running - ✔✔1. continue to exercise as normal
✔✔A thin spike before the P wave indicates that the pacemaker has been implanted to
pace which of the following?
1. atria
