EKG NHA ACTUAL 2027 FINALS ANSWERS AND
QUESTIONS SET A+
✔✔an ekg tech should follow which of the following recommendations regarding
infection control practices in health care settings?
1. artificial nails should not be long
2. use alcohol based hand rub if there is visible contamination on the hands
3. remove soil gloves prior to touching uncontaminated surfaces
4. wear the same gloves while preforming different procedures - ✔✔3. remove soiled
gloves
✔✔An ekg tech is speaking with a patient on the phone. The patient is wearing a Holter
monitor and reports severe chest pain and shortness of breath. Which of the following
actions should the tech take?
1. have someone call emergency services while remaining on the call
2. remind the patient to document the incident
3. place the patient on hold
4. tell the patient to call emergency services - ✔✔have someone call emergency
services while remaining on call
✔✔An ekg tech should recognize that electrical interference on an 12 lead egg is most
likely a result of which of the following?
1. patient movement
2. expired electrodes
3. crossed lead wires
4. insufficient skin prep - ✔✔crossed lead wires
✔✔An ekg tech is preforming a second standard 12 lead egg on a patient immediately
following the first test. For which of the following reasons should the tech recognize that
the resting electrodes should not be used more than two consecutive ekg tracings?
1. the electrodes cannot conduct the right signal after two ekg tracings
2. the electrodes will not conduct accurately after two ekg tracings
3. the electrodes need to be cleaned after two egg tracings
, 4. the electrodes will not re adhere to the skin after being removed - ✔✔the electrodes
will not conduct accurately after two ekg tracings
✔✔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?
1. leads aVL and V5
2. leads I and V6
3. leads V1 and V2
4. leads III aVf - ✔✔leads V1 and V2
✔✔Which of the following is the most accurate for an ekg tech to use when measuring a
patients body temp?
1. oral
2. axillary
3. temporal
4. tympanic - ✔✔temporal
✔✔An ekg tech is providing instruction to a patient who is to wear a cardiac event
monitor at home. Which of the following statements by the patient indicates an
understanding of the instruction?
1. I can take showers while wearing the monitor
2. the monitor will keep track of all my daily activities
3. I can continue to use my electronic blanket
4. of the batteries fail I will replace them myself - ✔✔if the batteries fail I will replace
them myself
✔✔An ekg tech is preforming an exercise stress test for a patient. Which is the following
findings should the tech report to the provider?
1. decreased heart rate
2. increased respiratory rate
3. increased sweating
4. decreased premature beats - ✔✔decreased heart rate
✔✔An ekg tech is preparing to preform a 12 lead ekg for a patient who has
dextrocardia. In which of the following locations should the tech place the electrode for
lead v1?
1. right sternal border
2. left sternal border
3. left midcavicular line
4. right midclavicular line - ✔✔left sternal border
✔✔An ekg tech is preparing to obtain a 12 lead ekg for a patient who is 35 weeks
gestation. In which of the following positions should the tech place the patient?
1. supine with head elevated
QUESTIONS SET A+
✔✔an ekg tech should follow which of the following recommendations regarding
infection control practices in health care settings?
1. artificial nails should not be long
2. use alcohol based hand rub if there is visible contamination on the hands
3. remove soil gloves prior to touching uncontaminated surfaces
4. wear the same gloves while preforming different procedures - ✔✔3. remove soiled
gloves
✔✔An ekg tech is speaking with a patient on the phone. The patient is wearing a Holter
monitor and reports severe chest pain and shortness of breath. Which of the following
actions should the tech take?
1. have someone call emergency services while remaining on the call
2. remind the patient to document the incident
3. place the patient on hold
4. tell the patient to call emergency services - ✔✔have someone call emergency
services while remaining on call
✔✔An ekg tech should recognize that electrical interference on an 12 lead egg is most
likely a result of which of the following?
1. patient movement
2. expired electrodes
3. crossed lead wires
4. insufficient skin prep - ✔✔crossed lead wires
✔✔An ekg tech is preforming a second standard 12 lead egg on a patient immediately
following the first test. For which of the following reasons should the tech recognize that
the resting electrodes should not be used more than two consecutive ekg tracings?
1. the electrodes cannot conduct the right signal after two ekg tracings
2. the electrodes will not conduct accurately after two ekg tracings
3. the electrodes need to be cleaned after two egg tracings
, 4. the electrodes will not re adhere to the skin after being removed - ✔✔the electrodes
will not conduct accurately after two ekg tracings
✔✔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?
1. leads aVL and V5
2. leads I and V6
3. leads V1 and V2
4. leads III aVf - ✔✔leads V1 and V2
✔✔Which of the following is the most accurate for an ekg tech to use when measuring a
patients body temp?
1. oral
2. axillary
3. temporal
4. tympanic - ✔✔temporal
✔✔An ekg tech is providing instruction to a patient who is to wear a cardiac event
monitor at home. Which of the following statements by the patient indicates an
understanding of the instruction?
1. I can take showers while wearing the monitor
2. the monitor will keep track of all my daily activities
3. I can continue to use my electronic blanket
4. of the batteries fail I will replace them myself - ✔✔if the batteries fail I will replace
them myself
✔✔An ekg tech is preforming an exercise stress test for a patient. Which is the following
findings should the tech report to the provider?
1. decreased heart rate
2. increased respiratory rate
3. increased sweating
4. decreased premature beats - ✔✔decreased heart rate
✔✔An ekg tech is preparing to preform a 12 lead ekg for a patient who has
dextrocardia. In which of the following locations should the tech place the electrode for
lead v1?
1. right sternal border
2. left sternal border
3. left midcavicular line
4. right midclavicular line - ✔✔left sternal border
✔✔An ekg tech is preparing to obtain a 12 lead ekg for a patient who is 35 weeks
gestation. In which of the following positions should the tech place the patient?
1. supine with head elevated
