Ekg NHA Practice test 1 with Complete Solutions

Which of the following actions should an EKG technician take when preparing a patient for a standard 12 lead EKG? 1. encouraged the patient to ask questions during the procedure 2. instruct the patient to hold their breath 3. place electrodes over the patients chest hair 4. have the patient remove and jewelry - ANSWER 4. have the patient remove and jewelry while preforming a standard 12 lead EKG , and EKG technician notices that none of the leads are reading. Which of the following limbs should the technician check first when correcting the problem? 1. right arm 2. left arm 3. right leg 4. left leg - ANSWER 3. right leg Which of the following statement should an EKG technician include when preparing a patient for an upcoming stress test? 1. be sure to eat a light meal 6 to 8 hours before the test 2. wear tight clothes around the lower abdominal area so the electrodes stay in place 3. refrain from caffeine, smoking, or alcohol at least 3 hours prior to the test 4. the procedure should take about 10 to 15 minutes - ANSWER 3. refrain from caffeine, smoking, or alcohol at least 3 hours prior to the test An ekg technician hears another staff member making derogatory comments about a patients appearance. That is an example of which of the following? 1. libel 2. assault 3. slander 4. battery - ANSWER 3. slander 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? 1. right arm 2. left arm 3. right leg 4. left leg - ANSWER 4. left leg An ekg technician is preparing a patient for a Holter monitor placement. Which of the following actions should the technician take to reduce the chance of artifacts on the tracing? 1. ensure the patient has not eaten at least 2 hours prior to placement 2. instruct the patient to replace any loose electrodes in an adjacent spot on her chest 3. have the patient wear tight fitting clothes to hold the electrodes in place 4. use stress loops on the electrodes to reduce tension on the leads - ANSWER 4. use stress loops on the electrodes to reduce tension on the leads 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? 1. vasodilator medication 2. holter monitor 3. cardiac inotropic medication 4. chemical stress test - ANSWER 2. holter monitor An ekg technician should recognize that which of the following bp readings is within the expected reference range for an adolescence patient? 1. 60/40 mm hg 2. 78/48 mm hg 3. 86/60 mm hg 4. 98/78 mm hg - ANSWER 4. 98/78 mm hg For which of the following patients should an EKG technician expect to see somatic interference on the EKG tracing? 1. a 60 year old patient who is sweating 2. a 20 year old patient who is experiencing a seizure 3. a ten year old patient who is watching tv 4. a 30 year old patient who is using a cell phone - ANSWER 2. a 20 year old patient who is experiencing a seizure An EKG technician is instructing a patient about a trans telephonic 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? the right side of the chest 2. over the left side of the chest 3. over the middle to lower part of the sternum 4. over the manubrium - ANSWER 3. over the middle to lower part of the sternum An EKG technician is performing an exercise stress test to evaluate a a patient for coronary artery disease. Which of the following actions should the technician take regarding this procedure? 1. Report unexpected arrhythmia during the test 2. evaluate the need for the patient to follow an exercise program 3. prescribe oxygen in the patient reports shortness of breath during the test 4. instruct the patient to cease cardiac medications after the test - ANSWER 1. report unexpected arrhythmia 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 for application of the electrodes? 1. Cleanse the patients skin with chlorhexidine 2. Apply tape and remove in a quick motion to remove the patients hair 3. Use a razor or clippers to remove the patients hair 4. cleanse the patients skin with povidone iodine - ANSWER 3. Use a razor or clippers to remove the patients hair Which of the following statements made by an EKG technician correctly prepares the patients for telemetry monitoring? 1. I will clean your skin with an alcohol pad 2. you may feel a slight warming sensation after the electrodes are placed on the skin 3. a mild rash or skin redness should be expected around the electrodes after 24 hours 4. electrodes will be replaced once per week while you're in the hospital - ANSWER 1. I will clean your skin with an alcohol pad An EKG technician is preparing a patient for a standard 12 lead EKG. Which of the following is the correct placement for lead V4? 1. the fifth intercostal space at the midclavivular line 2. the fourth intercostal spcae at the midxillary line 3. the fifth intercostal space at the midaxillary line 4. the fourth intercostal space at the midclavicular line - ANSWER 1. the fifth intercostal space at the midclavicular line An EKG technician should recognize that patients are restricted from performing which of the following activities while wearing a Holter Monitor? 1. Yoga 2. Smoking 3. Sexual Activity 4. showering - ANSWER 4. Showering Which of the following statements should an EKG technician make when preparing an 8 year old patient for a standard 12 lead EKG? 1. I am going to apply some stickers to your belly, arms and legs for the test 2. I am going to apply these adhesive electrodes to your chest and extremities for the EKG 3. I am going to conduct an EKG on your heart 4. I need you to hold still while i attach these wires to you for the EKG - ANSWER 1. I am going to apply some stickers to your belly, arms and legs for the test An Ekg technician is preparing a patient for an exercise stress test. Which of the following leads should the techician place on the right lower side of the anterior torso? 1. Lead V1 2. Lead V6 3. Lead Ra 4. Lead RL - ANSWER 4. lead RL An Ekg technica=ian is obtaining a pulse rate for a 2 year old patient. Which of the following pulse rates should the technician recognize as within the expected reference range for this patient? 1. 60/min 2. 75/min 3. 120/min 4. 150/min - ANSWER 3. 120/min 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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?