Mastering
the CPCT/A
Exam:
Comprehensi
ve Study
Guide 2024
(updated )
,In which of the following locations should a PCT place the V5 lead?
A. At the fourth intercostal space, to the right of the sternal border.
B. Halfway between V2 and V4.
C. At the anterior axillary line on the same horizontal level as V4.
D. At the fifth intercostal space at the midclavicular line.
C. At the anterior axillary line on the same horizontal level as V4.
A PCT is preparing a patient for an EKG. Which of the following actions should the PCT take?
A. Request that the patient pull their shirt up.
B. Allow the patient to wear a bracelet.
C. Ask the patient to turn off any electronic devices.
D. Inform the patient to expect minor shocks.
C. Ask the patient to turn off any electronic devices.
A PCT is caring for a patient who is experiencing cardiopulmonary compromise. Which of the following
structures of the cardiac conduction system initiates the heartbeat?
A. Bundle of his
B. SA node
C. AV node
D. Purkinje Fibers
B. SA node
,A PCT is monitoring a patient who goes into asystole. Which of the following actions should the PCT take
first?
A. Initiate CPR.
B. Measure vital signs
C. Use an AED
D. Perform a 12-lead EKG
A. Initiate CPR.
A PCT is preparing to perform a 12-lead EKG for a patient who has a heart rate of 225/min. Which of the
following paper-speed settings should the PCT expect the provider to prescribe?
A. 50mm/sec
B. 25mm/sec
C. 5mm/sec
D. 10mm/sec
A. 50mm/sec
A PCT is performing a right-sided 12-lead EKG. For which of the following conditions will a provider
request a right-sided EKG?
A. Atrial fibrillation
B. Myocardial infarction
C. Tachycardia
D. Dextrocardia
D. Dextrocardia
A PCT is performing a 12-lead EKG for a patient. The PCT should use which of the following as a
reference to compare the cardiac complexes during a cardiac cycle on an EKG tracing?
, A. Speed control
B. Lead selector
C. Calibration marks
D. Artifact filter
C. Calibration marks
Which of the following parts of the EKG machine regulates the height of the waveforms on the tracing?
A. Gain control
B. Electrodes
C. Lead selector
D. Artifact filter
A. Gain control
A PCT is performing a 12-lead EKG. Which of the following is a dysrhythmia?
A. P waves are upright in deflection
B. Three different P waves configurations in one lead
C. P waves appear before QRS complexes
D. Intervals between two P waves occur in a uniform pattern
B. Three different P waves configurations in one lead
A PCT is obtaining an EKG from a patient who reports chest pain. Which of the following changes in a
waveform is an indication of a myocardial infarction and report to the nurse immediately?
A. Upright T waves
B. Q waves less than one-third the height of the R wave
C. P wave inversion
D. ST segment elevation
the CPCT/A
Exam:
Comprehensi
ve Study
Guide 2024
(updated )
,In which of the following locations should a PCT place the V5 lead?
A. At the fourth intercostal space, to the right of the sternal border.
B. Halfway between V2 and V4.
C. At the anterior axillary line on the same horizontal level as V4.
D. At the fifth intercostal space at the midclavicular line.
C. At the anterior axillary line on the same horizontal level as V4.
A PCT is preparing a patient for an EKG. Which of the following actions should the PCT take?
A. Request that the patient pull their shirt up.
B. Allow the patient to wear a bracelet.
C. Ask the patient to turn off any electronic devices.
D. Inform the patient to expect minor shocks.
C. Ask the patient to turn off any electronic devices.
A PCT is caring for a patient who is experiencing cardiopulmonary compromise. Which of the following
structures of the cardiac conduction system initiates the heartbeat?
A. Bundle of his
B. SA node
C. AV node
D. Purkinje Fibers
B. SA node
,A PCT is monitoring a patient who goes into asystole. Which of the following actions should the PCT take
first?
A. Initiate CPR.
B. Measure vital signs
C. Use an AED
D. Perform a 12-lead EKG
A. Initiate CPR.
A PCT is preparing to perform a 12-lead EKG for a patient who has a heart rate of 225/min. Which of the
following paper-speed settings should the PCT expect the provider to prescribe?
A. 50mm/sec
B. 25mm/sec
C. 5mm/sec
D. 10mm/sec
A. 50mm/sec
A PCT is performing a right-sided 12-lead EKG. For which of the following conditions will a provider
request a right-sided EKG?
A. Atrial fibrillation
B. Myocardial infarction
C. Tachycardia
D. Dextrocardia
D. Dextrocardia
A PCT is performing a 12-lead EKG for a patient. The PCT should use which of the following as a
reference to compare the cardiac complexes during a cardiac cycle on an EKG tracing?
, A. Speed control
B. Lead selector
C. Calibration marks
D. Artifact filter
C. Calibration marks
Which of the following parts of the EKG machine regulates the height of the waveforms on the tracing?
A. Gain control
B. Electrodes
C. Lead selector
D. Artifact filter
A. Gain control
A PCT is performing a 12-lead EKG. Which of the following is a dysrhythmia?
A. P waves are upright in deflection
B. Three different P waves configurations in one lead
C. P waves appear before QRS complexes
D. Intervals between two P waves occur in a uniform pattern
B. Three different P waves configurations in one lead
A PCT is obtaining an EKG from a patient who reports chest pain. Which of the following changes in a
waveform is an indication of a myocardial infarction and report to the nurse immediately?
A. Upright T waves
B. Q waves less than one-third the height of the R wave
C. P wave inversion
D. ST segment elevation
