NHA EKG Certification Test
An EKG tech is applying a holter monitor for a patient. Which of the following in the final
step should the tech take when applying a holter monitor? - Answer-Document the
procedure in the patient's health record
A patient tells the EKG tech that she does not understand why she needs an
ambulatory monitor after having a 12-lead EKG 2 days ago. Which of the following
response should the tech make? - Answer-Your provider wants to study your heart over
a longer period of time
A patient has difficulty understanding why she needs an ambulatory monitor after
having an EKG two days prior. Which of the following is an appropriate explanation by
the EKG tech? - Answer-Your doctor wants to study your heart over a longer period of
time
A patient presents alert and oriented, but a EKG tech finds that all the waveforms are
negative in lead I. The tech should check the cable connections for which of the
following limb electrodes? - Answer-Right arm and left arm
A patient follows an EKG tech to the examination room, voluntarily undresses from the
waist up, and lies on the examination table. Which of the following types of consent is
the patient giving? - Answer-Implied
A thin spike before the P wave indicates that the pacemaker has been implanted to
pace which of the following? - Answer-Atria
After completing an EKG on a patient, which of the following should the tech perform
next? - Answer-Before disconnecting patient from the machine, check that the tracing is
free from artifacts
An EKG has a 2 mm ST elevation in leads I, AVL, V5, and V6. What type of infarction
would this represent? - Answer-Lateral infarction
A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of
the following should the EKG technician do first? - Answer-Call for help and begin CPR
An EKG tech detects a U wave and the patient reports chest pain and discomfort. What
actions should the tech take? - Answer-Notify the patient's provider
An EKG tech had just provided patient education prior to a stress test. What statement
made by the patient indicates an understanding of the preparation? - Answer-I may
smoke the night before my exam
, An EKG tech is asked to obtain a right-sided EKG on a patient with suspected acute
myocardial infarction of the inferior wall. Which of the following leads is most sensitive
and specific to right ventricular ischemia? - Answer-V4R
An EKG tech is measuring the intervals on an EKG tracing. Which of the following is an
anticipated finding of impaired conduction through the AV node? - Answer-Prolonged
PR interval
An EKG tech is performing a posterior 12- lead ELG for a patient. Which of the following
leads should the tech place along the paraspinous border? - Answer-Lead V9
An EKG tech is performing a standard 12-lead EKG for a patient who has a below the
knee amputation left leg. The tech should modify and document the lead placement for
this patient in which of the following ways? - Answer-Place the lower extremity lead on
the left groin
An EKG tech is performing an exercise stress test for a patient. Which of the following
findings should the tech expect the provider to stop the test? - Answer-Dizziness
An EKG tech is preparing a patient for an exercise stress test. Which of the following
leads should the tech place on the right lower side of the anterior torso? - Answer-Lead
RL
An EKG tech is preparing a patient for holter monitor placement. Which of the following
activities should the tech take to reduce the chance of artifacts on the tracing? -
Answer-Use stress loops on the electrodes to reduce tension on the leads
An EKG tech is preparing a patient for the application of a holter monitor. The patient
tells the tech she runs 5 miles each day. Which of the following responses should the
tech make? - Answer-You should continue exercise as usual while wearing the monitor
An EKG tech is preparing to perform an exercise stress test on a patient. Which of the
following findings in a patient's medical history would prevent the patient from
participating in an exercise stress test? - Answer-Congested heart failure
An EKG tech notes that the QRS complex to too tall to fit on the EKG paper. Which of
the following actions should the tech take? - Answer-Change the gain control to 5
mm/mv
An EKG tech notices an accelerated idioventricular rhythm on a tracing. Which of the
following actions should the tech take next? - Answer-Call for help and stay with the
patient
An EKG tech is applying a holter monitor for a patient. Which of the following in the final
step should the tech take when applying a holter monitor? - Answer-Document the
procedure in the patient's health record
A patient tells the EKG tech that she does not understand why she needs an
ambulatory monitor after having a 12-lead EKG 2 days ago. Which of the following
response should the tech make? - Answer-Your provider wants to study your heart over
a longer period of time
A patient has difficulty understanding why she needs an ambulatory monitor after
having an EKG two days prior. Which of the following is an appropriate explanation by
the EKG tech? - Answer-Your doctor wants to study your heart over a longer period of
time
A patient presents alert and oriented, but a EKG tech finds that all the waveforms are
negative in lead I. The tech should check the cable connections for which of the
following limb electrodes? - Answer-Right arm and left arm
A patient follows an EKG tech to the examination room, voluntarily undresses from the
waist up, and lies on the examination table. Which of the following types of consent is
the patient giving? - Answer-Implied
A thin spike before the P wave indicates that the pacemaker has been implanted to
pace which of the following? - Answer-Atria
After completing an EKG on a patient, which of the following should the tech perform
next? - Answer-Before disconnecting patient from the machine, check that the tracing is
free from artifacts
An EKG has a 2 mm ST elevation in leads I, AVL, V5, and V6. What type of infarction
would this represent? - Answer-Lateral infarction
A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of
the following should the EKG technician do first? - Answer-Call for help and begin CPR
An EKG tech detects a U wave and the patient reports chest pain and discomfort. What
actions should the tech take? - Answer-Notify the patient's provider
An EKG tech had just provided patient education prior to a stress test. What statement
made by the patient indicates an understanding of the preparation? - Answer-I may
smoke the night before my exam
, An EKG tech is asked to obtain a right-sided EKG on a patient with suspected acute
myocardial infarction of the inferior wall. Which of the following leads is most sensitive
and specific to right ventricular ischemia? - Answer-V4R
An EKG tech is measuring the intervals on an EKG tracing. Which of the following is an
anticipated finding of impaired conduction through the AV node? - Answer-Prolonged
PR interval
An EKG tech is performing a posterior 12- lead ELG for a patient. Which of the following
leads should the tech place along the paraspinous border? - Answer-Lead V9
An EKG tech is performing a standard 12-lead EKG for a patient who has a below the
knee amputation left leg. The tech should modify and document the lead placement for
this patient in which of the following ways? - Answer-Place the lower extremity lead on
the left groin
An EKG tech is performing an exercise stress test for a patient. Which of the following
findings should the tech expect the provider to stop the test? - Answer-Dizziness
An EKG tech is preparing a patient for an exercise stress test. Which of the following
leads should the tech place on the right lower side of the anterior torso? - Answer-Lead
RL
An EKG tech is preparing a patient for holter monitor placement. Which of the following
activities should the tech take to reduce the chance of artifacts on the tracing? -
Answer-Use stress loops on the electrodes to reduce tension on the leads
An EKG tech is preparing a patient for the application of a holter monitor. The patient
tells the tech she runs 5 miles each day. Which of the following responses should the
tech make? - Answer-You should continue exercise as usual while wearing the monitor
An EKG tech is preparing to perform an exercise stress test on a patient. Which of the
following findings in a patient's medical history would prevent the patient from
participating in an exercise stress test? - Answer-Congested heart failure
An EKG tech notes that the QRS complex to too tall to fit on the EKG paper. Which of
the following actions should the tech take? - Answer-Change the gain control to 5
mm/mv
An EKG tech notices an accelerated idioventricular rhythm on a tracing. Which of the
following actions should the tech take next? - Answer-Call for help and stay with the
patient
