Chapter 13 Ambulatory Monitoring
Multiple Choice Questions
1. Which of the following is an abnormal symptom that should be recorded during
ambulatory monitoring? A. Chest pain
B. Indigestion
C. Dizziness
D. All of the above
2. As a healthcare professional, your responsibilities with the ambulatory monitor may
include:
A. Applying and removing the monitor
B. Providing patient education
C. Placing the results in the patient's chart
D. All of the above
3. An instrument that records the electrical activity of the heart during a patient's normal
daily activities is called: A. Oscilloscope
B. Ambulatory monitor
C. Pacemaker
D. Single-channel recorder
4. How long does an ambulatory monitor record an ECG?
A. 12 hours
B. 24 to 48 hours
C. 21 days
D. 30 days
,5. How many leads are attached to the patient's chest with ambulatory monitoring? A.
3 to 5 leads
B. 12 leads
C. 2 leads
D. 10 leads
6. Another term for loss of consciousness (fainting) is:
A. Cyanosis
B. Asystole
C. Syncope
D. Apnea
7. Fast, irregular heartbeat sensations felt by the patient, which may or may not be
associated with complaints of chest pain, are known as:
A. Polarization
B. Palpitations
C. Precordial
D. PVCs
8. Which one of the following is NOT a reason to use an ambulatory monitor?
A. To evaluate the effectiveness of cardiac medications
B. To evaluate artificial pacemaker functioning
C. To evaluate oxygen utilization by the myocardium
D. To evaluate the function of the heart after a recent myocardial infarction
9. Ambulatory monitoring may be used in addition to 12-lead ECG monitoring because: A.
The patient may not experience any symptoms during the 12-lead ECG testing
D.
,B. No abnormalities were observed during the 12-lead ECG to correlate with the patient's
symptoms of syncope
C. The patient was complaining of palpitations but did not have any symptoms during the
12lead ECG monitoring All
of the above
10. The two most common types of ambulatory monitoring are:
A. Continuous and intermittent
B. Ambulatory and 12-lead ECG
C. 12-lead ECG and exercise electrocardiography
D. Continuous and 12-lead ECG
11. Patients with permanent pacemakers may require monitoring for 30 days or more. The
type of ambulatory monitoring most often used is:
A. Telemetry monitoring
B. 24-hour ambulatory monitoring
C. Transtelephonic monitoring
D. Multichannel recorder
12. Which type of monitoring requires the patient to activate the monitor while the patient
is experiencing symptoms?
A. Transtelephonic loop-memory monitor
B. Transtelephonic postsymptom event monitor
C. 24-hour ambulatory monitoring
D. Telemetry monitor
13. Postsymptom event monitors are used primarily to document what type of
dysrhythmias? A. Atrial fibrillation D.
B. Atrial flutter
C. Supraventricular tachycardia
D. All of the above
, 14. Which of the following patients is NOT a candidate for ambulatory monitoring? A. Mr.
Jackson complains of dizziness. His ECG and stress tests were normal.
B. Ms. Jones is complaining of chest pain. She is independent in care but confined to a
wheelchair.
C. Miss Jeffers is confused and living in a nursing home.
Mr. Peters complains of palpitations but ECG and stress test were inconclusive.
15. What is the advantage of continuous monitoring over intermittent monitoring?
A. Continuous monitoring is shorter and more quickly evaluated
B. Continuous monitoring provides a complete tracing and records before, during, and after
the patient activates the event marker
C. Continuous monitoring is activated when the patient pushes the event marker D. All of
the above
16. Which type of ambulatory monitoring is performed in a hospital?
A. Telemetry
B. Transtelephonic
C. Holter monitoring
D. All of these
17. Why would a patient use an "event marker" during ambulatory monitoring?
A. To mark the beginning and ending of ambulatory monitoring
B. To mark the ECG tracing when symptoms occur
C. To identify the type of event or symptom when it occurs
D. To mark the ECG tracing after any symptoms occur
D.
18. Which patient will be asked to keep a diary?
A. Mr. Abram, who is complaining of chest discomfort and is having an ECG
B. Mr. Fisher, whose physician ordered ambulatory monitoring for him this morning
Multiple Choice Questions
1. Which of the following is an abnormal symptom that should be recorded during
ambulatory monitoring? A. Chest pain
B. Indigestion
C. Dizziness
D. All of the above
2. As a healthcare professional, your responsibilities with the ambulatory monitor may
include:
A. Applying and removing the monitor
B. Providing patient education
C. Placing the results in the patient's chart
D. All of the above
3. An instrument that records the electrical activity of the heart during a patient's normal
daily activities is called: A. Oscilloscope
B. Ambulatory monitor
C. Pacemaker
D. Single-channel recorder
4. How long does an ambulatory monitor record an ECG?
A. 12 hours
B. 24 to 48 hours
C. 21 days
D. 30 days
,5. How many leads are attached to the patient's chest with ambulatory monitoring? A.
3 to 5 leads
B. 12 leads
C. 2 leads
D. 10 leads
6. Another term for loss of consciousness (fainting) is:
A. Cyanosis
B. Asystole
C. Syncope
D. Apnea
7. Fast, irregular heartbeat sensations felt by the patient, which may or may not be
associated with complaints of chest pain, are known as:
A. Polarization
B. Palpitations
C. Precordial
D. PVCs
8. Which one of the following is NOT a reason to use an ambulatory monitor?
A. To evaluate the effectiveness of cardiac medications
B. To evaluate artificial pacemaker functioning
C. To evaluate oxygen utilization by the myocardium
D. To evaluate the function of the heart after a recent myocardial infarction
9. Ambulatory monitoring may be used in addition to 12-lead ECG monitoring because: A.
The patient may not experience any symptoms during the 12-lead ECG testing
D.
,B. No abnormalities were observed during the 12-lead ECG to correlate with the patient's
symptoms of syncope
C. The patient was complaining of palpitations but did not have any symptoms during the
12lead ECG monitoring All
of the above
10. The two most common types of ambulatory monitoring are:
A. Continuous and intermittent
B. Ambulatory and 12-lead ECG
C. 12-lead ECG and exercise electrocardiography
D. Continuous and 12-lead ECG
11. Patients with permanent pacemakers may require monitoring for 30 days or more. The
type of ambulatory monitoring most often used is:
A. Telemetry monitoring
B. 24-hour ambulatory monitoring
C. Transtelephonic monitoring
D. Multichannel recorder
12. Which type of monitoring requires the patient to activate the monitor while the patient
is experiencing symptoms?
A. Transtelephonic loop-memory monitor
B. Transtelephonic postsymptom event monitor
C. 24-hour ambulatory monitoring
D. Telemetry monitor
13. Postsymptom event monitors are used primarily to document what type of
dysrhythmias? A. Atrial fibrillation D.
B. Atrial flutter
C. Supraventricular tachycardia
D. All of the above
, 14. Which of the following patients is NOT a candidate for ambulatory monitoring? A. Mr.
Jackson complains of dizziness. His ECG and stress tests were normal.
B. Ms. Jones is complaining of chest pain. She is independent in care but confined to a
wheelchair.
C. Miss Jeffers is confused and living in a nursing home.
Mr. Peters complains of palpitations but ECG and stress test were inconclusive.
15. What is the advantage of continuous monitoring over intermittent monitoring?
A. Continuous monitoring is shorter and more quickly evaluated
B. Continuous monitoring provides a complete tracing and records before, during, and after
the patient activates the event marker
C. Continuous monitoring is activated when the patient pushes the event marker D. All of
the above
16. Which type of ambulatory monitoring is performed in a hospital?
A. Telemetry
B. Transtelephonic
C. Holter monitoring
D. All of these
17. Why would a patient use an "event marker" during ambulatory monitoring?
A. To mark the beginning and ending of ambulatory monitoring
B. To mark the ECG tracing when symptoms occur
C. To identify the type of event or symptom when it occurs
D. To mark the ECG tracing after any symptoms occur
D.
18. Which patient will be asked to keep a diary?
A. Mr. Abram, who is complaining of chest discomfort and is having an ECG
B. Mr. Fisher, whose physician ordered ambulatory monitoring for him this morning
