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Which of the following ekg findings differentiates accelerated idioventricular
rhythm from junctional rhythm?
1. accelerated has p waves
2. ventricular rate in accelerated is slower than in junctional
3. accelerated is indicated by an irregular rhythm
4. accelerated has a wide QRS - ANSWER-4. accelerated has a wide QRS
Ab ekg tech notices an accelerated idio rhythm on the tracing. which of the
following actions should the tech take next?
1. tell the patient the results show significant findings and ask if she feels any
different
2. call for help and stay with the patient
3. ask another tech to run an ekg
4. Upload the tracing to the ehr and notify the provider that the tracing is ready
for interpretation - ANSWER-2. call for help and stay with the patient
An egg is entering a patients history into the electronic health records. Which of
the following statements by the patient should the tech enter into the social
history section?
,1. I have smoked cigs for a long time
2. my parents both has heart attacks
3. I had an appendectomy 1 year ago
4. I had chicken pox when I was 10 - ANSWER-1. I have smoked cigs for a
long time
An ekg tech should recognize that which of the following is the most commonly
used paper speed for an ekg?
1. 5 mm/sec
2. 10 mm/sec
3. 25 mm/sec
4. 50 mm/sec - ANSWER-3. 25 mm/sec
The presence of which of the following on an ekg tracing can indicate a
previous myocardial infarction?
1. small p waves
2. prolonged pr intervals
3. narrow QRS complexes
4. pathologic q waves - ANSWER-4. pathologic q waves
Which of the following actions should the ekg tech take immediately after
attaching the telemetry lead wires to the electrodes?
1. check a baseline ekg tracing for monitor clarity
2. check the wire colors and identification to ensure attachment to the correct
electrodes
3. place the patient in the correct anatomical position
4. tape the lead wires to the patients skin to prevent disconnection from the
elctectrode - ANSWER-2. check the wire colors and identification to ensure
attachment to the correct electrodes
,Which of the following types of heart blocks should an ekg tech observe the
patient for signs and symptoms of decreased cardiac compromise output that
could lead to cardiac arrest?
1. 1st degree
2. wenkebach
3. mobitz type 11
4. 3rd degree - ANSWER-4. 3rd degree
Which of the following leads is created between the left arm and the left leg?
1. lead aVL
2. lead aVF
3. lead III
4. lead I - ANSWER-3. lead III
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
Which of the following is consistent with bradycardia?
1. hyperventilation
2. blood pressure of 100/80 mm hg
3. cold and clammy skin
4. pulse rate of 140/min - ANSWER-3. cold and clammy skin
Which of the following ekg functions should an ekg tech use to control and
regulate the height of ekg waveforms on the tracing?
1. speed
2. output display
3. artifact filter