EKG NHA ACTUAL 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS RATED A+
✔✔Which of the following actions should an EKG technician take when preparing a
patient for a standard 12 lead EKG? - ✔✔Have the patient remove any jewelry
✔✔Which of the following statements should an EKG technician include when preparing
for an upcoming exercise stress test? - ✔✔"Refrain from caffeine, smoking, of alcohol
for atleast 3 hours prior to the test."
✔✔For which of the following patients should an EKG technician expect to see somatic
interference on the EKG tracing? - ✔✔A 20 year old patient who is experiencing a
seizure
✔✔Which of the following statements made by an EKG technician correctly prepares
the patient for telemetry monitoring? - ✔✔"I will clean your skin with an alcohol pad"
✔✔Which of the following actions should the EKG technician take to resolve a
wandering baseline on a patients EKG tracing? - ✔✔Relieve tension from the lead wires
✔✔Which of the following methods should an EKG technician use to calculate the
patients heart rate from the EKG tracing? - ✔✔Divide 300 by the number of large boxes
between two R waves
✔✔An EKG technician should recognize that electrical interference on a 12 lead EKG
tracing is most likely a result of which of the following? - ✔✔Crossed Lead wires
✔✔An EKG technician is speaking with a patient on the phone. The patient is wearing a
holter monitor and reports severe chest pain and shortness of breathe. Which of the
following actions should the technician take? - ✔✔Have someone call the emergency
services while remaining on the call with the patient
✔✔An EKG technician should follow which of the following recommendations regarding
infection control practice in health care setting? - ✔✔Remove soiled gloves prior to
touching uncontaminated surfaces
✔✔An EKG technician should recognize that a PR interval that spans for four small
boxes on the EKG paper has which of the following directions? - ✔✔0.16 seconds
✔✔After completing a standard EKG on a patient, which of the following actions should
an EKG technician take next? - ✔✔Check that the tracing is free of artifacts and then
disconnect the patient from the machine
, ✔✔An EKG technician is reviewing a tracing for a patient who has a ventricular
pacemaker. Which of the following rhythm patterns should the technician expect after a
pacing spike? - ✔✔wide QRS interval
✔✔1500 method - ✔✔small boxes divided by 15000
✔✔Interrupted baseline - ✔✔caused by an electrode becoming separated from the wire
or by a broken lead wire; dirty leads
✔✔An EKG technician is performing a standard 12 lead EKG for a patient. The
technician should identify that which of the following information is recorded by lead I? -
✔✔electrical activity between the right arm and left arm
✔✔When performing a EKG on an infant, in which of the following locations should the
EKG technician place the electrode V3R? - ✔✔Between V2 and V4 on the right side of
the chest
✔✔Third degree AV block (complete heart block) - ✔✔Signs and symptoms of
decreased cardiac output
✔✔Eithoven's Triangle - ✔✔Leads I,II,III
✔✔Which of the following actions should an EKG technician perform for a patient
immediately before an exercise stress test? - ✔✔Measure a blood pressure and obtain
an EKG while the patient is supine, sitting and standing up.
✔✔Most common speed used for EKG paper - ✔✔25 mm/sec
✔✔A thin spike before the P wave indicates that the pacemaker has been implanted to
pace which of the following? - ✔✔Atria
✔✔Consistent with bradycardia - ✔✔cold and clammy skin
✔✔How many leads on a holter monitor? - ✔✔Five
✔✔An EKG technician should recognize that which of the following signs are often
present when a patient is experiencing ventricular tachycardia? - ✔✔Multiple premature
ventricular contraction in a row
✔✔Which of the following positions is appropriate for a patient during a nuclear stress
test while the camera is scanning? - ✔✔Supine with the arms above the head
SOLUTIONS RATED A+
✔✔Which of the following actions should an EKG technician take when preparing a
patient for a standard 12 lead EKG? - ✔✔Have the patient remove any jewelry
✔✔Which of the following statements should an EKG technician include when preparing
for an upcoming exercise stress test? - ✔✔"Refrain from caffeine, smoking, of alcohol
for atleast 3 hours prior to the test."
✔✔For which of the following patients should an EKG technician expect to see somatic
interference on the EKG tracing? - ✔✔A 20 year old patient who is experiencing a
seizure
✔✔Which of the following statements made by an EKG technician correctly prepares
the patient for telemetry monitoring? - ✔✔"I will clean your skin with an alcohol pad"
✔✔Which of the following actions should the EKG technician take to resolve a
wandering baseline on a patients EKG tracing? - ✔✔Relieve tension from the lead wires
✔✔Which of the following methods should an EKG technician use to calculate the
patients heart rate from the EKG tracing? - ✔✔Divide 300 by the number of large boxes
between two R waves
✔✔An EKG technician should recognize that electrical interference on a 12 lead EKG
tracing is most likely a result of which of the following? - ✔✔Crossed Lead wires
✔✔An EKG technician is speaking with a patient on the phone. The patient is wearing a
holter monitor and reports severe chest pain and shortness of breathe. Which of the
following actions should the technician take? - ✔✔Have someone call the emergency
services while remaining on the call with the patient
✔✔An EKG technician should follow which of the following recommendations regarding
infection control practice in health care setting? - ✔✔Remove soiled gloves prior to
touching uncontaminated surfaces
✔✔An EKG technician should recognize that a PR interval that spans for four small
boxes on the EKG paper has which of the following directions? - ✔✔0.16 seconds
✔✔After completing a standard EKG on a patient, which of the following actions should
an EKG technician take next? - ✔✔Check that the tracing is free of artifacts and then
disconnect the patient from the machine
, ✔✔An EKG technician is reviewing a tracing for a patient who has a ventricular
pacemaker. Which of the following rhythm patterns should the technician expect after a
pacing spike? - ✔✔wide QRS interval
✔✔1500 method - ✔✔small boxes divided by 15000
✔✔Interrupted baseline - ✔✔caused by an electrode becoming separated from the wire
or by a broken lead wire; dirty leads
✔✔An EKG technician is performing a standard 12 lead EKG for a patient. The
technician should identify that which of the following information is recorded by lead I? -
✔✔electrical activity between the right arm and left arm
✔✔When performing a EKG on an infant, in which of the following locations should the
EKG technician place the electrode V3R? - ✔✔Between V2 and V4 on the right side of
the chest
✔✔Third degree AV block (complete heart block) - ✔✔Signs and symptoms of
decreased cardiac output
✔✔Eithoven's Triangle - ✔✔Leads I,II,III
✔✔Which of the following actions should an EKG technician perform for a patient
immediately before an exercise stress test? - ✔✔Measure a blood pressure and obtain
an EKG while the patient is supine, sitting and standing up.
✔✔Most common speed used for EKG paper - ✔✔25 mm/sec
✔✔A thin spike before the P wave indicates that the pacemaker has been implanted to
pace which of the following? - ✔✔Atria
✔✔Consistent with bradycardia - ✔✔cold and clammy skin
✔✔How many leads on a holter monitor? - ✔✔Five
✔✔An EKG technician should recognize that which of the following signs are often
present when a patient is experiencing ventricular tachycardia? - ✔✔Multiple premature
ventricular contraction in a row
✔✔Which of the following positions is appropriate for a patient during a nuclear stress
test while the camera is scanning? - ✔✔Supine with the arms above the head
