Page 1 of 184
NHA CCMA CERTIFICATION EXAM | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
Define Artifact
An unwanted interference or jitter on the EKG recording. This makes
the EKG reading difficult or impossible, as well as can lead to a
misdiagnosis.
Chief Complaint Definition
The reason why the patient came to see the physician.
Whats does WHO stand for?
World Health Organization
The World Health Organization criteria for the diagnosis of myocardial
infarction are the presence of at least two of:
-Clinical history of ischemic-type of chest discomfort
,Page 2 of 184
-Changes on serial EKG tracings
-Rise and fall in serum cardiac markers demonstrating cardiac tissue
damage
Define Somatic Tremor
It is a jittery pattern caused by the patient's shivering or by shaking
wires. Help the patient relax, cover the patient, make sure that the
wires are correctly placed, or try the examination two more times.
Redo the EKG until the tracing is more readable.
Define Wandering Baseline
Is it when the baseline moves up and down on the EKG paper. It is
often caused by lotion or sweat on the skin interfering with the signal
transmitted to the machine. Cleaning the site of the electrode and
properly placing it resolves the interference.
60-cycle Interference
Cause by improperly grounded electrical equipment that is directly or
indirectly in contact with the patient. Cellular phones and pagers may
also interfere with the EKG trace. Disconnect and remove all the
electric objects from the patient or near by the machine.
,Page 3 of 184
Broken Recording
Can be caused by a damaged wire or loose electrodes. If the probes
are placed properly, the cause is origination from a broken or
damaged wire. Use a different EKG machine or replace the wires.
Never use a damaged or malfunctioning machine.
Stress Testing
Is a noninvasive diagnostic procedure indirectly, the presence and
severity of coronary artery disease and the heart muscle lack of blood
supply.
Stress test is performed through _____ or _____ while hooked up to
an EKG monitor. The limb leads are applied to the torso of the patient
rather than on the extremities.
Exercise (by having the patient walk on a treadmill or by pedaling on a
bicycle)
Pharmacologically (by administration of medication that causes
increase in heart rate)
, Page 4 of 184
Exercise Stress Test
This test is performed until at least 85% of the target heart rate is
reached or symptoms or EKG changes develop which requires the test
to be terminated. Target heart rate is 220 minus patient's age.
Pharmacologic Stress Test
This test is appropriate for patients with physical limitation.
Medications such as adenosine, dipyridamole, or dobutamine are
given intravenously through an IV line to cause the heart rate to climb
to the target level or the same symptoms and EKG changes as the
exercise test develop. The test is concluded after 85% of the target
heart rate is achieved.
Ambulatory EKG Monitoring
Is mainly, but not only, used for diagnosis of cardiac dysrhythmias
(disorders of the heart rhythm). It can also evaluate the heart rate,
rhythm and function during daily activities.
Holter Monitor
NHA CCMA CERTIFICATION EXAM | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
Define Artifact
An unwanted interference or jitter on the EKG recording. This makes
the EKG reading difficult or impossible, as well as can lead to a
misdiagnosis.
Chief Complaint Definition
The reason why the patient came to see the physician.
Whats does WHO stand for?
World Health Organization
The World Health Organization criteria for the diagnosis of myocardial
infarction are the presence of at least two of:
-Clinical history of ischemic-type of chest discomfort
,Page 2 of 184
-Changes on serial EKG tracings
-Rise and fall in serum cardiac markers demonstrating cardiac tissue
damage
Define Somatic Tremor
It is a jittery pattern caused by the patient's shivering or by shaking
wires. Help the patient relax, cover the patient, make sure that the
wires are correctly placed, or try the examination two more times.
Redo the EKG until the tracing is more readable.
Define Wandering Baseline
Is it when the baseline moves up and down on the EKG paper. It is
often caused by lotion or sweat on the skin interfering with the signal
transmitted to the machine. Cleaning the site of the electrode and
properly placing it resolves the interference.
60-cycle Interference
Cause by improperly grounded electrical equipment that is directly or
indirectly in contact with the patient. Cellular phones and pagers may
also interfere with the EKG trace. Disconnect and remove all the
electric objects from the patient or near by the machine.
,Page 3 of 184
Broken Recording
Can be caused by a damaged wire or loose electrodes. If the probes
are placed properly, the cause is origination from a broken or
damaged wire. Use a different EKG machine or replace the wires.
Never use a damaged or malfunctioning machine.
Stress Testing
Is a noninvasive diagnostic procedure indirectly, the presence and
severity of coronary artery disease and the heart muscle lack of blood
supply.
Stress test is performed through _____ or _____ while hooked up to
an EKG monitor. The limb leads are applied to the torso of the patient
rather than on the extremities.
Exercise (by having the patient walk on a treadmill or by pedaling on a
bicycle)
Pharmacologically (by administration of medication that causes
increase in heart rate)
, Page 4 of 184
Exercise Stress Test
This test is performed until at least 85% of the target heart rate is
reached or symptoms or EKG changes develop which requires the test
to be terminated. Target heart rate is 220 minus patient's age.
Pharmacologic Stress Test
This test is appropriate for patients with physical limitation.
Medications such as adenosine, dipyridamole, or dobutamine are
given intravenously through an IV line to cause the heart rate to climb
to the target level or the same symptoms and EKG changes as the
exercise test develop. The test is concluded after 85% of the target
heart rate is achieved.
Ambulatory EKG Monitoring
Is mainly, but not only, used for diagnosis of cardiac dysrhythmias
(disorders of the heart rhythm). It can also evaluate the heart rate,
rhythm and function during daily activities.
Holter Monitor
