Multiple Choice Questions
1. The first thing that is needed to perform an ECG is:
A. Payment from the patient for the test
B. A physician order for the test
C. Battery back-up power for the ECG machine
D. Consent form signed by the patient
2. What information must be included on the ECG requisition?
A. Patient name and date of birth
B. Identification number, patient age, and sex
C. Location, date, and time of recording
D. All of the above
3. What would be the first and most appropriate thing to say if a patient refuses an ECG?
A. "Will you tell me why you don't wish to have an ECG done?"
B. "Don't worry, the ECG only takes a few seconds to do."
C. "Your doctor has ordered this test and it must be done."
D. "I will have to report you to my supervisor immediately."
4. What should you indicate to the patient when closing the door or pulling the curtain
before performing an ECG?
A. It is loud and noisy in the hallway, and you need to work in a quiet environment
B. The temperature of the room is too cold
C. You are providing privacy for the patient
D. You are a shy person who does not like co-workers watching you perform the procedure
5. What must you always check prior to performing any procedure on a patient?
A. The patient name and identification number
B. The method of payment for the procedure
,C. Whether the patient is wearing any jewelry that must be removed
D. The availability of a patient gown
6. Which rib is located next to the angle of Louis?
A. First rib
B. Second rib
C. Third rib
D. Fourth rib
7. When properly positioning the chest lead electrodes, you should make sure that the
electrode is placed on the _____ of the rib cage.
A. Suprasternal notch
B. Midclavicular line
C. Intercostal space
D. Angle of Louis
8. When applying the chest leads, you will place the V6 lead:
A. In line with V4 on the midaxillary line
B. At the fourth ICS, right sternal border
C. At the fifth ICS, left midclavicular line
D. At the fourth ICS, left sternal border
9. Which anatomical landmark starts in the middle of the axilla and runs down the side of the
chest?
A. Midclavicular line
B. Anterior axillary line
C. Suprasternal notch
D. Midaxillary line
10. Which of the following chest leads are placed on the chest using specific anatomical
landmarks?
A. V1, V3, V4, and V6
,B. V1, V4, V5, and V6
C. V1, V2, V3, V4, and V6
D. V1, V2, V4, V5, and V6
11. When applying chest leads, you will place the V4 lead:
A. Midway between V3 and V5
B. At the fourth ICS, right sternal border
C. At the fifth ICS, left midclavicular line
D. At the fourth ICS, left sternal border
12. When applying chest leads, you will place the V2 lead:
A. Midway between V3 and V5
B. At the fourth ICS, right sternal border
C. At the fifth ICS, left midclavicular line
D. At the fourth ICS, left sternal border
13. How can you be certain you are attaching the lead wires to the electrodes properly?
A. Consult the physician
B. Check the manufacturer's directions in the instruction manual
C. Ask your supervisor or co-worker
D. Go to the manufacturer's website and look at the diagram
14. You should place the limb electrodes before the chest electrodes because:
A. The ECG will not run at all without the limb leads attached
B. They are closest to you and easiest to reach
C. The limb leads rarely require a skin prep or cleansing
D. All of these
15. Your patient has a cast on his lower left leg. The limb electrode placement should be:
A. Right leg electrode at the lower leg and left leg electrode at the inner thigh
B. Right leg electrode at the lower leg and left leg electrode on the top of the cast
C. At equal levels on the thigh
, D. The same as if the patient did not have a cast
16. When placing the chest electrodes on a female with large breasts, you must:
A. Place the electrodes directly on the breast tissue to achieve the correct position
B. Lift the breast and place the electrodes in the closest position possible
C. Place the electrodes lower on the abdomen, away from the breast
D. Place the electrodes on the patient's back
17. What should you do to place lead V4 if you have difficulty locating the midclavicular line
on an obese patient?
A. Place the lead where you think it should go
B. Place lead V3 and V5 first, then place lead V4 in the middle
C. Use the clavicle as the landmark
D. Use the nipple line as the guide
18. Electrical safety is maintained while performing an ECG by all of the following
EXCEPT:
A. Removing the plug from the electrical outlet by pulling it out by the prong connection
B. Ensuring that the bed or examination table is not touching the wall or any electrical
equipment
C. Checking the insulation on the electrical cord for cracks or frays
D. Removing any electrical equipment from the patient's body
19. After completing the ECG procedure, what are the ECG technician's responsibilities?
A. Assist the patient into a comfortable position
B. Allow the patient to dress or cover his/her body appropriately
C. Clean the lead wires, leads, and ECG machine
D. All of the above
20. When performing an ECG, what procedures must you always follow to prevent spread of
infection?
A. Contact precautions
1. The first thing that is needed to perform an ECG is:
A. Payment from the patient for the test
B. A physician order for the test
C. Battery back-up power for the ECG machine
D. Consent form signed by the patient
2. What information must be included on the ECG requisition?
A. Patient name and date of birth
B. Identification number, patient age, and sex
C. Location, date, and time of recording
D. All of the above
3. What would be the first and most appropriate thing to say if a patient refuses an ECG?
A. "Will you tell me why you don't wish to have an ECG done?"
B. "Don't worry, the ECG only takes a few seconds to do."
C. "Your doctor has ordered this test and it must be done."
D. "I will have to report you to my supervisor immediately."
4. What should you indicate to the patient when closing the door or pulling the curtain
before performing an ECG?
A. It is loud and noisy in the hallway, and you need to work in a quiet environment
B. The temperature of the room is too cold
C. You are providing privacy for the patient
D. You are a shy person who does not like co-workers watching you perform the procedure
5. What must you always check prior to performing any procedure on a patient?
A. The patient name and identification number
B. The method of payment for the procedure
,C. Whether the patient is wearing any jewelry that must be removed
D. The availability of a patient gown
6. Which rib is located next to the angle of Louis?
A. First rib
B. Second rib
C. Third rib
D. Fourth rib
7. When properly positioning the chest lead electrodes, you should make sure that the
electrode is placed on the _____ of the rib cage.
A. Suprasternal notch
B. Midclavicular line
C. Intercostal space
D. Angle of Louis
8. When applying the chest leads, you will place the V6 lead:
A. In line with V4 on the midaxillary line
B. At the fourth ICS, right sternal border
C. At the fifth ICS, left midclavicular line
D. At the fourth ICS, left sternal border
9. Which anatomical landmark starts in the middle of the axilla and runs down the side of the
chest?
A. Midclavicular line
B. Anterior axillary line
C. Suprasternal notch
D. Midaxillary line
10. Which of the following chest leads are placed on the chest using specific anatomical
landmarks?
A. V1, V3, V4, and V6
,B. V1, V4, V5, and V6
C. V1, V2, V3, V4, and V6
D. V1, V2, V4, V5, and V6
11. When applying chest leads, you will place the V4 lead:
A. Midway between V3 and V5
B. At the fourth ICS, right sternal border
C. At the fifth ICS, left midclavicular line
D. At the fourth ICS, left sternal border
12. When applying chest leads, you will place the V2 lead:
A. Midway between V3 and V5
B. At the fourth ICS, right sternal border
C. At the fifth ICS, left midclavicular line
D. At the fourth ICS, left sternal border
13. How can you be certain you are attaching the lead wires to the electrodes properly?
A. Consult the physician
B. Check the manufacturer's directions in the instruction manual
C. Ask your supervisor or co-worker
D. Go to the manufacturer's website and look at the diagram
14. You should place the limb electrodes before the chest electrodes because:
A. The ECG will not run at all without the limb leads attached
B. They are closest to you and easiest to reach
C. The limb leads rarely require a skin prep or cleansing
D. All of these
15. Your patient has a cast on his lower left leg. The limb electrode placement should be:
A. Right leg electrode at the lower leg and left leg electrode at the inner thigh
B. Right leg electrode at the lower leg and left leg electrode on the top of the cast
C. At equal levels on the thigh
, D. The same as if the patient did not have a cast
16. When placing the chest electrodes on a female with large breasts, you must:
A. Place the electrodes directly on the breast tissue to achieve the correct position
B. Lift the breast and place the electrodes in the closest position possible
C. Place the electrodes lower on the abdomen, away from the breast
D. Place the electrodes on the patient's back
17. What should you do to place lead V4 if you have difficulty locating the midclavicular line
on an obese patient?
A. Place the lead where you think it should go
B. Place lead V3 and V5 first, then place lead V4 in the middle
C. Use the clavicle as the landmark
D. Use the nipple line as the guide
18. Electrical safety is maintained while performing an ECG by all of the following
EXCEPT:
A. Removing the plug from the electrical outlet by pulling it out by the prong connection
B. Ensuring that the bed or examination table is not touching the wall or any electrical
equipment
C. Checking the insulation on the electrical cord for cracks or frays
D. Removing any electrical equipment from the patient's body
19. After completing the ECG procedure, what are the ECG technician's responsibilities?
A. Assist the patient into a comfortable position
B. Allow the patient to dress or cover his/her body appropriately
C. Clean the lead wires, leads, and ECG machine
D. All of the above
20. When performing an ECG, what procedures must you always follow to prevent spread of
infection?
A. Contact precautions
