NHA EKG PRACTICE EXAM 2026 EXAM
SCRIPT 3 FULL PRACTICE TESTS WITH
VERIFIED SOLUTIONS AND STEP BY STEP
EXPLANATIONS
⩥ Which of the following methods should an EKG technician use to
store electrodes when not in use?
a. Loose in the EKG cart
b. In a folded paper bag
c. In an open plastic bag
d. In the original, foil-lined packaging. Answer: d. In the original, foil-
lined packaging
⩥ A serial EKG tracing shows a rhythm that does not match the last
tracing that the EKG technician performed. Which of the following
actions should the technician take first?
a. Connect the patient to a different EKG machine.
b. Report the finding to the provider
c. Verify proper lead placement
d. Perform a maintenance check on the machine. Answer: c. Verify
proper lead placement
,⩥ Which of the following statements made by an EKG technician
correctly prepares the patient for telemetry monitoring?
a. "I will clean your skin with an alcohol pad"
b. "You may feel a slight warming sensation after the electrodes are
placed on the skin"
c. "A mild rash or skin redness should be expected around the electrodes
after 24 hours."
d. "Electrodes will be replaced once per week while you're in the
hospital.". Answer: a. "I will clean your skin with an alcohol pad"
⩥ An EKG technician is performing a standard 12-lead EKG on a
patient who is 4 years old. In which of the following locations should the
technician place the V6 electrodes?
a. Right midclavicular space
b. Left midclavicular space
c. Right midaxillary line
d. Left midaxillary line. Answer: d. Left midaxillary line
⩥ Which of the following sections of the EKG tracing should an EKG
technician use to measure the QRS complex?
a. End of the Q wave to the beginning of the S wave
b. Beginning of the Q wave to the beginning of the S wave
c. End of the Q wave to the beginning of the T wave
,d. Beginning of the Q wave to the end of the S wave. Answer: d.
Beginning of the Q wave to the end of the S wave
⩥ An EKG technician observes varying R-R intervals on an EKG for a
2-year-old patient. Which of the following statements made by the
technician would be correct?
a. "Irregular rhythms are rarely seen in children"
b. "This is life threatening. I must notify the physician immediately"
c. "The irregularity is normal and is a result of respiration"
d. "The rhythm is likely atrial fibrillation and requires elective
cardioversion". Answer: c. "The irregularity is normal and is a result of
respiration"
⩥ An EKG technician is recording a patient's radial pulse rate and finds
the pulse to be irregular. The provider then takes the patient's apical
pulse. The technician should recognize that which of the following
locations is used for this assessment?
a. Between the larynx and the left sternocleidomastoid muscle
b. Between the fifth and sixth ribs, at the left midclavicular line
c. The antecubital aspect of the left or right elbow
d. The thumb side of the left wrist. Answer: b. Between the fifth and
sixth ribs, at the left midclavicular line
⩥ Which of the following descries a complete cardiac cycle in a healthy
heart?
, a. P wave, Q wave, and ST segment
b. P wave, QRS complex, and T wave
c. P wave, QRS complex, and QT interval
d. P wave, QRS complex, and P wave. Answer: b. P wave, QRS
complex, and T wave
⩥ An EKG technician is preparing to perform an EKG for a patient who
does not speak the same language as the technician. Which of the
following actions hsould the technician take to avoid miscommunication
with the patient?
a. Have a member of the patient's family translate
b. Point and use other forms of nonverbal communication
c. Rely on materials printed in the patient's native language
d. Have a bilingual staff member translate. Answer: d. Have a bilingual
staff member translate
⩥ An EKG technician is instructing a patient about the use of a
transtelephonic monitor with loop memory. Which of the following
instructions should the technician include?
a. "Press the record button on the device when you begin to feel dizzy or
have chest pain"
b. "Remove the monitor when connecting to the phone or internet to
send the recording to the central monitoring location"
c. "Record a notation in your diary that describes the time and the
activity that you were doing when the pain started"
SCRIPT 3 FULL PRACTICE TESTS WITH
VERIFIED SOLUTIONS AND STEP BY STEP
EXPLANATIONS
⩥ Which of the following methods should an EKG technician use to
store electrodes when not in use?
a. Loose in the EKG cart
b. In a folded paper bag
c. In an open plastic bag
d. In the original, foil-lined packaging. Answer: d. In the original, foil-
lined packaging
⩥ A serial EKG tracing shows a rhythm that does not match the last
tracing that the EKG technician performed. Which of the following
actions should the technician take first?
a. Connect the patient to a different EKG machine.
b. Report the finding to the provider
c. Verify proper lead placement
d. Perform a maintenance check on the machine. Answer: c. Verify
proper lead placement
,⩥ Which of the following statements made by an EKG technician
correctly prepares the patient for telemetry monitoring?
a. "I will clean your skin with an alcohol pad"
b. "You may feel a slight warming sensation after the electrodes are
placed on the skin"
c. "A mild rash or skin redness should be expected around the electrodes
after 24 hours."
d. "Electrodes will be replaced once per week while you're in the
hospital.". Answer: a. "I will clean your skin with an alcohol pad"
⩥ An EKG technician is performing a standard 12-lead EKG on a
patient who is 4 years old. In which of the following locations should the
technician place the V6 electrodes?
a. Right midclavicular space
b. Left midclavicular space
c. Right midaxillary line
d. Left midaxillary line. Answer: d. Left midaxillary line
⩥ Which of the following sections of the EKG tracing should an EKG
technician use to measure the QRS complex?
a. End of the Q wave to the beginning of the S wave
b. Beginning of the Q wave to the beginning of the S wave
c. End of the Q wave to the beginning of the T wave
,d. Beginning of the Q wave to the end of the S wave. Answer: d.
Beginning of the Q wave to the end of the S wave
⩥ An EKG technician observes varying R-R intervals on an EKG for a
2-year-old patient. Which of the following statements made by the
technician would be correct?
a. "Irregular rhythms are rarely seen in children"
b. "This is life threatening. I must notify the physician immediately"
c. "The irregularity is normal and is a result of respiration"
d. "The rhythm is likely atrial fibrillation and requires elective
cardioversion". Answer: c. "The irregularity is normal and is a result of
respiration"
⩥ An EKG technician is recording a patient's radial pulse rate and finds
the pulse to be irregular. The provider then takes the patient's apical
pulse. The technician should recognize that which of the following
locations is used for this assessment?
a. Between the larynx and the left sternocleidomastoid muscle
b. Between the fifth and sixth ribs, at the left midclavicular line
c. The antecubital aspect of the left or right elbow
d. The thumb side of the left wrist. Answer: b. Between the fifth and
sixth ribs, at the left midclavicular line
⩥ Which of the following descries a complete cardiac cycle in a healthy
heart?
, a. P wave, Q wave, and ST segment
b. P wave, QRS complex, and T wave
c. P wave, QRS complex, and QT interval
d. P wave, QRS complex, and P wave. Answer: b. P wave, QRS
complex, and T wave
⩥ An EKG technician is preparing to perform an EKG for a patient who
does not speak the same language as the technician. Which of the
following actions hsould the technician take to avoid miscommunication
with the patient?
a. Have a member of the patient's family translate
b. Point and use other forms of nonverbal communication
c. Rely on materials printed in the patient's native language
d. Have a bilingual staff member translate. Answer: d. Have a bilingual
staff member translate
⩥ An EKG technician is instructing a patient about the use of a
transtelephonic monitor with loop memory. Which of the following
instructions should the technician include?
a. "Press the record button on the device when you begin to feel dizzy or
have chest pain"
b. "Remove the monitor when connecting to the phone or internet to
send the recording to the central monitoring location"
c. "Record a notation in your diary that describes the time and the
activity that you were doing when the pain started"
