After completing an EKG on a patient, which of the following should the tech perform next? - ANSWER Before disconnecting patient from the machine, check that the tracing is free from artifacts
Communication with membe
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After completing an EKG on a patient, which of the following should the tech perform next? - ANSWER Before disconnecting patient from the machine, check that the tracing is free from artifacts
Communication with members of the health care team can be accomplished through which of the following methods? - ANSWER Electronic health record and verbal exchange
During a stress test an EKG technician notices the patient to be hyperventilating. Which of the following is an appropriate course of action for the technician? - ANSWER Check the patient's respiratory rate
During a stress test, an EKG tech notices the patient appears to be hyperventilating. Which of the following course of action for the tech? - ANSWER Check the patient's respiratory rate
An EKG has a 2 mm ST elevation in leads I, AVL, V5, and V6. What type of infarction would this represent? - ANSWER Lateral infarction
An EKG tech detects a U wave and the patient reports chest pain and discomfort. What actions should the tech take? - ANSWER Notify the patient's provider
An EKG tech had just provided patient education prior to a stress test. What statement made by the patient indicates an understanding of the preparation? - ANSWER I may smoke the night before my exam
EKG tech has just provided patient education prior to an exercise stress test. Which of the following statements made by the patient indicates an understanding of the preparation? - ANSWER I can smoke the night before the exam
An EKG tech is an outpatient facility is obtaining a patient's vital signs and is having trouble visualizing the patient.'s chest movement. Which of the following actions should the tech take to obtain an accurate respiratory rate for the patient? - ANSWER Place a hand on the middle of the patient's back to count the respirations
An EKG tech is asked to obtain a right-sided EKG on a patient with suspected acute myocardial infarction of the inferior wall. Which of the following leads is most sensitive and specific to right ventricular ischemia? - ANSWER V4R
An EKG tech is performing an exercise stress test for a patient. Which of the following findings should the tech expect the provider to stop the test? - ANSWER Dizziness
An EKG tech is performing a posterior 12- lead ELG for a patient. Which of the following leads should the tech place along the paraspinous border? - ANSWER Lead V9
An EKG tech is performing a standard 12-lead EKG for a patient who has a below the knee amputation left leg. The tech should modify and document the lead placement for this patient in which of the following ways? - ANSWER Place the lower extremity lead on the left groin
An EKG tech is preparing a patient for an exercise stress test. Which of the following leads should the tech place on the right lower side of the anterior torso? - ANSWER Lead RL
An EKG tech is preparing a patient for holter monitor placement. Which of the following activities should the tech take to reduce the chance of artifacts on the tracing? - ANSWER Use stress loops on the electrodes to reduce tension on the leads
An EKG tech is preparing a patient for the application of a holter monitor. The patient tells the tech she runs 5 miles each day. Which of the following responses should the tech make? - ANSWER You should continue exercise as usual while wearing the monitor
An EKG tech is preparing to perform an exercise stress test on a patient. Which of the following findings in a patient's medical history would prevent the patient from participating in an exercise stress test? - ANSWER Congested heart failure
An EKG tech is applying a holter monitor for a patient. Which of the following in the final step should the tech take when applying a holter monitor? - ANSWER Document the procedure in the patient's health record
An EKG tech is evaluating a standard 12-lead EKG tracing during a recording. The tech should recognize that electrical activity of the septal wall is recorded by which of the following leads? - ANSWER Leads V1 and V2
An EKG tech notices that the waveforms on an EKG are very close together and the patient has an usually rapid heart rate m. In order to spread out the tracing, the tech should change the paper speed to which of the following? - ANSWER 50 mm
An EKG tech is measuring the intervals on an EKG tracing. Which of the following is an anticipated finding of impaired conduction through the AV node? - ANSWER Prolonged PR interval
An EKG tech releases information about a patient diagnosis to the patient's employer. Which of the following patient's rights was violated? - ANSWER Patient confidentiality
An EKG tech notes that the QRS complex to too tall to fit on the EKG paper. Which of the following actions should the tech take? - ANSWER Change the gain control to 5 mm/mv
An EKG tech notices an accelerated idioventricular rhythm on a tracing. Which of the following actions should the tech take next? - ANSWER Call for help and stay with the patient
An EKG tech observes ST segment depression and T wave inversion in multiple leads on a patient. Which of the following should the tech suspect? - ANSWER Myocardial ischemia
An EKG tech should recognize that a rhythm strip should be at least how many seconds long to identify rate and rhythm? - ANSWER 6 seconds
An EKG tech should recognize that which of the following is expected reference range for the respiratory rate of a newborn patient? - ANSWER 30 to 49/min
An EKG tech should recognize that which of the following situations could result in wandering baseline artifact on an EKG tracing? - ANSWER Loose electrodes
Electrical interference on an EKG would most likely be a result of which of the following? - ANSWER A frayed wire
For 5-lead electrode placement for ambulatory monitoring, where should the EKG tech place the green ground electrode? - ANSWER On the rib on the lower right side
For a normal patient, which of the following describes the pattern of the anticipated QRS complex in V4? - ANSWER Half positive, half negative
If there is a below the knee amputation of the left leg, where do you put the right leg electrode? - ANSWER Lower right thigh
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