*NURSING > EXAM > TEST BANK FOR ECGS MADE EASY 6TH EDITION BY BARBARA Chapter 09: Introduction to the 12-Lead ECG (All)
MULTIPLE CHOICE 1. Where should the positive electrode for lead V5 be positioned? a. Right side of the sternum, fourth intercostal space b. Left midaxillary line at the same level as V4 c. Left side o... f the sternum, fourth intercostal space d. Left anterior axillary line at the same level as V4 ANS: D The positive electrode for lead V5 is positioned at the left anterior axillary line at the same level as V4. OBJ: Describe correct anatomic placement of the standard limb leads, the augmented leads, and the chest leads. 2. A standard 12-lead ECG provides views of the heart in _____. a. the frontal plane only b. the sagittal plane only c. the horizontal plane only d. both the frontal and the horizontal planes ANS: D A standard 12-lead ECG provides views of the heart in both the frontal and horizontal planes and views the surfaces of the left ventricle from 12 different angles. OBJ: Relate the cardiac surfaces or areas represented by the ECG leads. 3. Poor R-wave progression is a phrase used to describe R waves that decrease in size from V1 to V4. This is often seen in an _____ infarction. a. anteroseptal b. anterolateral c. inferolateral d. inferoposterior ANS: A Poor R-wave progression is a phrase used to describe R waves that decrease in size from V1 to V4. This is often seen in an anteroseptal infarction, but may be a normal variant in young persons, particularly in young women. Other causes of poor R-wave progression include left bundle branch block, left ventricular hypertrophy, and severe chronic obstructive pulmonary disease (particularly emphysema). OBJ: Distinguish patterns of normal and abnormal R-wave progression. 4. Which leads look at adjoining tissue in the anterior region of the left ventricle? a. II, III, aVF b. V2, V3, V4 c. I, aVL, V5 d. aVR, aVL, aVF ANS: B Leads V2, V3, and V4 look at adjoining tissue in the anterior region of the left ventricle. OBJ: Relate the cardiac surfaces or areas represented by the ECG leads. 5. Lead V1 views the _____. a. septum b. inferior wall of the left ventricle c. lateral wall of the right ventricle d. anterior wall of the right ventricle ANS: A Leads V1 and V2 view the septum. [Show More]
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