NHA EKG CERTIFICATION
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⫸ An EKG technician is preparing a patient for an exercise stress test.
In which of the following locations should the technician place the RL
electrode? Answer: Right Lower Abdomen
⫸ The R-R interval on a patient's tracing has five large boxes. Which of
the following is the patient's heart rate? Answer: 60 (300/5+60)
⫸ An EKG technician is educating a patient on when to push the event
button while wearing a Holter monitor. Which of the following
statements indicates patient understanding? Answer: "I will push the
event button if I'm experiencing dizziness"
⫸ Which of the following is the maximum number of tracings that an
EKG technician can obtain on the same patient using single set of
disposable electrodes? Answer: A single set of disposable electrodes has
enough adhesive for two tracings
⫸ Which of the following can cause sinus arrhythmia? Answer: The
patient's respirations since arrhythmia is characterized by a cyclic
change in respirations
,⫸ An EKG technician is instructing a patient about a transtelephonic
event monitor using a Heart Card monitoring device. To which of the
following sites should the patient apply the card to activate it during an
event? Answer: Over the middle to lower part of the sternum
⫸ An EKG technician is administering an exercise stress test to a
patient and notes the patient's heart rhythm shows a depressed ST
segment. Which of the following actions should the technician take first?
Answer: Discontinue the test and contact a provider
⫸ An EKG technician should recognize that patients are restricted from
performing which of the following activities while wearing a Holter
monitor? Answer: Showering
⫸ An EKG technician detects a U wave and the patient reports chest
pain and discomfort. Which of the following actions should the
technician take? Answer: Notify the patient's provider
⫸ Which of the following is the most likely cause of the artifact in the
tracing below? Answer: Electrical interference
⫸ Which of the following is the order in which the EKG technician
should document a patient's vital signs? Answer: Temperature, pulse,
respirations, and blood pressure
, ⫸ Which of the following actions should the EKG technician take to
resolve a wandering baseline on a patient's EKG tracing? Answer:
Relieve tension from the lead wires
⫸ An EKG technician is preparing a patient for an exercise stress test.
Which of the following leads should the technician place on the right
lower side of the anterior torso? Answer: Lead RL
⫸ An EKG technician notes that a patient is experiencing a variation in
respirations that correlates with the EKG tracing. Which of the following
irregularities does this indicate? Answer: Sinus dysrhythmia
⫸ Which of the following is the correct regarding the EKG below?
Answer: The heart rate is 75/min
⫸ Which of the following artifacts can appear as drifting away from the
center on an EKG tracing? Answer: Wandering Baseline
⫸ An EKG technician notices an accelerated idioventricular rhythm on
a tracing. Which of the following actions should the technician take
next? Answer: Call for help and stay with the patient
⫸ Which of the following rhythms is characterized by upright P waves,
narrow QRS complexes, and a ventricular rate between 60 and 100/min?
Answer: Sinus rhythm
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⫸ An EKG technician is preparing a patient for an exercise stress test.
In which of the following locations should the technician place the RL
electrode? Answer: Right Lower Abdomen
⫸ The R-R interval on a patient's tracing has five large boxes. Which of
the following is the patient's heart rate? Answer: 60 (300/5+60)
⫸ An EKG technician is educating a patient on when to push the event
button while wearing a Holter monitor. Which of the following
statements indicates patient understanding? Answer: "I will push the
event button if I'm experiencing dizziness"
⫸ Which of the following is the maximum number of tracings that an
EKG technician can obtain on the same patient using single set of
disposable electrodes? Answer: A single set of disposable electrodes has
enough adhesive for two tracings
⫸ Which of the following can cause sinus arrhythmia? Answer: The
patient's respirations since arrhythmia is characterized by a cyclic
change in respirations
,⫸ An EKG technician is instructing a patient about a transtelephonic
event monitor using a Heart Card monitoring device. To which of the
following sites should the patient apply the card to activate it during an
event? Answer: Over the middle to lower part of the sternum
⫸ An EKG technician is administering an exercise stress test to a
patient and notes the patient's heart rhythm shows a depressed ST
segment. Which of the following actions should the technician take first?
Answer: Discontinue the test and contact a provider
⫸ An EKG technician should recognize that patients are restricted from
performing which of the following activities while wearing a Holter
monitor? Answer: Showering
⫸ An EKG technician detects a U wave and the patient reports chest
pain and discomfort. Which of the following actions should the
technician take? Answer: Notify the patient's provider
⫸ Which of the following is the most likely cause of the artifact in the
tracing below? Answer: Electrical interference
⫸ Which of the following is the order in which the EKG technician
should document a patient's vital signs? Answer: Temperature, pulse,
respirations, and blood pressure
, ⫸ Which of the following actions should the EKG technician take to
resolve a wandering baseline on a patient's EKG tracing? Answer:
Relieve tension from the lead wires
⫸ An EKG technician is preparing a patient for an exercise stress test.
Which of the following leads should the technician place on the right
lower side of the anterior torso? Answer: Lead RL
⫸ An EKG technician notes that a patient is experiencing a variation in
respirations that correlates with the EKG tracing. Which of the following
irregularities does this indicate? Answer: Sinus dysrhythmia
⫸ Which of the following is the correct regarding the EKG below?
Answer: The heart rate is 75/min
⫸ Which of the following artifacts can appear as drifting away from the
center on an EKG tracing? Answer: Wandering Baseline
⫸ An EKG technician notices an accelerated idioventricular rhythm on
a tracing. Which of the following actions should the technician take
next? Answer: Call for help and stay with the patient
⫸ Which of the following rhythms is characterized by upright P waves,
narrow QRS complexes, and a ventricular rate between 60 and 100/min?
Answer: Sinus rhythm
