NHA EKG CERTIFICATION FINAL STUDY
GUIDE 2026 QUESTIONS WITH ANSWERS
GRADED A+
⫸ while preforming a standard 12 lead EKG , and EKG technician
notices that none of the leads are reading. Which of the following limbs
should the technician check first when correcting the problem?
1. right arm
2. left arm
3. right leg
4. left leg Answer: 3. right leg
⫸ Which of the following statement should an EKG technician include
when preparing a patient for an upcoming stress test?
1. be sure to eat a light meal 6 to 8 hours before the test
2. wear tight clothes around the lower abdominal area so the electrodes
stay in place
3. refrain from caffeine, smoking, or alcohol at least 3 hours prior to the
test
4. the procedure should take about 10 to 15 minutes Answer: 3. refrain
from caffeine, smoking, or alcohol at least 3 hours prior to the test
⫸ An ekg technician hears another staff member making derogatory
comments about a patients appearance. That is an example of which of
the following?
,1. libel
2. assault
3. slander
4. battery Answer: 3. slander
⫸ while performing a 5 lead EKG, an EKG technician notices that lead
II and lead III are not yielding a reading. Which of the following limbs
should the technician check to correct the error?
1. right arm
2. left arm
3. right leg
4. left leg Answer: 4. left leg
⫸ An ekg technician is preparing a patient for a Holter monitor
placement. Which of the following actions should the technician take to
reduce the chance of artifacts on the tracing?
1. ensure the patient has not eaten at least 2 hours prior to placement
2. instruct the patient to replace any loose electrodes in an adjacent spot
on her chest
3. have the patient wear tight fitting clothes to hold the electrodes in
place
4. use stress loops on the electrodes to reduce tension on the leads
Answer: 4. use stress loops on the electrodes to reduce tension on the
leads
,⫸ An ekg technician is caring for a patient who is experiencing heart
palpitations. Which of the following interventions should the technician
expect the provider to prescribe?
1. vasodilator medication
2. holter monitor
3. cardiac inotropic medication
4. chemical stress test Answer: 2. holter monitor
⫸ An ekg technician should recognize that which of the following bp
readings is within the expected reference range for an adolescence
patient?
1. 60/40 mm hg
2. 78/48 mm hg
3. 86/60 mm hg
4. 98/78 mm hg Answer: 4. 98/78 mm hg
⫸ For which of the following patients should an EKG technician expect
to see somatic interference on the EKG tracing?
1. a 60 year old patient who is sweating
2. a 20 year old patient who is experiencing a seizure
3. a ten year old patient who is watching tv
4. a 30 year old patient who is using a cell phone Answer: 2. a 20 year
old patient who is experiencing a seizure
, ⫸ An EKG technician is instructing a patient about a trans telephonic
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?
1.over the right side of the chest
2. over the left side of the chest
3. over the middle to lower part of the sternum
4. over the manubrium Answer: 3. over the middle to lower part of the
sternum
⫸ An EKG technician is performing an exercise stress test to evaluate a
a patient for coronary artery disease. Which of the following actions
should the technician take regarding this procedure?
1. Report unexpected arrhythmia during the test
2. evaluate the need for the patient to follow an exercise program
3. prescribe oxygen in the patient reports shortness of breath during the
test
4. instruct the patient to cease cardiac medications after the test Answer:
1. report unexpected arrhythmia during the test
⫸ An EKG technician is preparing to apply electrodes to a patient for a
standard 12 lead EKG. Which of the following methods should the
technician use to prepare for application of the electrodes?
1. Cleanse the patients skin with chlorhexidine
2. Apply tape and remove in a quick motion to remove the patients hair
3. Use a razor or clippers to remove the patients hair
GUIDE 2026 QUESTIONS WITH ANSWERS
GRADED A+
⫸ while preforming a standard 12 lead EKG , and EKG technician
notices that none of the leads are reading. Which of the following limbs
should the technician check first when correcting the problem?
1. right arm
2. left arm
3. right leg
4. left leg Answer: 3. right leg
⫸ Which of the following statement should an EKG technician include
when preparing a patient for an upcoming stress test?
1. be sure to eat a light meal 6 to 8 hours before the test
2. wear tight clothes around the lower abdominal area so the electrodes
stay in place
3. refrain from caffeine, smoking, or alcohol at least 3 hours prior to the
test
4. the procedure should take about 10 to 15 minutes Answer: 3. refrain
from caffeine, smoking, or alcohol at least 3 hours prior to the test
⫸ An ekg technician hears another staff member making derogatory
comments about a patients appearance. That is an example of which of
the following?
,1. libel
2. assault
3. slander
4. battery Answer: 3. slander
⫸ while performing a 5 lead EKG, an EKG technician notices that lead
II and lead III are not yielding a reading. Which of the following limbs
should the technician check to correct the error?
1. right arm
2. left arm
3. right leg
4. left leg Answer: 4. left leg
⫸ An ekg technician is preparing a patient for a Holter monitor
placement. Which of the following actions should the technician take to
reduce the chance of artifacts on the tracing?
1. ensure the patient has not eaten at least 2 hours prior to placement
2. instruct the patient to replace any loose electrodes in an adjacent spot
on her chest
3. have the patient wear tight fitting clothes to hold the electrodes in
place
4. use stress loops on the electrodes to reduce tension on the leads
Answer: 4. use stress loops on the electrodes to reduce tension on the
leads
,⫸ An ekg technician is caring for a patient who is experiencing heart
palpitations. Which of the following interventions should the technician
expect the provider to prescribe?
1. vasodilator medication
2. holter monitor
3. cardiac inotropic medication
4. chemical stress test Answer: 2. holter monitor
⫸ An ekg technician should recognize that which of the following bp
readings is within the expected reference range for an adolescence
patient?
1. 60/40 mm hg
2. 78/48 mm hg
3. 86/60 mm hg
4. 98/78 mm hg Answer: 4. 98/78 mm hg
⫸ For which of the following patients should an EKG technician expect
to see somatic interference on the EKG tracing?
1. a 60 year old patient who is sweating
2. a 20 year old patient who is experiencing a seizure
3. a ten year old patient who is watching tv
4. a 30 year old patient who is using a cell phone Answer: 2. a 20 year
old patient who is experiencing a seizure
, ⫸ An EKG technician is instructing a patient about a trans telephonic
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?
1.over the right side of the chest
2. over the left side of the chest
3. over the middle to lower part of the sternum
4. over the manubrium Answer: 3. over the middle to lower part of the
sternum
⫸ An EKG technician is performing an exercise stress test to evaluate a
a patient for coronary artery disease. Which of the following actions
should the technician take regarding this procedure?
1. Report unexpected arrhythmia during the test
2. evaluate the need for the patient to follow an exercise program
3. prescribe oxygen in the patient reports shortness of breath during the
test
4. instruct the patient to cease cardiac medications after the test Answer:
1. report unexpected arrhythmia during the test
⫸ An EKG technician is preparing to apply electrodes to a patient for a
standard 12 lead EKG. Which of the following methods should the
technician use to prepare for application of the electrodes?
1. Cleanse the patients skin with chlorhexidine
2. Apply tape and remove in a quick motion to remove the patients hair
3. Use a razor or clippers to remove the patients hair
