COMPLETE NHA EKG EXAM/ EKG COURSE REVIEW
**MODULE: Safety, Compliance, and Coordinated Care** Correct Answer:
HIPAA Correct Answer: Health Insurance Portability and Accountability Act of 1996
PHI Correct Answer: Protected Heath Information
PHI includes data such as Correct Answer: name, DOB, SSN, phone number, marital status, place of
employment, and address
An EKG technician releases information about a patient's diagnosis to the patient's employer. Which of
the following patient rights was violated?
A) Assignment of benefits
B) Patient confidentiality
C) Access to treatment
D) Power of attorney Correct Answer: B) Patient confidentiality
**A patients diagnosis is confidential and may not be shared with an employer**
Electrocardiograph Correct Answer: instrument used to record the electrical activity of the heart
Electrocardiogram Correct Answer: A recording of the electrical activity of the heart
What is needed by the patient before performing an EKG? Correct Answer: Consent
What type of consent is needed for more extensive cardiac testing? Correct Answer: Written consent
What type of consent is more common for EKGs? Correct Answer: Implied consent
supine position Correct Answer: lying on back, facing upward
**ideal position for most EKG exams**
When can a chaperone be warranted for an EKG? Correct Answer: for *teenage* patients or on a
patient with *cognitive deficits* or *dementia*
What should the EKG technician say if a patient asks about their results right after the exam? Correct
Answer: They may only disclose a confirmation that the EKG was successfully completed and will be
interpreted by the provider
A patient follows an EKG technician to the examination room, voluntarily undresses from the waist up,
and lies on the examination table.
Which of the following types of consent is the patient giving?
,A) Expressed written consent
B) Informed consent
C) Implied consent
D) None Correct Answer: C) Implied consent
**the actions exhibited by the patient in this situation are a form of implied consent**
Medical asepsis Correct Answer: Practice designed to reduce the number and transfer of pathogens
(clean technique)
Surgical asepsis Correct Answer: Technique used to destroy all pathogenic organisms (sterile technique)
OSHA Correct Answer: Occupational Safety and Health Administration
CDC Correct Answer: Centers for Disease Control (and Prevention)
Standard precautions Correct Answer: Recommendations that must be followed to prevent
transmission of pathogenic organisms by way of blood and body fluids
HAIs Correct Answer: Healthcare associated infections
What is the order of medical asepsis? Correct Answer: > Infectious agent
> Reservoir
> Portal of exit
> Mode of transmission
> Portion of entry
> Susceptible host
PPE Correct Answer: Personal protective equipment
Why are excess jewelry and long or artificial nails discouraged? Correct Answer: They can harbor
pathogens and cause scratches or injuries to the patients
Where do you dispose items that have body fluids? (such as blood) Correct Answer: Biohazardous
container
Where do you dispose needles or any other sharp supplies? Correct Answer: Sharps container
Why is it important to avoid using family members as interpreters? Correct Answer: They may not
communicate the information of the patient accurately
What is the order of therapeutic communication? Correct Answer: > Sender develops message
> Message encoded into transmutable format
> Message transmitted (oral, written, symbolic, or nonverbal)
> Receiver decodes the message
> Receiver converts message into understanding
,> Feedback
Things the technician should communicate with their patient: Correct Answer: > How long it takes to
run the test
> How many leads will be attached
> How the information transfers through the leads
> The procedure is completely harmless
> Ask if they need to use the bathroom prior to starting the test
> Remind them that they should not move or talk once the leads are connected
What is an appropriate introduction to the patient? Correct Answer: "Good morning. My name is Y/N,
and I am the EKG technician that will be performing your electrocardiogram-or EKG- today"
An EKG tech greets a patient, takes the patient to the examination room, and asks, "Could you please
state your name?" Which of the following techniques is the technician using?
A) Reflection
B) Empathy
C) Active listening skills
D) Skilled interviewing Correct Answer: D) Skilled interviewing
Communication with members of the health care team can be accomplished through which of the
following methods? (Select all that apply)
A) Electronic health record
B) Verbal exchange
C) Text messages between coworkers Correct Answer: A) Electronic health record
B) Verbal exchange
What factors can affect vital signs? Correct Answer: > Stress
> Food or liquid intake
> Medical conditions
> Age
> Physical activity
What are the vital signs? Correct Answer: > Blood pressure
> Heart rate
> Respiration
> Temperature
> Pulse oximetry
Blood pressure Correct Answer: Identifies the force of blood circulating through the arteries
What equipment is used to manually determine blood pressure? Correct Answer: >
Sphygmomanometer
> Blood pressure cuff
, > Stethoscope
How is blood pressure measured? Correct Answer: Millimeters of mercury (mm Hg)
Systolic pressure Correct Answer: The blood pressure generated by the heart during contraction
Diastolic pressure Correct Answer: Occurs when the ventricles are relaxed; the lowest pressure against
the walls of an artery
Korotkoff sounds Correct Answer: Distinct sounds that are heard throughout the cardiac cycle
Korotkoff sound phases Correct Answer: Phase 1: when the blood begins to surge into the artery that
has been occluded by the inflation of the blood pressure cuff
Phase 2: there's a swishing sound as more blood flows through the artery
Phase 3: sharp tapping sounds are noted as even more blood is surging
Phase 4: sound changes to a soft tapping sound, which begins to muffle
Phase 5: the last sound disappears completely and the blood is flowing freely
Expected BP range Correct Answer: Less than 120 (systolic) and less than 80 (diastolic)
Elevated BP range Correct Answer: 120-129 (systolic) and less than 80 (diastolic)
High BP (stage 1) Correct Answer: 130-139 (systolic) and 80-89 (diastolic)
High BP (stage 2) Correct Answer: 140 or greater (systolic) and 90 or greater (diastolic)
Hypertensive crisis Correct Answer: 180 or greater (systolic) and 120 or greater (diastolic)
Another name for heart rate Correct Answer: Pulse
What is the most common site for measuring an adult pulse? Correct Answer: Radial pulse
Where is the radial pulse located? Correct Answer: The thumb side of the wrist
What is the most common site for measuring a pulse in children? Correct Answer: Brachial pulse
Where is the brachial pulse located? Correct Answer: Inside the upper arm
What is the most common site for measuring a pulse in emergency procedures? Correct Answer:
Carotid pulse
Where is the carotid pulse located? Correct Answer: in the neck below the jaw bone
**More specifically, between the trachea and the sternocleidomastoid muscle**
**MODULE: Safety, Compliance, and Coordinated Care** Correct Answer:
HIPAA Correct Answer: Health Insurance Portability and Accountability Act of 1996
PHI Correct Answer: Protected Heath Information
PHI includes data such as Correct Answer: name, DOB, SSN, phone number, marital status, place of
employment, and address
An EKG technician releases information about a patient's diagnosis to the patient's employer. Which of
the following patient rights was violated?
A) Assignment of benefits
B) Patient confidentiality
C) Access to treatment
D) Power of attorney Correct Answer: B) Patient confidentiality
**A patients diagnosis is confidential and may not be shared with an employer**
Electrocardiograph Correct Answer: instrument used to record the electrical activity of the heart
Electrocardiogram Correct Answer: A recording of the electrical activity of the heart
What is needed by the patient before performing an EKG? Correct Answer: Consent
What type of consent is needed for more extensive cardiac testing? Correct Answer: Written consent
What type of consent is more common for EKGs? Correct Answer: Implied consent
supine position Correct Answer: lying on back, facing upward
**ideal position for most EKG exams**
When can a chaperone be warranted for an EKG? Correct Answer: for *teenage* patients or on a
patient with *cognitive deficits* or *dementia*
What should the EKG technician say if a patient asks about their results right after the exam? Correct
Answer: They may only disclose a confirmation that the EKG was successfully completed and will be
interpreted by the provider
A patient follows an EKG technician to the examination room, voluntarily undresses from the waist up,
and lies on the examination table.
Which of the following types of consent is the patient giving?
,A) Expressed written consent
B) Informed consent
C) Implied consent
D) None Correct Answer: C) Implied consent
**the actions exhibited by the patient in this situation are a form of implied consent**
Medical asepsis Correct Answer: Practice designed to reduce the number and transfer of pathogens
(clean technique)
Surgical asepsis Correct Answer: Technique used to destroy all pathogenic organisms (sterile technique)
OSHA Correct Answer: Occupational Safety and Health Administration
CDC Correct Answer: Centers for Disease Control (and Prevention)
Standard precautions Correct Answer: Recommendations that must be followed to prevent
transmission of pathogenic organisms by way of blood and body fluids
HAIs Correct Answer: Healthcare associated infections
What is the order of medical asepsis? Correct Answer: > Infectious agent
> Reservoir
> Portal of exit
> Mode of transmission
> Portion of entry
> Susceptible host
PPE Correct Answer: Personal protective equipment
Why are excess jewelry and long or artificial nails discouraged? Correct Answer: They can harbor
pathogens and cause scratches or injuries to the patients
Where do you dispose items that have body fluids? (such as blood) Correct Answer: Biohazardous
container
Where do you dispose needles or any other sharp supplies? Correct Answer: Sharps container
Why is it important to avoid using family members as interpreters? Correct Answer: They may not
communicate the information of the patient accurately
What is the order of therapeutic communication? Correct Answer: > Sender develops message
> Message encoded into transmutable format
> Message transmitted (oral, written, symbolic, or nonverbal)
> Receiver decodes the message
> Receiver converts message into understanding
,> Feedback
Things the technician should communicate with their patient: Correct Answer: > How long it takes to
run the test
> How many leads will be attached
> How the information transfers through the leads
> The procedure is completely harmless
> Ask if they need to use the bathroom prior to starting the test
> Remind them that they should not move or talk once the leads are connected
What is an appropriate introduction to the patient? Correct Answer: "Good morning. My name is Y/N,
and I am the EKG technician that will be performing your electrocardiogram-or EKG- today"
An EKG tech greets a patient, takes the patient to the examination room, and asks, "Could you please
state your name?" Which of the following techniques is the technician using?
A) Reflection
B) Empathy
C) Active listening skills
D) Skilled interviewing Correct Answer: D) Skilled interviewing
Communication with members of the health care team can be accomplished through which of the
following methods? (Select all that apply)
A) Electronic health record
B) Verbal exchange
C) Text messages between coworkers Correct Answer: A) Electronic health record
B) Verbal exchange
What factors can affect vital signs? Correct Answer: > Stress
> Food or liquid intake
> Medical conditions
> Age
> Physical activity
What are the vital signs? Correct Answer: > Blood pressure
> Heart rate
> Respiration
> Temperature
> Pulse oximetry
Blood pressure Correct Answer: Identifies the force of blood circulating through the arteries
What equipment is used to manually determine blood pressure? Correct Answer: >
Sphygmomanometer
> Blood pressure cuff
, > Stethoscope
How is blood pressure measured? Correct Answer: Millimeters of mercury (mm Hg)
Systolic pressure Correct Answer: The blood pressure generated by the heart during contraction
Diastolic pressure Correct Answer: Occurs when the ventricles are relaxed; the lowest pressure against
the walls of an artery
Korotkoff sounds Correct Answer: Distinct sounds that are heard throughout the cardiac cycle
Korotkoff sound phases Correct Answer: Phase 1: when the blood begins to surge into the artery that
has been occluded by the inflation of the blood pressure cuff
Phase 2: there's a swishing sound as more blood flows through the artery
Phase 3: sharp tapping sounds are noted as even more blood is surging
Phase 4: sound changes to a soft tapping sound, which begins to muffle
Phase 5: the last sound disappears completely and the blood is flowing freely
Expected BP range Correct Answer: Less than 120 (systolic) and less than 80 (diastolic)
Elevated BP range Correct Answer: 120-129 (systolic) and less than 80 (diastolic)
High BP (stage 1) Correct Answer: 130-139 (systolic) and 80-89 (diastolic)
High BP (stage 2) Correct Answer: 140 or greater (systolic) and 90 or greater (diastolic)
Hypertensive crisis Correct Answer: 180 or greater (systolic) and 120 or greater (diastolic)
Another name for heart rate Correct Answer: Pulse
What is the most common site for measuring an adult pulse? Correct Answer: Radial pulse
Where is the radial pulse located? Correct Answer: The thumb side of the wrist
What is the most common site for measuring a pulse in children? Correct Answer: Brachial pulse
Where is the brachial pulse located? Correct Answer: Inside the upper arm
What is the most common site for measuring a pulse in emergency procedures? Correct Answer:
Carotid pulse
Where is the carotid pulse located? Correct Answer: in the neck below the jaw bone
**More specifically, between the trachea and the sternocleidomastoid muscle**
