ANSWERS(RATED A+)
On a cardiac rhythm strip, which of the following can determine if the patients heart
rate is regular?
The RR intervals being equal.
The PP intervals being equal.
The RR intervals being unequal.
Both A and B - ANSWERIf the RR or PP intervals are not equal, then the rhythm is
irregular. One of the most uncommon rhythms
that is always unequal is atrial fibrillation.
If the physician orders a treatment for a patient that is supposed to help prevent
something from occurring, it would be considered which of the following
Prophylaxis
Chronic treatment
Acute treatment
None of the above - ANSWERChronic treatment would be over a length of time.
Acute treatment would be for sudden diagnosis.
Prophylaxis would be treatment that would attempt to prevent something from
occurring.
With a 12-lead electrocardiogram (ECG), which of the following would be the
negative electrode position for lead II?
Right arm
Left arm
Right leg
Left leg - ANSWERThe right arm would be the negative electrode position for lead II.
The left leg in lead II would be a positive electrode position. The right leg is not
included
in the lead I, II or III electrode positions.
If the sinus nodes fails to regulate the heart rhythm, it is considered which of the
following?
Septal defect
Idiopathic
SSS
Shunt - ANSWERSeptal defect is a hole in the heart wall that separates the atria or
the ventricles.
Idiopathic is no known cause.
Shunt is something that allows blood to flow between two locations.
SSS is sick sinus syndrome or when the sinus node fails (is sick) and cannot
regulate the hearts rhythm.
,Of the following rhythms, which would not be considered a life-threatening
arrhythmia?
Ventricular fibrillation
Sinus rhythm with a 1st degree block
Asystole
Ventricular tachycardia - ANSWERSome of the life-threatening rhythms might
include:
Ventricular fibrillation
Asystole
Ventricular tachycardia
Complete heart block
The positive electrode in lead II is placed in which position on the patient?
Right chest area
Left chest area
Left leg
None of the above - ANSWERRight and left chest area would not be correct. The left
leg electrode is positive in Lead II.
The heart is made up of approximately how many cells?
200 hundred
One trillion
Half a billion
10 thousand - ANSWERApproximately half a billion cells make up a standard human
heart. Most of them make up
the ventricular walls. There are approximately 100 million myocardial cells that
contract every
one third of a second.
If a patient is on continuous cardiac monitoring, which of the following leads would
most likely be seen on the monitor?
Lead III
Lead I
Lead II
All of the above - ANSWERThe typical lead that is displayed on a cardiac monitor is
lead II. Most cardiac monitor have the ability of changing this to a different lead, but
this has to be done by the healthcare staff.
When checking the patient's orders prior to performing the ECG, the technician sees
that the patient's temperature is to be taken axillary. Which of the following routes
would be considered correct for axillary?
Ear
Mouth
Armpit
, Anally - ANSWERThe ear would be considered tympanic.
The mouth would be considered orally.
The anus would be considered rectally.
The armpit would be considered axillary.
Unresolved atrial fibrillation or atrial flutter is typically treated with which of the
following?
Lipitor
Coreg
Procardia
Coumadin - ANSWERIf atrial fibrillation or atrial flutter is unresolved, it has the
potential to developing blood clots. These patient's are typically placed on an
anticoagulant medication such as Coumadin.
The nurse is caring for a patient that has had a myocardial infarction and is
experiencing chest pain. Which of the following would be considered the typical
medication used for the relief of chest pain?
Coreg
Tylenol
Lidocaine
Morphine - ANSWERCoreg, tylenol, and lidocaine is not used for myocardial
infarction chest pain. The drug of choice for most chest pain is considered morphine.
It is administered by IV per the dosage ordered by the physician. The typical dose
would be considered 2-5 mg and may repeat every 5 minutes up to 10 mg.
When the ECG technician is applying the electrodes for a stress test, they place the
V1-V6 leads and then which of the following?
RA/LA
aVL/aVF
RL/LL
Both A and C - ANSWERWith the stress test, there are 10 leads.
These leads include:
V1-V6
RA/LA
RL/LL
The mean instantaneous vector would be considered which of the following?
Bipolar lead
Unipolar lead
Electrical axis
Focal point - ANSWERThe mean instantaneous vector would be considered the
electrical axis. The electrical axis of the heart would be considered the direction of
the electromotive force that is developed in the heart during activation.
Which of the following leads would help to record the electrical activity in the heart's
horizontal plane?