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An EKG tech is preparing a pt for a standard 12 lead EKG. Which of the following is the
correct placement for lead V4?
A) Fifth intercostal space at the midclavicular line
B) Fourth intercostal space at the midaxillary line
C) Fifth intercostal space at the midaxillary line
D) Fourth intercostal space at the midclavicular line - ANSWER A
A pt tells the EKG tech that she does not understand why she needs an ambulatory
monitor after having a standard 12 lead EKG 2 days ago. Which of the following
responses should the tech make?
A) An ambulatory monitor records differently than an EKG
B) Your provider wants to study your heart over a longer period of time
C) It is standard practice to attach an ambulatory monitor shortly after an EKG
D) The provider wants to conduct another test before he communicates his concerns -
ANSWER B
An EKG tech is entering a pt history into the EMR. which of the following statements by
the pt should the tech enter into the social history section?
A) I have smoked cigarettes for a long time
B) My parents both had heart attacks
C) I had an appendectomy 1 year ago
D) I had chicken pox when i was 10 years old - ANSWER A
An EKG tech is performing a second standard 12 lead on a pt immediately following the
first test for which of the following reasons should the tech recognize that restesting tab
electrodes should not be used for more than two consecutive EKG tracing?
A) The electrodes cannot conduct the signal after two tracings
B) The electrodes will not conduct accurately after two EKG tracings
C) The electrodes need to be cleaned between tracings
D) The electrodes will not re-adhere to the skin after being removed between tracings -
ANSWER B
Which of the following terms describes an EKG tech writing defamatory comments in a
pt chart?
A) Assault
B) Slander
C) Libel
D) Battery - ANSWER C
,An EKG tech observes ST segment depression and T wave inversion in multiple leads
on a pt EKG tracing. Which of the following should the tech suspect?
A) Myocardial infarction
B) Myocardial injury
C) Myocardial ischemia
D) Heart block - ANSWER C
During an exercise stress test a pt reports heaviness on his chest and becomes
diaphoretic. The EKG tech should recognize these findings as manifestations of which
of the following conditions? A) Transient ischemic attack
B) Cerebrovascular accident
C) Congestive heart failure
D) Myocardial infarction - ANSWER D
An EKG tech in an outpt facility is obtaining a pt vital signs and is having trouble
visualizing the pt chest movement. Which of the following actions should the tech take
to obtain an accurate respiratory rate for the pt?
A) Instruct the pt to take deeper breaths so they are easier to count
B) Document that the respiratory rate could not be assessed
C) Place a hand on the middle of the pt back to count the respirations
D) Estimate a respiratory rate based on the assessed pulse - ANSWER C
Which of the following responses should an EKG tech make to a pt in an outpt clinic
who is upset that the tech cannot share the results of the tracing? A) I'm sorry, but i
only run the strip. I'm not trained to know whats on it
B) I understand your frustration. My role as the tech is to conduct the test correctly.
The provider is qualified to interpret the results
C) I know it's difficult to wait, but from what i can see you have nothing to worry
about D) I wish I could help you. Some providers allow tech to discuss tracings, but
your provider wont let me communicate results to pt. - ANSWER B
An EKG tech has performed an EKG on a pt. Which of the following actions by the tech
would protect the information in accordance with HIPAA regulations?
A) Sending the EKG in an encrypted file to the pt employer
B) Using corrective fluid on the pt name, address, physical description on the EKG
printout
C) Restricting the pt access to the EKG file
D) Hand delivering the EKG to the pt provider - ANSWER D
An EKG tech is preparing to perform a standard 12 lead EKG tracing on a pt who has a
heart rate of 150/min. Which of the following speed controls should the tech select?
A) 5 mm/second
B) 10 mm/second
, C) 25 mm/second
D) 50 mm/second - ANSWER D
While performing a 5 lead EKG, the EKG tech notices that lead II and lead III are not
yielding a reading. Which of the following limbs should the tech check to correct the
error? A) Right arm
B) Left arm
C) Right leg
D) Left leg - ANSWER D
An EKG tech is performing an exercise stress test for a pt. For which of the following
findings should the tech expect the provider to stop the test?
A) Electrode detachment
B) Dizziness
C) Sweating
D) Increased respiratory rate - ANSWER B
Which of the following methods should an EKG tech use to store electrodes when not in
use?
A) Loose in the EKG cart
B) In a folded paper bag
C) In an open plastic bag
D) In the original foil lined packaging - ANSWER D
An EKG tech notes that the qrs complex is too tall to fit on the EKG paper. Which of the
following actions should the tech take A) Change the gain control to 20 mm/mV
B) Change the paper speed to10 mm/second
C) Change the gain control to 5 mm/mV
D) Change the paper speed to 50 mm/second - ANSWER C
For which of the following pt should an EKG tech expect to see somatic interference on
the EKG tracing?
A) A 60 year old pt who is sweating profusely
B) A 20 year old pt who is experiencing a seizure
C) A 10 year old pt who is watching tv
D) A 30 year old pt who is using a cell phone - ANSWER B
Which of the following electrodes is used to create leads I, II, and AvR?
A) Left arm
B) Right arm
C) Left leg
D) Right leg - ANSWER B