NHA EKG Certification
Test
1. After completing an EKG on a patient, which of the following should the tech perform next?: Before
disconnecting patient from the machine, check that the tracing is free from artifacts
2. Communication with members of the health care team can be accomplished through which of the following
methods?: Electronic health record and verbal exchange
3. During a stress test an EKG technician notices the patient to be hyper- ventilating. Which of the following
is an appropriate course of action for the technician?: Check the patient's respiratory rate
4. During a stress test, an EKG tech notices the patient appears to be hyper- ventilating. Which of the
following course of action for the tech?: Check the patient's respiratory rate
5. An EKG has a 2 mm ST elevation in leads I, AVL, V5, and V6. What type of infarction would this
represent?: Lateral infarction
6. An EKG tech detects a U wave and the patient reports chest pain and discomfort. What actions should
the tech take?: Notify the patient's provider
7. An EKG tech had just provided patient education prior to a stress test. What statement made by the patient
indicates an understanding of the preparation?-
: I may smoke the night before my exam
8. EKG tech has just provided patient education prior to an exercise stress test. Which of the following
statements made by the patient indicates an understanding of the preparation?: I can smoke the night
before the exam
9. An EKG tech is an outpatient facility is obtaining a patient's vital signs and is having trouble visualizing the
patient.'s chest movement. Which of the following actions should the tech take to obtain an accurate
respiratory rate for the patient?: Place a hand on the middle of the patient's back to count the respirations
10.An EKG tech is asked to obtain a right-sided EKG on a patient with sus- pected acute myocardial
infarction of the inferior wall. Which of the following leads is most sensitive and specific to right ventricular
ischemia?: V4R
11.An EKG tech is performing an exercise stress test for a patient. Which of the following findings
should the tech expect the provider to stop the test?: Dizziness
12.An EKG tech is performing a posterior 12- lead ELG for a patient. Which of the following leads should the
tech place along the paraspinous border?: Lead V9
13.An EKG tech is performing a standard 12-lead EKG for a patient who has a below the knee amputation
left leg. The tech should modify and document
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, NHA EKG Certification
Test
the lead placement for this patient in which of the following ways?: Place the lower extremity lead on the left
groin
14.An EKG tech is preparing a patient for an exercise stress test. Which of the following leads should the
tech place on the right lower side of the anterior torso?: Lead RL
15.An EKG tech is preparing a patient for holter monitor placement. Which of the following activities should
the tech take to reduce the chance of artifacts on the tracing?: Use stress loops on the electrodes to reduce
tension on the leads
16.An EKG tech is preparing a patient for the application of a holter monitor. The patient tells the tech she
runs 5 miles each day. Which of the following responses should the tech make?: You should continue
exercise as usual while wearing the monitor
17.An EKG tech is preparing to perform an exercise stress test on a patient. Which of the following findings
in a patient's medical history would prevent the patient from participating in an exercise stress test?:
Congested heart failure
18.An EKG tech is applying a holter monitor for a patient. Which of the following in the final step should the
tech take when applying a holter moni- tor?: Document the procedure in the patient's health record
19.An EKG tech is evaluating a standard 12-lead EKG tracing during a record- ing. The tech should recognize
that electrical activity of the septal wall is recorded by which of the following leads?: Leads V1 and V2
20. An EKG tech notices that the waveforms on an EKG are very close together and the patient has an
usually rapid heart rate m. In order to spread out the tracing, the tech should change the paper speed to which
of the following?: 50 mm
21.An EKG tech is measuring the intervals on an EKG tracing. Which of the following is an anticipated
finding of impaired conduction through the AV node?: Prolonged PR interval
22. An EKG tech releases information about a patient diagnosis to the patient's employer. Which of the
following patient's rights was violated?: Patient confi- dentiality
23.An EKG tech notes that the QRS complex to too tall to fit on the EKG paper. Which of the following actions
should the tech take?: Change the gain control to 5 mm/mv
24.An EKG tech notices an accelerated idioventricular rhythm on a tracing. Which of the following actions
should the tech take next?: Call for help and stay with the patient
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Test
1. After completing an EKG on a patient, which of the following should the tech perform next?: Before
disconnecting patient from the machine, check that the tracing is free from artifacts
2. Communication with members of the health care team can be accomplished through which of the following
methods?: Electronic health record and verbal exchange
3. During a stress test an EKG technician notices the patient to be hyper- ventilating. Which of the following
is an appropriate course of action for the technician?: Check the patient's respiratory rate
4. During a stress test, an EKG tech notices the patient appears to be hyper- ventilating. Which of the
following course of action for the tech?: Check the patient's respiratory rate
5. An EKG has a 2 mm ST elevation in leads I, AVL, V5, and V6. What type of infarction would this
represent?: Lateral infarction
6. An EKG tech detects a U wave and the patient reports chest pain and discomfort. What actions should
the tech take?: Notify the patient's provider
7. An EKG tech had just provided patient education prior to a stress test. What statement made by the patient
indicates an understanding of the preparation?-
: I may smoke the night before my exam
8. EKG tech has just provided patient education prior to an exercise stress test. Which of the following
statements made by the patient indicates an understanding of the preparation?: I can smoke the night
before the exam
9. An EKG tech is an outpatient facility is obtaining a patient's vital signs and is having trouble visualizing the
patient.'s chest movement. Which of the following actions should the tech take to obtain an accurate
respiratory rate for the patient?: Place a hand on the middle of the patient's back to count the respirations
10.An EKG tech is asked to obtain a right-sided EKG on a patient with sus- pected acute myocardial
infarction of the inferior wall. Which of the following leads is most sensitive and specific to right ventricular
ischemia?: V4R
11.An EKG tech is performing an exercise stress test for a patient. Which of the following findings
should the tech expect the provider to stop the test?: Dizziness
12.An EKG tech is performing a posterior 12- lead ELG for a patient. Which of the following leads should the
tech place along the paraspinous border?: Lead V9
13.An EKG tech is performing a standard 12-lead EKG for a patient who has a below the knee amputation
left leg. The tech should modify and document
1/
7
, NHA EKG Certification
Test
the lead placement for this patient in which of the following ways?: Place the lower extremity lead on the left
groin
14.An EKG tech is preparing a patient for an exercise stress test. Which of the following leads should the
tech place on the right lower side of the anterior torso?: Lead RL
15.An EKG tech is preparing a patient for holter monitor placement. Which of the following activities should
the tech take to reduce the chance of artifacts on the tracing?: Use stress loops on the electrodes to reduce
tension on the leads
16.An EKG tech is preparing a patient for the application of a holter monitor. The patient tells the tech she
runs 5 miles each day. Which of the following responses should the tech make?: You should continue
exercise as usual while wearing the monitor
17.An EKG tech is preparing to perform an exercise stress test on a patient. Which of the following findings
in a patient's medical history would prevent the patient from participating in an exercise stress test?:
Congested heart failure
18.An EKG tech is applying a holter monitor for a patient. Which of the following in the final step should the
tech take when applying a holter moni- tor?: Document the procedure in the patient's health record
19.An EKG tech is evaluating a standard 12-lead EKG tracing during a record- ing. The tech should recognize
that electrical activity of the septal wall is recorded by which of the following leads?: Leads V1 and V2
20. An EKG tech notices that the waveforms on an EKG are very close together and the patient has an
usually rapid heart rate m. In order to spread out the tracing, the tech should change the paper speed to which
of the following?: 50 mm
21.An EKG tech is measuring the intervals on an EKG tracing. Which of the following is an anticipated
finding of impaired conduction through the AV node?: Prolonged PR interval
22. An EKG tech releases information about a patient diagnosis to the patient's employer. Which of the
following patient's rights was violated?: Patient confi- dentiality
23.An EKG tech notes that the QRS complex to too tall to fit on the EKG paper. Which of the following actions
should the tech take?: Change the gain control to 5 mm/mv
24.An EKG tech notices an accelerated idioventricular rhythm on a tracing. Which of the following actions
should the tech take next?: Call for help and stay with the patient
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