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NHA EKG Practice Exam 2025/2026: 170 Questions & Verified Answers

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Prepare for your NHA EKG certification exam with this comprehensive practice resource containing 170 real exam questions and verified detailed answers for 2025/2026. Covering essential topics such as lead placement, rhythm interpretation, stress testing, Holter monitoring, and patient safety protocols, this guide is designed to help you master EKG technician responsibilities. Ideal for students and professionals seeking to enhance their knowledge, improve test-taking skills, and achieve a top score on the NHA EKG exam.

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NHA EKG PRACTICE
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NHA EKG PRACTICE

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NHA EKG PRACTICE EXAM (3 PRACTICE EXAM) CONTAINS 170 REAL EXAM
2025/2026 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
An EKG technician is recording a patient's radial pulse rate and finds the pulse to be
irregular. The provider then takes the patient's apical pulse. The technician should
recognize that which of the following locations is used for this assessment?
- ......ANSWER........Between the fifth and sixth ribs, at the left midclavicular line



AN EKG technician is recording a patient's radial pulse rate and finds the pulse to be
irregular. The provider then takes the patient's APICAL PULSE. The technician should
recognize that which of the following locations is used for this assessment?
- ......ANSWER........Between the fifth and sixth ribs, at the left midclavicular line.



An EKG technician is reviewing a tracing for a patient who has a ventricular pacemaker.
Which of the following rhythm patterns should the technician expect after a pacing spike?
- ......ANSWER........Wide QRS interval



An EKG technician is reviewing an EKG tracing and notes asystole. Which of the following
actions should the technician take first? - ......ANSWER........check the patient



An EKG technician is reviewing the EKG tracing of a patient who has ventricular
hypertrophy. Which of the following findings should the technician expect?
- ......ANSWER........Increased amplitude of the QRS complex



An EKG technician is speaking with a patient on the phone. The patient is wearing a Holter
monitor and reports severe chest pain and shortness of breath. Which of the following
actions should the technician take? - ......ANSWER........Have someone call emergency
services while remaining on the call with the patient.

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An EKG technician is working with a patient who has a below-the-knee amputation on the
left leg. In which of the following locations should the technician place the right leg
electrode? - ......ANSWER........On the lower right abdomen (leads must be level)



An EKG technician notes that a patient is experiencing a variation in respirations that
correlates with the EKG tracing. Which of the following irregularities does this indicate?
- ......ANSWER........Sinus Dysrhythmia



An EKG technician notes that the QRS complex is too tall to fit on the EKG paper. Which of
the following actions should the technician take? - ......ANSWER........Change the gain
control to 5 mm/mV



An EKG technician observes ST segment DEPRESSION and T wave inversion in multiple
leads on a patient's EKG tracing. Which of the following should the technician suspect?
- ......ANSWER........Myocardial ISCHEMIA



An EKG technician obtains a PULSE OXIMETRY reading of 88% from a patient. Which of the
following terms should the technician use to describe the patient's condition?
- ......ANSWER........Hypoxemia



An EKG technician should follow which of the following recommendations regarding
infection control practices in health care setting? - ......ANSWER........Remove the soiled
gloves prior to touching uncontaminated surfaces



An EKG technician should identify that which of the following is the expected reference
range for the body temperature of an adult patient? - ......ANSWER........36.1 degrees to 36
degrees C (95.6 degrees to 96.8 degrees F) HANNAH SAYS 97-99



An EKG technician should recognize that a PR interval that spans four small boxes on the
EKG paper has which of the following durations? - ......ANSWER........0.16 seconds

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An EKG technician should recognize that a rhythm strip should be at least how many
seconds long to accurately identify rate and rhythm? - ......ANSWER........6 seconds



An EKG technician should recognize that which of the following blood pressure readings is
within the expected reference range for an adolescent patient? - ......ANSWER........98/78
mm Hg



An EKG technician should recognize that which of the following is the most used paper
speed for an EKG? - ......ANSWER........25 mm/second



An EKG technician should recognize that which of the following signs are often present
when a patient is experiencing ventricular tachycardia? - ......ANSWER........Multiple
premature ventricular contractions (PVCs) in a row.



An EKG technician should recognize that which of the following situations is an
ALLOWABLE DISCLOSURE of patient information according to HIPAA guidelines?
- ......ANSWER........Patients write their names on a basic sign-in sheet at the registration
desk.



An EKG technician working at a central monitoring station notes that a patient has a rhythm
of VENTRICULAR TACHYCARDIA. Which of the following actions should the technician
take first? - ......ANSWER........Notify a licensed practitioner to evaluate the patient



Artifact that appears as uniform, small spikes - ......ANSWER........improper grounding



Augmented leads - ......ANSWER........aVR, aVL, aVF



Black Lead (3-lead) - ......ANSWER........left shoulder just below clavicle

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