Artifacts
Electrodes/Leads
Waveforms
Safety, Compliance, Care
Wildcard
Toss Up
Miscellaneous
100
Usually from the patient being cold or talking
Somatic Tremor
100
The CET is placing leads on a patient with a right below the knee amputation. Where should the CET put the left leg lead?
Lower abdomen, even with the right leg lead
100
This waveform has a regular rhythm, all waves are present, and the HR is 60-100 bpm
Normal Sinus Rhythm
100
When performing an EKG the patient stops responding to questions and appears to have fallen asleep. What should the CET do?
Check the patient for a response
100
Which lead group forms Einthoven's triangle?
I, II, III
100
These leads are bipolar
I, II, III
100
Another word for electrodes
stickers
200
Name this artifact
Wandering Baseline
200
Where should the electrode for V5 be placed?
left anterior axillary line horizontal to V4 (5th intercostal space)
200
How does a complete cardiac cycle appear on the EKG?
PQRST complex
200
What is the most effective technique used to ensure a patient understands the instructions of the holter monitor?
Have the patient repeat the instructions back to you
200
Name this method to calculate a heart rate:
Could the number of R spikes in a regular print out
6 second method
200
Name this arrythmia:
ST segment elevation
200
This must be changed if you cannot correct read QRS complexes
gain
300
To avoid this artifact the CET should do what?
Make sure the patient does not have any electronics near them
300
When placing electrodes posteriorly, which side of the patient do you place the them?
left
300
The CET is performing an EKG on a patient with a pacemaker. What part of the tracing shows an atrial placement?
Sharp spike before the P wave
300
Where should the statement "I have smoked for many years" be placed in the chart?
Social history
300
What arrhythmia would you expect to find on a healthy athlete?
sinus bradycardia
300
When finished performing an EKG what should the CET do?
Check for artifacts before printing/documenting
300
An EKG is showing a flat line between the right arm electrode and the left arm electrode. Where do you see this on the tracing?
lead I
400
A wandering baseline is showing up on the tracing. What should the CET do?
Check the electrode place and electrode attachment
400
This lead is also the 5th lead in a 5 lead EKG
V1
400
Where would you look for ventricular repolarization?
T wave
400
Which piece of PHI is allowed to be on a patient sign in list at a medical clinic?
name
400
Which type of heart block should the EKG tech observe the patient for signs and symptoms of decreased cardiac output that could lead to cardiac arrest?
Third-degree AV block
400
These leads are unipolar
aVR, aVL, aVF
400
What level of clean is used for EKG cables
disinfect/disinfection
500
What can produce an artifact that appears as uniform, small spikes on the EKG tracing?
improper grounding OR electronics
500
What is the color AND placement of the ground lead?
Green RL
500
What appears as a large V in a are irregular tracing?
Left bundle branch block
500
An EKG tech is performing a stress test on a patient who becomes unresponsive and has no pulse. The tech attaches the AED to the patient and administers a shock. What is the next step?
Continue performing CPR
500
What is the cause for discontinuing a stress test?
ST elevation or depression
500
What should you do if you see this rhythm during a stress test?
Stop the test
500
When performing a stress test you must record this many blood pressure readings before applying the electrodes
3
600
An EKG tech notices a standard 12 lead EKG tracing shows an interrupted baseline. What is most likely the cause of this?
lead corrosion OR disconnect lead
600
Which lead is created between the left arm and left leg?
Lead III
600
This appears and a fast heart rate and no regular waves except a QRS complex
Supraventricular Tachichardia
600
A patient removed their shirt, lays down, and is noncombative during an EKG. What consent is this?
Implied
600
An EKG tech is monitoring a patient who states they are feeling numbness and tingling in their lower extremities. What is this a sign of?
An adverse reaction
600
Before performing a stress test what vital sign must you perform 3 times AND in what positions?
Blood Pressure : laying, sitting and standing
600
Position for a patient experiencing orthopnea
semi-fowlers
700
This can be used on a patient who is diaphoretic and the electrodes will not stick
antiperspirant
700
This EKG is showing a problem with the patient's pacemaker. Name the problem
Loss of capture
700
True or False: It is ok to let a patient's family member translate for them if there an interpreter is not available
False
700
This can be used for inpatient telemetry because they can be used for more than 2 EKGs
silver electrodes
700
This can be worn for 30 or more days and transmits its readings through the telephone
loop-memory monitor
700
The last step when performing an EKG
Document/record the findings