EKG Practice Exam Flashcards
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Questions and Answers

Which of the following is the correct placement for lead V4?

  • The 4th intercostal space at the midclavicular line.
  • The 4th intercostal space at the midaxillary line.
  • The 5th intercostal space at the midaxillary line.
  • The 5th intercostal space at the midclavicular line. (correct)
  • The R-R interval on a patient's tracing has five large boxes. Which of the following is the patient's heart rate?

  • 60/mm (correct)
  • 75/mm
  • 40/mm
  • 85/mm
  • An EKG technician is about to perform an EKG on a 3-year-old patient. Which of the following is an appropriate action for the technician to take before the procedure?

  • Ask the parents to step out of the room.
  • Tell the child that the procedure won't hurt. (correct)
  • Restrain the child.
  • Ask the parent to hold the child during the procedure.
  • A patient is experiencing a change of respiratory cycle and variations in vagal tone. Which of the following irregularities does this indicate?

    <p>Sinus arrhythmia</p> Signup and view all the answers

    Which of the following is the most appropriate site for taking the pulse of an infant?

    <p>Brachial artery</p> Signup and view all the answers

    While performing a stress test, the patient complains of heaviness on his chest and becomes diaphoretic. These are signs and symptoms of which of the following conditions?

    <p>Myocardial infarction</p> Signup and view all the answers

    Which of the following is the correct sensitive setting to create an EKG standardization mark of 5/mm?

    <p>1/2</p> Signup and view all the answers

    For a 5-lead EKG, where should the red lead be placed?

    <p>Lower left torso</p> Signup and view all the answers

    Which of the following signs should the EKG technician be concerned about in a patient undergoing stress testing?

    <p>Decreased heart rate</p> Signup and view all the answers

    Repairs on an EKG machine should be performed by which of the following?

    <p>A biomedical technologist</p> Signup and view all the answers

    The EKG technician is educating a patient on when she should push the event button while wearing a holster monitor. Which of the following statements indicates patient understanding?

    <p>I will push the event button if I'm experiencing discomfort.</p> Signup and view all the answers

    Which of the following statements made by the EKG technician correctly prepares the patient for telemetry monitoring?

    <p>You may clean the skin with an alcohol pad.</p> Signup and view all the answers

    Which of the following describes the correct electrode placement for lead V5?

    <p>Anterior axillary line, 5th intercostal space</p> Signup and view all the answers

    Which of the following is the most accurate site for measuring a patient's body temperature?

    <p>Rectum</p> Signup and view all the answers

    A myocardial infarction can often be detected by the presence of which of the following in an EKG tracing?

    <p>Pathologic Q waves</p> Signup and view all the answers

    Which of the following can cause sinus arrhythmia in children?

    <p>The respiration of the patient</p> Signup and view all the answers

    Study Notes

    EKG Lead Placement

    • Lead V4 is correctly placed at the 5th intercostal space along the midclavicular line.
    • For a 5-lead EKG, the red lead is positioned at the lower left torso.
    • Lead V5 should be placed at the anterior axillary line in the 5th intercostal space.

    Cardiac Rate Calculation

    • An R-R interval that spans five large boxes corresponds to a heart rate of 60 beats per minute.

    Pediatric EKG Procedures

    • When performing an EKG on a young child, it's important to explain that the procedure won't hurt, rather than restraining the child or asking parents to leave.

    Respiratory Variation

    • Variations in vagal tone associated with changes in the respiratory cycle indicate sinus arrhythmia.

    Infant Pulse Measurement

    • The most appropriate site for measuring the pulse of an infant is the brachial artery.

    Symptoms During Stress Testing

    • Chest heaviness and diaphoresis in a patient during a stress test may signal a myocardial infarction.

    EKG Standardization

    • To create an EKG standardization mark of 5/mm, a sensitive setting of 1/2 is required.

    Concerns During Cardiac Stress Tests

    • A decreased heart rate during stress testing is a concerning sign for the EKG technician.

    Equipment Repairs

    • EKG machine repairs should be conducted by a biomedical technologist.

    Holter Monitor Instructions

    • Patients should push the event button on a Holter monitor if they experience discomfort to accurately capture relevant data.

    Patient Preparation for Telemetry

    • Prior to telemetry monitoring, patients may clean their skin with an alcohol pad for electrode application.

    Body Temperature Measurement

    • The most accurate site for measuring body temperature is the rectum.

    Myocardial Infarction Detection

    • The presence of pathological Q waves on an EKG tracing is indicative of a myocardial infarction.

    Sinus Arrhythmia Triggers in Children

    • Sinus arrhythmia in children can be caused by their respiration patterns.

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    Description

    Test your knowledge on EKG lead placements and interpretations with this set of flashcards. Each card presents scenarios and questions to enhance your understanding of 12-lead EKGs. Perfect for technicians preparing for exams or improving their skills in cardiac monitoring.

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