Certified Cardiographic Tech CCT With Complete Solutions Latest Update, Exams of Nursing

Download Certified Cardiographic Tech CCT With Complete Solutions Latest Update and more Exams Nursing in PDF only on Docsity!

Certified Cardiographic Tech CCT With

Complete Solutions Latest Update

after receiving a physicians order to conduct an exercise stress test on a recently admitted patient what is the next action of the technician? - correct answers d, verify the physician orders prior to placing the electrodes on the patient for an EKG what is the priority action of the technician? - correct answers c, performing hand hygiene when identifying a patient prior to the procedure which statement will the tech use? - correct answers d, "please tell me your name and date of birth" which form must the patient sign prior to the surgical placement of a permanent pacemaker? - correct answers a, informed consent when preparing a patient for an EKG what action should the technician take if the electrodes Do not adhere properly to the patient's skin? - correct answers b, gently abrade the thin upper layer of the skin

when identifying proper landmarks of 12 lead EKG electrodes, where is lead V2 placed? - correct answers a, The space below the 4th rib where it joins with the sternum on the patient's left side what is the purpose of collecting patient demographics and entering them into the EKG machine? - correct answers a, help ensure placement into the correct patient chart what patient information should be entered into the EKG machine? - correct answers b, name, DOB, sex, height, weight what is the purpose of the ground electrode in a 12 lead EKG? - correct answers c, it helps to prevent electrical shock which statement is true when preparing to transport a patient on continuous EKG monitoring? - correct answers a, ensure proper adhesion of electrodes and transport as necessary when gathering the supplies for placing a patient on a Holter monitor what will the tech choose for prepping the patient skin? - correct answers b, A mild abrasive pad

after attaching the patient to the Holter monitor what instruction is appropriate to provide to the patient? - correct answers b, do not shower with the monitor A patient is seen in a outpatient cardiology office after a recent permanent pacemaker placement, which finding would indicate that the pacemaker is failing to capture? - correct answers d, pacemaker spikes not followed by P waves or QRS complexs what unique consideration should be taken when attaching a female patient to a Holter monitor? - correct answers c, place the chest leads under the breast what is a limitation of the Holter monitor? - correct answers a, it is unable to record ALL cardiac events what rhythm results when these characteristics are found on an EKG tracing? rate: rhythm: regular p wave: uniform and consistent QRS complex: 0.05 seconds PR interval : 0.12 seconds - correct answers c, normal sinus rhythm

which rhythm would be shown on a patient who has a high fever due to infection? - correct answers a, sinus tachycardia which rhythm is often found in patients receiving cardiac medications? - correct answers b, sinus bradycardia which rhythm is typically associated with respiration? - correct answers b, sinus arrhythmia what type of PVC is potentially dangerous to a patient due to where it falls in the cardiac cycle? - correct answers c, R-on-T phenomenon if a patient has an occlusion to the left anterior descending (LAD) corner artery which location of the heart will likely be affected? - correct answers d, interventricular septum and the anterior left side what does the EKG machine record? - correct answers b, The movement of sodium into the cardiac cell at the same time the potassium moves out of the cell <—P S—>

what does a QRS wave on the EKG tracing indicate? - correct answers c, ventricular depolarization what is true regarding inverted P waves found in lead II on an EKG tracing? - correct answers c, conduction occurred in a retrograde manner what is the sudden change in electrical charge within a cell that can be recorded on the EKG as indicated by the P wave and QRS complex? - correct answers b, depolarization what does the PR interval represent in a normal cardiac cycle? - correct answers c, atrial depolarization and AV delay what supplies or equipment may be necessary when performing a resting EKG? - correct answers a, patient gown which electrode is placed on the chest over the ventricular septum? - correct answers d, V which electrodes placed at the left midaxillary line level with V4? - correct answers c, V

which electrode is placed just lateral V1, at the left of the sternum, at the fourth intercostal space? - correct answers b, V where is likely a conclusion in a patient diagnosed with a "widow maker" myocardial infarction (MI) - correct answers d, left main coronary artery (LMCA) when educating the patient on the resting EKG procedure which statement should be made regarding the EKGs Bility to assess the hearts electrical activity? - correct answers d, " the 12 lead EKG can access the electrical activity of FOUR surfaces of the heart" which statement will be made when educating the patient on a resting EKG procedure expectations? - correct answers c, to performed a 12-lead EKG, 10 electrodes are placed on various parts of your body prior to attaching the EKG electrodes which statement should be made to the patient? - correct answers c, these electrodes do not cause electrical shock what is true regarding electrode placement for the resting EKG? - correct answers a, four electrodes are attached to the upper and lower extremities six electrodes are attached to the upper chest.

to record electrical activity from the limb leads where will the technician place the electrodes? - correct answers c, right and left arms; left leg where is the electrode for lead V1 placed? - correct answers d, fourth intercostal space, right sternal border to prevent macroshock , what should the technician check regarding the EKG equipment? - correct answers a, fraying of wires what is the rhythm rate; 108 rhythm; regular P-wave; uniform and consistent QRS interval; 0.05 seconds PR interval; 0.12 seconds - correct answers b, sinus tachycardia which rhythm results when these characteristics are found on an EKG tracing in a patient on chronic anticoagulant therapy?

atrial rate; 350 - 600 rhythm; irregularly irregular P wave; not discernible QRS interval; 0. PR interval ; not discernible - correct answers a, atrial fibrillation what is the key to obtain correct EKG waveforms? - correct answers a, placement of electrodes in the resting EKG where is the ground electric placed? - correct answers b, right foot or leg when performing a standard EKG, what action will avoid artifact and obtain the best quality tracing? - correct answers c, asking the patient to remain still how is a right sided EKG performed? - correct answers a, exactly like a left-sided one, except electrodes are placed on the right side of the chest instead of the left A healthcare practitioner notes ST elevation in leads II after performing a resting EKG, where is the likely infarct located? - correct answers d, inferior surface of the left ventricle

inferior STEMIs ( ST elevation myocardial infarction's) are caused by the blockage which artery? - correct answers b, right coronary artery (RCA) technician performed an EKG on patient and notes the presence of a U wave what is the likely cause of this? - correct answers d, hypokalemia which chemical released by the parasympathetic nervous system system can cause decreased heart rate on the EKG tracing? - correct answers c, acetylcholine which statement is true regarding ST segment under normal circumstances? - correct answers d, it is isoelectric which EKG component represents ventricular deportation? - correct answers b, QRS complex The healthcare provider analyzes data obtained by the patient's EKG the provider notes a heart rate of 58 bpm ,regular rhythm, one P wave to each QRS complex and a PR interval of 0.14 seconds, What is the rhythm? - correct answers b, sinus bradycardia what is the rhythm?

rate; ventricular = 187 bpm, atrial= not countable rhythm; regular - correct answers d, ventricular tachycardia what is the rhythm? rate; 88 bpm rhythm :regular - correct answers c, sinus rhythm A healthcare provider is caring for a patient who has a heart rate of 42 bpm , prolonged PR interval and low blood pressure when analyzing this data which condition is a healthcare provider concerned about? - correct answers d, decreased cardiac output A patient who has sinus tachycardia with a rate of 110 bpm which condition is consistent with this rhythm? - correct answers b, fever A patient with a sustained heart rate between 110 and 125 bpm begins exhibiting signs of decreased cardiac output. what symptom was a healthcare provider likely note when obtaining data from the patient assessment? - correct answers b, decreased urine output

The healthcare practitioner is monitoring a patient on a continuous EKG the patient's heart rate appears to increase on the patient inhales and blues down upon exhalation what rhythm does the healthcare practitioner suspect the patient has? - correct answers c, sinus arrhythmia A patient's EKG tracing has four small beats and shows a sudden long pause ,with no P wave ,and a wide bizarre appearing QRS complex. what step must the healthcare provider take in order to determine the rhythm? - correct answers c, Measure the length of the pause in seconds A healthcare provider is analyzing a patient's EKG tracing and notes that the patient's ST segments are above baseline, there are inverted T-wave as well as significant Q waves what alternation in cardiac function does the healthcare provider suspect? - correct answers c , STEMI why do ischemia and injury of the myocardial tissue cause changes to the ST segments and T waves? - correct answers a, they both cause repolarization changes A 20-year-old black man with no cardiac complaints as mild ST elevation in leads V2 and V4 on the EKG tracing which condition of the healthcare provider suspect? - correct answers b, early repolarization

A healthcare provider notes new T-wave inversion's on the patient's EKG tracing what is the likely cause of this finding? - correct answers d, ischemia what is the difference between myocardial injury and infarction, according to EKG findings? - correct answers b, injury causes ST segment elevation, infarct causes significant Q waves A healthcare provider is assisting in CPR and defibrillation for a patient who is pulseless and apneic whose cardiac monitor reveals ventricular fibrillation which statement is true regarding the patient's cardiac function as it correlates to the EKG findings? - correct answers d, The ventricles are quivering and not contracting A patient's EKG tracing reveals atrial fibrillation, what is true regarding the patient's heart function due to this cardiac rhythm? - correct answers d, The ventricles are not completely filled with blood A healthcare provider notes frequent PVCs on the patient's EKG tracing what alteration in the patient's cardiac function may also exist? - correct answers a, ventricular irritation A healthcare provider suspects the patient may have a posterior MI, what is the best way to analyze the resting

EKG tracing? - correct answers b, turn the EKG tracing upside down and look at the V1 and V2 from the back of the tracing Terminally ill patient in hospice care has a EKG tracing that reveals a heart rate of 18 bpm that is irregular in nature no P waves and wide and bars are shaped QRS complexes. how are the healthcare provider record these findings? - correct answers b, Agonal rhythm A patient EKG tracing reveals an AV block the PR intervals are constant and some QRS complexes are dropped how will the healthcare provider record these findings? - correct answers c, second- degree AV block, Mobitz II which finding would be consistent with a VVI peacemaker? - correct answers c, no relationship between P waves and paced QRS complexes what description describes a universal pacemaker? - correct answers b, it's senses and pieces but the atria and ventricles which description best describes how a pacemaker functions? - correct answers a, it sends out an electrical signal

A healthcare provider of chains the patients apical pulse and notes the polls is a regular with a rate of 60- bpm. what will the healthcare provider conclude from these findings? - correct answers d, The patient needs an EKG to determine the nature of the arrhythmia A patient's EKG reveals for premature atrial complexes (PACs) and a 1- minute strip which is the best course of action of the healthcare practitioner? - correct answers b, Monitor the patient to notify the physician if PACs continue to get worse or if the patient's condition worsens what supplies or equipment would the nurse gather specific for the pharmacologic stress test only? - correct answers c, IV start kit in order to compare ST changes before and during an exercise stress test, what is one method the nurse may use when performing a baseline EKG? - correct answers a, instruct patient to breathe rapidly when explaining the safety procedures of the exercise stress test, which instruction should be provided to the patient? - correct answers d, be sure to tell me if you have ANY chest pain and we will evaluate if we need to stop the test.

when reviewing safety procedures with the patient prior to the start of the exercise stress test which of the following instructions is the most appropriate re: stopping the test? - correct answers d, "if you want to start the test I am going to first ask you why you want to stop" which instruction will be provided to the patient when reviewing safety procedures of the EXERCISE stress test?

• correct answers d, avoid eating at least FOUR hours prior to the test to avoid nausea what is considered the single most important piece of equipment for the exercise stress test? - correct answers a, 12 lead EKG in which positions is/are the patient's baseline vitals obtained prior to performing an exercise stress test? - correct answers a, both standing in lying down when is a radioisotope injected during an exercise stress test? - correct answers a, The last minute of exercise what drug or substance would be used when a physician orders a modified Bruce protocol exercise stress test with myocardial perfusion study? - correct answers a, thallium- 201

which type of stress test is best for a 75-year-old patient with poor exercise tolerance? - correct answers c, pharmacologic at which stage of the Bruce protocol exercise stress test with a technician adjust the treadmill incline to 20°? - correct answers c, VI when verifying and comparing the Bruce in Naughton exercise stress purpose which statement is true? - correct answers a, The settings in the naughton protocol change more quickly than a bruce protocol A healthcare practitioner reviews the physicians order for an exercise stress test and notes that the test will include increasing the treadmill speed and incline every three minutes for a total of 21 minutes which exercise test protocol has the physician ordered? - correct answers a, Bruce when explaining the Bruce protocol expectations to the patient prior to starting the exercise stress test which statement will the health care technician make? - correct answers a, "at stage VII you will be running uphill at a steep incline for three minutes" prior to the start of the exercise stress test the technician is teaching a 60-year-old patient about the Bruce protocol

expectations which statement politician made regarding expected heart rate during the test? - correct answers d, your heart rate will need to be at least 136 which protocol will the technician expect to use in a patient who was discharged from the hospital earlier in the day? - correct answers d, naughton when using the naughton protocol for exercise stress test how frequently will the technician change the setting? - correct answers c, every two minutes A patient attempts in exercise stress test using Bruce protocol but cannot complete the test due to the strenuous nature of the protocol what action should the tech take? - correct answers b, suggest a modified Bruce protocol to the prescribing physician The technician is performing this exercise stress test using a submaximal modified Bruce protocol for a 70- year-old patient who was admitted and diagnosed with a myocardial infarction two weeks ago at what heart rate can the technician conclude the test assuming the patient is asymptomatic? - correct answers a, 105 The technician is assisting with a pharmacologic stress test on a 65-year-old patient. what percentage of the

patients target heart rate will the technician consider a valid and complete test? - correct answers c, 85%