NHA EKG CERTIFICATION EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED, Exams of Nursing

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NHA EKG CERTIFICATION EXAM NHA EKG CERTIFICATION EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED The patient is hyperventilating during a stress test which action should take first A. Administer Oxygen B. Stop the test C. Check respiratory rate D. Slow down the test - Accurate Answers✔✔C. Check respiratory rate A patient wears a cardiac monitor at home which indicates understanding of patient instructions? A. I can shower with monitor on B. The monitor will keep track of my activities

C. I can use my electric blanket while wearing my monitor D. If the batteries fail I can replace them - Accurate Answers✔✔D. If the batteries fail I can replace them What speed setting can you adjust for a patient experiencing Accelerated Junctional Rhythm? A. 10mm/sec B. 20mm/sec C. 25mm/sec D. 50mm/sec - Accurate Answers✔✔D. 50mm/sec What setting would you use and regulate the height of waveforms? A. Output display B. Speed C. Artifact Filter D. Gain - Accurate Answers✔✔C. Artifact Filter What position would you use for a Nuclear Stress Test while camera scanning? A. Supine with arms at their sides B. Upside down on monkey bars

C. Lying on right with arms extended D. Sitting up with tilted back - Accurate Answers✔✔C. Lying on right with arms extended What lead corresponds to electrical activity of the septal wall? A. AVL and V B. Lead I and V C. V1 and V D. Lead III and AVF - Accurate Answers✔✔C. V1 and V What is the expected shape of P wave in Lead II A. Peaked and upright B. Baby Shaped C. Round and inverted D. Round and upright - Accurate Answers✔✔D. Round and upright What signs should you expect to see if a patient is experiencing ventricular tachycardia? A. Narrow QRS B. Decreased Heart Rate C. Absence of the R and R

D. Multiple PVCs in a row - Accurate Answers✔✔Multiple PVCs in a row What differentiates Accelerated Junctional Rhythm from Junctional Rhythm? A. Accelerated Rhythm are slower than Junctional Rhythms B. Accelerated Rhythms have P waves C. Accelerated Rhythms have wide QRS complexes D. Accelerated Rhythms have irregular rhythms - Accurate Answers✔✔C. Accelerated Rhythms have wide QRS complexes How many seconds are required to accurately identify rate and rhythm? A. 6 seconds B. 3 seconds C. Like, forever, totally D. 15 seconds - Accurate Answers✔✔A. 6 seconds A patient pulse oximetry is 88% from a patient. What term is used to describe this position? A. Rales B. Hypoxia

C. Hemoptysis D. Orthopnea - Accurate Answers✔✔B. Hypoxia The smallest box of time on the EKG graph paper indicates what length of time? A. 0.02 sec B. 0.04 sec C. 0.40 sec D. 0.10 sec - Accurate Answers✔✔B. 0.04 sec What activity should you record in the Holter monitor diary? A. Sleeping B. Who they have a crush on C. Driving D. Bike Riding - Accurate Answers✔✔D. Bike Riding How would you resolve wandering baseline on an EKG? A. Relieve the tension from the wires B. Clean the lead wires after each use C. Provide a blanket to the patient

D. Have the patient remove any personal electronic devices - Accurate Answers✔✔D. Have the patient remove any personal electronic devices What position should you use for a patient who is 35 weeks of gestation? A. Supine with head elevated B. Partially upright with legs supported C. Slightly on left side with pillow supporting right hip D. Ew Gestation - Accurate Answers✔✔C. Slightly on left side with pillow supporting right hip What would you recognize as the expected pule range for a 2-year old Patient? A. 60 bpm B. 75bpm C. 120bpm D. 150bpm - Accurate Answers✔✔C. 120bpm A patient states he runs 6 miles a day. What is the correct response you should make as the technician? A. Continue activities as usual while wearing the monitor B. Increase your cardiac meds while wearing the monitor

C. Talk to the provider about the activity while wearing the monitor D. Take someone with you while wearing the monitor - Accurate Answers✔✔A. Continue activities as usual while wearing the monitor What statement properly prepares the patient for Telemetry? A. I will clean you with alcohol pads B. You may feel a warming sensation after the electrodes are placed on the skin C. Get Naked D. Electrodes will be replaced once a week while in the hospital - Accurate Answers✔✔A. I will clean you with alcohol pads Which action should you take during a stress test? A. Report any abnormal dysrhythmias B. Evaluate the need for the patient to follow and exercise program C. Prescribe oxygen if the patient reports shortness of breath D. Report the results to the nursing supervisor - Accurate Answers✔✔A. Report any abnormal dysrhythmias The technician notices that none of the leads are giving a read. Which lead should you check first? A. right arm

B. Left arm C. Right leg D. Left leg - Accurate Answers✔✔C. Right leg Which statement should be entered as social history into the medical records? A. I have smoked a long time B. My parents both had heart attacks C. I had surgery a year ago D. I had chicken pox when I was a child - Accurate Answers✔✔A. I have smoked a long time What action should you take when preparing a patient for a 12 lead EKG? A. Have the patient ask questions during the procedure B. Instruct the patient to hold their breath C. Place the leads over their hairy chest D. Have the patient remove their jewelry - Accurate Answers✔✔D. Have the patient remove their jewelry Where do you check the pule for infant?

A. Brachial Artery B. Radial Artery C. Carotid Artery D. Femoral Artery - Accurate Answers✔✔A. Brachial Artery Where do you place the leads for the patient who is in the immobile fetal position? A. Patient's back B. Patient's right side C. Standard sites D. Limbs only - Accurate Answers✔✔A. Patient's back During a stress test you identify a rhythm with missing QRS complexes and a PR interval which is long but constant? A. Normal sinus rhythm B. 1st Degree AV Heart Block C. 2nd Degree heart block Mobitz 2 D. Junctional Rhythm - Accurate Answers✔✔C. 2nd Degree heart block Mobitz 2 After completion of a 12 lead EKG what action should you take next?

A. Remove the electrodes and assist the patient to a sitting position B. The tracing and let the patient get dressed in privacy C. Check the tracing is free from artifacts and then disconnect the patient D. Ask the patient - Accurate Answers✔✔C. Check the tracing is free from artifacts and then disconnect the patient What rhythm pattern would you expect to see from a patient with a ventricular pacemaker after the pacemaker spike? A. regular P waves B. AV delay between 0.12 sec and 0.16 sec C. QRS interval between 0.06 sec and 0.10 sec D. Wide QRS interval - Accurate Answers✔✔D. Wide QRS interval What patient instructions should you include about the use of a Trans telephonic monitor with loop memory? A. Press the record button n the device when you feel dizzy or have chest pain B. Remove the monitor when connecting to the internet C. Record a notation in the diary about the activity when the pain started D. Contact the continous monitoring facility when the chest pain occurs

• Accurate Answers✔✔A. Press the record button n the device when you feel dizzy or have chest pain

In a 12 lead EKG what information is recorded by Lead I? A. electrical activity between right arm and leg B. Electrical activity between right arm and left arm C. Electrical activity between left arm and left leg D. Electrical activity between left leg and right leg - Accurate Answers✔✔B. Electrical activity between right arm and left arm The patient is experiencing heart palpitations what interventions would you expect the provider to provide? A. Holter monitor B. Vasodilator medication C. Cardiac medication D. Chemical Stress Test - Accurate Answers✔✔A. Holter monitor What is the best place to measure the heart rate for a patient who is having a stress test? A. Carotid Pulse B. Radial Pulse C. Femoral Pulse D. Brachial Pulse - Accurate Answers✔✔B. Radial Pulse

During a stress test what finding would a provider stop the test? A. Electrode detachment B. Dizziness C. Sweating D. Increased respiratory rate - Accurate Answers✔✔B. Dizziness Using the 1500 method to calculate heart rate you identify 10 small boxes between the R and R waves. What is the heart rate? A. 170/min B. 150/min C. 160/min D. 140/min - Accurate Answers✔✔B. 150/min What location would take an apical pulse (over the heart)? A. Thumb side of the wrist B. Between the 5th and 6th rib at the left midclavicular line C. The antecubital space over the elbow D. Between the larynx and sternocleidomastoid - Accurate Answers✔✔B. Between the 5th and 6th rib at the left midclavicular line Which lead is placed over the right sternum 4th intercostal space?

A. Lead V B. Lead I C. Lead AVR D. Lead MCI - Accurate Answers✔✔B. Lead I Using the six second method of calculating heart rate you observe 4 R waves on the 6 second strip. What is the heart rate? A. 40 bpm B. 70 bpm C. 30 bpm D. 50 bpm - Accurate Answers✔✔A. 40 bpm Where should you place the ground electrode for a patient who is on telemetry? A. Upper right arm B. Upper left arm C. Left lower leg D. Right lower leg - Accurate Answers✔✔D. Right lower leg Where should you place V1 for a patient who have dextrocardia?

A. Left sternal border 4th ICS B. Right sternal border 4th ICS C. Left midclavicular space 5th ICS D. Right midclavicular space 5th ICS - Accurate Answers✔✔A. Left sternal border 4th ICS What action should you take if a patient is upset that you cannot reveal the tracing results A. I understand your frustration. The provider will give the results. B. I'm sorry I am not trained to know what is on the strip. C. Girl if you don't hold your horses D. Some techs can read the tracing but cannot reveal results to the patients - Accurate Answers✔✔D. Some techs can read the tracing but cannot reveal results to the patients Which findings indicates myocardial infarction? A. Cyanosis B. Facial Dropping C. Arm Weakness D. Aphasia - Accurate Answers✔✔A. Cyanosis What indicates ST depression and T wave inversion in multiple leads?

A. Myocardial Infarction B. Myocardial Ischemia C. Heart Block D. Myocardial Injury - Accurate Answers✔✔B. Myocardial Ischemia Which would indicate an adverse reaction due to a stress test? A. Oxygen saturation of 95% B. Increase in BP 110/78 to 120/ C. Sinus Tachycardia with regular R to R rhythm D. Patient complains of tingling sensation in legs - Accurate Answers✔✔D. Patient complains of tingling sensation in legs What reasons would indicate not using electrodes for a second EKG? A. The electrodes will not conduct the signal after the second EKG B. The electrodes will not accurately read after two tracings C. Electrodes must be cleaned after two tracings D. Electrodes will not re-adhere after two tracings - Accurate Answers✔✔B. The electrodes will not accurately read after two tracings What irregularity indicates a variation respiration?

A. Sinus Arrest B. Sinus dysrhythmia C. Tachycardia D. Bradycardia - Accurate Answers✔✔D. Bradycardia Which leads are created between the left arm and left leg? A. AVF B. AVL C. Lead III D. Lead II - Accurate Answers✔✔C. Lead III What indicates understanding of patient Holter monitor instructions? A. I can shower and bathe B. I can use lotions around the electrodes C. I should activate the event monitor if I have chest pain D. I should only record activities that cause chest pain - Accurate Answers✔✔C. I should activate the event monitor if I have chest pain Which contact precautions should the technician take when leaving an inpatient room? A. Wear a N-95 Mask

B. Disinfect the EKG Machine before entering the room C. Remove gloves when leaving the room D. Keep the patient's room closed - Accurate Answers✔✔C. Remove gloves when leaving the room Where should you store leads when not in use? A. Loose on the cart B. In a folded plastic bag C. In an open plastic bag D. In the original foil-lined bag - Accurate Answers✔✔D. In the original foil-lined bag What heart block is indicated with signs of decreased cardiac output that may lead to cardiac arrest. A. First degree heart block B. Second degree heart block Mobitz I C. Second degree heart block Mobitz II D. Third degree heart block - Accurate Answers✔✔D. Third degree heart block What is allowable patient disclosure based on HIPAA guidelines?

A. Patients can write names on sign-in sheets at the registration desk B. Employer calls to find out about an absent employee C. A patient can view another Patient's record on the computer D. An employee gives a coworker their computer password - Accurate Answers✔✔A. Patients can write names on sign-in sheets at the registration desk What method would you use to prepare a patient for application of electrodes? A. Use a razor to shave hair from a patient B. Cleanse the skin with chlorhexidine C. Use tape to remove the hair D. Cleanse the skin with povidone iodine - Accurate Answers✔✔C. Use tape to remove the hair You hear a staff member making statements about a patient's appearance. What type of tort is this? A. Libel B. Assault C. Slander D. That Wrong Doe - Accurate Answers✔✔C. Slander What is the expected BP range for an adolescent patient?

A. 60/40mm hg B. 78/48mm hg C. 86/60mm hg D. 98/78mm hg - Accurate Answers✔✔B. 78/48mm hg What are expected infection control practices in healthcare? A. Artificial nails should not exceed 0.5in in length B. Use alcohol-based sanitizer if no visible contamination is present C. Remove soiled gloves prior to touching uncontaminated surfaces D. Wear gloves while performing different tasks on the same patient - Accurate Answers✔✔C. Remove soiled gloves prior to touching uncontaminated surfaces A patient is performing a posterior EKG on a patient. Which lead should place at the praspinous border. A. V B. V C. V D. V1 - Accurate Answers✔✔C. V Which activity is restricted while wearing a Holter Monitor?

A. Yoga B. Smoking C. Sexual Activity D. Showering - Accurate Answers✔✔D. Showering A patient experience fatigue and the tracing indicates ventricular tachycardia. What action should you take? A. Notify the provider B. Begin compressions C. Perform rescue breathing D. Change the paper speed to 50mm/sec - Accurate Answers✔✔A. Notify the provider The technician notices the QRS is too tall to fit on the paper. What actions should you take? A. change the gain control to 20mm/mV B. Change the paper speed to 10mm/mV C. Change the gain control to 5mm/mV D. Change the paper speed to 50mm/sec - Accurate Answers✔✔C. Change the gain control to 5mm/mV

If the EKG Lead II and II are not yielding a reading which limb lead should you check to correct the error? A. Right arm B. Left arm C. Right leg D. Left leg - Accurate Answers✔✔D. Left leg Which leads should you place on the right lower side of the anterior torso for a stress test? A. Lead V1 B. Lead V6 C. Lead RA D. Lead RL - Accurate Answers✔✔D. Lead RL Which site would you place a heart card during trans telephonic monitoring event? A. Over the right side of the chest B. Over the left side of the chest C. Over the middle to the lower part of the sternum D. Over the manubrium - Accurate Answers✔✔C. Over the middle to the lower part of the sternum

Which finding would you report to the provider during a stress test? A. Decreased heart rate B. Increased heart rate C. Increased sweating D. Decreased premature beats - Accurate Answers✔✔A. Decreased heart rate What action should you take after attaching telemetry lead wires to the electrodes? A. Check the EKG tracing for monitor activity B. Check the wire colors to ensure attachment to correct electrodes C. Place the patient in the correct position D. Tape the lead wires to the patient's skin to prevent electrode disconnection - Accurate Answers✔✔B. Check the wire colors to ensure attachment to correct electrodes What patient would you expect to see somatic interference from? A. A patient sweating profusely B. Seizure patient C. A patient watching TV

D. Patient using a cell phone - Accurate Answers✔✔B. Seizure patient What response would give to a patient who doesn't understand why he has worn a Holter monitor after an EKG? A. Ambulatory is different than an EKG B. The provider want to study your heart over time C. We usually place a monitor after the EKG D. The provider wants to conduct another test before addressing concerns - Accurate Answers✔✔B. The provider want to study your heart over time What is the correct placement for lead V4? A. 5th ICS Midclavicular line B. 4th ICS Midaxillary line C. 5th ICS Midaxillary line D. 4th ICS Midclavicular line - Accurate Answers✔✔A. 5th ICS Midclavicular line What term would document the rhythm of a pulse? A. Weak B. Strong

C. Bounding D. Irregular - Accurate Answers✔✔D. Irregular What term would you use to create Lead I II and AVR? A. Left arm B. Right arm C. Left leg D. Right leg - Accurate Answers✔✔B. Right arm What is a normal PR interval? A. 0.12-0.20 sec B. 0.08-0.12 sec C. 0.04-0.12 sec D. 1500 sec - Accurate Answers✔✔A. 0.12-0.20 sec What method could you use to calculate for both regular and irregular rhythms? A. 6-second method B. P-P method C. 1500 method

D. 300 method - Accurate Answers✔✔A. 6-second method What statement would you give when preparing a patient for an exercise stress test? A. Patient Movement B. Expired Electrodes C. Crossed lead wires D. Insufficient skin prep - Accurate Answers✔✔C. Crossed lead wires What eliminates artifact on an EKG by plugging it into another wall outlet? A. Somatic Tremor B. AC Interference C. Interrupted baseline D. Wandering baseline - Accurate Answers✔✔B. AC Interference What statement would you give when preparing a patient for an exercise stress test? A. Eat a light meal 6 to 8 hours prior to the test B. Wear tight clothing around your lower abdominal area C. Refrain from caffeine, smoking, and alcohol 3 hours prior to the test