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TECHNICIAN PRACTICE
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An EKG technician is measuring the intervals on an EKG tracing. Which of the following is an expected finding of impaired conduction through the AV node? a. Decreased QT interval b. Prolonged QRS interval c. Prolonged QT interval d. Prolonged PR interval - ANSWERS-d. Prolonged PR interval An EKG technician hears another staff member making derogatory comments about a patient's appearance. This is an example of which of the following torts? a. Libel b. Assault c. Slander d. Battery - ANSWERS-c. Slander
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An EKG technician should recognize that which of the following situations is an allowable disclosure of patient information according to HIPAA guidelines? a. Patients write their names on a basic sign in sheet at the registration desk b. An employer calls the clinic to verify an employee's excused absence c. A patient can read the demographics screen of another patient's electronic chart while checking in at the desk. d. An employee gives a coworker access to their username and password to retrieve a patient's laboratory report. - ANSWERS-a. Patients write their names on a basic sign in sheet at the registration desk An EKG technician should recognize that which of the following is characteristic of the EKG tracing for a patient who has atrial fibrillation? a. R-R interval is irregularly irregular b. Clearly defined T waves c. P-P interval occurs regularly d. Prolonged QRS duration - ANSWERS-a. R-R interval is irregularly irregular
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An EKG technician has performed an EKG on a patient. Which of the following actions by the technician would protect the patient's health information in accordance with HIPAA regulations? a. Sending the EKG in an encrypted electronic file to the patient's employer b. Using corrective fluid on the patient's name, address, and physical description on the EKG printout c. Restricting the patient's access to the EKG file d. Hand delivering the EKG to the patient's provider - ANSWERS-d. Hand delivering the EKG to the patient's provider Which of the following EKG machine functions should an EKG technician use to control and regulate the height of EKG waveforms on the tracing? a. Speed b. Output display c. Artifact filter d. Gain - ANSWERS-d. Gain
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Which of the following methods should a EKG technician use when removing hair from electrode placement sites for telemetry monitoring? a. Dry shave b. Wet shave c. Tape d. Clippers - ANSWERS-d. Clippers An EKG technician notes periods of sinus arrest on a patient's EKG tracing. The technician should consider the sinus arrest to be a medical emergency when the arrest reaches which of the following durations? a. 6 sec b. 4 sec c. 3 sec d. 1 sec - ANSWERS-a. 6 sec Which of the following lead groups are bipolar leads? a. Leads aVR, aVL, and aVF b. Leads I, II, and III
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d. On the right margin of the sternum, fourth intercostal space - ANSWERS-b. On the left anterior axillary line, horizontal to lead V An EKG technician is working with a patient who has a below-the-knee amputation of the left leg. In which of the following locations should the technician place the right leg electrode? a. On the lower right foot b. On the lower right abdomen c. On the lower left torso d. On the lower right leg - ANSWERS-b. On the lower right abdomen Which of the following methods should an EKG technician use to store electrodes when not in use? a. Loose in the EKG cart b. In a folded paper bag c. In an open plastic bag d. In the original, foil-lined packaging - ANSWERS-d. In the original, foil-lined packaging
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A serial EKG tracing shows a rhythm that does not match the last tracing that the EKG technician performed. Which of the following actions should the technician take first? a. Connect the patient to a different EKG machine. b. Report the finding to the provider c. Verify proper lead placement d. Perform a maintenance check on the machine - ANSWERS-c. Verify proper lead placement Which of the following statements made by an EKG technician correctly prepares the patient for telemetry monitoring? a. "I will clean your skin with an alcohol pad" b. "You may feel a slight warming sensation after the electrodes are placed on the skin" c. "A mild rash or skin redness should be expected around the electrodes after 24 hours." d. "Electrodes will be replaced once per week while you're in the hospital." - ANSWERS-a. "I will clean your skin with an alcohol pad"
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a. "Irregular rhythms are rarely seen in children" b. "This is life threatening. I must notify the physician immediately" c. "The irregularity is normal and is a result of respiration" d. "The rhythm is likely atrial fibrillation and requires elective cardioversion" - ANSWERS-c. "The irregularity is normal and is a result of respiration" 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? a. Between the larynx and the left sternocleidomastoid muscle b. Between the fifth and sixth ribs, at the left midclavicular line c. The antecubital aspect of the left or right elbow d. The thumb side of the left wrist - ANSWERS-b. Between the fifth and sixth ribs, at the left midclavicular line Which of the following descries a complete cardiac cycle in a healthy heart?
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a. P wave, Q wave, and ST segment b. P wave, QRS complex, and T wave c. P wave, QRS complex, and QT interval d. P wave, QRS complex, and P wave - ANSWERS-b. P wave, QRS complex, and T wave An EKG technician is preparing to perform an EKG for a patient who does not speak the same language as the technician. Which of the following actions hsould the technician take to avoid miscommunication with the patient? a. Have a member of the patient's family translate b. Point and use other forms of nonverbal communication c. Rely on materials printed in the patient's native language d. Have a bilingual staff member translate - ANSWERS-d. Have a bilingual staff member translate An EKG technician is instructing a patient about the use of a transtelephonic monitor with loop memory. Which of the following instructions should the technician include?
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a. "I'm sorry, but I only run the strip. I'm not trained to know what's on it." b. "I understand your frustration. My role as the technician is to conduct the test correctly. The provider is qualifies to interpret the results" c. "I know it's difficult to wait, but from what I can see, you have nothing to worry about." d. "I wish could help you. Some providers allow technicians to discuss the tracing, but your provider won't let me communicate results to patients." - ANSWERS-b. "I understand your frustration. My role as the technician is to conduct the test correctly. The provider is qualifies to interpret the results" An EKG technician is preparing a patient for a scheduled standard 12 - lead EKG. Which of the following actions should the technician take? a. Assist the patient into Sims' position before a placing the electrodes b. Apply an oil-free moisturizer to adhere the electrodes to the skin c. Use an alcohol pad to cleanse the electrode placement sites. d. Select the most muscular site for electrode placement - ANSWERS-c. Use an alcohol pad to cleanse the electrode placement sites.
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Which of the following factors can produce an artifact that appears as uniform. small spikes on an EKG tracing? a. Corroded leads b. Improper grounding c. Poor skin preparation d. Patient movement - ANSWERS-b. Improper grounding Which of the following pulse points is most frequently used to check an adult's patient's pulse during cardiopulmonary resuscitation (CPR)? a. Popliteal b. Carotid c. Temporal d. Dorsalis pedis - ANSWERS-b. Carotid An EKG technician is caring for a patient in a provider's clinic who asks why the technician performs a standard 12- lead EKG as part of the physical examination. Which of the following responses should the technician make?
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a. Supine with the arms at the side b. Supine with the arms above the head c. Right-side lying with the arms slightly extended d. Sitting upright with the head tilted back. - ANSWERS-b. Supine with the arms above the head Which of the following statements should an EKG technician include when preparing a patient for an upcoming exercise stress test? a. "Be sure to eat a light meal 6 to 8 hours prior to the test" b. "Wear tight clothing around your lower abdominal area so the electrodes stay in place." c. "Refrain from caffeine, smoking, or alcohol for at least 3 hours prior to the test." d. "The procedure should take about 10 to 15 minutes." - ANSWERS-c. "Refrain from caffeine, smoking, or alcohol for at least 3 hours prior to the test." Which of the following patient finding indicates myocardial infarction? a. Cyanosis
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b. Facial drooping c. Arm weakness d. Aphasia - ANSWERS-a. Cyanosis When performing an EKG on an infant, in which of the following locations should the EKG technician place the electrode for lead V3R? a. Between V2 and V4 on the right side of the chest b. Fourth intercostal space on the right side of the chest c. Between V2 and V4 on the left side of the chest d. Fourth intercostal space on the left side of the chest - ANSWERS-a. Between V2 and V4 on the right side of the chest When placing electrodes on the patient for telemetry, in which of the following locations should an EKG technician place the ground electrode? a. On the right upper arm b. On the left upper arm c. On the left lower leg
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c. QRS interval between 0.06 and 0.10 sec d. Wide QRS interval - ANSWERS-d. Wide QRS interval When performing a posterior EKG, which of the following is the correct location for placement of lead V8? a. Left midscapular line b. Right midscapular line c. Right posterior axillary line d. Left posterior axillary line - ANSWERS-a. Left midscapular line Which of the following is the result of atrial depolarization? a. T wave b. QRS complex c. P wave d. U wave - ANSWERS-c. P wave
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An EKG technician is preparing to perform a standard 12 - lead EKG tracing on a patient who has a heart rate of 150/min. Which of the following speed controls should the technician select? a. 5 mm/second b. 10 mm/second c. 25 mm/second d. 50 mm/second - ANSWERS-d. 50 mm/second While performing a standard 12-lead EKG, an EKG technician notices that none of the leads are giving a reading. Which of the following limbs should the technician check first when correcting this problem? a. Right arm b. Left arm c. Right leg d. Left leg - ANSWERS-c. Right leg Which of the following activities should an EKG technician instruct a patient to record in the Holter monitor diary? a. Bike riding
