EKG EXAM QUESTIONS WITH VERIFIED
ANSWERS
In a patient with a heart that deviates to the right of the sternum, the ecg technician
should place the precordial leads in which of the following positions? - answer-left to
right
Lead 2 records the tracing between which of the following limbs - answer-right arm, left
leg
The physician orders an ecg on a patient with severe burns on his left arm. Which of the
following alternate placements should the ecg technician use? - answer-all upper limb
leads symmetrically placed as close to the original site as possible
Prior to an ecg a patient informs the ecg technician that he often experiences
orthopnea. How should the technician prepare this patient for the ecg procedure? -
answer-position the patient in the semi-fowlers position
Which of the following should the ecg technician check and reapply first when multiple
artifacts appear in leads i and ii? - answer-right arm
Prior to transmitting any ecg report to a patients emr/ehr or chart, which of the following
should the ecg technician do? - answer-eliminate artifacts, ensure correct icd codes
were used, ensure all patient information is correct
Which of the following should the ecg technician tell a patient who is preparing to wear a
holter monitor - answer-avoid close contact with other electrical devices
If the ra-la sensors are reversed on a patient, the ecg will record a downward deflection
in - answer-lead i
While performing an ecg on a patient, electrodes keep falling off. Which of the following
should the ecg technician do? - answer-place tape over electrodes, clean the skin with
70% isopropyl
Modified electrode placement is necessary for which of the following special
circumstances - answer-amputated limb
In prepping for placement of a 24-hour holter monitor, how should the ecg technician
instruct the patient - answer-do not use a hair dryer while wearing the monitor
Which of the following is included in the ecg technicians scope of practice - answer-
identifying special patient considerations
, While monitoring a stress test on a 56-year-old male, the ecg technician should stop the
test when the - answer-physician recognizes asymptomatic heart rhythm changes
Improper grounding of the ecg during set up is most likely to result in - answer-
alternating current artifact
A patient with the left arm amputated comes in for an ecg. Which of the following is the
proper placement for the left arm lead on this patient? - answer-as close to the site as
possible but higher on the limb and in a similar position
A somatic tremor on an ecg strip can be identified by - answer-irregularly paced, jagged
peaks
The ecg technician is performing a 12 lead ecg on a patient and notices that lead iii
does not appear on the tracing. Which of the following actions should the technician
take? - answer-check for loose wire, reconnect, and repeat tracing
A patient with parkinson's disease comes in for an ecg with noticeably sever tremors.
Which of the following should the ecg technician do to ensure a proper reading -
answer-have the patient slide their hands under their buttocks
A patient arrives late after witnessing an auto accident. In preparation for running the
patients ecg, the technician notes an increased anxiety level. Which of the following
should the technician do? - answer-speak clearly and softly to the patient, allow for the
patient to relax, document the patients state in the report
Artifact is present in the ecg recording. Which of the following actions should the ecg
technician take to correct the artifact? - answer-remind the patient to not move, use a
grounded electrical outlet, keep the patient warm
The ecg tech is performing an ecg on a patient who is obese, and a wandering baseline
is present. Which of the following actions should the technician take - answer-ensure
the new electrodes and clean clips are used, ensure good skin protection
A patient with dyspnea comes in for an ecg. In which of the following positions should
the patient be placed for the procedure - answer-semi-fowlers
Which of the following actions should the ecg tech make to ensure proper monitoring of
a patient during a stress test? - answer-instruct the patient to report any symptoms,
measure blood pressure and heart rate frequently, observe facial expressions-skin color
and perspiration
A female patient has come in for an ecg following a mastectomy. Ecg electrodes should
be placed - answer-as close to the surgery site as possible without touching the site
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