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CERTIFIED EKG TECHNICIAN EXAM STUDY GUIDE (LATEST UPDATE)
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CERTIFIED EKG TECHNICIAN EXAMSTUDY GUIDE (LATEST UPDATE)
Which of the following ac/ons should an ekg technician take when preparing a
pa/ent for a standard 12-lead ekg?
Have the pa/ent remove any jewelry. (the technician should have the pa/ent
remove any jewelry prior to the ekg because jewelry will cause ac interference
on the ekg tracing.)
While performing a standard 12-lead ekg, an ekg technician no/ces that none
of the leads are giving a reading. Which of the following limbs should the
technician check first when correc/ng this problem?
Right leg(the technician should check the right leg electrode because all leads
share this electrode.)
Which of the following statements should an ekg technician include when
preparing a pa/ent for an upcoming exercise stress test?
"refrain from caffeine, smoking, or alcohol for at least 3 hours prior to the test."
(the technician should instruct the pa/ent to avoid caffeine, nico/ne, and
alcohol for at least 3 hr prior to a cardiac stress test.)
An ekg technician hears another staff member making derogatory comments
about a pa/ent's appearance. This is an example of which of the following
torts?
Slander. (slander is the defama/on of a person by spoken word. Slander is both
illegal and unethical.)
While performing a 5-lead ekg, an ekg technician no/ces that lead ii and lead iii
are not yielding a reading. Which of the following limbs should the technician
check to correct the error?
,LeP leg. (the leP leg is involved in recording electrical ac/vity in leads ii and iii.
Therefore, the technician should check the leP leg electrode to correct this
error.)
An ekg technician is preparing a pa/ent for holter monitor placement. Which of
the following ac/ons should the technician take to reduce the chance of
ar/facts on the tracing?
Use stress loops on the electrodes to reduce tension on the leads. (the
technician can use stress loops to relieve tension on the leads, which will
reduce ar/facts.)
An ekg technician is caring for a pa/ent who is experiencing heart palpita/ons.
Which of the following interven/ons should the technician expect the provider
to prescribe?
Holter monitor. (a holter monitor is typically prescribed for pa/ents who
experience palpita/ons, syncope, dizziness, chest pain, lightheadedness, or are
taking an/dysrhythmics.)
An ekg technician should recognize that which of the following blood pressure
readings is within the expected reference range for an adolescent pa/ent?
98/78 mm hg. (this blood pressure reading is within the expected reference
range for an adolescent.)
For which of the following pa/ents should an ekg technician expect to see
soma/c interference on the ekg tracing?
A 20-year-old pa/ent who is experiencing a seizure. (a 20-year-old pa/ent who
is experiencing a seizure.)
An ekg technician is instruc/ng a pa/ent about a transtelephonic event
monitor using a heart card monitoring device. To which of the following sites
should the pa/ent apply the card to ac/vate it during an event?
,Over the middle to lower part of the sternum. (the technician should instruct
the pa/ent to apply the card over the middle to the lower part of the sternum
to ac/vate the monitor.)
An ekg technician is performing exercise stress test to evaluate i'll be pa/ent
for coronary vascular disease. Which of the following ac/ons should a
technician take regarding this procedure?
Report unexpected dysrhythmias during the test. (the technician should report
changes in the ekg tracing during the test.)
An ekg technician is preparing to apply electrodes to a pa/ent for a standard
12-lead ekg. Which of the following methods should the technician use to
prepare the pa/ent for applica/on of the electrodes?
Use a razor or clippers to remove the pa/ent's hair. (the technician should clip
or shave the pa/ent's hair to increase electrode adherence to the pa/ent's
skin.)
Which of the following statements made by an ekg technician correctly
compares the pa/ent for telemetry monitoring?
"i will clean your skin with an alcohol pad." (the technician should cleanse the
pa/ent's skin with either soap and water or an alcohol pad.)
An ekg technician is preparing a pa/ent for a standard 12-lead ekg. Which of
the following is a correct placement for lead v4?
The fiPh intercostal space at the midclavicular line.
(this is the correct placement for lead v4.)
An ekg technician should recognize that pa/ents are restricted from
performing which of the following ac/vi/es while wearing a holter monitor?
Showering. (my answer
the technician should instruct the pa/ent not to take showers or tub baths
while wearing the monitor because water could damage the monitor.)
, Which of the following statements should an ekg technician make when
preparing an eight-year-old pa/ent for a standard 12- lead ekg?
"i am going to apply some s/ckers to your belly, arms, and legs for the test."
(using the word 's/ckers' to describe the electrodes is appropriate when
preparing children for ekg monitoring. The technician should use simple terms
that the child can understand and avoid the use of technical words like
electrodes, ekg, or electrocardiogram.)
An ekg technician is preparing a pa/ent for an exercise stress test. Which of the
following leads should technician placed on the right lower side of the anterior
torso?
Lead rl.(the technician should place the right leg lead on the right lower side of
the anterior torso.)
And ekg technician is obtaining a pulse rate for a two-year-old pa/ent. Which
of the following pulse rate should the technician recognize as within the
expected reference range for this pa/ent?
120/min. (the technician should recognize that the expected reference range
for a child who is 1 to 2 years of age is a pulse rate of 80 to 140/min.)
Which of the following ac/ons should the ekg technician wandering baseline
ekg tracing?
Relieve tension from the lead wires.
(to resolve a wandering baseline, the technician should relieve tension from
the lead wires to ensure there is an effec/ve connec/on to the ekg machine.)
Second-degree av heart block mobitz type ii
A second-degree av heart block mobitz type ii has some p waves without a qrs
complex, but the pr interval is constant.
Normal sinus rhythm
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