1.
What will you need to know to prepare yourself for recording your first ECG?
Correct Answer
B. Equipment and lead system
Explanation
To prepare yourself for recording your first ECG, you will need to know about the equipment and lead system. This includes understanding how to set up and operate the ECG machine, as well as knowing the different types of leads and their placement on the body. By familiarizing yourself with the equipment and lead system, you will be able to accurately record and interpret the electrical activity of the heart.
2.
If you attempt to record an ECG and no tracing is seen, what should you do?
Correct Answer
A. Check the lead wires to make sure they are placed correctly
Explanation
If you attempt to record an ECG and no tracing is seen, checking the lead wires to make sure they are placed correctly would be the most appropriate action. The lead wires need to be properly positioned on the body in order to capture the electrical activity of the heart. If they are not placed correctly, the ECG machine will not be able to detect and record the tracing. By ensuring that the lead wires are correctly placed, the chances of obtaining an accurate ECG tracing are increased.
3.
How many lead wires are used to obtain a 12-lead ECG tracing?
Correct Answer
B. 10-leads
Explanation
A 12-lead ECG tracing is obtained using 10 leads. This is because the term "12-lead" refers to the 12 different views of the heart's electrical activity that are recorded. These views are obtained by placing electrodes on specific locations on the body, with each lead providing a different perspective. However, only 10 leads are actually used, as some of the leads are derived from a combination of electrode placements.
4.
Name three augmented leads
Correct Answer
C. AVR, aVL, aVF
Explanation
The three augmented leads in electrocardiography are aVR, aVL, and aVF. These leads are derived from the standard limb leads and provide additional information about the electrical activity of the heart from different angles. aVR represents the augmented unipolar right arm lead, aVL represents the augmented unipolar left arm lead, and aVF represents the augmented unipolar left leg lead. These leads are useful in diagnosing specific cardiac conditions and can help in localizing the origin of abnormal electrical activity in the heart.
5.
This ECG tracing was produced at a speed of 50 mm/sec. What should you do?
Correct Answer
A. Make the tracing as shown here, notify the health care provide who will be interpreting the tracing
6.
When recording an ECG and the deflections or spikes of the tracing are not large enough, what should you do?
Correct Answer
C. Increase or adjust the gain
Explanation
When recording an ECG, the amplitude of the deflections or spikes on the tracing represents the electrical activity of the heart. If the deflections or spikes are not large enough, it means that the signal is weak and may be difficult to interpret accurately. To improve the visibility of the ECG waveform, it is necessary to increase or adjust the gain. This amplifies the signal and makes the deflections or spikes more prominent, allowing for a better analysis of the heart's electrical activity.
7.
A multichannel ECG monitors all 12 leads but usually records how many leads at one time?
Correct Answer
B. Three leads
Explanation
A multichannel ECG is capable of monitoring all 12 leads, which means it can measure the electrical activity of the heart from different angles. However, it usually records only three leads at one time. This is because recording all 12 leads simultaneously would require more electrodes and increase the complexity of the procedure. By recording three leads, healthcare professionals can still obtain valuable information about the heart's electrical activity and diagnose various cardiac conditions.
8.
What are some reasons that you may change the speed of the ECG tracing?
Correct Answer
A. Rhythm rate is too fast, can't clearly idenfity waves, because they are too close together per pHysician's order
Explanation
The speed of the ECG tracing may need to be changed if the rhythm rate is too fast, making it difficult to clearly identify waves because they are too close together. This change in speed can be done per physician's order to ensure accurate interpretation of the ECG.
9.
Which type of electrode is used when monitoring a patient that will be having serial ECG done?
Correct Answer
A. Silver disposable electrodes
Explanation
Silver disposable electrodes are used when monitoring a patient that will be having serial ECG done because they are convenient, hygienic, and provide good electrical conductivity. They can be easily attached and detached from the patient's skin, reducing the risk of infection. Additionally, silver electrodes have a low impedance, ensuring accurate and reliable ECG readings. Reusable electrodes may not be suitable for serial ECGs as they may require cleaning and disinfection between uses, which can be time-consuming and may increase the risk of cross-contamination. Mix electrodes are not commonly used in ECG monitoring.
10.
The physician places a stack of charts on top of an ECG report you just placed on his desk. What should you do?
Correct Answer
C. The report to the pHysician's attention and away from such as alcohol, plastic, sunlight, and X-ray can be damage
Explanation
The correct answer suggests that the report should be brought to the physician's attention and placed away from potential sources of damage such as alcohol, plastic, sunlight, and X-ray. This implies that the report should be handled with care and kept in a safe location to avoid any harm or deterioration.
11.
What is the number of complexes in the above 6-second interval? What is the heart rate?
Correct Answer
A. Senven complexes, 70 heart rate
Explanation
The given answer states that there are seven complexes in the 6-second interval and the heart rate is 70. This means that there were seven instances of electrical activity in the heart during the given time period, and the heart rate is calculated to be 70 beats per minute.
12.
V1, V2, V3, V4, V5, V6
Correct Answer
C. Precordial lead
Explanation
The given terms are different types of leads used in electrocardiography (ECG). A standard limb lead is a lead that is placed on the limbs of a patient to measure electrical activity in the heart. An augmented lead is a lead that is created by combining two limb leads to provide a different perspective on the heart's electrical activity. Precordial leads are leads that are placed on the chest to measure electrical activity in the heart from different angles. Therefore, the correct answer is "precordial lead" as it is a specific type of lead used in ECG.
13.
aVR, aVL, aVF
Correct Answer
B. Augmented lead
Explanation
The correct answer is "augmented lead". The three leads mentioned, aVR, aVL, and aVF, are part of the augmented leads in an electrocardiogram (ECG). These leads are derived from the standard limb leads and provide additional information about the electrical activity of the heart. Each augmented lead measures the electrical potential of the heart from a different perspective, with aVR measuring from the right arm, aVL from the left arm, and aVF from the left leg. These leads help in diagnosing various cardiac conditions by providing a comprehensive view of the heart's electrical activity.
14.
lead I, lead II, lead III
Correct Answer
B. Standard limb lead
Explanation
Standard limb leads are a type of electrocardiogram (ECG) lead that are placed on the limbs of a patient to record electrical activity of the heart. These leads are typically placed on the right arm, left arm, and left leg. They provide a standard view of the electrical activity of the heart from different angles, allowing for a comprehensive assessment of the heart's function. Standard limb leads are commonly used in clinical practice to diagnose and monitor various heart conditions.
15.
disposable sensors that receive the electrical activity of the heart
Correct Answer
A. Electrode
Explanation
Electrode is the correct answer because it is a device used to detect and record electrical signals, such as the electrical activity of the heart. It is commonly used in medical settings to monitor and diagnose various heart conditions. The term "disposable sensors" suggests that these electrodes are designed for single-use and can be easily replaced, making them convenient and hygienic for medical procedures. The other options, speed and input, do not accurately describe the function or purpose of the given device.
16.
changes the size of the ECG tracing
Correct Answer
B. Gain
Explanation
The term "gain" refers to the amplification or magnification of a signal. In the context of an ECG (electrocardiogram) tracing, adjusting the gain would change the size or amplitude of the tracing. Increasing the gain would make the tracing appear larger, while decreasing the gain would make it appear smaller. This adjustment is useful for enhancing the visibility of certain features or abnormalities in the ECG waveform.
17.
data that is entered into an ECG machine
Correct Answer
B. Input
Explanation
The given correct answer is "input". This means that the data that is entered into an ECG machine is considered as an input. In the context of an ECG machine, input refers to the information or signals that are provided to the machine for analysis and processing. In this case, the data being entered into the machine is the raw ECG readings from a patient's heart, which will then be processed and displayed as an output.
18.
indicates time on the ECG tracing
Correct Answer
A. Mm
Explanation
The term "mm" typically refers to millimeters on an ECG tracing. In an ECG, the horizontal axis represents time, and each small square represents a specific duration of time. By measuring the distance between specific points on the ECG tracing in millimeters, healthcare professionals can determine the duration of various cardiac events, such as the duration of an electrical impulse or the length of a specific wave. Therefore, "mm" indicates time on the ECG tracing.
19.
conductor wire attached to the ECG machine
Correct Answer
B. Lead
Explanation
A lead is a conductor wire that is attached to the ECG machine. It is used to connect the electrodes to the machine, allowing for the measurement and recording of electrical signals from the heart. Leads are essential for obtaining accurate and reliable ECG readings.
20.
ability to record more than one lead tracing at a time
Correct Answer
A. Multi-channel
Explanation
The ability to record more than one lead tracing at a time refers to the concept of multi-channel recording. In multi-channel recording, multiple leads or channels are used to capture different electrical signals from the body simultaneously. This allows for a more comprehensive assessment of the electrical activity of the heart or other biological systems. In contrast, single-channel recording only captures one lead tracing at a time. Therefore, the correct answer is multi-channel.
21.
indicates voltage on the ECG tracing
Correct Answer
A. MV
Explanation
The correct answer is "mV" because in an ECG tracing, the voltage is measured in millivolts (mV). The ECG machine records the electrical activity of the heart and converts it into a graphical representation on paper or a screen. The height of the waves on the ECG tracing represents the voltage, and it is measured in millivolts. By analyzing the voltage changes, healthcare professionals can diagnose various heart conditions and abnormalities.
22.
displays the tracing for the electrical activity of the heart
Correct Answer
B. Output display
Explanation
The correct answer is "output display" because it accurately describes the purpose of the given statement. The statement is referring to a device or system that shows the tracing or recording of the electrical activity of the heart. This could be a monitor or screen that displays the information in real-time or as a recorded history.
23.
amplifies the electrical impulse and converts to mechanical action
Correct Answer
C. Signal processing
Explanation
Signal processing refers to the manipulation and analysis of signals, such as electrical impulses. It involves various techniques and algorithms to modify, enhance, or extract information from the signals. In this context, the given correct answer suggests that signal processing is the process of amplifying the electrical impulse and converting it into mechanical action. This implies that signal processing is used to enhance and transform the electrical impulse into a form that can produce mechanical movement or action.
24.
records one lead tracing at a time
Correct Answer
C. Single-channel
Explanation
This answer suggests that the system or device being referred to is capable of recording only one lead tracing at a time. This means that it can only capture and process the electrical activity of one specific area or location in the body. It does not have the capability to simultaneously record multiple lead tracings from different areas or locations. Therefore, it is categorized as a single-channel system or device.
25.
controls the speed of the paper during an ECG tracing
Correct Answer
A. Speed
Explanation
The correct answer is "speed" because it controls the speed of the paper during an ECG tracing. This means that the speed setting determines how fast the paper moves while recording the electrical activity of the heart. By adjusting the speed, healthcare professionals can control the rate at which the ECG waveform is displayed on the paper, allowing for a more accurate analysis and interpretation of the results.
26.
ECG machines have three basic function. They are
Correct Answer
A. Input, signal processing, and output display
Explanation
The correct answer is "input, signal processing, and output display." ECG machines require an input of electrical signals from the body, which are then processed to remove noise and enhance the quality of the signal. The processed signal is then displayed on the output, usually in the form of a graph or waveform. This allows healthcare professionals to analyze the electrical activity of the heart and diagnose any abnormalities or conditions.
27.
To perform an ECG with accuracy, the best source to obtain specific information about the machine is
Correct Answer
B. The manufacturer's directions
Explanation
To perform an ECG with accuracy, it is important to refer to the manufacturer's directions for specific information about the machine. The manufacturer's directions provide detailed instructions on how to properly operate and use the machine, ensuring accurate results. The policy and procedure manual may provide general guidelines, but the manufacturer's directions are the best source for specific information about the machine. Your supervisor may have knowledge about the machine, but the manufacturer's directions are more reliable. Your textbook may provide some information, but it may not be up-to-date or specific to the machine being used.
28.
The type of electrodes most commonly used are____________and are used_________________
Correct Answer
C. Disposable, once
Explanation
Disposable electrodes are commonly used in medical settings because they are designed for single use. This helps to prevent the risk of cross-contamination between patients. After each use, disposable electrodes are discarded, ensuring a fresh and hygienic surface for the next patient. This makes them a convenient and practical choice for medical professionals.
29.
"Bipolar leads" means that
Correct Answer
B. Both positive and negative electrodes are placed on the patient's body
Explanation
"Bipolar leads" refers to a type of electrocardiogram (ECG) lead placement where both positive and negative electrodes are placed on the patient's body. This allows for the measurement of electrical activity between two specific points, providing a more accurate representation of the heart's electrical signals. This method is commonly used in ECG recordings to diagnose and monitor various cardiac conditions.
30.
What is the purpose of the LCD display?
Correct Answer
A. To allow entry and display of patient information
Explanation
The purpose of the LCD display is to allow healthcare professionals to enter and display patient information. This could include vital signs, medical history, medications, and other relevant data. The LCD display provides a visual interface for healthcare providers to input and access patient information quickly and efficiently. This helps in accurate documentation, monitoring, and decision-making during patient care.
31.
The "multichannel ECG" indicates that
Correct Answer
D. All of the above
Explanation
The correct answer is "All of the above." The term "multichannel ECG" implies that multiple leads are recorded simultaneously, which means that three or more leads are recorded at one time. Additionally, with a multichannel ECG, you enter all the data into the machine before running a tracing, eliminating the need to mount each lead separately. Therefore, all the given statements are true for a multichannel ECG.
32.
What is the standard paper speed?
Correct Answer
A. 25 mm/sec
Explanation
The standard paper speed is 25 mm/sec. This means that the paper moves at a rate of 25 millimeters per second.
33.
Which of the following is not a type of lead?
Correct Answer
C. Input
Explanation
The given options include the types of leads, except for "Input." Standard, augmented, and precordial are all types of leads commonly used in medical settings to monitor and record electrical activity in the heart. However, "Input" is not a recognized type of lead in this context.
34.
Artifact filter helps obtain a clear ECG tracing by
Correct Answer
A. Reducing artifact or abnormal marks on the ECG tracing
Explanation
The artifact filter is a feature that helps to reduce any abnormal marks or interference on the ECG tracing. This ensures that the ECG readings obtained are clear and accurate. It does not specifically recognize if the patient has a pacemaker or not, but it helps to improve the overall quality of the ECG tracing by minimizing any unwanted artifacts. Therefore, the correct answer is "reducing artifact or abnormal marks on the ECG tracing".
35.
computerized interpretation
Correct Answer
C. Must always be validated by a pHysician
Explanation
Computerized interpretation must always be validated by a physician because although it can provide initial analysis and suggestions, it cannot replace the expertise and judgment of a trained medical professional. The interpretation provided by a computerized system may be based on algorithms and data, but it lacks the ability to consider the patient's unique medical history, symptoms, and other relevant factors. Therefore, it is crucial for a physician to review and validate the interpretation to ensure accurate diagnosis and appropriate treatment.
36.
The horizontal reading on the ECG paper represents__________________, and the vertical readings represent__________
Correct Answer
C. Time, voltage
Explanation
The horizontal reading on the ECG paper represents time, as it shows the progression of time during the recording of the heart's electrical activity. The vertical readings represent voltage, as they indicate the magnitude of the electrical signals produced by the heart.
37.
Which lead tracing must be augmented by the ECG machine to be able to see the different ECG waveforms?
Correct Answer
D. Lead aVF
Explanation
Lead aVF must be augmented by the ECG machine to be able to see the different ECG waveforms. This is because lead aVF is one of the standard limb leads that provides a specific view of the electrical activity of the heart. By augmenting lead aVF, the ECG machine can enhance the signal and display the various waveforms, such as the P wave, QRS complex, and T wave, which are important for interpreting the cardiac rhythm and detecting any abnormalities.
38.
The Einthoven triangle is formed by using the following placement sites.
Correct Answer
A. Right arm, left arm, left leg
Explanation
The correct answer is right arm, left arm, left leg. The Einthoven triangle is a theoretical triangle formed by the placement of three electrodes on the body to measure the electrical activity of the heart. The right arm electrode is placed on the right arm, the left arm electrode is placed on the left arm, and the left leg electrode is placed on the left leg. This configuration allows for the measurement of the electrical potential differences between these three points, which can be used to analyze the heart's electrical activity and diagnose any abnormalities.
39.
five heavy lines or boxes
Correct Answer
A. 1 second
Explanation
The correct answer is 1 second. This suggests that it takes one second to perceive or process the information represented by the five heavy lines or boxes. This could indicate the time it takes for the brain to recognize and interpret the visual stimuli, or the time it takes for the individual to count or identify the objects accurately.
40.
one vertical heavy line or box
Correct Answer
A. 0.2 second
Explanation
The correct answer is 0.2 seconds because it is the only option that is closest to the given time frame of one vertical heavy line or box. The other options, 0.04 seconds and 1 second, are either too short or too long compared to the given time frame.
41.
smallest ventical line or box
Correct Answer
B. 0.04 second
Explanation
The correct answer is 0.04 second. This is the smallest time interval mentioned in the options. It is shorter than 1 second and 0.2 second. Therefore, it is the correct answer.
42.
left leg (LL)
Correct Answer
D. Red
Explanation
The correct answer is red because it is the last color mentioned in the list.
43.
right arm (RA)
Correct Answer
B. White
Explanation
The given answer, "white," is the correct answer because it is the only color mentioned that is associated with the term "right arm (RA)." The other colors listed (green, black, and red) do not have any direct connection to the term "right arm (RA)." Therefore, "white" is the most appropriate and relevant choice.
44.
right leg (RL)
Correct Answer
A. Green
Explanation
The given correct answer is "green". However, without any context or additional information, it is difficult to determine the specific reason for this answer. It is possible that "green" could be associated with the right leg (RL) in a certain context or system, but without further details, it is not possible to provide a definitive explanation.
45.
Left arm
Correct Answer
C. Black
Explanation
The given answer, black, is the only color mentioned in the list. The other colors mentioned, green, white, and red, do not match the given answer. Therefore, black is the correct answer.
46.
When you start to perform an ECG on a patient, you notice a red line along the bottom of the ECG paper. What should you do?
Correct Answer
A. It shows the paper is runing out, I should change paper before performing next ECG
Explanation
The red line along the bottom of the ECG paper indicates that the paper is running out. To ensure accurate results and avoid any interruptions during the next ECG, it is necessary to change the paper before proceeding.
47.
Whe preparing to do an ECG, you find an open package of disposable electrodes on top of the ECG cart. Would you use these electrodes? Why or why not?
Correct Answer
A. Check the expiration day, and dry out, if not expired and not dry out, I would use them first
Explanation
It is important to check the expiration date and ensure that the electrodes are not dry out before using them. If the electrodes are not expired and are not dry out, they can be used first as they are readily available on top of the ECG cart. This ensures that the electrodes are in proper condition and will provide accurate results during the ECG procedure.
48.
You are preparing to attach the electrodes and lead wires for a 12-lead ECG. You are unable to read the letters on each of the lead wires. You place the electrodes and lead wires, but when you run the tracing it looks like a bunch of scratches. What do you think the problem is and how would you solve it?
Correct Answer
A. Pobably attached lead wires incorrectly. check the color and manufecturer's direction to indentify the correct color
Explanation
The problem is most likely that the lead wires were attached incorrectly. To solve this issue, one should check the color of the lead wires and refer to the manufacturer's directions to identify the correct color for each electrode.
49.
When performing a 12- lead ECG, you notice that the tracing line is very thick and hard to view. In addition, one of the leads does not record properly. What would you do?
Correct Answer
B. Chech the stylus control, turn the heat down, it producing a inner line. machine must be standardized before use. If new machine check LCD display to iddentify the problem or check manufcture's manual
Explanation
The correct answer suggests that the thick and hard to view tracing line and the improper recording of one lead may be due to an issue with the stylus control. It recommends turning down the heat to produce a thinner line. It also mentions the importance of standardizing the machine before use and checking the manufacturer's manual for troubleshooting guidance. If the machine is new, it suggests checking the LCD display to identify the problem.
50.
How is the 12-lead ECG recorded?
Correct Answer
A. Only by 10 lead wires: six on the chest and four on the on the limbs or shoulders and lower abdomen.
Explanation
The 12-lead ECG is recorded only by using 10 lead wires. These wires are placed on specific locations on the body. Six lead wires are attached to the chest, while four lead wires are attached to the limbs or shoulders and lower abdomen. This configuration allows for the recording of electrical activity from different angles and perspectives, providing a comprehensive view of the heart's electrical activity.