ECG Chapter 4

63 Questions  I  By Wkhuu1
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  • 1. 
    Extends from the sternum to the scapula
    • A. 

      Suprasternal notch

    • B. 

      Fifth intercostal

    • C. 

      Manubrium

    • D. 

      Right clavicles


  • 2. 
    The space between the fifth and sixth ribs
    • A. 

      Suprasternal notch

    • B. 

      Fifth intercostal

    • C. 

      Manubrium

    • D. 

      Right clavicles


  • 3. 
    The top of the sternum
    • A. 

      Suprasternal notch

    • B. 

      Fifth intercostal

    • C. 

      Manubrium

    • D. 

      Right clavicles


  • 4. 
    The dip at the base of the neck just above where the clavicle attaces to the sternum
    • A. 

      Suprasternal notch

    • B. 

      Fifth intercostal

    • C. 

      Manubrium

    • D. 

      Right clavicles


  • 5. 
    Fifth intercostal space, at the anterior axlliary line
    • A. 

      V2

    • B. 

      V3

    • C. 

      V4

    • D. 

      V5


  • 6. 
    Fourth intercostal space, left sternal border
    • A. 

      V1

    • B. 

      V2

    • C. 

      V3

    • D. 

      V4


  • 7. 
    Fifth intercostal space, at the midaxillary line
    • A. 

      V3

    • B. 

      V4

    • C. 

      V5

    • D. 

      V6


  • 8. 
    Fifth intercostal space at the midclavicular line
    • A. 

      V2

    • B. 

      V3

    • C. 

      V4

    • D. 

      V5


  • 9. 
    Fourth intercostal space, right sternal border
    • A. 

      V1

    • B. 

      V2

    • C. 

      V3

    • D. 

      V4


  • 10. 
    Halfway between V2 and V4
    • A. 

      V1

    • B. 

      V2

    • C. 

      V3

    • D. 

      V4


  • 11. 
    V1
    • A. 

      Fourth intercostal space, right sternal border

    • B. 

      Fourth intercostal space, left sternal border

    • C. 

      Fifth intercostal space, the midaxillary line

    • D. 

      Halfway between V2 and V4


  • 12. 
    V2
    • A. 

      Fourth intercostal space, right sternal border

    • B. 

      Fourth intercostal space, left sternal border

    • C. 

      Fifth intercostal space, the midaxillary line

    • D. 

      Halfway between V2 and V4


  • 13. 
    V3
    • A. 

      Fourth intercostal space, right sternal border

    • B. 

      Fourth intercostal space, left sternal border

    • C. 

      Fifth intercostal space, the midaxillary line

    • D. 

      Halfway between V2 and V4


  • 14. 
    V4
    • A. 

      Fifth intercostal space at the midaxillary line

    • B. 

      Fifth intercostal space at the midcalvicular line

    • C. 

      Halfway between V2 and V4

    • D. 

      Fourth intercostal space, right sternal border


  • 15. 
    V5
    • A. 

      Fourth intercostal space, right sternal border

    • B. 

      Fifth intercostal space at the midcalvicular line

    • C. 

      Fifth intercostal space at the anterior line

    • D. 

      Fifth intercostal space at the midaxillary line


  • 16. 
    V6
    • A. 

      Fifth intercostal space at the midaxillary line

    • B. 

      Fifth intercostal space at the midcalvicular line

    • C. 

      Fifth intercostal space at the anteriro line

    • D. 

      Fourth intercostal space, right sternal border


  • 17. 
    Front of the axilla
    • A. 

      Midclavicalar line

    • B. 

      Midaxillary line

    • C. 

      Anterior axillary line


  • 18. 
    Middle of the axilla
    • A. 

      Midclavicalar line

    • B. 

      Midaxillary line

    • C. 

      Anterior axillary line


  • 19. 
    Usually passes through the nipple line
    • A. 

      Midclavicalar line

    • B. 

      Anterior axillary line

    • C. 

      Midaxillary line


  • 20. 
    For placement of the electrodes, how is the ICS located?
    • A. 

      Locating the sternum and feeling for a dip at the edge

    • B. 

      Finding the ribs near the nipple line

    • C. 

      Locating the clavicle and feeling for dent directly below it

    • D. 

      Locating the space between the clavicle and V4


  • 21. 
    What would be the first and most appropriate thing to say if a patient refuses an ECG?
    • A. 

      Maybe you can tell me why you don't wish to have an ECG done

    • B. 

      Don't worry; it only takes a few seconds

    • C. 

      Your doctor has ordered this test and it must be done

    • D. 

      I will have to report you to my supervisor immediately


  • 22. 
    When applying chest leads, V4 is placed
    • A. 

      Midway between V3 and V5

    • B. 

      At the fourth ICS, right sternal border

    • C. 

      At the fifth ICS, left midclavicular line

    • D. 

      At the fourth ICS, left sternal border


  • 23. 
    When applying chest leads, V2 is placed
    • A. 

      Midway between V3 and V5

    • B. 

      At the fourth ICS, right sternal border

    • C. 

      At the fifth ICS, left midclavicular line

    • D. 

      At the fourth ICS, left sternal border


  • 24. 
    To prevent disease transmission during an ECG, you should
    • A. 

      Check the ground prong

    • B. 

      Wash your hands

    • C. 

      Raise the side rail

    • D. 

      Lower the bed


  • 25. 
    Safety procedures specific to the ECG include the following
    • A. 

      Wash hands, clean up all spills immediately

    • B. 

      Lower bed, raise the side rail

    • C. 

      Check the ground prong, give the call signal

    • D. 

      Check the lead wires, insulation, and ground prong


  • 26. 
    Which of the following would not be done prior to performing an ECG?
    • A. 

      Receive and validate the order

    • B. 

      Clean the leads and write ECG variations on tracing

    • C. 

      Check and change paper if necessary

    • D. 

      Enter patient data into machine


  • 27. 
    When applying chest leads, V1 is placed
    • A. 

      Midway between V3 and V5

    • B. 

      At the fourth ICS, right sternal border

    • C. 

      At the fifth ICS, left midclavicular line

    • D. 

      At the fourth ICS, left sternal border


  • 28. 
    Marks on the ECG tracing caucing by another source of activity are
    • A. 

      Asystole

    • B. 

      Conduction marks

    • C. 

      Artifacts

    • D. 

      Wandering baseline


  • 29. 
    Somatic tremors are caused by
    • A. 

      Electrical current leak

    • B. 

      Tracing drifts away from center

    • C. 

      Muscle movement

    • D. 

      Contact with another electrical device


  • 30. 
    You noticed a wandering baseling on the ECG tracing. What measures should you do to correct
    • A. 

      Apply new electrodes

    • B. 

      Reposition the electrodes

    • C. 

      Ensure that the wires are not crossing

    • D. 

      All of the above


  • 31. 
    You notice that leads I and II have a lot of artifact while recording the 12 lead. Which electrode is probably not placed appropriately?
    • A. 

      Right arm

    • B. 

      Left arm

    • C. 

      Left leg

    • D. 

      None of the above


  • 32. 
    Which of the following is not a specific type of isolation precaution implemented for hospitalized patients?
    • A. 

      AIDS precautions

    • B. 

      Droplet precaution

    • C. 

      Airborne precaution

    • D. 

      Contact precaution


  • 33. 
    Which of the following are ways to correct AC interference?
    • A. 

      Unplug electrical equipment, move bed away from wall

    • B. 

      Apply electrodes securely, remove tension from lead wires

    • C. 

      Have patient place hands under his or her buttocks, remind patient not to move

    • D. 

      Replace loose electrodes and have the patient turn slightly to the side


  • 34. 
    Which of the following are ways to correct somatic tremor?
    • A. 

      Unplug electrical equipment, move bed away from wall

    • B. 

      Apply electrodes securely, remove tension from lead wires

    • C. 

      Have patient place hands under his or her buttocks, remind patient not to move

    • D. 

      Replace loose electrodes and have the patient turn slightly to the side


  • 35. 
    Which of the following are ways to correct wandering baseline?
    • A. 

      Unplug electrical equipment, move bed away from wall

    • B. 

      Apply electrodes securely, remove tension from lead wires

    • C. 

      Have patient place hands under his or her buttocks, remind patient not to move

    • D. 

      Replace loose electrodes and have the patient turn slightly to the side


  • 36. 
    When applying chest leads, V6 is placed
    • A. 

      In line with V4 on the midaxillary line

    • B. 

      At the fourth ICS, right sternal border

    • C. 

      At the fifth ICS, left midclavicular line

    • D. 

      At the fourth ICS, left sternal border


  • 37. 
    If your patient has an amputated left lower leg, you should place the electrodes as follows
    • A. 

      LL on left upper leg, RL on right lower leg

    • B. 

      LL on left lower abdomen, RL on right lower abdomen

    • C. 

      LL on left lower leg, RL on right upper leg

    • D. 

      LL on left lower abdomen, RL on right lower leg


  • 38. 
    When performing a 12-lead ECG on an infant or small child, do all of the following except
    • A. 

      Speak in children's terms

    • B. 

      Use smaller ECG electrodes

    • C. 

      Perform a V3R tracing

    • D. 

      Use a special ECG machine


  • 39. 
    Approach the patient from the____________when performing an ECG
    • A. 

      Left side

    • B. 

      Right side

    • C. 

      Top

    • D. 

      Bottom


  • 40. 
    Natural skin oils, moisturizer, and perspiration can contribute to artifact on an ECG tracing
    • A. 

      True

    • B. 

      False


  • 41. 
    The letter R is placed after any tracing when the electrode has been placed on the right side of the patient's chest
    • A. 

      True

    • B. 

      False


  • 42. 
    Because an ECG is not an invasive procedure, it is not necessary to wear personal protective equipment (PPE) when performing this procedure under any circumstances
    • A. 

      True

    • B. 

      False


  • 43. 
    An interruption of the electrical activity of the brain that causes involuntary muscle movement and sometimes unconsciousness
    • A. 

      Seizure

    • B. 

      Angle of louis

    • C. 

      Sternal border

    • D. 

      Intercostal space


  • 44. 
    A boney prominence located approximately 1 inch below the suprasternal notch, where the manubrium and the body of the sternum are joined
    • A. 

      Midclavicular line

    • B. 

      Sternal border

    • C. 

      Angle of louis

    • D. 

      Intercostal space


  • 45. 
    Outer edge of the sternum
    • A. 

      Intercostal space

    • B. 

      Angle of louis

    • C. 

      Sternal border

    • D. 

      Midclavicular line


  • 46. 
    The space between two ribs
    • A. 

      Intercostal space

    • B. 

      Midclavicular line

    • C. 

      Sternal border

    • D. 

      Angle of louis


  • 47. 
    An imaginary line on the chest that runs vertically through the center of the clavicle
    • A. 

      Intercostal space

    • B. 

      Midclavicular line

    • C. 

      Sternal border

    • D. 

      Angle of louis


  • 48. 
    When the tracing of an ECG drifts away from the center of  the paper; also called baseline shift (it was many causes, which can be corrected)
    • A. 

      Wandering baseline

    • B. 

      Midaxillary line

    • C. 

      Somatic tremor

    • D. 

      AC interference


  • 49. 
    An imaginary vertical line theat starts in the middle of the axillary region
    • A. 

      Wandering baseline

    • B. 

      Midaxillary line

    • C. 

      Somatic tremor

    • D. 

      AC interference


  • 50. 
    Unwanted marks on the ECG caused by electrical activity from sources other than the heart
    • A. 

      Artifact

    • B. 

      Midscapular line

    • C. 

      AC interference

    • D. 

      Wandering baseline


  • 51. 
    Unwanted marks on the ECG tracing caused by other electrical sources
    • A. 

      Wandering baseline

    • B. 

      Midscapular line

    • C. 

      Artifact

    • D. 

      AC interference


  • 52. 
    An imaginary vetical line on the back that starts in the middle of the scapular
    • A. 

      AC interference

    • B. 

      Artifact

    • C. 

      Midscapular line

    • D. 

      Wandering baseline


  • 53. 
    Immediately
    • A. 

      Stat

    • B. 

      Somatic tremor

    • C. 

      Anterior axillary line

    • D. 

      Dextrocardia


  • 54. 
    Voluntary or involuntary muscle movement; also known as body tremor
    • A. 

      Dextrocardia

    • B. 

      Wandering baseline

    • C. 

      Somatic tremor

    • D. 

      Anterior axillary line


  • 55. 
    An imaginary vertical line staring at the edge of the chest where the axillary region begins
    • A. 

      Anterior axillary line

    • B. 

      Somatic tremor

    • C. 

      Dextrocardia

    • D. 

      Wandering baseline


  • 56. 
    When the organs of the chest are on the reverse side
    • A. 

      Wandering baseline

    • B. 

      Dextrocardia

    • C. 

      Somatic tremor

    • D. 

      Anterior axillary line


  • 57. 
    It is necessary to place the ECG requisition or consult order in the patient's chart
    • A. 

      True

    • B. 

      False


  • 58. 
    Shoulder (deltoid) is an acceptable alternate site for electrode placement on the upper extremity
    • A. 

      True

    • B. 

      False


  • 59. 
    Universal precautions should be practiced on every patient when performing an ECG
    • A. 

      True

    • B. 

      False


  • 60. 
    Should the ECG machine kept clean to prevent infection and present a professional image
    • A. 

      True

    • B. 

      False


  • 61. 
    For a manual ECG machine, lead I should to equipment be standardized and set
    • A. 

      True

    • B. 

      False


  • 62. 
    A heart rhythm strip is usually run on lead II
    • A. 

      True

    • B. 

      False


  • 63. 
    A 15 or 18 lead ECG views right and posterior regions of the heart
    • A. 

      True

    • B. 

      False


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