ECG Chapter 4

1. Immediately

Stat

Somatic tremor

Anterior axillary line

Dextrocardia

2. Halfway between V2 and V4

V1

V2

V3

V4

3. To prevent disease transmission during an ECG, you should

Check the ground prong

Wash your hands

Raise the side rail

Lower the bed

4. Should the ECG machine kept clean to prevent infection and present a professional image

True

False

5. Universal precautions should be practiced on every patient when performing an ECG

True

False

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

Seizure

Angle of louis

Sternal border

Intercostal space

7. An imaginary vertical line theat starts in the middle of the axillary region

Wandering baseline

Midaxillary line

Somatic tremor

AC interference

8. When applying chest leads, V1 is placed

Midway between V3 and V5

At the fourth ICS, right sternal border

At the fifth ICS, left midclavicular line

At the fourth ICS, left sternal border

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

True

False

10. An imaginary vertical line staring at the edge of the chest where the axillary region begins

Anterior axillary line

Somatic tremor

Dextrocardia

Wandering baseline

11. The space between two ribs

Intercostal space

Midclavicular line

Sternal border

Angle of louis

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

True

False

13. V1

Fourth intercostal space, right sternal border

Fourth intercostal space, left sternal border

Fifth intercostal space, the midaxillary line

Halfway between V2 and V4

14. V2

Fourth intercostal space, right sternal border

Fourth intercostal space, left sternal border

Fifth intercostal space, the midaxillary line

Halfway between V2 and V4

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

True

False

16. Middle of the axilla

Midclavicalar line

Midaxillary line

Anterior axillary line

17. When the organs of the chest are on the reverse side

Wandering baseline

Dextrocardia

Somatic tremor

Anterior axillary line

18. An imaginary vetical line on the back that starts in the middle of the scapular

AC interference

Artifact

Midscapular line

Wandering baseline

19. V3

Fourth intercostal space, right sternal border

Fourth intercostal space, left sternal border

Fifth intercostal space, the midaxillary line

Halfway between V2 and V4

20. V6

Fifth intercostal space at the midaxillary line

Fifth intercostal space at the midcalvicular line

Fifth intercostal space at the anteriro line

Fourth intercostal space, right sternal border

21. Voluntary or involuntary muscle movement; also known as body tremor

Dextrocardia

Wandering baseline

Somatic tremor

Anterior axillary line

22. A heart rhythm strip is usually run on lead II

True

False

23. Somatic tremors are caused by

Electrical current leak

Tracing drifts away from center

Muscle movement

Contact with another electrical device

24. An imaginary line on the chest that runs vertically through the center of the clavicle

Intercostal space

Midclavicular line

Sternal border

Angle of louis

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

True

False

26. When applying chest leads, V2 is placed

Midway between V3 and V5

At the fourth ICS, right sternal border

At the fifth ICS, left midclavicular line

At the fourth ICS, left sternal border

27. V4

Fifth intercostal space at the midaxillary line

Fifth intercostal space at the midcalvicular line

Halfway between V2 and V4

Fourth intercostal space, right sternal border

28. Fourth intercostal space, right sternal border

V1

V2

V3

V4

29. The space between the fifth and sixth ribs

Suprasternal notch

Fifth intercostal

Manubrium

Right clavicles

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

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

Don't worry; it only takes a few seconds

Your doctor has ordered this test and it must be done

I will have to report you to my supervisor immediately

31. Usually passes through the nipple line

Midclavicalar line

Anterior axillary line

Midaxillary line

32. Fifth intercostal space, at the anterior axlliary line

V2

V3

V4

V5

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

True

False

34. Fifth intercostal space at the midclavicular line

V2

V3

V4

V5

35. Fourth intercostal space, left sternal border

V1

V2

V3

V4

36. Outer edge of the sternum

Intercostal space

Angle of louis

Sternal border

Midclavicular line

37. Front of the axilla

Midclavicalar line

Midaxillary line

Anterior axillary line

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

AIDS precautions

Droplet precaution

Airborne precaution

Contact precaution

39. 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)

Wandering baseline

Midaxillary line

Somatic tremor

AC interference

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

True

False

41. When applying chest leads, V4 is placed

Midway between V3 and V5

At the fourth ICS, right sternal border

At the fifth ICS, left midclavicular line

At the fourth ICS, left sternal border

42. Approach the patient from the____________when performing an ECG

Left side

Right side

Top

Bottom

43. The dip at the base of the neck just above where the clavicle attaces to the sternum

Suprasternal notch

Fifth intercostal

Manubrium

Right clavicles

44. When applying chest leads, V6 is placed

In line with V4 on the midaxillary line

At the fourth ICS, right sternal border

At the fifth ICS, left midclavicular line

At the fourth ICS, left sternal border

45. Marks on the ECG tracing caucing by another source of activity are

Asystole

Conduction marks

Artifacts

Wandering baseline

46. 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

True

False

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

Midclavicular line

Sternal border

Angle of louis

Intercostal space

48. Fifth intercostal space, at the midaxillary line

V3

V4

V5

V6

49. Which of the following are ways to correct somatic tremor?

Unplug electrical equipment, move bed away from wall

Apply electrodes securely, remove tension from lead wires

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

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

50. V5

Fourth intercostal space, right sternal border

Fifth intercostal space at the midcalvicular line

Fifth intercostal space at the anterior line

Fifth intercostal space at the midaxillary line

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

Right arm

Left arm

Left leg

None of the above

52. Which of the following would not be done prior to performing an ECG?

Receive and validate the order

Clean the leads and write ECG variations on tracing

Check and change paper if necessary

Enter patient data into machine

53. Which of the following are ways to correct AC interference?

Unplug electrical equipment, move bed away from wall

Apply electrodes securely, remove tension from lead wires

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

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

54. Safety procedures specific to the ECG include the following

Wash hands, clean up all spills immediately

Lower bed, raise the side rail

Check the ground prong, give the call signal

Check the lead wires, insulation, and ground prong

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

LL on left upper leg, RL on right lower leg

LL on left lower abdomen, RL on right lower abdomen

LL on left lower leg, RL on right upper leg

LL on left lower abdomen, RL on right lower leg

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

Speak in children's terms

Use smaller ECG electrodes

Perform a V3R tracing

Use a special ECG machine

57. Unwanted marks on the ECG caused by electrical activity from sources other than the heart

Artifact

Midscapular line

AC interference

Wandering baseline

58. For placement of the electrodes, how is the ICS located?

Locating the sternum and feeling for a dip at the edge

Finding the ribs near the nipple line

Locating the clavicle and feeling for dent directly below it

Locating the space between the clavicle and V4

59. Which of the following are ways to correct wandering baseline?

Unplug electrical equipment, move bed away from wall

Apply electrodes securely, remove tension from lead wires

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

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

60. Unwanted marks on the ECG tracing caused by other electrical sources

Wandering baseline

Midscapular line

Artifact

AC interference

61. Extends from the sternum to the scapula

Suprasternal notch

Fifth intercostal

Manubrium

Right clavicles

62. The top of the sternum

Suprasternal notch

Fifth intercostal

Manubrium

Right clavicles

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

Apply new electrodes

Reposition the electrodes

Ensure that the wires are not crossing

All of the above

ECG Chapter 4

1. Immediately

2.

What first name or nickname would you like us to use?

2. Halfway between V2 and V4

3. To prevent disease transmission during an ECG, you should

4. Should the ECG machine kept clean to prevent infection and present a professional image

5. Universal precautions should be practiced on every patient when performing an ECG

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

7. An imaginary vertical line theat starts in the middle of the axillary region

8. When applying chest leads, V1 is placed

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

10. An imaginary vertical line staring at the edge of the chest where the axillary region begins

11. The space between two ribs

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

13. V1

14. V2

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

16. Middle of the axilla

17. When the organs of the chest are on the reverse side

18. An imaginary vetical line on the back that starts in the middle of the scapular

19. V3

20. V6

21. Voluntary or involuntary muscle movement; also known as body tremor

22. A heart rhythm strip is usually run on lead II

23. Somatic tremors are caused by

24. An imaginary line on the chest that runs vertically through the center of the clavicle

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

26. When applying chest leads, V2 is placed

27. V4

28. Fourth intercostal space, right sternal border

29. The space between the fifth and sixth ribs

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

31. Usually passes through the nipple line

32. Fifth intercostal space, at the anterior axlliary line

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

34. Fifth intercostal space at the midclavicular line

35. Fourth intercostal space, left sternal border

36. Outer edge of the sternum

37. Front of the axilla

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

39. 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)

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

41. When applying chest leads, V4 is placed

42. Approach the patient from the____________when performing an ECG

43. The dip at the base of the neck just above where the clavicle attaces to the sternum

44. When applying chest leads, V6 is placed

45. Marks on the ECG tracing caucing by another source of activity are

46. 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

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

48. Fifth intercostal space, at the midaxillary line

49. Which of the following are ways to correct somatic tremor?

50. V5

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

52. Which of the following would not be done prior to performing an ECG?

53. Which of the following are ways to correct AC interference?

54. Safety procedures specific to the ECG include the following

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

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

57. Unwanted marks on the ECG caused by electrical activity from sources other than the heart

58. For placement of the electrodes, how is the ICS located?

59. Which of the following are ways to correct wandering baseline?

60. Unwanted marks on the ECG tracing caused by other electrical sources

61. Extends from the sternum to the scapula

62. The top of the sternum

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