ECG Chapter 4
- 1.
Extends from the sternum to the scapula
- A.
Suprasternal notch
- B.
Fifth intercostal
- C.
Manubrium
- D.
Right clavicles
Correct Answer
D. Right clavicles -
- 2.
The space between the fifth and sixth ribs
- A.
Suprasternal notch
- B.
Fifth intercostal
- C.
Manubrium
- D.
Right clavicles
Correct Answer
B. Fifth intercostal -
- 3.
The top of the sternum
- A.
Suprasternal notch
- B.
Fifth intercostal
- C.
Manubrium
- D.
Right clavicles
Correct Answer
C. Manubrium -
- 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
Correct Answer
A. Suprasternal notch -
- 5.
Fifth intercostal space, at the anterior axlliary line
- A.
V2
- B.
V3
- C.
V4
- D.
V5
Correct Answer
D. V5 -
- 6.
Fourth intercostal space, left sternal border
- A.
V1
- B.
V2
- C.
V3
- D.
V4
Correct Answer
B. V2 -
- 7.
Fifth intercostal space, at the midaxillary line
- A.
V3
- B.
V4
- C.
V5
- D.
V6
Correct Answer
D. V6 -
- 8.
Fifth intercostal space at the midclavicular line
- A.
V2
- B.
V3
- C.
V4
- D.
V5
Correct Answer
C. V4 -
- 9.
Fourth intercostal space, right sternal border
- A.
V1
- B.
V2
- C.
V3
- D.
V4
Correct Answer
A. V1 -
- 10.
Halfway between V2 and V4
- A.
V1
- B.
V2
- C.
V3
- D.
V4
Correct Answer
C. V3 -
- 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
Correct Answer
A. Fourth intercostal space, right sternal border -
- 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
Correct Answer
B. Fourth intercostal space, left sternal border -
- 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
Correct Answer
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
Correct Answer
B. Fifth intercostal space at the midcalvicular line -
- 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
Correct Answer
C. Fifth intercostal space at the anterior 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
Correct Answer
A. Fifth intercostal space at the midaxillary line -
- 17.
Front of the axilla
- A.
Midclavicalar line
- B.
Midaxillary line
- C.
Anterior axillary line
Correct Answer
C. Anterior axillary line -
- 18.
Middle of the axilla
- A.
Midclavicalar line
- B.
Midaxillary line
- C.
Anterior axillary line
Correct Answer
B. Midaxillary line -
- 19.
Usually passes through the nipple line
- A.
Midclavicalar line
- B.
Anterior axillary line
- C.
Midaxillary line
Correct Answer
A. Midclavicalar 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
Correct Answer
A. Locating the sternum and feeling for a dip at the edge -
- 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
Correct Answer
A. Maybe you can tell me why you don't wish to have an ECG done -
- 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
Correct Answer
C. At the fifth ICS, left midclavicular line -
- 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
Correct Answer
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
Correct Answer
B. Wash your hands -
- 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
Correct Answer
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
Correct Answer
B. Clean the leads and write ECG variations on tracing -
- 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
Correct Answer
B. At the fourth ICS, right 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
Correct Answer
C. Artifacts -
- 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
Correct Answer
C. Muscle movement -
- 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
Correct Answer
A. Apply new electrodes -
- 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
Correct Answer
A. Right arm -
- 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
Correct Answer
A. AIDS precautions -
- 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
Correct Answer
A. Unplug electrical equipment, move bed away from wall -
- 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
Correct Answer
C. Have patient place hands under his or her buttocks, remind patient not to move -
- 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
Correct Answer
B. Apply electrodes securely, remove tension from lead wires -
- 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
Correct Answer
A. In line with V4 on the midaxillary line -
- 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
Correct Answer
B. LL on left lower abdomen, RL on right lower abdomen -
- 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
Correct Answer
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
Correct Answer
A. Left side -
- 40.
Natural skin oils, moisturizer, and perspiration can contribute to artifact on an ECG tracing
- A.
True
- B.
False
Correct Answer
A. True -
- 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
Correct Answer
A. True -
- 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
Correct Answer
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
Correct Answer
A. Seizure -
- 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
Correct Answer
C. Angle of louis -
- 45.
Outer edge of the sternum
- A.
Intercostal space
- B.
Angle of louis
- C.
Sternal border
- D.
Midclavicular line
Correct Answer
C. Sternal border -
- 46.
The space between two ribs
- A.
Intercostal space
- B.
Midclavicular line
- C.
Sternal border
- D.
Angle of louis
Correct Answer
A. Intercostal space -
- 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
Correct Answer
B. Midclavicular line -
- 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
Correct Answer
A. Wandering baseline -
- 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
Correct Answer
B. Midaxillary line -
- 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
Correct Answer
A. Artifact -
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