ECG Chapter 6

1. You should check the manufacture direction and the diagram provide with the test machine for correct placement of the lead for exercise electrocardiography

True

False

2. High blood pressure

THR (target heart rate)

Hypertension

False positive

Myocardium

3. Middle layer of the heart compsed of muscle tissue

THR (target heart rate)

Hypertension

False positive

Myocardium

4. Calculated by subtracting your age from 220

THR (target heart rate)

Hypertension

False positive

Myocardium

5. Emergency equipment should be available in the room or nearby during exercise electrocardiography

True

False

6. Medication used to treat hypertension

Angina

Beta blocker

Congestive heart failure

Dysrhythmia

7. Loss of normal rhythm of the heart beat

Angina

Beta blocker

Congestive heart failure

Dysrhythmia

8. A physician who specializes in the study of the heart

Angiogram

Echocardiogram

Coronary vascular disease

Cardiologist

9. Exercise electrocardiography that is invasive becaues of injection of a radiopaque substance to view the vessels around the heart

Myocardium

Thallium stress test

False positive

Hypertension

10. Patients should wear comfortable, casual clothing on the day of the test including tennis shoes and loose fitting pants

True

False

11. Patient should be encouraged to report any symptoms such as shortness of breath, weakness, dizziness, or fatigue during exercise electrocardiography

True

False

12. The equipment that should be prepared before the patient's arrival: Blood pressure equipment, shaving equipment, abrasive skin cleaner, skin rasp, alcohol solution, 2 x 2 or 4 x 4 gauze, chest electrodes, stress test unit, lead wires, treadmill or stationary bicycle, adhesive tape belt (used to attach monitoring unit) or mesh vest.

True

False

13. Accumulation of plaque and fatty deposits in the coronary arteries

Angiogram

Echocardiogram

Coronary vascular disease

Cardiologist

14. Noninvasive diagnostic test that uses ultrasound to study the heart and blood vessels

Angiogram

Echocardiogram

Coronary vascular disease

Cardiologist

15. A modified Bruce Protocol is most often used during a stress test for patient with an exercise capacity limited by cardiac disease

True

False

16. When a diagnostic test indicates that disease is present and in reality it is not

THR (target heart rate)

Hypertension

False positive

Myocardium

17. Failure of the heart to pump an adequate amount of blood to the tissue

Angina

Beta blocker

Congestive heart failure

Dysrhythmia

18. A noninvasive procedure does not require entrance into a body cavity, tissue, or blood vessel

True

False

19. What should the patient know for the procedure? The patient shouldn't smoke or drink alcohol or caffeine 3 hours prior to the test, don't eat 2 hours before the test, wear comforatable clothes and shoes (tennis shoes and loose pants make the exercise easier) Some medications should not be taken prior to the test because it may interfere.

True

False

20. When educating the female patient for excercise electrocardiography, you should instruct her not to wear

Shorts

Tennis shoes

An under wire bra

Comfortable clothing

21. Informed consent is not necessary when performing this procedure

True

False

Informed consent is always necessary when performing this procedure

Explanation

Informed consent is always necessary when performing this procedure

22. The Persantine-thallium stress test is for patients who exercise too much.

True

False

The Persantine- thallium stress test is for patients who can't exercise, it is similar to the thallium test. The physician or nurse administers medication called Persantine (dipyridamole) which makes the heart exercise. Both thallium and Persantine must be injected into the patient to test how the heart exercises during the testing.

Explanation

The Persantine- thallium stress test is for patients who can't exercise, it is similar to the thallium test. The physician or nurse administers medication called Persantine (dipyridamole) which makes the heart exercise. Both thallium and Persantine must be injected into the patient to test how the heart exercises during the testing.

23. Whick of the following is measuring during exercise electrocardiography?

Blood pressure and temperature

Blood pressure and weight

12-lead ECG and weight

12-lead ECG and blood pressure

24. Pain around the heart caused by lack of oxygen to the heart

Angina

Beta blocker

Congestive heart failure

Dysrhythmia

25. After a stress test, the patient should avoid alcohol, tobacco, and caffeine for at least 3 hours

True

False

26. You should discuss the results of exercise electrocardiography with the patient as soon as the results are available

True

False

Physician should discuss the results of exercise electrocardiography with the patient as soon as the results are available

Explanation

Physician should discuss the results of exercise electrocardiography with the patient as soon as the results are available

27. What is your most important responsibility during excercise electrocardiography?

Providing for safety

Applying the leads

Monitoring the ECG tracing

Taking the patient's blood pressure

28. A beta blocker is

A protocol for exercise electrocardiography

A medication for hypertension

Necessary when performing exercise electrocardiography

A medication for heart disease

29. What does exercise electrocardiography help identify? Cause of chest pain, functional capacity of the heart, screen of heart disease, set limits for exercise, cause of abnormal heart rhythm, heart medications

True

False

30. You should take medications like beta blockers prior to the test.

True

False

You shouldn't take medications like beta blockers prior to the test because they are drugs used to treat hypertension that could affect the test results or delay the test. Some common cardiovascular medications: Atenolol, Metoprolol, Propranolol, Sotalol, Labetolol, and Digoxin

Explanation

You shouldn't take medications like beta blockers prior to the test because they are drugs used to treat hypertension that could affect the test results or delay the test. Some common cardiovascular medications: Atenolol, Metoprolol, Propranolol, Sotalol, Labetolol, and Digoxin

31. The ST depression may indicate a cancer symptom.

True

False

The ST depression indicates a myocardial ischemia (not enough blood going to the heart).

Explanation

The ST depression indicates a myocardial ischemia (not enough blood going to the heart).

32. Which of the following conditions would be a reason that a patient should not perform excercise electrocardiography?

Coronary vascular disease

Previous heart failure

Congestive heart failure

Previous symptoms of angina

33. A noninvasive procedure requires entrance into a body cavity, tissue, or blood vessel.

True

False

34. How many days may it take to obtain the results of an exercise ECG? answer

True

False

10 days

Explanation

10 days

35. During exercise electrocardiography, your patient appear to be short of breath. After informing the physician of your suspicions, what would you do?

Continue the test

Take the patient's blood pressure

Ask the patient to stop the exercise portion of the test

Without the patient's knowledge, count the respiratory rate and compare to the previous rate

36. After exericise electrocardiography, the patient should not take a hot bath or shower for at least 2 hours

True

False

37. X-ray taken of the blood vessels after injection of a radiopaque substance

Angiogram

Echocardiogram

Coronary vascular disease

Cardiologist

38. Any patient can participate in exercising electrocardiography even if they have heart disease and others.

True

False

Some health conditions prevent patients from participating in exercise electrocardiography such as: Heart aneurysm, uncontrolled disturbances in the heartbeat, inflammation surrounding the heart of heart muscle, severe anemia, uncontrolled hypertension (high blood pressure), unstable angina (chest pain), Congestive heart failure (the heart's failure to pump an adequate volume of blood)

Explanation

Some health conditions prevent patients from participating in exercise electrocardiography such as: Heart aneurysm, uncontrolled disturbances in the heartbeat, inflammation surrounding the heart of heart muscle, severe anemia, uncontrolled hypertension (high blood pressure), unstable angina (chest pain), Congestive heart failure (the heart's failure to pump an adequate volume of blood)

39. The thallium stress test is the exact same thing as the treadmill stress test.

True

False

All of the monitoring and exercising is the same except thallium is injected into the patient 1 to 2 minutes before the treadmill test is over. They rest for 3 to 4 hours and the cardiologist takes pictures or scans the heart which takes 10 to 20 minutes. This is to determine if there is a decrease in blood flow to any area of the heart.

Explanation

All of the monitoring and exercising is the same except thallium is injected into the patient 1 to 2 minutes before the treadmill test is over. They rest for 3 to 4 hours and the cardiologist takes pictures or scans the heart which takes 10 to 20 minutes. This is to determine if there is a decrease in blood flow to any area of the heart.

40. What is measured during each stage of the exericse electrocardiography procedure? 2 things

True

False

blood pressure and ECG

Explanation

blood pressure and ECG

41. How many minutes should the patient be monitored following an exercise ECG? answer

True

False

monitor patient for 10-15 minute after test (cooling off period)

Explanation

monitor patient for 10-15 minute after test (cooling off period)

42. What type of test would be performed on a patient who is unable to stand or exercise?

Thallium stress test

Persantine-thallium test

Theadmill stress test

Cardiac stress test

43. A Naughton protocol is most commonly utilized for a stress test

True

False

A Bruce Protocol is most commonly utilized for a stress test

Explanation

A Bruce Protocol is most commonly utilized for a stress test

44. Mr. Jones is on several medications and is scheduled for an exericise electrocardiography test tomorrow. What should you do first to determine if he should take his medications prior to the test?

Check the chart or order

Ask the physician

Instruct the patient not to take his beta blocker medications

Mr. Jones should take all of his medications since they are necessary for his treatment

45. Patient should avoid alcohol, tobacco, and caffeine for at least 8 hours prior to exercise electrocardiography

True

False

at least 3 hours

Explanation

at least 3 hours

46. Which stress test variation can be used in a patient who is unable to exercise?

True

False

Persantine-thallium stress test

Explanation

Persantine-thallium stress test

47. Which substances should the patient avoid 3 hours prior to the procedure? 3 things

True

False

Alcohol, caffeine, and tabacco

Explanation

Alcohol, caffeine, and tabacco

48. A 12-lead ECG is obtained toward the beginning of each stage of exercise

True

False

A 12-lead ECG is obtained toward the end of each stage of exercise

Explanation

A 12-lead ECG is obtained toward the end of each stage of exercise

49. A treadmill stress test is typically performed for which disease?

True

False

coronary vascular disease

Explanation

coronary vascular disease

50. What should be monitored during exercise electrocardiography? answer 6 different

True

False

ECG, blood pressure, heart rate, skin temperature, oxygen level, and physical

Explanation

ECG, blood pressure, heart rate, skin temperature, oxygen level, and physical

Submit

ECG Chapter 6

1. You should check the manufacture direction and the diagram provide with the test machine for correct placement of the lead for exercise electrocardiography

2.

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

2. High blood pressure

3. Middle layer of the heart compsed of muscle tissue

4. Calculated by subtracting your age from 220

5. Emergency equipment should be available in the room or nearby during exercise electrocardiography

6. Medication used to treat hypertension

7. Loss of normal rhythm of the heart beat

8. A physician who specializes in the study of the heart

9. Exercise electrocardiography that is invasive becaues of injection of a radiopaque substance to view the vessels around the heart

10. Patients should wear comfortable, casual clothing on the day of the test including tennis shoes and loose fitting pants

11. Patient should be encouraged to report any symptoms such as shortness of breath, weakness, dizziness, or fatigue during exercise electrocardiography

13. Accumulation of plaque and fatty deposits in the coronary arteries

14. Noninvasive diagnostic test that uses ultrasound to study the heart and blood vessels

15. A modified Bruce Protocol is most often used during a stress test for patient with an exercise capacity limited by cardiac disease

16. When a diagnostic test indicates that disease is present and in reality it is not

17. Failure of the heart to pump an adequate amount of blood to the tissue

18. A noninvasive procedure does not require entrance into a body cavity, tissue, or blood vessel

20. When educating the female patient for excercise electrocardiography, you should instruct her not to wear

21. Informed consent is not necessary when performing this procedure

22. The Persantine-thallium stress test is for patients who exercise too much.

23. Whick of the following is measuring during exercise electrocardiography?

24. Pain around the heart caused by lack of oxygen to the heart

25. After a stress test, the patient should avoid alcohol, tobacco, and caffeine for at least 3 hours

26. You should discuss the results of exercise electrocardiography with the patient as soon as the results are available

27. What is your most important responsibility during excercise electrocardiography?

28. A beta blocker is

29. What does exercise electrocardiography help identify? Cause of chest pain, functional capacity of the heart, screen of heart disease, set limits for exercise, cause of abnormal heart rhythm, heart medications

30. You should take medications like beta blockers prior to the test.

31. The ST depression may indicate a cancer symptom.

32. Which of the following conditions would be a reason that a patient should not perform excercise electrocardiography?

33. A noninvasive procedure requires entrance into a body cavity, tissue, or blood vessel.

34. How many days may it take to obtain the results of an exercise ECG? answer

35. During exercise electrocardiography, your patient appear to be short of breath. After informing the physician of your suspicions, what would you do?

36. After exericise electrocardiography, the patient should not take a hot bath or shower for at least 2 hours

37. X-ray taken of the blood vessels after injection of a radiopaque substance

38. Any patient can participate in exercising electrocardiography even if they have heart disease and others.

39. The thallium stress test is the exact same thing as the treadmill stress test.

40. What is measured during each stage of the exericse electrocardiography procedure? 2 things

41. How many minutes should the patient be monitored following an exercise ECG? answer

42. What type of test would be performed on a patient who is unable to stand or exercise?

43. A Naughton protocol is most commonly utilized for a stress test

44. Mr. Jones is on several medications and is scheduled for an exericise electrocardiography test tomorrow. What should you do first to determine if he should take his medications prior to the test?

45. Patient should avoid alcohol, tobacco, and caffeine for at least 8 hours prior to exercise electrocardiography

46. Which stress test variation can be used in a patient who is unable to exercise?

47. Which substances should the patient avoid 3 hours prior to the procedure? 3 things

48. A 12-lead ECG is obtained toward the beginning of each stage of exercise

49. A treadmill stress test is typically performed for which disease?

50. What should be monitored during exercise electrocardiography? answer 6 different

51. What are the five similar names of Exercise electrocardiography?