Exam 1 Study Guide

The state of balance and stability achieved when the body is functioning at its best is called:
Intercostal means:
The protein that transports oxygen in the blood is called:
Alveoli are tiny, elastic sacs in the lungs. They are surrounded by capillaries and attached to:
Coronary artery disease is marked by the build- up of this substance in the coronary arteries:
Fluid buildup in the lungs occurs in which type of heart failure?
The pads applied to a patient’s skin for an EKG are called:
Which two identifiers are typically used to establish a patient’s identity?
EKG technicians are responsible for:

 Providing physicians with a clear, accurate record of the patient’s heart activity
 Providing physicians with their interpretations of a patient’s heart rhythm
 Providing patients with a possible diagnosis based on an EKG
 Deciding if more tests are needed in addition to the EKG
Which of the following is true of how EKG technicians should approach pediatric patients?

 They should use language that matches the age of the patient.
 Which of the following is true of how EKG technicians should approach pediatric
patients? They should be treated just as adult patients are treated.
 They should use “baby talk” with pediatric patients.
 They should finish the test as quickly as possible and avoid discussion.
After a clear EKG tracing has been achieved, what should the technician check for before
proceeding?

 Lethal dysrhythmias and any ST segment abnormality

 Artifact
 The battery level of the EKG machine
 Any sign of dysrhythmia
Once an EKG technician is certified:

 She must renew certification at regular intervals

 She will never need to renew certification
 She will need to repeat the full certification process every five years
 She must renew certification only if she stops working as an EKG technician for some
time
In a medical setting, CHF is most likely to stand for:
EKG technicians should be familiar with medical terms because:

 These terms make communication with healthcare team members more accurate
 Patients expect to hear them from health- care workers
 These terms impress the nurses and doctors EKG technicians work with
 Most employers regularly test employees on their knowledge of these terms
If an employee has a problem or complaint about a work situation he should first:

 Talk to his immediate supervisor

 Talk to the facility’s executive director
 Talk to a coworker
 Post about the situation on the employer’s social media
An EKG technician’s father is admitted to a facility where the technician works. She is
concerned that he is not being treated as he should be and accesses his electronic records to
review notes on his care. Which of the following is true?

 She is not allowed to do this

 She is only allowed to do this with permission from a supervisor.
 Because she is a close relative of the patient she is allowed to do this.
 Because she is an employee at the facility she is allowed to do this.
Vital signs include:

 Blood pressure measurement

 Indication of patient’s mental status
 List of patient’s symptoms
 Notation of whether the patient is pale or flushed
An oral temperature reading of 37°C is considered:

 Normal
 Low
 Slightly elevated
 High
What is the most important way to prevent the spread of pathogens?

 Washing hands
 Using antibacterial wipes on all surfaces
 Wearing gloves
 Refusing to care for patients who appear to be sick
When should gloves be worn during electrode application?

 When a patient has a known contact- spread illness or open skin wounds/rashes
 Every time an EKG is performed
  When a patient is receiving cancer treatment
 When a patient has recently had a heart attack
Doff is another word for:
_________ are a type of Transmission-Based Precautions.

 Contact Precautions
 Standard Precautions
 Universal Precautions
 Remedial Precautions
An N95 respirator:
 Filters out 95% of airborne biological particles
 Filters out 95% of room air
 Filters out 95% of nonoxygen air components
 Covers 95% of a healthcare worker’s face
Excessive sweating is called:

 Diaphoresis
 Pallor
 Flushing
 Cyanosis
Skin that is _____ and clammy may accompany diaphoresis.

 Cool
 Dry
 Hot
 Blistered
When a stethoscope is used to listen to the heartbeat it is called:

 Auscultation
 Interpretation
 Palpation
 Oscillation
The medical term for the proper position of a stethoscope during auscultation of the heartbeat
is the _____ intercostal space in the _____ midclavicular line.

 fifth, left
 fifth, right
 fourth, left
 fourth, right
Breathing that requires visible effort regardless of body position can be called:
  Labored breathing
 Apnea
 Struggle breathing
 Orthopnea
What must be noted along with an oxygen saturation measurement?

 If the patient is receiving supplemental oxygen

 If the patient drinks alcohol
 If the patient is taking a blood pressure medication
 If the patient recently exercised
Which of the following is true about pain?

 It can affect other vital signs

 It is a vital sign
 It has psychological, but not physical, significance
 It does not have any significance in cardiology
A patient’s head is elevated degrees in Fowler’s position.

 45–60 degrees
 15–30 degrees
 30–45 degrees
 60–75 degrees
Which muscles contract during inhalation?

 Intercostal muscles
 Cranial muscles
 Trapezius muscles
 Cardiac muscles
How is oxygen delivered to the heart muscle?

 Oxygenated blood is carried to the heart muscle through the coronary arteries.
 It is absorbed as oxygenated blood passes through the heart.
 The heart muscle does not need oxygen.
 Oxygenated blood is carried to the heart through the venae cavae.
What condition is defined by chest pain that occurs when a patient is resting and not stressed?

 Unstable angina
 Myocardial infarction
 Diaphoresis
 Cardiac arrest
Backflow is another word for _______, a result of heart valve disease.
  Regurgitation
 Dyspnea
 Orthopnea
 Ascites
Which cardiac test may be ordered to get information about the mechanical function of the
heart?

 Echocardiogram
 Chest X-ray
 Stress test
 Electrocardiogram
Which of the following is a common type of ambulatory monitor?

 Holter monitor
 12-lead EKG
 Stress test
 Continuous monitor
What type of EKG is typically performed during the course of a stress test?

 12-lead EKG
 Holter monitoring
 5-lead EKG
 3-lead continuous monitoring
Lead ___ is the lead most commonly used to examine a patient’s heart rate and rhythm
 II
 I
 III
 AVF
Limb lead reversal is one of the most common errors in electrocardiography. Which two leads
are reversed to cause this error?

 RA and LA
 RA and RL
 RL and LL
 LA and LL
Distortion that can generate inaccurate EKG racings is known as:

 Artifact
 Error
 Interruption
 Interference
Why should an EKG machine be placed near the patient?

 Because tension in the lead wires can distort the EKG tracing
 Because the machine cannot read signals from farther away
 To allow the patient to type in her name and other details
 So the patient can see the readout on the screen
When a patient is wearing a telemetry pack:
 He can continue normal activity.
 He must phone the monitoring station any time he experiences cardiac symptoms.
 He must press a button every time he experiences cardiac symptoms.
 He must remain in a hospital bed at all times.
What is often done when a stress test is ordered for a patient who is unable to walk on a
treadmill or use a stationary bicycle?

 Stress is created with stimulant medications

 An echocardiogram is performed instead
 Stress is created by administering mild electric shocks
 The test is postponed until the patient’s condition allows for exercise
In order for a stress test on a 56-year-old patient to be valid, his heart rate must reach
approximately:

 140 BPM
 150 BPM
 130 BPM
 120 BPM
Standard instructions for a stress test include not eating or drinking anything except for water
for three hours before the test. Patients with _____ should consult their doctors as instructions
may be different for them.

 Diabetes
 Asthma
 A history of heart attack
 Coronary artery disease
Which form of exercise is not allowed during Holter monitoring?

 Swimming
 Jogging
 Yoga
 Weight Lifting