Test Bank for ECG Essentials of Electrocardiography 1st Edition by Soto

Test Bank for ECG Essentials of Electrocardiography

1st Edition by Soto

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-1st-edition-by-soto/

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Chapter 6 - Electrocardiogram Basics

Multiple Choice

1. Which of the following means that the health care practitioner has discussed the procedure, the risks, and the
benefits of the ECG and allowed the patient to clarify any questions?
a. Implied consent
b. Necessary consent
c. Informed consent
d. Legal consent
ANSWER: c

2. ___________ the ECG procedure is very important for health care reimbursement.
a. Documenting
b. Recording
c. Completing
d. Analyzing
ANSWER: a

3. What is the purpose of an electrocardiogram?

a. To capture any heart irregularities
b. To measure heart muscle activity
c. To capture any arrhythmias
d. To reduce electrical interference from outside of the body
ANSWER: b

4. What are leads called that carry no current?

a. Bipolar
b. Depolarized
c. Unipolar
d. Ground
ANSWER: d

5. Why are ECG electrodes attached to the skin?

a. To help with the conduction of the sound
b. To measure heart muscle activity
c. To transfer the sound
d. To capture any patient events
ANSWER: a

6. What lead is orientated toward the left ventricle’s inferior wall?

a. aVR lead
b. aVL lead
c. aVF lead
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Chapter 6 - Electrocardiogram Basics

d. aV lead
ANSWER: c

7. The augmented limb leads give views of the heart from what view?
a. Transverse plane
b. Coronal
c. Hexaxial
d. Anterior wall
ANSWER: b

8. Which of the following is a function of an ECG?

a. To measure cardiac muscle hypertrophy
b. To identify cardiac output
c. To measure the mechanical contraction of the heart
d. To detect previous myocardial events
ANSWER: d

9. What type of ECG test is completed while the patient is exercising using the ECG machine and a treadmill or
stationary exercise bike?
a. STAT
b. Stress
c. Holter
d. Five lead
ANSWER: b

10. What does the five lead ECG primarily diagnose?

a. Chest tightness
b. Ventricular arrhythmias
c. Ventricular dysrhythmias
d. Enlargement of one side of the heart
ANSWER: c

11. According to the North American limb lead color code, what color is used for the right arm (RA)?
a. Red
b. Green
c. Black
d. White
ANSWER: d

12. The electrode for what lead is placed on the right side of the sternum at the 4th intercostal space?
a. Lead V3
b. Lead V4
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Chapter 6 - Electrocardiogram Basics

c. Lead V1
d. Lead V2
ANSWER: c

13. What is the only lead where it is acceptable to place the electrode over a bone?
a. Lead V3
b. Lead V2
c. Lead V4
d. Lead V1
ANSWER: a

14. The three lead ECG uses only which of the following lead combinations?
a. Right and left arm leads and right leg lead
b. Right and left arm leads and left leg lead
c. Right arm lead and right and left leg leads
d. Left arm lead and right and left leg leads
ANSWER: b

15. Using the three lead ECG for monitoring can detect _________________.
a. cardiac muscle hypertrophy
b. artifacts
c. serious arrhythmias
d. cardiac output
ANSWER: b

16. Which of the following can be made of foam, cloth, or wet gel and come in various sizes from neonate,
infant, pediatric, and adult?
a. Electrodes
b. Leads
c. Cables
d. Clips
ANSWER: a

17. According to the North American limb lead color code, what color is used for the left leg (LL)?
a. Red
b. White
c. Green
d. Black
ANSWER: a

18. All six limb leads view the heart’s electrical activity from the anterior to the posterior axis of the
______________.
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Chapter 6 - Electrocardiogram Basics

a. hexaxial view
b. coronal plane
c. transverse plane
d. horizontal plane
ANSWER: b

19. When would informed consent occur?

a. When a patient is brought into a medical facility for treatment
b. When the patient cannot provide written consent
c. In a non-emergency clinical situation
d. In a medical emergency
ANSWER: c

20. In placing precordial leads, be sure to affix all the electrodes on the left side of the sternum with the
exception of which lead?
a. Lead V3
b. Lead V4
c. Lead V2
d. Lead V1
ANSWER: d

21. What type of ECG is obtained with a 24-48 hour monitoring ECG machine?
a. Differential
b. Resting
c. Holter
d. Stress
ANSWER: c

22. Electrodes have a shelf life of approximately how many years?

a. Five
b. Two
c. One
d. Ten
ANSWER: b

23. Which of the following are usually specifically identified by color and two or three letters which identify the
location to place the electrodes?
a. Clips
b. Cables
c. Leads
d. Pads

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Chapter 6 - Electrocardiogram Basics

ANSWER: c

24. How many leads does the Holter monitor contain?

a. 6
b. 12
c. 3
d. 5
ANSWER: d

25. On an ECG, what measures the direction and intensity of voltage being discharged by the heart at a specific
time?
a. Leads
b. Clips
c. Cables
d. Electrodes
ANSWER: a

26. A lead that records the current in only one direction is called a _________ lead.
a. bipolar
b. ground
c. unipolar
d. one dimensional
ANSWER: c

27. The first three limb leads are identified as Lead I, Lead II, and Lead III and are all what type of leads?
a. Augmented
b. Bipolar
c. Ground
d. Unipolar
ANSWER: b

28. On a normal ECG, the electrical current in Leads I, II, and III are all moving in what direction?
a. Upward
b. Left
c. Downward
d. Right
ANSWER: a

29. What limb lead shows the potential difference between the left leg and left arm?
a. Lead II
b. Lead V3
c. Lead III
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Chapter 6 - Electrocardiogram Basics

d. Lead I
ANSWER: c

30. What is the purpose of the grounding electrode?

a. To capture any heart irregularities
b. To capture any arrhythmias
c. To measure heart muscle activity
d. To reduce electrical interference from outside of the body
ANSWER: d

31. What type of leads provide three views from a central point of the heart but only two of the views are of a
heart wall?
a. Modified leads
b. Augmented leads
c. Standard limb leads
d. Precordial leads
ANSWER: b

32.
A ___________ is a graphical record which is made up of lines showing the direction and strength of electrical
forces.
a. vector
b. diary of events
c. monitor
d. doctrine
ANSWER: a

33. The precordial leads are also called __________ leads.

a. vector
b. chest
c. central terminal
d. transverse
ANSWER: b

34. All six precordial leads are considered _____________leads.

a. ground
b. unipolar augmented
c. bipolar
d. positive unipolar
ANSWER: d

35. Which precordial lead provides a transverse plane view of the interventricular septum of the heart?
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Chapter 6 - Electrocardiogram Basics

a. Lead V4
b. Lead V3
c. Lead V1
d. Lead V2
ANSWER: c

36. Where is precordial Lead V4 positioned?

a. In the 5th intercostal space along a point of reference called the mid-clavicular line
b. On the chest opposite of the V1 electrode
c. On the right side of the sternum in the 4th intercostal space of the ribs
d. In the 5th intercostal space at a point of reference called the left anterior axillary line
ANSWER: a

37. Which precordial lead provides a view of the anterior wall of the left ventricle from the transverse plane?
a. Lead V3
b. Lead V2
c. Lead V4
d. Lead V1
ANSWER: a

38. A(n) __________ view means that the view of a particular wall can be viewed from more than one angle or
that additional lead views will provide alternative views when a heart injury is suspected.
a. frontal
b. reciprocal
c. hexaxial
d. precordial vector
ANSWER: b

39. What bone(s) goes straight down the middle of the chest?
a. Collar
b. Ribs
c. Clavicle
d. Sternum
ANSWER: d

40. Which of the following is the first step in patient preparation?

a. Prepare for the ECG by first gathering your supplies and preparing the machine
b. Identify yourself
c. Obtaining proper patient consent
d. Review with the patient how the test is performed
ANSWER: c
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Test Bank for ECG Essentials of Electrocardiography 1st Edition by Soto

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Chapter 6 - Electrocardiogram Basics

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