The ECG and cardiac monitor measure The normal conduction time for the QRS

The electrical activity of the heart complex is:

.06 to .10 seconds.
During the Contraction phase of the cardiac
cycle,the heart: The T wave represents the:
Pumps blood to the body Resting Phase

The normal pacemaker of the heart is in the: A condition in which the heart has many
Right Atrium different pacemakers within the atria is:
atrial fibrilation
The normal rate of the pacemaker is:
60-100 beats per a minute An indication that the pacemaker is in the A-V
junction is that the:
Ectopic beats may occur if the normal shape of the P waves is abnormal
pacemaker falls below:
50 Beats per a minute When the patient is having unifocal PVC's, you
know that the pacemaker is in:
The A-V node can pace the heartbeat at the rate one area of the ventricles
of:
40-60 beats per a minute In a patient wiht myocardial infarction, which of
the following conditions can be life threatening?
The part of the cardiac cycle that results in a Multifocal PVC's
palpable pulse is the:
Ventricular contraction Ventrcular tachycardia:
must be treated immediately
The ventricles can pace the heartbeat at a rate
of: A patient who is ventricular fibrillation always
20-40 beats per a minute requries:
CPR
The working phase of the cardiac cycle is:
systole According to Einthoven, electrical activity in the
heart is viewed in:
Each small block on the ECG paper represents: three dimensions
.04 Seconds
In the standard ECG:
Each large block on the ECG paper represents : 12 Leads are used
.20 Seconds
The standard leads are
The P wave represents the: I, II, III
pacemaker firing
The central terminal includes
The normal PR interval is: AVR, AVL, and AVF
.12 to .20 seconds
The posterior tibial pulse is located
on the inner ankle
The dorsalis pedis pulse is located:
on the top of the foot
Complications of cardiac catheterization include
Myocadial infarction
Do not place the blood pressure cuff on an arm
with a:
Dialysis access device
A special dye that is injected through the
intravenous catheter during an X-ray is:
contrast medium

Following cardiac catherterization, monitor the After an angiogram or arteriogram, the paitent
affected extremity for: will remain on bedrest for:
color and temperature 4-6 hours

Rhythms (and beats) originating in the A-V node Any tissue in the heart is capable of conducting
may be called: electrial impulses.
Junctional True

When you have finished taking the ECG, roll the To interpret the cardiac monitor, the PCT must
tracing so: have a good understanding of the conduction
The V-leads are at the end and lead II is at the system of the heat
beginning True

To take an apical pulse, position the diaphragm The cardiac cycle consists of 4 phases
of the stethoscope False
just below the left nipple
The ST segment may be elecated if the patient
The difference between the apical pulse and is in congestive heart failure
radial puse is the True
pulse deficit
Ventricular rhythms can be life- threatening in
the pulse in the groin area is the the presence of myocardial infarction
femoral pulse True

An instrument that amplifies sounds, similar to Cleaning the patients skin with alcohol
a stethoscope, is a promotes adherence of the ECG electrodes
Doppler True

Prehypertension is a blood pressure value Allow the conductive gel to dry before applying
between the ECG electrodes.
120/80 mm Hg and 139/89 mm Hg False

Prehypertension means: A dysrhythmia is an abnormal heart rhythm

The patient is likely to develop high blood True
pressure in the future
Telemetry allows the monitored patent to be
ambulatory
True
The Doppler is an amplified stethoscope
True
Notifly the RN at the end of the shift if you
cannot locate a patients pulse
False
Dry electrodes do not produce a high-quality
tracing
true
take an apical pulse on any child who is 18
months of age or younger
true
The tricuspid valve is located between the?
Right Atrium & Ventricle
Blood flows out from the ______ and into the
aorta.
Left Ventricle
The ______ Walls are thin, one-celled
structures.
Capillary
Which type of cardiovascular test uses sound
waves to help identify deep vein thrombosis?
Doppler Ultrasonography
Which Type of Cardiovascular test measures the
passage of blood through the coronary arteries
to the myocardium?
Myocardial Perfusion Imaging
Which type of aneurysm is detectable on
palpation as a pulsating mass in an area around
the umbilicus ?
Abdominal Aortic Aneurysm
The term ______ is used to identify an
abnormal changes in the heart rhythm.
Arrhythmia
With Congestive heart failure (CHF), the
Myocardium of the ______ is most commonly
affected.
Left Ventricle
Which of the following is a condition in which
the heart pumps to weakly to supply the body
with blood?
Heart Failure
A patient is considered to have hypertension if
the blood pressure is consistently elevated
above?
140/90
Which of the following is a disease in which the
walls of the ventricles of the heart are markedly
thickened?
Hypertrophic Cardiomyopathy
Which of the following is not a common cause
of hypotension?
Poor Diet
Which of the following conditions involves the
localized inflammation of a vein?
Phlebitis
The first part of the cardiac cycle is called
Atrial Depolarization
ECGs are most often performed along with the
routine annual physical examination every?
5 to 10 years
The ECG tracing is generated in about ______
on a single 8 x 10 sheet of ECG paper.
1 Minute

Who interprets an ECG?
Provider
ECG paper for single-channel machines comes
in which form?
Roll
The paper moves through an ECG Machines at a
rate of ______ mm Per Second.
25
The distance across _____ Large Squares on a
ECG paper represents 1.0 second?
5
The Bipolar leads are attached to which parts of
the body?
Upper outer arms and inner lower calves
Which ECG lead records the voltage difference
between the left arm and the left leg?
Lead III
The ______ records the hearts voltage
difference between the left leg electrode and a
central point between the right arm and left
arm?
aVF
Cardiac patients should be instructed to:
Take their prescribed medications regularly and
report any problems immediately
If the ECG tracing is too large, the sensitivity dial
should be turned down 1/2 to produce a
standardization mark:
5MM high and 2MM wide
If the ECG cycles are too close together, the
speed can be changed to ______ MM per
second.
50
When placing the ECG electrodes on a patients
lower leg, the connectors should point:
UP
Atrial Fibrillation:
Produces a heart rate that ranges from 400 to
500 BPM
Premature ventricular contractions are not
commonly seen in patients with:
Leukemia
Ventricular fibrillation is seen in patients with:
Cardiac disease
When using a Holter monitor, the ECG
electrodes are attached to a patient's ?
Chest Wall
Consistently slow heart rate?
Bradycardia
These have the ectopic pacemaker focused at
the junction of the AV node and the bundle of
his ?
Premature Junctional Contractions (PJCs)
Contraction phase of a heartbeat?
Systole
Device used to discharge a strong electrical
current into a patients heart through electrode
paddles held against the bare chest wall?
Defibrillator
Cause the atria to contract ahead of the
anticipated time
Premature atrial contraction (PACs)
BAD Cholesterol
Low-Density-Lipoprotein
Consistently rapid heart rate
Tachycardia
GOOD Cholesterol Form of hypertension in which blood pressure
High-Density-Lipoprotein arises rapidly and severely, and may not
respond to treatment?
Relaxation Phase of a heartbeat Malignant
Diastole
Small, temporary interruption of blood flow,
Originate in the ventricle and cause contraction also known as a warning stroke?
ahead of the next anticipated beat? Transient Ischemic Attack
Premature ventricular contractions (PVCs)
Backward flow of blood into the left atrium ?
From the lungs to the left atrium of the heart? Regurgitate
Pulmonary
Refers to a "Leaking Valve" ?
In the thigh from the knee into the pelvis ? Stenotic
E Sepehnous
Stroke in which a blood vessel ruptures and the
From the arm to the brachiocephalic?f escaping blood damages brain tissue either by
Brachial pressure against it or from lack of circulation
through the tissue?
From the head and neck? Hemorrhagic Stroke
Jugular
Stagnation of blood ?
From the arm to the brachiocephalic? Stasis
Cephalic
Interference with circulation ?
From the saphenous and femoral to the inferior Infarction
vena cava?
Common iliac Form of hypertension in which the blood
pressure rises moderately over a fairly long
Coronary Vein?
All upper-body veins to the right atrium of the Benign
heart?
Superior Vena Cava Stainless steel mesh tube commonly used with
balloon catheter to prop open a coronary vein?
From the feet to the thigh? Stent
Tibial
Inherited condition due to an autosomal
In the thigh from the knee into the pelvis? recessive trait?
Femoral Sickle Cell Anemia

all lower-body veins to the right atrium of the Placed on the patients limbs and chest for an
heart? ECG?
Inferior Vena Cava Electrodes
Makes tracing easy to read and copy because
they are clear and legible and standardized,
creating a universal reading process for all
providers?
Dot Matrix Paper
Device used to perform a "24-Hour ECG" on
patients who have normal routine ECGs but still
have intermittent or irregular chest pain or
discomfort?
Holter Monitor

Procedure frequently used in the diagnosis of Heart Rate of less than 60BPM?
heart disease and dysfunction? Sinus Bradycardia
Electrocardiogram
Caused by an electrode becoming separated
Pacemaker of the heart ? from the wire or by a broken lead wire?
Sinoatrial (SA) node Interrupted baseline

To become larger? Device designed to provide a counter-shock to

Augmentted convert an irregular heart rhythm to a regular
sinus rhythm?
Ventricular action that is represented by the T Defibrillator
Wave on the ECG paper?
Repolarization Caused by electrical activity?
AC interference
Part of the ECG machine that enlarges the
electrical impulses Noninvasive diagnostic tool that tests the
Amplifier structure and function of the heart through the
use of sound waves?
Any movement of the patient during the ECG Echocardiogram
may causes this on the tracing?
Interference An irregularity in the heart's rhythm?
Arrhythmia
Cause the muscles of the ventricles to contract
and produce the QRS complex of waves on the Heart rate of above 100BPM?
ECG paper? Tachycardia
Purkinje Fibers
Performed on patients who are at High Risk for
Part of the ECG machine that transforms developing heart disease?
electrical impulses into mechanical motion ? ECG stress test
Galvanometer
Shivering from nervousness or cold or a
Usually accompanies a sedentary lifestyle? neurological condition?
Obesity Somatic Tremor

Heated pen-like instrument that produces a

printed representation on the ECG paper?
Stylus