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APEX EKG Test/ 41 Questions with Detailed Solutions and Diagrams.

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 23 pages. Originally published on StudyMerit.

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23
Academic year
2025/2026
Language
English

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396 Name: ________________________________ This exam was created to reflect elements of various certification exams EKG technician candidates are likely to take. Subject matter for the questions is drawn from the test plans of certifying agencies and the length, time limit, and question styles are comparable to actual certification tests. The format of this test does not allow the drag-and-drop or point-and-click questions used on some certification exams, but several questions do involve visual elements. The sample exam contains 125 multiple choice questions and has a time limit of 2.5 hours. Some questions require the selection of more than one correct answer. These questions note clearly the number of correct answers required. 1. Which of the following waves on an EKG tracing relates to electrical activity in the atria ? (A) The Q wave (B) The T wave (C) The P wave (D) The R wave 2. Which of these questions is an appropriate way of checking one patient identifier before performing an EKG test? (A) “Is your name George Disher?” (B) “What is your last name, George?” (C) “Can you please state your first and last names?” (D) “Are your initials G.D.?” 3. Widened QRS complexes on an EKG tracing are signs of (A) Myocardial infarction (B) A ventricular dysrhythmia (C) An atrial dysrhythmia (D) Hypertension 4. A patient is nearing the target heart rate during an exercise stress test when he becomes diaphoretic and complains of intense chest pain. Which response from the EKG technician is best? (A) Stop the test and alert the doctor immediately (B) Tell the patient to hold on just a bit longer since hitting the target heart rate will provide better information about why he’s experiencing chest pain (C) Stop the test and begin CPR immediately (D) Continue the test while administering oxygen 5. The rhythm shown in this tracing is known as (A) Sinus arrest (B) Sinus bradycardia (C) Normal sinus rhythm (D) Sinus arrhythmia Downloaded by Clement Kariuki (clementkariuki738@gmail.com) lOMoARcPSD|69697795

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397 Name: ________________________________ 6. Under which of the following circumstances can an EKG technician discuss the details of a patient’s EKG or treatment? (Choose two correct answers.) (A) When a patient asks the technician for an interpretation of the EKG right after it is performed (B) When the technician is delivering the completed EKG and the patient’s chart to the cardiologist who ordered the test (C) When a colleague asks for information about a relative’s health (D) When the patient’s insurance company calls to confirm that an EKG was ordered and conducted (E) When the patient’s employer calls to ask if he is fit to continue working 7. Which of these sentences demonstrates patient understanding of directions for Holter monitoring? (A) “I will call the office each time I experience symptoms.” (B) “I will cover the electrodes, lead wires, and monitor with plastic when I swim or shower.” (C) “I will change the electrodes every 12 hours.” (D) “I will make a note in the diary when I exercise.” 8. This patient would require no changes to positioning or electrode placement: (A) An elderly man with orthopnea (B) A 35-year-old woman who is 20 weeks pregnant (C) An 8-year-old child (D) A 40-year-old man with a full cast on his right leg 9. What would be the best method for calculating the rate shown in the strip above? (A) Small block method (B) 300 method (C) 6-second method (D) 1500 method 10. Which of these electrodes is not involved in creating Einthoven’s triangle? (A) Right arm (B) Left arm (C) Right leg (D) Left leg 11. The PR intervals in this tracing could be described as (A) Concurrently identical (B) Progressively retrograde (C) Progressively prolonged (D) Consecutively distorted Downloaded by Clement Kariuki (clementkariuki738@gmail.com) lOMoARcPSD|69697795

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398 Name: ________________________________ 12. An intellectually disabled adult patient is frightened of the EKG machine and does not want to lie down for the test. What should the EKG technician do? (A) Gently but firmly assist the patient to lie down (B) Tell the patient she will give him a lollipop after the test is over (C) Offer to show the machine to the patient and answer any questions (D) Reschedule the test for a later time 13. Which leads will show changes if an EKG technician has reversed the right and left arm leads? (A) Leads II and aVL (B) Leads I and aVR (C) Leads V2 and V4 (D) Leads III and aVF For questions 14 and 15, refer to this illustration: 14. Which line represents the body’s midline? (A) The middle line in the left-hand image (B) The left-most line in the right-hand image (C) The left-most line in the left-hand image (D) The right-most line in the right-hand image 15. Which line is the midaxillary line? (A) The middle line in the left-hand image (B) The left-most line in the right-hand image (C) The left-most line in the left-hand image (D) The right-most line in the right-hand image 16. An EKG technician sees pacing spikes on a patient’s EKG but no electrical activity following the spikes. This is likely due to a pacemaker error known as (A) Failure to capture (B) Failure to sense (C) Failure to fire (D) Failure to pace 17. Which of the following should patients be advised not to do before an early-morning resting EKG? (A) Apply lotion or bath oil (B) Eat breakfast (C) Take their usual medications (D) Shower Downloaded by Clement Kariuki (clementkariuki738@gmail.com) lOMoARcPSD|69697795

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