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Which of these allow you to adjust the position of the stylus?


A) Centering control
B) Sensitivity control
C) Marker control
D) Standardization control
E) Stylus temperature control

F) C) and D)
G) A) and C)

Correct Answer

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Which of the following delays the electrical impulse for muscle contraction, giving the atria time to contract completely and fill the ventricles with blood?


A) AV node
B) SA node
C) Purkinje fibers
D) Bundle of His
E) Bundle branches

F) A) and E)
G) D) and E)

Correct Answer

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Electrodes for limb leads should be attached to ____.


A) a bony area on each limb
B) a highly vascular area
C) fleshy portions of the limbs
D) the wrists and ankles
E) the knees and elbows

F) A) and B)
G) A) and C)

Correct Answer

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If a lead does not appear on an ECG tracing, what should you do before you repeat the tracing?


A) Re-center the stylus
B) Set the sensitivity selector to 2
C) Reconnect the wire
D) Increase the paper speed to 50 mm per second
E) Move the ECG table away from the wall

F) C) and D)
G) A) and C)

Correct Answer

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After preparing the ECG machine, you explained the procedure to Mrs. Thomas, connected the electrodes, and began the tracing, as shown in the picture. You rechecked the electrodes and they are all placed correctly. None of the wires are loose. However, you notice that Mrs. Thomas's skin smells fragrant, as though she has used a body lotion recently. Which of the following describes the problem, its possible cause, and the correct solution?


A) Extraneous marks caused by paper clips; remove the paper clips
B) Somatic interference caused by patient shivering; offer a warm blanket
C) Wandering baseline caused by lotion on the skin; re-prep the skin with isopropyl alcohol
D) AC interference caused by nearby equipment; turn equipment off
E) Flat line caused by crossed wires; reconnect the wires correctly

F) All of the above
G) D) and E)

Correct Answer

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In ________ echocardiography, an ultrasound transducer is moved around the patient's chest or abdomen to produce heart images.

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Which precordial electrode is placed in the fifth intercostal space, directly below the middle of the armpit?


A) V1
B) V2
C) V4
D) V6
E) V3

F) A) and E)
G) A) and D)

Correct Answer

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Pulse oximetry can be used to help diagnose ________, in which breathing pauses during sleep.

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The electrical impulse that initiates a chain reaction resulting in contraction is ________.

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How do you prevent somatic interference on an ECG tracing?


A) Make sure lead wires follow the contour of the body
B) Ground the machine
C) Prepare the skin properly
D) Remind the patient to lie still and to refrain from talking
E) Unplug other electrical devices in the room

F) B) and C)
G) A) and D)

Correct Answer

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Electrical impulses of the cardiac cycle produce a series of waves with peaks and valleys on an electrocardiogram that are called ________.

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Which precordial electrode is placed in the fifth intercostal space, where it intersects an imaginary line drawn straight down the middle of the clavicle?


A) V6
B) V2
C) V4
D) V1
E) V3

F) D) and E)
G) B) and D)

Correct Answer

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The different views recorded on an electrocardiogram that are produced by the electrical activity of the heart are ____.


A) leads
B) stylus
C) electrodes
D) deflections
E) probes

F) All of the above
G) A) and B)

Correct Answer

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Possible causes for a wandering baseline are ____.


A) the use of paper clips, wet hands, or improper mounting
B) loose wires or a short circuit in the wires
C) improper grounding or cardiac arrest
D) poor skin preparation, dangling wire, or breathing movement
E) wrong selector switch setting or crossed wires

F) B) and E)
G) D) and E)

Correct Answer

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Which of the following may result in extraneous marks on the ECG tracing?


A) Improper electrode placement
B) Detached wire
C) Use of paper clips
D) Breathing movement
E) Electrical interference

F) B) and D)
G) C) and D)

Correct Answer

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Pulmonary function tests are useful in monitoring ____.


A) myocardial infarction
B) chronic obstructive pulmonary disease
C) angina pectoris
D) arrhythmias
E) congestive heart failure

F) C) and E)
G) A) and B)

Correct Answer

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Which of the following is a correct statement about the stylus temperature control?


A) A lower temperature produces a heavier line.
B) It has no effect on the ECG tracing.
C) A higher temperature produces a heavier line.
D) Lower temperatures cause smearing.
E) A higher temperature produces a thinner line.

F) B) and D)
G) A) and E)

Correct Answer

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Transmission of electrical impulses in the heart begins in the ____.


A) AV node
B) Purkinje fibers
C) bundle of His
D) bundle branches
E) SA node

F) A) and E)
G) C) and E)

Correct Answer

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An electrocardiography device that includes a small cassette or microchip recorder and records the heart rhythm over a 24-hour period is a(n) ________ monitor.

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This arrhythmia is ________.

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