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You are attempting to record an ECG for Mr. Potter, a 72-year-old patient who has Parkinson's disease. Knowing this, you automatically place the limb electrodes close to the trunk. However, the tracing looks as shown in the picture. What artifact is present and what can you do to fix it?


A) Extraneous marks; avoid using paper clips on the graph paper
B) Somatic interference; wait until Mr. Potter's tremors subside
C) wandering baseline; check for loose electrodes
D) AC interference; turn off nearby electrical equipment
E) Flat line; check pulse and respiration, then begin CPR

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

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Which of the following refers to the contraction of the ventricles following depolarization?


A) QRS complex
B) T wave
C) Q-T interval
D) S-T segment
E) P wave

F) None of the above
G) A) and C)

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A(n) ________ is a beat that originates from the ventricles of the heart, occurs early in the cycle, and is followed by a pause before the next cycle.

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premature ...

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Which of the following represents the time between contraction of the ventricles and recovery?


A) P wave
B) Q wave
C) S-T segment
D) P-R interval
E) QRS complex

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

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Electrical impulse sensors used to obtain an electrocardiogram are called ____.


A) leads
B) styluses
C) electrodes
D) artifacts
E) probes

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

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Which of the following is a record of the waves of electrical impulses responsible for the cardiac cycle?


A) Electrode
B) Electrocardiogram
C) Electrocardiograph
D) Electroencephalograph
E) Electroencephalogram

F) C) and D)
G) None of the above

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Which precordial electrode is placed in the fourth intercostal space to the left of the sternum?


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

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

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AC interference can be prevented by ____.


A) keeping the patient warm to prevent shivering
B) making sure lead wires are not crossed and following the contour of the body
C) making certain that a lead has not been disconnected from the electrode
D) preparing the patient's skin adequately
E) avoiding the use of paper clips

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

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Gillian is a cheerful, active teenager who is having an ECG as part of a physical required by her school to participate in cheerleading activities. You explain that she needs to remain very still while you record the ECG. You begin the tracing, as shown in the picture. Although Gillian remains still, when she sees the look on your face, she asks, "What's wrong?" What abnormality is visible in lead V6, and what is your best choice of action?


A) Somatic interference; ask Gillian again to remain still
B) Wandering baseline; check for loose electrodes
C) AC interference; turn off nearby electrical equipment
D) Flat line; check pulse and respirations and begin CPR
E) Flat line; look for loose or disconnected wires

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

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If a patient is uncomfortable lying flat on the examining table for an ECG test, he can be placed in the ____.


A) prone position
B) supine position
C) Fowler's position
D) Sims' position
E) proctologic position

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

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The urgent care center where you work is being remodeled, and the room usually used for obtaining ECGs is currently unavailable. The ECG equipment has been moved around the corner to the room next to the X-ray room. When you begin your first patient ECG of the day, the tracing looks as shown in the figure. What problem is present and how can you fix it?


A) Extraneous marks; avoid using paper clips on the graph paper
B) Somatic interference; ask the patient to be very still while you record the ECG
C) Wandering baseline; check and reconnect loose leads
D) Flat line; check for crossed wires or loose leads
E) AC interference; move the ECG equipment to a room farther from other electric equipment

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

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The peaks and valleys of the electrical impulses responsible for the cardiac cycle are called ____.


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

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

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Which of the following is the electrical impulse that initiates a chain reaction resulting in contraction?


A) Repolarization
B) Deflection
C) Depolarization
D) Artifact
E) Polarization

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

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Which of the following would you include in patient preparation for a pulmonary function test?


A) Tell the patient that eating and smoking are permitted up until the time of the test
B) Instruct the patient to sit in a chair with legs crossed
C) Instruct the patient to slightly elevate the chin and slightly extend the neck
D) Tell the patient to bite down firmly on the mouthpiece
E) Encourage the patient to perform the test even if he has a viral infection

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

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