Download NHA EKG Certification Exam 2025 – National Healthcareer Association – Full Exam and more Exams Nursing in PDF only on Docsity!
NHA EKG CERTIFICATION EXAM 2025
QUESTIONS AND CORRECT ANSWERS
The patient is hyperventilating during a stress test which action should take first
A. Administer Oxygen
B. Stop the test
C. Check respiratory rate
D. Slow down the test - ANSWER: C. Check respiratory rate
A patient wears a cardiac monitor at home which indicates understanding of patient instructions?
A. I can shower with monitor on
B. The monitor will keep track of my activities
C. I can use my electric blanket while wearing my monitor
D. If the batteries fail I can replace them - ANSWER: D. If the
batteries fail I can replace them What speed setting can you adjust for a patient experiencing Accelerated Junctional Rhythm?
A. 10mm/sec
B. 20mm/sec
C. 25mm/sec
D. 50mm/sec - ANSWER: D. 50mm/sec
What setting would you use and regulate the height of waveforms?
A. Output display
B. Speed
C. Artifact Filter
D. Gain - ANSWER: D. Gain
What position would you use for a Nuclear Stress Test while camera scanning?
A. Supine with arms at their sides
B. Upside down on monkey bars
C. Lying on right with arms extended
D. Sitting up with tilted back - ANSWER: C. Lying on right with arms
extended What lead corresponds to electrical activity of the septal wall?
A. AVL and V
B. Lead I and V
C. V1 and V
D. Lead III and AVF - ANSWER: C. V1 and V
A. 6 seconds
B. 3 seconds
C. Like, forever, totally
D. 15 seconds - ANSWER: A. 6 seconds
A patient pulse oximetry is 88% from a patient. What term is used to describe this position?
A. Rales
B. Hypoxia
C. Hemoptysis
D. Orthopnea - ANSWER: B. Hypoxia
The smallest box of time on the EKG graph paper indicates what length of time?
A. 0.02 sec
B. 0.04 sec
C. 0.40 sec
D. 0.10 sec - ANSWER: B. 0.04 sec
What activity should you record in the Holter monitor diary?
A. Sleeping
B. Who they have a crush on
C. Driving
D. Bike Riding - ANSWER: D. Bike Riding
How Would You Resolve Wandering Baseline On An EKG?
A. Relieve The Tension From The Wires
B. Clean The Lead Wires After Each Use
C. Provide A Blanket To The Patient
D. Have The Patient Remove Any Personal Electronic Devices -
ANSWER: D. Have The Patient Remove Any Personal Electronic Devices What Position Should You Use For A Patient Who Is 35 Weeks Of Gestation?
A. Supine With Head Elevated
B. Partially Upright With Legs Supported
C. Slightly On Left Side With Pillow Supporting Right Hip
D. Ew Gestation - ANSWER: C. Slightly On Left Side With Pillow
Supporting Right Hip What Would You Recognize As The Expected Pule Range For A 2 - Year Old Patient?
A. 60 bpm
B. 75bpm
C. 120bpm
D. 150bpm - ANSWER: C. 120bpm
Which Lead Should You Check First?
A. Right Arm
B. Left Arm
C. Right Leg
D. Left Leg - ANSWER: C. Right Leg
Which Statement Should Be Entered As Social History Into The Medical Records?
A. I Have Smoked A Long Time
B. My Parents Both Had Heart Attacks
C. I Had Surgery A Year Ago
D. I Had Chicken Pox When I Was A Child - ANSWER: A. I Have
Smoked A Long Time What Action Should You Take When Preparing A Patient For A 12 Lead EKG?
A. Have The Patient Ask Questions During The Procedure
B. Instruct The Patient To Hold Their Breath
C. Place The Leads Over Their Hairy Chest
D. Have The Patient Remove Their Jewelry - ANSWER: D. Have The
Patient Remove Their Jewelry Where Do You Check The Pule For Infant?
A. Brachial Artery
B. Radial Artery
C. Carotid Artery
D. Femoral Artery - ANSWER: A. Brachial Artery
Where Do You Place The Leads For The Patient Who Is In The Immobile Fetal Position?
A. Patient's Back
B. Patient's Right Side
C. Standard Sites
D. Limbs Only - ANSWER: A. Patient's Back
During A Stress Test You Identify A Rhythm With Missing QRS Complexes And A PR Interval Which Is Long But Constant?
A. Normal sinus rhythm
B. 1st Degree AV Heart Block
C. 2nd Degree heart block Mobitz 2
D. Junctional Rhythm - ANSWER: C. 2nd Degree heart block Mobitz 2
After Completion Of A 12 Lead EKG What Action Should You Take Next?
A. Remove The Electrodes And Assist The Patient To A Sitting Position
B. The Tracing And Let The Patient Get Dressed In Privacy
C. Check The Tracing Is Free From Artifacts And Then Disconnect The
Patient
ANSWER: B. Electrical Activity Between Right Arm And Left Arm The Patient Is Experiencing Heart Palpitations What Interventions Would You Expect The Provider To Provide?
A. Holter Monitor
B. Vasodilator Medication
C. Cardiac Medication
D. Chemical Stress Test - ANSWER: A. Holter Monitor
What Is The Best Place To Measure The Heart Rate For A Patient Who Is Having A Stress Test?
A. Carotid Pulse
B. Radial Pulse
C. Femoral Pulse
D. Brachial Pulse - ANSWER: B. Radial Pulse
During A Stress Test What Finding Would A Provider Stop The Test?
A. Electrode Detachment
B. Dizziness
C. Sweating
D. Increased Respiratory Rate - ANSWER: B. Dizziness
Using The 1500 Method To Calculate Heart Rate You Identify 10 Small
Boxes Between The R And R Waves. What Is The Heart Rate?
A. 170/min
B. 150/min
C. 160/min
D. 140/min - ANSWER: B. 150/min
What Location Would Take An Apical Pulse (Over The Heart)?
A. Thumb Side Of The Wrist
B. Between The 5th And 6th Rib At The Left Midclavicular Line
C. The Antecubital Space Over The Elbow
D. Between The Larynx And Sternocleidomastoid - ANSWER: B.
Between The 5th And 6th Rib At The Left Midclavicular Line Which Lead Is Placed Over The Right Sternum 4th Intercostal Space?
A. Lead V
B. Lead I
C. Lead AVR
D. Lead MCI - ANSWER: B. Lead I
Using The Six Second Method Of Calculating Heart Rate You Observe 4 R Waves On The 6 Second Strip. What Is The Heart Rate?
A. 40 bpm
Tracing But Cannot Reveal Results To The Patients Which Findings Indicates Myocardial Infarction?
A. Cyanosis
B. Facial Dropping
C. Arm Weakness
D. Aphasia - ANSWER: A. Cyanosis
What Indicates ST Depression And T Wave Inversion In Multiple Leads?
A. Myocardial Infarction
B. Myocardial Ischemia
C. Heart Block
D. Myocardial Injury - ANSWER: B. Myocardial Ischemia
Which Would Indicate An Adverse Reaction Due To A Stress Test?
A. Oxygen Saturation Of 95%
B. Increase In BP 110/78 To 120/
C. Sinus Tachycardia With Regular R To R Rhythm
D. Patient Complains Of Tingling Sensation In Legs -
ANSWER: D. Patient Complains Of Tingling Sensation In Legs What Reasons Would Indicate Not Using Electrodes For A Second EKG?
A. The Electrodes Will Not Conduct The Signal After The Second EKG
B. The Electrodes Will Not Accurately Read After Two Tracings
C. Electrodes Must Be Cleaned After Two Tracings
D. Electrodes Will Not Re-Adhere After Two Tracings - ANSWER: B.
The Electrodes Will Not Accurately Read After Two Tracings What Irregularity Indicates A Variation Respiration?
A. Sinus Arrest
B. Sinus Dysrhythmia
C. Tachycardia
D. Bradycardia - ANSWER: D. Bradycardia
Which Leads Are Created Between The Left Arm And Left Leg?
A. AVF
B. AVL
C. Lead III
D. Lead II - ANSWER: C. Lead III
What Indicates Understanding Of Patient Holter Monitor Instructions?
A. I Can Shower And Bathe
B. I Can Use Lotions Around The Electrodes
C. I Should Activate The Event Monitor If I Have Chest Pain
D. Third degree heart block - ANSWER: D. Third degree heart block
What Is Allowable Patient Disclosure Based On HIPAA Guidelines?
A. Patients Can Write Names On Sign-In Sheets At The Registration Desk
B. Employer Calls To Find Out About An Absent Employee
C. A Patient Can View Another Patient's Record On The Computer
D. An Employee Gives A Coworker Their Computer Password -
ANSWER: A. Patients Can Write Names On Sign-In Sheets At The Registration Desk What Method Would You Use To Prepare A Patient For Application Of Electrodes?
A. Use A Razor To Shave Hair From A Patient
B. Cleanse The Skin With Chlorhexidine
C. Use Tape To Remove The Hair
D. Cleanse The Skin With Povidone Iodine - ANSWER: C. Use Tape
To Remove The Hair You Hear A Staff Member Making Statements About A Patient's Appearance. What Type Of Tort Is This?
A. Libel
B. Assault
C. Slander
D. That Wrong Doe - ANSWER: C. Slander
What Is The Expected BP Range For An Adolescent Patient?
A. 60/40mm hg
B. 78/48mm hg
C. 86/60mm hg
D. 98/78mm hg - ANSWER: B. 78/48mm hg
What Are Expected Infection Control Practices In Healthcare? A. Artificial Nails Should Not Exceed 0.5in In Length B. Use Alcohol-Based Sanitizer If No Visible Contamination Is Present C. Remove Soiled Gloves Prior To Touching Uncontaminated Surfaces D. Wear Gloves While Performing Different Tasks On The Same Patient - ANSWER: C. Remove Soiled Gloves Prior To Touching Uncontaminated Surfaces A Patient Is Performing A Posterior EKG On A Patient. Which Lead Should Place At The Praspinous Border. A. V B. V C. V D. V1 - ANSWER: C. V Which Activity Is Restricted While Wearing A Holter Monitor?
C. Right Leg
D. Left Leg - ANSWER: D. Left Leg
Which Leads Should You Place On The Right Lower Side Of The Anterior Torso For A Stress Test?
A. Lead V
B. Lead V
C. Lead RA
D. Lead RL - ANSWER: D. Lead RL
Which Site Would You Place A Heart Card During Trans Telephonic Monitoring Event?
A. Over The Right Side Of The Chest
B. Over The Left Side Of The Chest
C. Over The Middle To The Lower Part Of The Sternum
D. Over The Manubrium - ANSWER: C. Over The Middle To The
Lower Part Of The Sternum Which Finding Would You Report To The Provider During A Stress Test?
A. Decreased Heart Rate
B. Increased Heart Rate
C. Increased Sweating
D. Decreased Premature Beats - ANSWER: A. Decreased Heart Rate
What Action Should You Take After Attaching Telemetry Lead Wires To The Electrodes?
A. Check The EKG Tracing For Monitor Activity
B. Check The Wire Colors To Ensure Attachment To Correct Electrodes
C. Place The Patient In The Correct Position
D. Tape The Lead Wires To The Patient's Skin To Prevent Electrode
Disconnection - ANSWER: B. Check The Wire Colors To Ensure Attachment To Correct Electrodes What Patient Would You Expect To See Somatic Interference From?
A. A Patient Sweating Profusely
B. Seizure Patient
C. A Patient Watching TV
D. Patient Using A Cell Phone - ANSWER: B. Seizure Patient
What Response Would Give To A Patient Who Doesn't Understand Why He Has Worn A Holter Monitor After An EKG?
A. Ambulatory Is Different Than An EKG
B. The Provider Want To Study Your Heart Over Time
C. We Usually Place A Monitor After The EKG
D. The Provider Wants To Conduct Another Test Before
Addressing Concerns - ANSWER: B. The Provider Want To Study Your Heart Over Time
