End of chapter questions

Question 1

3 things needed in EKG Documentation

Answer 1

• explain procedure to patient
• Obtained consent from patient
• Inform proper personnel about results

Question 2

Direction of current and EKG waveform?

Answer 2

Current flowing away from positive eletrode produces a negative waveform

Question 3

The net direction of electrical activity of the heart is directed towards?

Answer 3

Left ventricle

Question 4

In a normal heart, what represents the direction of EKG complex in lead V6?

Answer 4

Positive

Question 5

Which lead is placed in 5th intercostal space at anterior axillary line?

Answer 5

Lead V5

Question 6

What’s displayed on X axis of EKG?

Answer 6

Time

Question 7

Example for bipolar leads?

Answer 7

Lead I

Question 8

Hallmark characteristic of atrial rhythm?

Answer 8

Presence of P wave

Question 9

Best way to calculate heart rate by counting large boxes?

Answer 9

Count number of large boxes between R waves and divide into 300

Question 10

Best method for calculating supraventricular tachycardia?

Answer 10

Counting small boxes

Question 11

Most distinguishable character of sinus arrhthmia?

Answer 11

Increasing and decreasing heart rate with respiration

Question 12

Treatment for sinus bradycardia includes?

Answer 12

Atropine

Question 13

Which is NOT treatment option for inappropriate sinus tachycardia?

Answer 13

Atropine

Question 14

Which mechanism is responsible for origin of atrial arrhthmia?

Answer 14

Problems with automaticity

Question 15

Hallmark finding in premature atrial contraction?

Answer 15

Premature PQRST complex

Question 16

Which mechanism is affected by atrial tachycardia?

Answer 16

loss of atrial kick

Question 17

Treatment option for paroxysmal atrial tachycardia does not include? (PAT)

Answer 17

Caffine ingestion

Question 18

Which statement is not true regarding multifocal atrial tachycardia? (MAT)

Answer 18

Uniformed shaped P waves

Question 19

Hallmark symptom of atrial flutter?

Answer 19

Uniform shaped flutter waves

Question 20

True statement regarding 2nd degree type I heart block?

Answer 20

Progressive lengthening of PR interval until a complete drop in QRS

Question 21

Which is not accurate for 2nd defre Type II block?

Answer 21

There is a complete PQRST complex missing intermittently

Question 22

Most detrimental effect of 3rd degree heart block?

Answer 22

Atrioventricular dissociation

Question 23

Treatment for 3rd degree heart block?

Answer 23

Transcutaneous pacing

Question 24

Treatment option for frequent PVC’s?

Answer 24

Amiodarone

Question 25

True statement regarding Idioventricular rhythm?

Answer 25

Imminent life threatening events