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test 1 Flashcards

1
Q

What is the number one cause of death in the United States?

A

cardiovascular disease

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2
Q

The abbreviation CAD stands for:

A

coronary artery disease.

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3
Q

What does the electrocardiogram or ECG detect?

A

The electrical activity of the heart

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4
Q

The first electrocardiograph was invented by:

A

Willem Einthoven.

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5
Q

The abbreviation for myocardial infarction, also known as a heart attack, is:

A

MI

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6
Q

An electrocardiograph (ECG) technician should be able to:

A

determine if an ECG tracing is accurate.

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7
Q

An ECG monitor technician’s main responsibility is to:

A

An ECG monitor technician’s main responsibility is to:

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8
Q

A “stat” ECG is done:

A

immediately

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9
Q

Continuous ECG monitoring done in a hospital setting with a small transmitter box is known as:

A

telemetry monitoring.

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10
Q

Which of these tests is least likely done in a doctor’s office?

A

Cardiac catheterization

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11
Q

What device enables lay rescuers to help a patient with sudden cardiac arrest?

A

Automatic external defibrillator (AED)

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12
Q

Which of the following is not included in standard precautions?

A

Sterilizing the ECG machine

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13
Q

If the patient asks questions after you have explained the ECG procedure, you should:

A

repeat the instructions and clarify any questions the patient has

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14
Q

Ethics are

A

standards of behavior and concepts of right and wrong.

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15
Q

HIPAA stands for:

A

Health Insurance Portability and Accountability Act.

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16
Q

Which of the following is an example of practicing ethics as a healthcare professional?

A

Maintaining patient confidentiality

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17
Q

Which of the following is not implied consent?

A

Patient signing a consent form for a treadmill stress test

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18
Q

Your patient states, “I do not want that electricity going through me!” as you are getting ready to perform an ECG on him. The best response is to:

A

explain that the ECG machine is not harmful and does not produce electricity.

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19
Q

Who should sign the consent form if a patient cannot read or write?

A

A family member of the patient

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20
Q

You have a patient that can only sign an “X” on the consent form. You need to:

A

explain the procedure to the patient with a witness present, have the patient place an X on the form, and have the witness sign the form also.

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21
Q

The medical term for an abnormal heartbeat is:

A

dysthymias

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22
Q

What does the term “Code Blue” mean when used in a hospital setting?

A

A patient is unresponsive and needs immediate assistance.

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23
Q

The ________blank monitor allows the patient to participate in normal daily activities while the electrical activity of the heart is being recorded.

A

Holter

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24
Q

Slander is an illegal and unethical act and is defined as:

A

making derogatory remarks about someone.

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25
Q

________blank means writing defamatory words. It is illegal and unethical and could result in the loss of your job.

A

Libel

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26
Q

Which device recognizes an abnormal rhythm and can deliver an electric shock to the heart if necessary?

A

AED

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27
Q

PPE is used to reduce the risk of transmission of infection. PPE stands for:

A

personal protective equipment

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28
Q

When caring for patients and recording an ECG, you may encounter many situations that require you to:

A

think critically about the situation.

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29
Q

Which of the following include measures to ensure that patients’ health information is protected?

A

HIPPA

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30
Q

Procedures that are used with all patients to prevent the spread of infection are:

A

standard precautions.

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31
Q

You have just finished performing an ECG on a hospital patient who is known to have a Clostridium difficile infection when you are called to perform a stat ECG in the emergency department. Which of the following is your best course of action?

A

Remove all PPE and wash your hands thoroughly before proceeding to the emergency department.

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32
Q

You have been asked to perform an ECG on a hospital patient in ICU. When you reach the patient’s room, you notice that the patient is under airborne precautions. In addition to gloves, which of the following PPE should you wear while you perform the ECG?

A

HEPA respirator

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33
Q

An electrocardiograph is a(n):

A

instrument used to record a tracing of the heart’s electrical activity.

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34
Q

Narrowing of the arteries that supply the heart with blood is a condition known as:

A

coronary artery disease.

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35
Q

The second level of procedures implemented by the Centers for Disease Control and Prevention (CDC) to prevent infections is known as:

A

isolation precautions.

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36
Q

The single most important thing you can do to prevent the spread of infection while performing ECGs is to:

A

perform proper hand hygiene.

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37
Q

The use of an alcohol-based hand rub for hand hygiene is appropriate:

A

when there is no visible soilage on your hands.

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38
Q

Which of the following statements best describes the action you should take after performing an ECG on an accident patient whose chest is abraded and bloody?

A

Clean, disinfect, or sterilize all reusable equipment before using it again.

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39
Q

Which of the following items is not included in an assessment of a patient’s vital signs?

A

Level of consciousness

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40
Q

The normal range for respirations in adults is:

A

12 to 20 respirations per minute.

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41
Q

The amount of blood the heart pumps each minute is known as the:

A

CARDIAC OUTPUT

42
Q

The adult pulse is most commonly measured at the:

A

radial artery at the wrist.

43
Q

For how long should you count a patient’s respirations?

A

60 seconds

44
Q

A person who has tachypnea is:

A

breathing rapidly

45
Q

A patient who is having difficulty breathing is said to have:

A

dyspnea

46
Q

The force at which blood is pumped against the walls of the arteries is a person’s:

A

blood pressure

47
Q

The minimum amount of pressure that is exerted against the walls of blood vessels at all times is the:

A

diastolic blood pressure

48
Q

All of the following factors can affect a person’s blood pressure except:

A

blood type

49
Q

During her last two doctor appointments, a patient’s blood pressure was measured at 160/92 and 156/94. The physician has not been able to identify a cause for these blood pressure readings. This patient has:

A

essential hypertension.

50
Q

To measure a patient’s blood pressure, you would place the blood pressure cuff:

A

1 to 2 inches above the antecubital space.

51
Q

A blood pressure measurement that is determined using a sphygmomanometer and a stethoscope is known as a(n):

A

auscultated blood pressure.

52
Q

One out of every ________blank American adults has some form of coronary artery disease.

A

three

53
Q

Cardiac dysrhythmias are:

A

abnormal heartbeats

54
Q

Slander and libel are:

A

both illegal and unethical.

55
Q

If a patient refuses to sign the informed consent form for an ECG, a good example of troubleshooting is to:

A

explain to the patient how the procedure works in order to get his/her consent.

56
Q

Which of the following is not a specific type of isolation precaution implemented for hospitalized patients?

A

AIDS precautions

57
Q

Which of the following is least likely to help the ECG technician maintain infection control while performing an ECG procedure?

A

Be sure the patient is not touching the bed frame.

58
Q

You have been asked to perform an ECG on a patient who is known to be infected by the varicella virus. You have not had chickenpox, and you have not been vaccinated against it. What should you do?

A

Wear gloves and respiratory protection while performing the ECG.

59
Q

You have been asked to perform an ECG on a hospital patient who is known to have infectious pulmonary tuberculosis. Which of the following precautions should you take?

A

Standard precautions and airborne precautions

60
Q

A patient complains of feeling lightheaded and having frequent fainting spells. Which test might the physician order to determine whether a drop in heart rate or blood pressure may be causing the patient’s symptoms?

A

Tilt table test

61
Q

Which of the following monitoring methods is performed while the patient is outside of the hospital/clinical setting?

A

Transtelephonic monitoring

62
Q

What is the approximate size and shape of the smallest transtelephonic monitor?

A

jump drive or credit card

63
Q

Which of the following is most important to perform prior to performing an ECG?

A

Explain to the patient what you are going to do before you do it

64
Q

The term ethics is defined as:

A

Standards of behavior and concepts of right and wrong

65
Q

Medical record documentation requires all the following EXCEPT:

A

adoptive family

66
Q

Which of the following types of hypertension has no known cause?

A

Essential (Idiopathic)

67
Q

A standard 12-lead ECG focuses directly on which portion of the heart?

A

Left ventricle

68
Q

What is the term for an oppressive pain or pressure in the chest that occurs when the heart muscle does not receive enough oxygen due to partial or complete blockage of a coronary artery?

A

angina

69
Q

What is the term for the fatty deposits accumulated that are caused by elevated glucose level in the blood?

A

Atherosclerotic plaque

70
Q

Which of the following statements is incorrect?

A

The electrocardiograph produces electricity in the heart.

71
Q

Cardiac dysrhythmias are:

A

abnormal heartbeats

72
Q

Health professionals who perform ECGs should also be trained in ________blank in case a patient shows no signs of breathing or having a heartbeat.

A

CPR

73
Q

Hospital patients on continuous monitoring are usually in a(n):

A

ICU, CCU, SICU, or ER.

74
Q

What is the single most important thing you can do to help prevent the spread of infection?

A

USE OF PROPER HAND HYGINE

75
Q

Which of the following is not a reason for HIPAA?

A

To ensure widespread sharing of health information to family and researchers

76
Q

Which best describes both slander and libel?

A

ILLEGAL AND UNETHICAL

77
Q

Should a patient refuse a procedure, a good example of troubleshooting is to:

A

explain to the patient how the procedure works in order to get his/her consent.

78
Q

The first ECG machine was developed by ________blank. He won the Nobel Prize for this invention.

A

Willem Einthoven

79
Q

Which of the following is not a reason for performing an ECG?

A

To evaluate the rate and rhythm of breathing

80
Q

A defibrillator can be used

A

to treat an abnormal heart rhythm.

81
Q

Transtelephonic monitoring allows for information to be

A

transmitted over a telephone.

82
Q

A continuous ECG monitor is used most commonly in a(n)

A

hospital.

83
Q

To write derogatory words about a patient is known as

A

libel

84
Q

Your most important duties include monitoring an ECG tracing and notifying the physician of abnormalities. You are most likely a(n)

A

ECG monitor technician.

85
Q

Which of the following measures help ensure that your patients’ information is protected?

A

HIPAA

86
Q

After performing an ECG on a patient in isolation or with a contagious disease, what should you do?

A

Clean the equipment thoroughly, perform cleanup, and then wash your hands.

87
Q

Select the correct answer. Which of the following is not a specific type of isolation precaution implemented for hospitalized patients?

A

AIDS precautions

88
Q

As a health care professional, your responsibilities with the ambulatory monitor include which of the following?

A

Applying and removing the monitor

89
Q

Which of the following is an instrument that records the electrical activity of the heart during a patient’s normal daily activities?

A

Ambulatory monitor

90
Q

How long does an Holter monitor typically record an ECG?

A

24 to 48 hours

91
Q

How many leads are attached to a patient’s chest with ambulatory monitoring?

A

3 to 5 leads

92
Q

What is recorded on the ECG strip?

A

The electrical activity of the heart

93
Q

a disease related to the heart

A

cardiovascular disease

94
Q

a tracing of the signal produced by the heart’s electrical activity and used for diagnostic evaluation of the heart

A

electrocardiogram

95
Q

Abnormal heartbeat

A

dysrhythmia

96
Q

the study of the heart’s electrical activity

A

electrocardiology

97
Q

an instrument used to record the electrical activity of the heart

A

electrocardiograph

98
Q

a machine that produces and sends an electrical shock to the heart that is intended to correct the abnormal electrical pattern of the hear

A

defibrillator

99
Q

used to analyze the heart rhythm and produce a shock if necessary

A

AED

100
Q
A

Ekg (6 decks)

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