Chapter 47 EKG Worksheet

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The first part of the cardiac cycle is called:

a. atrial repolarization c. atrial depolarization
b. ventricular repolarization d. ventricular depolarization
____ 2. ECGs are most often performed along with the routine annual physical examination every:
a. year c. 5 to 10 years
b. 3 to 5 years d. 7 to 12 years

____ 3. The ECG tracing is generated in about ____ on a single 8  10 sheet of ECG paper.
a. 30 seconds c. 3 minutes
b. 1 minute d. 5 minutes
____ 4. Who interprets an ECG?
a. provider c. patient
b. medical assistant d. cardiologist
____ 5. ECG paper for single-channel machines comes in which form?
a. roll c. pad
b. single sheets d. wirebound notebook
____ 6. The paper moves through an ECG machine at a rate of ____ mm per second.
a. 5 c. 15
b. 10 d. 25
____ 7. The distance across ___ large square(s) on ECG paper represents 1.0 second.
a. 1 c. 10
b. 5 d. 25
____ 8. The bipolar leads are attached to which parts of the body?
a. upper left and right sides of the chest
b. upper outer thighs and inner lower forearms
c. upper outer arms and inner lower calves
d. upper inner arms and outer lower calves
____ 9. Which ECG lead records the voltage difference between the left arm and the left leg?
a. lead I c. lead III
b. lead II d. lead IV
____ 10. The ___ records the heart’s voltage difference between the left leg electrode and a central point between the
right arm and left arm.
a. aVG c. aVL
b. aVR d. aVF
____ 11. Cardiac patients should be instructed to:
a. take their prescribed medication regularly and report any problems immediately
b. eat a low-fat, high-sodium diet
c. drink at least one alcoholic beverage a day
d. practice stress-inducing behaviors
____ 12. If the ECG tracing is too large, the sensitivity dial should be turned down to 1/2 to produce a standardization
mark:
a. 10 mm high and 2 mm wide c. 15 mm high and 4 mm wide
b. 5 mm high and 2 mm wide d. 20 mm high and 4 mm wide
____ 13. If the ECG cycles are too close together, the speed can be changed to ___ mm per second.
a. 25 c. 75
b. 50 d. 100
____ 14. When placing the ECG electrodes on a patient’s lower leg, the connectors should point:
a. up c. to the patient’s left
b. down d. to the patient’s right
____ 15. Atrial fibrillation:
a. is seen only in patients with cardiac disease
b. is caused only by hypertension
c. produces a heart rate that ranges from 400 to 500 BPM
d. is indicated by a cardiac cycle that occurs before the next cycle is due
____ 16. Premature ventricular contractions are not commonly seen in patients with:
a. hypertension c. lung disease
b. coronary artery disease d. leukemia
____ 17. Ventricular fibrillation is seen in patients with:
a. lung disease c. liver disease
b. cardiac disease d. colon cancer
____ 18. When using a Holter monitor, the ECG electrodes are attached to a patient’s:
a. shoulders c. upper arms
b. lower back d. chest wall

Matching

Match each term with its definition.

a. electrocardiogram g. amplifier
b. sinoatrial (SA) node h. galvanometer
c. Purkinje fibers i. stylus
d. repolarization j. dot matrix paper
e. obesity k. augmented
f. electrodes l. interference
____ 19. Placed on the patient’s limbs and chest for an ECG
____ 20. Makes tracings easy to read and copy because they are clear and legible and standardized, creating a universal
reading process for all providers
____ 21. Procedure frequently used in the diagnosis of heart disease and dysfunction
____ 22. Pacemaker of the heart
____ 23. To become larger
____ 24. Ventricular action that is represented by the T wave on the ECG paper
____ 25. Part of the ECG machine that enlarges the electrical impulses
____ 26. Any movement of the patient during the ECG may cause this on the tracing
____ 27. Cause the muscles of the ventricles to contract and produce the QRS complex of waves on the ECG paper
____ 28. Part of the ECG machine that transforms electrical impulses into mechanical motion
____ 29. Usually accompanies a sedentary lifestyle.
____ 30. Heated pen-like instrument that produces a printed representation on the ECG paper

Match each term with its definition.

a. somatic tremor f. tachycardia
b. AC interference g. Holter monitor
c. interrupted baseline h. ECG stress test
d. arrhythmia i. echocardiography
e. sinus bradycardia j. defibrillator
____ 31. Device used to perform a “24-hour ECG” on patients who have normal routine ECGs but still have
intermittent or irregular chest pain or discomfort
____ 32. Heart rate of less than 60 BPM
____ 33. Caused by an electrode becoming separated from the wire or by a broken lead wire
____ 34. Device designed to provide a countershock to convert an irregular heart rhythm to a regular sinus rhythm
____ 35. Caused by electrical activity
____ 36. Noninvasive diagnostic tool that tests the structure and function of the heart through the use of sound waves
____ 37. An irregularity in the heart’s rhythm
____ 38. Heart rate of above 100 BPM
____ 39. Performed on patients who are at high risk for developing heart disease
____ 40. Shivering from nervousness or cold or a neurological condition