Name: Kim Kristine Dee D.

Guillen BSN 4 C1-02 August 18, 2021

CHECK FOR UNDERSTANDING (ECG)
MULTIPLE CHOICE: (15 points) Read and analyze each sentence/situation carefully and encircle
the letter of the correct answer then write the rationale.
1. It is a graphic representation of electrical currents of the heart.
A. ABG
B. ECG
C. MRI
D. QRS
Rationale: The ECG is a graphic representation of electrical currents of the heart.
2. The 12-lead ECG is used to diagnose: SATA (Select all that apply).
A. Dysrhythmias
B. Conduction abnormalities
C. Chamber enlargement
D. Myocardial ischemia only
Rationale: The 12- lead ECG is used to diagnose dysrhythmias, conduction abnormalities, and
chamber enlargement, as well as myocardial ischemia, injury, or infarction.
3. Electrodes features and components are:
1. An adhesive substance that attaches to the skin to ensure the electrode in place.
2. A substance that reduces the skin’s electrical impedance, the resistance of electrical
signal conduction and detection of the electrical current.
3. Comes in various shapes and sizes.
4. None of the above
A. 1&2
B. 1, 2, & 3
C. All of the above
D. 1 & 3
Rationale: An adhesive substance that attaches to the skin to ensure the electrode in place and (2)
a substance that reduces the skin’s electrical impedance, the resistance of electrical signal
conduction and detection of the electrical current.
4. The number and placement of the electrodes depends on the type of ECG being obtained.
A. True
B. False
Rationale: The number and placement of the electrodes depends on the type of ECG being
obtained.
5. Electrodes are attached to cable wires, which are connected to one of the following except:
A. An ECG machine
B. A cardiac monitor
C. Suction Monitor
D. Holter Monitor
Rationale: An ECG machine placed in the patient’s side for an immediate recording ( Standard 12-
lead ECG). A cardiac monitor at patient’s bedside for continuous reading; this kind of monitoring
usually called hardwire monitoring, is used in intensive care units. A small box that the patient
carries and that continuously transmits the ECG information by radio waves to a central monitor
located elsewhere (called telemetry). A small, lightweight tape recorder- like machine (called
ambulatory ECG monitoring or a Holter monitor) that the patient wears and that continuously
records the ECG, which is later viewed and analyzed with a scanner.
 6. It records the electrical activity of the heart continuously over 24 hours or longer while you are
away from the doctor's office.
A. An ECG machine
B. A cardiac monitor
C. Suction Monitor
D. Holter Monitor
Rationale: It records the electrical activity of the heart continuously over 24 hours or longer while
you are away from the doctor's office.
7. Common ECG Changes of patients with Hypokalemia are the following: SATA (Select all that
apply).
A. Elevated ST segment
B. U – wave
C. Depressed ST segment
D. Short T wave
Rationale: U – wave, depressed ST segment, short T wave.
8. Assessment prior to performing ECG are the following except:
A. Assess the client's medical record for information regarding the needs for an ECG.
B. Assess the client's heart rate, heart sounds, and blood pressure
C. Assess the client's chest for areas of irritation, skin breakdown, or excessive hair growth
that may interfere with the electrode placement.
D. All of the above
E. None of the above
Rationale: Assess the client's medical record for information regarding the needs for an ECG. Assess the
client's heart rate, heart sounds, and blood pressure. Assess the client's chest for areas of irritation, skin
breakdown, or excessive hair growth that may interfere with the electrode placement.
9. To ensure accurate test results, position chest electrodes as follows: (Supply the letter of the
correct answer from V1 to V6). (6 points)
V1: B
V2: F
V3: A
V4: C
V5: E
V6: D
A. Halfway between V2 and V4
B. Fourth intercostal space at right border of sternum
C. Fifth intercostal space at midclavicular line
D. Fifth intercostal space at midaxillary line, level with V4
E. Fifth intercostal space at anterior axillary line (halfway between V4 and V6 )
F. Fourth intercostal space at left border of sternum
Rationale: V1 : Fourth intercostal space at right border of sternum V2 : Fourth intercostal space at
left border of sternum V3 : Halfway between V2 and V4 V4 : Fifth intercostal space at midclavicular
line V5 : Fifth intercostal space at anterior axillary line (halfway between V4 and V6 ) V6 : Fifth
intercostal space at midaxillary line, level with V4.
10. With Myocardial Infarction ECG changes would be: SATA ( Select all that aplly)
A. Elevated ST segment
B. Short T wave
C. Inverted T wave
D. Pathogenic Q wave
Rationale: Elevated ST segment (this is the first ECG change that occurs in MI). Inverted T wave
Pathogenic Q wave (this becomes permanent in ECG complexes in the post M.I. client. It is generated
from the area of infarction that becomes scarred).