Certified Rhythm Analysis Technician (CRAT) Exam Prep Questions The baseline for the ECG you just performed is drifting off center. This is called
... [Show More] wandering baseline. Which of the following is NOT a cause for this type of artifact? A. Tension on the electrode lead wires. B. Adequate electrode gel. C. Dirty electrodes. D. Poor skin preparation. Which of the following MOST accurately describes the placement of the V6 electrode? A. Fourth intercostal space at the right of the sternal border. B. Fifth intercostal space on the left midclavicular line. C. On the left anterior axillary line. D. On the midaxillary in line with V4 If the chest of the pediatric patient is too small to accommodate all the leads for an ECG, what should you do? A. Remove the lead for V3 and note it on the ECG report. B. Move lead V2 to the right side of the chest at the same location as V3. C. Move lead V2 to the right side of the chest at the same location as the left. D. Move lead V3 to the right side of the chest at the same location as the left. What is the most frequent problem that can occur during an ECG and what is it's cause? A. Unwanted marks known as artifact, caused by activity other than electrical activity. B. Unwanted marks on the ECG known as somatic tremors, caused by another source of electrical activity. C. Unwanted marks known as artifact, caused by another source of activity or electrical activity. D. Unwanted marks on the ECG known as AC interference, caused by the electrical activity of the heart. What is the MOST appropriate attire for the patient during an ECG? A. No jewelry, no shirt, and a drape or gown for privacy. B. Clothing removed from above the waist, a drape or down tied in front, no jewelry. C. Clothing removed from about the waist and a gown tied in front. D. Clothing removed with a gown tied in front or a drape. Three sites assist in electrode placement. They are the angle of Louis, suprasternal notch, and what other site? A. Intercostal lines B. Einthoven's triangle C. Angle of Waller D. Intercostal spaces What are the three imaginary vertical lines on the chest and why are they important? A. Anterior clavicular, midaxillary, anterior axillary. They are used to ensure proper electrode placement. B. Midclavicular, midaxillary, anterior axillary. They are used to identify the location of the patient's previous ECG. C. Midclavicular, midaxillary, anterior axillary. They are used to identify the patient. D. Midclavicular, midaxillary, anterior axillary. They are used to ensure proper electrode placement. An ECG is required during a Code Blue. What special considerations should you take? A. Perform two ECG's in a row to ensure the accuracy of the tracing and note "repeat ECG- same lead placement" on the report. B. Perform the ECG quickly and efficiently using special electrodes during the emergency. C. You should be available but out of the way, take only the ECG machine into the room, and leave the electrodes in place after the recording. D. Place the chart at the head of the bed in order to provide more room for the Code Blue equipment. What is the proper positioning for yourself and the patient during an ECG? A. Work from the right side of the bed with the patient on his or her back with the arms and legs supported and not touching metal. B. Work from the left side of the bed and exam table with the patient on his or her back with the arms and legs supported and not touching metal. C. Provide a drape for the patient, work from the left side, and keep the extremities extended off the bed and not touching metal. D. Work from the left side of the bed or exam table with the patient slightly on this or her left side with the arms and legs supported. While you are performing an ECG, the tracing looks like this? What should you do? - Flat line A. Remain calm and inform your supervisor immediately. B. Check the patient; if the patient is able to respond, report the tracing results to the licensed practitioner. C. Remain calm and check the electrodes, lead wires, and cables for proper attachment. D. Check the patient, if the patient is able to respond, check the electrodes, lead wires, and cables for proper attachment. What is the ICD-9 Code? A. Diagnostic codes used to ensure that proper treatment is provided for the patient. B. Billing codes used to ensure reimbursement to the facility where you are employed. C. Diagnostic codes used to ensure reimbursement by the patient's insurance. D. Billing codes used to ensure that proper treatment is provided for the patient. How should you modify the ECG procedure for a pregnant patient? A. Place the patient slightly on her right side and note the number of months pregnant. B. Place the patient slightly on her left side and place the leads on her lower abdomen. C. Place the patient slightly on her left side and note the number of months pregnant. D. Document on the ECG that the patient is pregnant and the number of months. Name this artifact and its cause- fuzzy baseline, but not thick. A. Wandering baseline; dirty electrodes B. AC interference; corroded leads C. Somatic tremor; shivering D. This is not artifact Your patient, Jose Martinez, is a 12-year-old boy who requires an ECG. When you look at his chart, you note he has dextrocardia. What should you do? A. The limb leads and chest leads should be reversed, or a mirror image of the usual chest placement. B. Place the chest leads in the usual position and rate the limb leads to opposite sides. C. The chest leads should be reversed or a mirror image of the usual chest lead placement. D. Do not change the placement of any leads but explain the procedure in simple terms to Jose. What can be done to help with somatic tremor artifact? A. Warm and reassure the patient, remind the patient not to move, have he patient put hands palm down under buttocks. B. Reposition the lead wires, move the patient's bed away from the wall, use new electrodes. C. Eliminate the source of interference, ground the machine, and re-attach the lead wires correctly. D. Apply electrodes securely, remove tension, and re-clean the skin properly. What does general day to day care and maintenance of the ECG equipment consist of? A. Disinfection of the machine, lead wires, and reusable electrodes. B. Cleaning the machine and restocking supplies. C. Storing the equipment properly, untangling the lead wires, and stocking supplies. D. Cleaning the machine, lead wires, and reusable electrodes and untangling the cables. Describe the difference between a routine ECG and continuous cardiac monitoring? A. Cardiac monitoring uses 3 leads with different placements. B. Cardiac monitoring uses 4 leads, utilizing the limbs. C. Cardiac monitoring uses the 6 chest leads. D. Cardiac monitoring is the same as a routine ECG. You are unable to run a "clean" tracing. Which of the following may be the reason for this? A. The patient is not touching any metal portion of the bed or exam table. B. Electrodes are not properly attached to the patient's skin. C. The patient is unresponsive. D. Clips are securely attached to the electrodes. What is the rate of the rhythm for sinus tachycardia? A. 60-100 bpm B. Less than 60 bpm C. Greater than 100 bpm D. 72 bpm Determine the rate of this rhythm strip- 4 complete regular complexes. A. 40 bpm B. 37 bpm C. 18 bpm D. Greater than 60 bpm The ECG tracing is considered a legal document and needs to be included in the patient's medical record. What information needs to be included on this document? A. Patient's social security number, physician's name, and location. B. Patient's date of birth, diagnosis, and medication being taken. C. Physician's name, your name, and patient's address. D. Patient's name, date, and time of day. [Show Less]