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Somatic tremor artifact is commonly caused by


A) Patient movement.
B) Respirations.
C) Lotion on the skin interfering with the signal.
D) Electrical interference.

E) B) and D)
F) None of the above

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A rhythm that looks lethal cannot be artifact.

A) True
B) False

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A patient is short of breath and his nurse tells you he must have the head of bed (HOB) at 90 degrees for his 12-lead EKG.You


A) Leave,telling the nurse to call you when the HOB can be lowered flat.
B) Roll the HOB flat and do the EKG,then roll the HOB back up.
C) Call the physician and ask why the HOB can't be lowered.
D) Do the EKG at 90 degrees and document this position on the EKG.

E) B) and D)
F) B) and C)

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Your patient is having chills.What kind of artifact can this produce?


A) 60-cycle interference
B) Baseline sway
C) Broken recording
D) Somatic tremors

E) A) and B)
F) B) and C)

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_____ is unwanted jitter or interference on the EKG tracing.

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Artifact in Leads I,III,and AVL is caused by a loose or detached electrode patch or wire on the left arm.

A) True
B) False

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Macroshock and microshock are two kinds of electrical shock the patient can sustain from faulty equipment.

A) True
B) False

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Artifact can mimic dysrhythmias.

A) True
B) False

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If artifact is present in leads I,II,and AVR,the most likely source of the artifact is on the


A) Right arm.
B) Left arm.
C) Right leg.
D) Left leg.

E) A) and D)
F) C) and D)

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Some modern EKG machines are Bluetooth-capable,allowing EMS workers to


A) Listen to their favorite music station while on the job.
B) Control the artifact on the EKG.
C) Hear the EKG's interpretation via special headphones.
D) Transmit the EKG to the nearest hospital so workers can prepare for the patient's arrival.

E) All of the above
F) A) and C)

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If you think the rhythm is artifact,check your patient for any symptoms of decreased cardiac output first,then check his monitor wires and patches and observe the rhythm in another lead.

A) True
B) False

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If there is artifact in leads II,III,and AVF,on which limb(s) would you expect to find the cause of the artifact?


A) Right arm
B) Right arm and left leg
C) Left leg
D) Left arm

E) A) and B)
F) A) and D)

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Baseline sway is caused by lotion or sweat on the skin interfering with the _____ reaching the EKG machine.

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If artifact is seen in leads I,III,and AVL,you should direct your corrective efforts to which limb or limbs? _____.

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CPR artifact is seen only during CPR.

A) True
B) False

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The EKG machine control feature that controls the size of the waves and complexes is the _____.

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Electrical shock is LEAST likely to be caused by which of the following?


A) Frayed electrical cord on the EKG machine
B) Broken grounding prong on the electrical cord
C) Properly maintained EKG machine
D) Ungrounded hospital bed on which the patient is lying

E) A) and B)
F) None of the above

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A digital converter on the EKG machine


A) Controls the amount of artifact.
B) Controls the calibration of the machine.
C) Is the pen that prints out the EKG tracing.
D) Converts the analog signal to a digital one.

E) A) and B)
F) A) and C)

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If your patient's cardiac rhythm is life-threatening,your FIRST action should be to


A) Check the monitor wires and patches.
B) Exchange the cardiac monitor for a new one.
C) Check the patient-assess vital signs and see how he/she feels.
D) Notify the family of the patient's deteriorating condition.

E) A) and B)
F) B) and D)

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Life-threatening dysrhythmias will cause symptoms of decreased cardiac output.

A) True
B) False

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