Dubai Health Authority (DHA) Search Que All Content UpToDateOvidMy Account My Account Loraine Balingit, 125933 (Logout) – Dubai Hospital 12-lead electrocardiogram (ECG) Score: 100% (12 of 12) (Correct answers are in bold.) What does the QRS complex represent on an electrocardiogram waveform? Ventricular repolarization Ventricular depolarization Atrial repolarization Atrial depolarization Rationale: The QRS complex represents ventricular depolarization. How is a standard electrocardiogram (ECG) complex labeled? P-QRS-T P-QRJ-T P-RST-U L-MNO-Q Rationale: The ECG device measures and averages the difference in electrical potential of the electrode sites for each lead and graphs them over time. This creates the standard ECG complex, which is made up of P-QRS-T. When preparing to obtain an electrocardiogram, how should you position the patient? Side-lying Sims Supine Prone Rationale: Have the patient lie supine in the center of the bed with his arms at his sides. Raise the head of the bed, if the patient desires, to promote comfort. On what limb areas should you place the electrodes to provide the best electrocardiogram tracing? Bony areas Hairy areas Flat, fleshy areas Muscular areas Rationale: Select flat, fleshy areas to place the limb lead electrodes to provide the best tracing. A standard electrocardiogram (ECG) produces how many views of electrical activity? 12 8 6 10 Rationale: The standard 12-lead ECG uses a series of electrodes placed on the extremities and the chest wall to assess the heart from 12 different views (leads). What's the correct placement of the V4 electrode? Fifth intercostal space at the midaxillary line Fourth intercostal space at the right border of the sternum Fifth intercostal space at the midclavicular line Halfway between V2 and V5 Rationale: The V4 electrode should be placed over the fifth intercostal space at the midclavicular line. What does electrocardiography measure? Heart's electrical activity Right atrial function Left ventricular activity Cardiac output Rationale: Electrocardiography measures the heart's electrical activity as waveforms. What should you keep in mind if the patient has a permanent pacemaker? You should avoid placing the electrodes over the pacemaker. You should avoid performing an electrocardiogram. You may perform the electrocardiogram with or without a magnet. You must place the leads on the opposite side of the chest. Rationale: If the patient has a pacemaker, you may perform the electrocardiogram (ECG) with or without a magnet, according to the practitioner's orders. Note the presence of the pacemaker and the use of the magnet on the ECG strip. What does the T wave represent on an electrocardiogram waveform? Ventricular depolarization Ventricular repolarization Atrial repolarization Atrial depolarization Rationale: The T wave represents ventricular repolarization. What does the P wave represent on an electrocardiogram waveform? Ventricular repolarization Atrial depolarization Atrial repolarization Ventricular depolarization Rationale: The P wave represents atrial depolarization. Ventricular depolarization and repolarization are represented by what electrocardiogram measure? QT interval QRS complex T wave PR interval Rationale: The QT interval represents the time of ventricular depolarization and repolarization. What is the correct placement of the V6 electrode? Fourth intercostal space at the right sternal border Fifth intercostal space at the midaxillary line, level with V4 Fifth intercostal space at the right sternal border Fifth intercostal space at the anterior axillary line Rationale: The V6 electrode should be placed at the fifth intercostal space at the midaxillary line, level with V4. Close Results IP Address: 86.97.106.50, Server: wkhpe-co-app2, Session: E5682E43276B439196C8BF038BDB60CA Copyright © 2017, Wolters Kluwer. License Agreement & Disclaimer Privacy Statement