Question 1

When performing a 3-lead ECG, how would you place the electrodes?

Accepted Answer

A)  Right anterior chest, left anterior chest, right lower chest 
B)  Right anterior chest, right lower chest, left lower chest 
C)  Right anterior chest, mid chest over heart, left lower chest 
D)  Right anterior chest, left anterior chest, left lower chest 
A)  Right anterior chest, left anterior chest, right lower chest 
B)  Right anterior chest, right lower chest, left lower chest 
C)  Right anterior chest, mid chest over heart, left lower chest 
D)  Right anterior chest, left anterior chest, left lower chest

Question 2

While assisting a paramedic to start an IV on a critical patient, he asks you to set up the IV bag with a "mini drip" administration set. Which one of the following administration sets should you use?

Accepted Answer

A)  10 drop/mL set 
B)  15 drop/mL set 
C)  20 drop/mL set 
D)  60 drop/mL set 
A)  10 drop/mL set 
B)  15 drop/mL set 
C)  20 drop/mL set 
D)  60 drop/mL set

Question 3

For the acquisition of a 4-lead tracing, why is the skin cleansed, dried, and shaved of hair (if necessary) prior to applying the ECG electrodes?

Accepted Answer

A)  Because ECG monitoring is a sterile procedure 
B)  To decrease the amount of energy needed should the patient need to be defibrillated 
C)  To enhance the conductivity between the electrode and the skin 
D)  Because it makes the heart more responsive to defibrillatory shocks 
A)  Because ECG monitoring is a sterile procedure 
B)  To decrease the amount of energy needed should the patient need to be defibrillated 
C)  To enhance the conductivity between the electrode and the skin 
D)  Because it makes the heart more responsive to defibrillatory shocks

Question 4

Your partner works as a registered nurse in a local emergency department, but also volunteers as an EMT with a community EMS service. Given his background, which of the following would require immediate intervention by the supervisor or yourself?

Accepted Answer

A)  Applies the cardiac monitor 
B)  Starts a small IV 
C)  Applies (continuous positive airway pressure (CPAP) 
D)  Titrates oxygen from low-concentration to high-concentration 
A)  Applies the cardiac monitor 
B)  Starts a small IV 
C)  Applies (continuous positive airway pressure (CPAP) 
D)  Titrates oxygen from low-concentration to high-concentration

Question 5

You are preparing to obtain an ECG tracing while using a 4-lead cardiac monitor. Where would you place the red "RL" lead?

Accepted Answer

A)  Right thorax, under the clavicle 
B)  Lower left chest wall, anterior axillary line 
C)  Left thorax, under the clavicle 
D)  Lower right chest wall, anterior axillary line 
A)  Right thorax, under the clavicle 
B)  Lower left chest wall, anterior axillary line 
C)  Left thorax, under the clavicle 
D)  Lower right chest wall, anterior axillary line

Exam 47: ALS-Assist Skills

When performing a 3-lead ECG, how would you place the electrodes?

While assisting a paramedic to start an IV on a critical patient, he asks you to set up the IV bag with a "mini drip" administration set. Which one of the following administration sets should you use?

For the acquisition of a 4-lead tracing, why is the skin cleansed, dried, and shaved of hair (if necessary) prior to applying the ECG electrodes?

Your partner works as a registered nurse in a local emergency department, but also volunteers as an EMT with a community EMS service. Given his background, which of the following would require immediate intervention by the supervisor or yourself?

You are preparing to obtain an ECG tracing while using a 4-lead cardiac monitor. Where would you place the red "RL" lead?

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