NPTE Practice Questions: ECG Reading

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This video will help you prepare for the NPTE with a practice question about reading an ECG. The National Physical Therapy Exam (NPTE) is a national licensure exam for physical therapists in the United States, administered by the Federation of State Boards of Physical Therapy (FSBPT).
How well can you read an ECG strip? 🤔Let's test your ability to read, interpret, and make a sound decision in this excellent episode about ECG reading.
Question:
A physical therapist is evaluating a patient in the acute care setting. The patient has a history of CHF, COPD, atrial fibrillation, hypertension and fibromyalgia. Upon entering the room, the following image is displayed on the ECG monitor. What is the best course of action?
Answer Choices:
A. Immediately stop the evaluation and call a nurse
B. Assess the patient's blood pressure
C. Activate rapid response
D. Continue with the evaluation while monitoring patient's response to activity
Do you think you know which answer is correct? Watch the video to find out.
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Disclaimer: The PT Hustle along with the contents of this video including the question and rationale are not affiliated with the National Physical Therapy Examination® (NPTE) or property of Federation of State Boards of Physical Therapy® (FSBPT). The information contained in this video should not be taken as medical advice. The information provided in this training should not be used as the sole source of clinical, legal, or medical advice. Please use sound clinical judgment based upon the best evidence when treating yourself or a patient.
Music credit: The Future Bass by Starjammusic

[@crismabenny244]

Is this a different lead ?

[@13lbriard]

This might be more of a clinic brain, but with a question like this (regardless of what the monitor says) my thought was I'd like to assess the patient's response to confirm the need for urgent action.

[@TwinGeminiStudio]

I love your energy! Thanks for making these videos.

[@francinemathis7227]

You are amazing!!

[@ThePTHustle]

Thanks Francine!!!! My heart is happy!! Happy Friday!

[@cameronkirby3215]

I know this is 5 years late but isn't A fib characterized by absent of P waves due to irregular R-R intervals? If there are P waves present at the R-R intervals look regular why wouldn't this be a unifocal PVC

[@lishen274]

the QRS wave doesnt look normal either, it has not peak! right?

[@krisddavid]

Hi! Amazing job brother! Other than Hillegass, what book would you suggest for cardio pulmo?

[@ThePTHustle]

Kris David what’s up man?! thanks for the love. If not hillegass, my go-to, I would check this one out next Cardiovascular and Pulmonary Physical Therapy: An Evidence-Based Approach DeTurk WE, Cahalin LP, 2011, McGraw-Hill

[@PaintingwithEnrique]

I knew it was afib but I selected C. because I taught it was an emergency.

[@pajamaman4832]

Is this ecg strip “upside down”?

[@ThePTHustle]

Hey Paul! No, it isn't technically. Depending on the lead that you are looking at, the deflection on the waves will present inverted or upright.

[@garrettdutton10]

No matter what I do, this video won't play.

[@ThePTHustle]

Did you get it working?!

[@brycenalls6862]

I chose A just because it was 40 bpm which is pretty alarming

[@PaintingwithEnrique]

I think it's a 100 bpm

[@fc.h3615]

As PTA we don’t know how to read that so I would call the nurse.