RCP 160 EVALUATION EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Which of the following is NOT part of the H's and T's? - ✔✔hemothorax
✔✔Sedation medications are a form of chemical restraint? - ✔✔true
✔✔A patient is receiving mechanical ventilation as a result of an apparent tetanus
infection. The patient is having tetanic contractions. What medications would be
appropriate for this patient?
1. Paralytic agents
2. Analgesics
3. Sedatives
4. Diuretics - ✔✔1,2,3
✔✔Proper position of the patient, stabilization of fractures, elimination of irritating
stimulation, proper positioning of the ventilator tubing to avoid traction on the
endotracheal tube, are all nonpharmacologic interventions to improve patient comfort? -
✔✔True
✔✔The function of the transducer in the invasive vascular monitoring system is to do
which of the following? - ✔✔Convert the fluid pressure to an electrical signal
✔✔A pulmonary artery catheter must be wedged in which of the following locations? -
✔✔Zone 3
✔✔The hemodynamic measurement that is indicative of a patient with right heart failure
is which of the following? - ✔✔Central venous pressure (CVP) = 16 mmHg
✔✔Systemic vascular resistance can be elevated by which of the following disorders? -
✔✔hypovolemia
✔✔An intubated patient with no known history of congestive heart failure in the ICU.
The patient is comatose and currently receiving mechanical ventilation via volume-
controlled continuous mandatory ventilation (VC-CMV), set rate 12 bpm, set tidal
volume (VT) 400 mL, positive-end-expiratory pressure (PEEP) 18 cm H2O, fractional
inspired oxygen (FIO2) 0.35, and the patient is not assisting. Hemodynamic
measurements show the following: central venous pressure (CVP) 5 mm Hg, pulmonary
artery pressure (PAP) 33 /20 mm Hg, and pulmonary artery occlusion pressure (PAOP)
16 mm Hg. Arterial blood gas (ABG) results are: pH 7.43, arterial partial pressure of
oxygen (PaO2) 90 mmhg. The physician asks for recommendations to improve this
patient's hemodynamics. The most appropriate recommendation for this patient is which
of the following? - ✔✔Decrease the PEEP incrementally and recheck hemodynamic
measurement.
, ✔✔A patient in the ICU has a chest x-ray that shows bilateral infiltrates and has the
following hemodynamic measurements: central venous pressure (CVP) 5 mm Hg,
pulmonary artery pressure (PAP) 24/13 mm Hg, and pulmonary artery occlusion
pressure (PAOP) 21 mm Hg. These findings are consistent with which of the following?
- ✔✔Cardiogenic pulmonary edema
✔✔Absolute confirmation of placement of a central venous pressure catheter is done
with which of the following? - ✔✔Chest X-ray
✔✔Common complications of systemic artery catheterization include all but which of the
following? - ✔✔Phlebitis
✔✔The immediate complications that may occur during the insertion of a central venous
pressure line include all of the following except: - ✔✔infection
✔✔The PCWP will likely be increased in a patient with left ventricular failure. - ✔✔true
✔✔PAP 25/8 mmHg
CVP 2-6 mmHg
PCWP 4-12 mmHg
Right Atria 4-12 cmH2O
Left Ventricle 120/0 mmHg - ✔✔
✔✔The most common site for arterial line placement is in the - ✔✔Radial Artery
✔✔What is a CVP line used for? - ✔✔To administer medications
To administer fluids
✔✔How long should the balloon be inflated to obtain a PCWP pressure? - ✔✔15-30 sec
✔✔A patient in the ICU has the following hemodynamic measurements: CVP 5 mmHg,
PAP 18 (mean), PCWP 4 mmHg, BP 115/74, CO 4L/min. What is the disease process?
- ✔✔Pulmonary Hypertension
✔✔A patient presents to the ED with a chief complaint of severe abdominal pain. Upon
examination, the patient was found to be pale and lethargic with a distended belly. His
vitals and hemodynamics were as follows: HR of 111 weak and thready, RR: 10, SpO2:
85% on RA, BP: 77/35, CVP: 1 mmHg, PAP: 20/7, PCWP: 3 mmHg. What disease
process could the patient experiencing? - ✔✔GI Bleed
✔✔A patient with tricuspid valve stenosis would most likely have an increase in which
hemodynamic pressure? - ✔✔CVP
SOLUTIONS GRADED A+
✔✔Which of the following is NOT part of the H's and T's? - ✔✔hemothorax
✔✔Sedation medications are a form of chemical restraint? - ✔✔true
✔✔A patient is receiving mechanical ventilation as a result of an apparent tetanus
infection. The patient is having tetanic contractions. What medications would be
appropriate for this patient?
1. Paralytic agents
2. Analgesics
3. Sedatives
4. Diuretics - ✔✔1,2,3
✔✔Proper position of the patient, stabilization of fractures, elimination of irritating
stimulation, proper positioning of the ventilator tubing to avoid traction on the
endotracheal tube, are all nonpharmacologic interventions to improve patient comfort? -
✔✔True
✔✔The function of the transducer in the invasive vascular monitoring system is to do
which of the following? - ✔✔Convert the fluid pressure to an electrical signal
✔✔A pulmonary artery catheter must be wedged in which of the following locations? -
✔✔Zone 3
✔✔The hemodynamic measurement that is indicative of a patient with right heart failure
is which of the following? - ✔✔Central venous pressure (CVP) = 16 mmHg
✔✔Systemic vascular resistance can be elevated by which of the following disorders? -
✔✔hypovolemia
✔✔An intubated patient with no known history of congestive heart failure in the ICU.
The patient is comatose and currently receiving mechanical ventilation via volume-
controlled continuous mandatory ventilation (VC-CMV), set rate 12 bpm, set tidal
volume (VT) 400 mL, positive-end-expiratory pressure (PEEP) 18 cm H2O, fractional
inspired oxygen (FIO2) 0.35, and the patient is not assisting. Hemodynamic
measurements show the following: central venous pressure (CVP) 5 mm Hg, pulmonary
artery pressure (PAP) 33 /20 mm Hg, and pulmonary artery occlusion pressure (PAOP)
16 mm Hg. Arterial blood gas (ABG) results are: pH 7.43, arterial partial pressure of
oxygen (PaO2) 90 mmhg. The physician asks for recommendations to improve this
patient's hemodynamics. The most appropriate recommendation for this patient is which
of the following? - ✔✔Decrease the PEEP incrementally and recheck hemodynamic
measurement.
, ✔✔A patient in the ICU has a chest x-ray that shows bilateral infiltrates and has the
following hemodynamic measurements: central venous pressure (CVP) 5 mm Hg,
pulmonary artery pressure (PAP) 24/13 mm Hg, and pulmonary artery occlusion
pressure (PAOP) 21 mm Hg. These findings are consistent with which of the following?
- ✔✔Cardiogenic pulmonary edema
✔✔Absolute confirmation of placement of a central venous pressure catheter is done
with which of the following? - ✔✔Chest X-ray
✔✔Common complications of systemic artery catheterization include all but which of the
following? - ✔✔Phlebitis
✔✔The immediate complications that may occur during the insertion of a central venous
pressure line include all of the following except: - ✔✔infection
✔✔The PCWP will likely be increased in a patient with left ventricular failure. - ✔✔true
✔✔PAP 25/8 mmHg
CVP 2-6 mmHg
PCWP 4-12 mmHg
Right Atria 4-12 cmH2O
Left Ventricle 120/0 mmHg - ✔✔
✔✔The most common site for arterial line placement is in the - ✔✔Radial Artery
✔✔What is a CVP line used for? - ✔✔To administer medications
To administer fluids
✔✔How long should the balloon be inflated to obtain a PCWP pressure? - ✔✔15-30 sec
✔✔A patient in the ICU has the following hemodynamic measurements: CVP 5 mmHg,
PAP 18 (mean), PCWP 4 mmHg, BP 115/74, CO 4L/min. What is the disease process?
- ✔✔Pulmonary Hypertension
✔✔A patient presents to the ED with a chief complaint of severe abdominal pain. Upon
examination, the patient was found to be pale and lethargic with a distended belly. His
vitals and hemodynamics were as follows: HR of 111 weak and thready, RR: 10, SpO2:
85% on RA, BP: 77/35, CVP: 1 mmHg, PAP: 20/7, PCWP: 3 mmHg. What disease
process could the patient experiencing? - ✔✔GI Bleed
✔✔A patient with tricuspid valve stenosis would most likely have an increase in which
hemodynamic pressure? - ✔✔CVP
