GRADED A+
✔✔The treatment in an emergency situation for complete heart block is:
1. a trial of atropine
2. preparing for transcutaneous pacing
3. doing cardiac compressions
4. using digoxin - ✔✔Preparing for transcutaneous pacing
✔✔Your patient has atrial flutter with a ventricular response of 150 beats per minute.
Therapy for this rhythm includes:
1. Digoxin, a temporary pacemaker, potassium chloride
2. Lidocaine, sodium bicarb, cardioversion
3. Amiodarone, cardizem, cardioversion
4. Isordil, nitropaste, pronestyl - ✔✔Amiodarone, cardizem, cardioversion
✔✔Signs of cardiac tamponade do not include which response below?
1. distended neck veins
2. pulsus paradoxus
3. decreased systolic pressure
4. bradycardia - ✔✔bradycardia
✔✔In the patient with ventricular fibrillation, the correct energy setting for the first
defibrillation when using a biphasic defibrillator is how many joules?
1. 240
2. 360
3. 150
4. 80 - ✔✔150
✔✔A patient becomes apneic and pulseless. The monitor shows asystole. The drug that
would most likely be used initially is:
1. verapamil
2. atropine
3. epinephrine
4. amiodarone - ✔✔Epinephrine
✔✔The antidote for heparin is:
1. Protamine sulfate
2. Narcan
3. Glucagone hydrochloride
4. vitamin K - ✔✔Protamine sulfate
✔✔The most important step in preventing central venous catheter related sepsis is:
1. Use of a transparent membrane dressing
, 2. Scrubbing access ports with alcohol
3. using antibiotic ointment under the dressing
4. thorough hand washing - ✔✔Thorough hand washing
✔✔An excessive amount of chest tube drainage in the first few hours following thoracic
surgery is how many ml's per hour?
1. 150
2. 75
3. 50
4. 30 - ✔✔150
✔✔A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mm
Hg, pCO2 of 38 mm Hg, and HCO3 of 25 mEq. These results reflect:
1. metabolic acidosis
2. metabolic alkalosis
3. normal values
4. respiratory compensation - ✔✔normal values
✔✔Before suctioning a patient, you adjust the vacuum pressure so that it is:
1. 150 mm Hg of vacuum pressure
2. as high as needed to effectively remove secretions
3. 120 mm Hg of vacuum pressure
4. no higher than the diastolic blood pressure - ✔✔120 mm Hg of pressure
✔✔Your post-operative patient has a left anterior chest tube. When you auscultate the
lung fields bilaterally, you hear diminished breath sounds in the right posterior base.
This would most likely be due to:
1. pleuritis
2. consolidation
3. the chest tube
4. atelectasis - ✔✔atelectasis
✔✔Your patient is on a ventilator. The low volume alarm sounds. This may be due to:
1. pulmonary edema
2. increasing secretions
3. a disconnected tube
4. biting the tube - ✔✔a disconnected tube
✔✔To assess proper positioning of an endotracheal tube, the most appropriate nursing
action would be to:
1. check for a change in the respiratory rate
2. listen for bilateral breath sounds
3. check for chest expansion
4. listen for minimal leak of the cuff - ✔✔Listen for bilateral breath sounds