CTRN COMPLETE QUESTIONS AND
ANSWERS
Beck's Triade - CORRECT ANSWER-Increased central venous
pressure, muffled heart tones, JVD, hypotensive, narrowing
pulse pressures and is suggestive of cardiac tamponade
Cardiac Tamponade - CORRECT ANSWER-Tachycardia,
hypotension, muffled heart tones, JVD, anxiety, narrowing
pulse pressure, cyanosis, paradoxical pulse
Transvenous Pacing - CORRECT ANSWER-Most often right
ventricular electrode becomes displaced
Administer fibrinolytics - CORRECT ANSWER-One line solely
for fibrinolytics, not compatible with most drugs
Electrode Placement - CORRECT ANSWER-V1- 4th intercostal
space. V4 & V5 5th intercostal space
Fibrinolytics (dosing) - CORRECT ANSWER-First dose IV
bolus, remainder over 1.5 hours for CVA. MI is split doses IV
push
Auscultating Heart Sounds - CORRECT ANSWER-S1&S2 over
apex with diaphragm, S2 should follow S1. Turn pt to left side,
use bell to listen for S3 following S2. S4 is softer beat just prior
to S1. Supine for murmurs, left of sternum 3rd intercostal.
Aortic murmurs sit forward, right of sternum at 2nd intercostal
with diaphragm
ANSWERS
Beck's Triade - CORRECT ANSWER-Increased central venous
pressure, muffled heart tones, JVD, hypotensive, narrowing
pulse pressures and is suggestive of cardiac tamponade
Cardiac Tamponade - CORRECT ANSWER-Tachycardia,
hypotension, muffled heart tones, JVD, anxiety, narrowing
pulse pressure, cyanosis, paradoxical pulse
Transvenous Pacing - CORRECT ANSWER-Most often right
ventricular electrode becomes displaced
Administer fibrinolytics - CORRECT ANSWER-One line solely
for fibrinolytics, not compatible with most drugs
Electrode Placement - CORRECT ANSWER-V1- 4th intercostal
space. V4 & V5 5th intercostal space
Fibrinolytics (dosing) - CORRECT ANSWER-First dose IV
bolus, remainder over 1.5 hours for CVA. MI is split doses IV
push
Auscultating Heart Sounds - CORRECT ANSWER-S1&S2 over
apex with diaphragm, S2 should follow S1. Turn pt to left side,
use bell to listen for S3 following S2. S4 is softer beat just prior
to S1. Supine for murmurs, left of sternum 3rd intercostal.
Aortic murmurs sit forward, right of sternum at 2nd intercostal
with diaphragm
