NURSING SKILLS 431 FINAL QUIZ
QUESTIONS WITH COMPLETE
ANSWERS
You are checking for a pulse in an unresponsive patient. How long do you continue to
check for a pulse before starting chest compressions?
A. 3-5 seconds
B. 1-3 seconds
C. at least 10 seconds
D. 5-10 seconds - Answer-D. 5-10 seconds
What is the preferred method of access for epinephrine administration during cardiac
arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Peripheral Intravenous
D. Central Intravenous - Answer-C. Peripheral Intravenous
Which of the following alarm problems is caused by a blocked or kinked endotracheal
tube?
A. high pressure
B. low exhaled tidal volume
C. Low inspiratory pressure
D. apnea - Answer-A. High pressure
Which of the following is a likely cause of a low pressure alarm?
A. biting the endotracheal tube
B. Circuit disconnect
C. Secretion built up
D. Coughing - Answer-B. Circuit disconnect
The nurse monitors the pt w/ positive pressure mechanical ventilation for...
A. Paralytic ileus bc pressure on the abdominal contents affects bowel motility
B. Diuresis & sodium depletion bc of increased release of atril natriuretic peptide
C. Signs of cardiovascular insufficiency bc pressure in the chest impedes venous return
D. Respiratory acidosis in a pt w/ COPD bc of alveolar hyperventilation & increased
PaO2 levels - Answer-C. Signs of cardiovascular insufficiency bc pressure in the chest
impedes venous return
You find an unresponsive patient who is not breathing. After activating the emergency
response system, you determine that there is no pulse. What is your next action?
A. Deliver 2 rescue breaths each over 1 second
B. Start chest compressions at a rate of 100-120/min
, C. Open the airway with a head tilt-chin lift
D. Administer epinephrine at a dose of 1 mg/kg - Answer-B. Start chest compressions at
a rate of 100-120/min
What is a common but sometimes fatal mistake in cardiac arrest management?
A. Failure to perform endotracheal intubation
B. Failure to obtain vascular access
C. Prolonged interruption in chest compressions
D. Prolonged periods of no ventilations - Answer-C. Prolonged interruption in chest
compressions
What action is a component of high-quality chest compressions?
A. Chest compressions without ventilation
B. Allowing complete chest recoil
C. Uninterrupted compressions at a depth of ⅕ inches
D. 60-100 compressions/min w/ a 15:2 ratio - Answer-B. Allowing complete chest recoil
You have completed your first 2-min period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action?
A. Administer normal saline at 20 mL/kg
B. Obtain a BP & O2 sat
C. Administer epinephrine at 1 mg/kg IV
D. Have a team member attempt to palpate a carotid pulse - Answer-D. Have a team
member attempt to palpate a carotid pulse
Which of the following is a sign of effective CPR?
A. Measured UOP of 1 mL/kg/hr
B. PETCO2 > 10 mmHg
C. Pt temp > 32 oC
D. BP of 120/80 mmHg - Answer-B. PETCO2 > 10 mmHg
What is the purpose of a medical emergency team (MET) or rapid response team
(RRT)?
A. Providing online consultation to EMS personnel in the field
B. Providing diagnostic consultation to emergency department pts
C. Improving pt outcomes by identifying & treating early clinical deterioration
D. Improving care for deteriorating pts admitted to critical care units - Answer-C.
Improving pt outcomes by identifying & treating early clinical deterioration
Which treatment or medication is appropriate for the treatment of a pt in asystole?
A. epinephrine
B. Defibrillation
C. Atropine
D. Transcutaneous pacing - Answer-A. epinephrine
What is the recommended next step after a defibrillation attempt?
QUESTIONS WITH COMPLETE
ANSWERS
You are checking for a pulse in an unresponsive patient. How long do you continue to
check for a pulse before starting chest compressions?
A. 3-5 seconds
B. 1-3 seconds
C. at least 10 seconds
D. 5-10 seconds - Answer-D. 5-10 seconds
What is the preferred method of access for epinephrine administration during cardiac
arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Peripheral Intravenous
D. Central Intravenous - Answer-C. Peripheral Intravenous
Which of the following alarm problems is caused by a blocked or kinked endotracheal
tube?
A. high pressure
B. low exhaled tidal volume
C. Low inspiratory pressure
D. apnea - Answer-A. High pressure
Which of the following is a likely cause of a low pressure alarm?
A. biting the endotracheal tube
B. Circuit disconnect
C. Secretion built up
D. Coughing - Answer-B. Circuit disconnect
The nurse monitors the pt w/ positive pressure mechanical ventilation for...
A. Paralytic ileus bc pressure on the abdominal contents affects bowel motility
B. Diuresis & sodium depletion bc of increased release of atril natriuretic peptide
C. Signs of cardiovascular insufficiency bc pressure in the chest impedes venous return
D. Respiratory acidosis in a pt w/ COPD bc of alveolar hyperventilation & increased
PaO2 levels - Answer-C. Signs of cardiovascular insufficiency bc pressure in the chest
impedes venous return
You find an unresponsive patient who is not breathing. After activating the emergency
response system, you determine that there is no pulse. What is your next action?
A. Deliver 2 rescue breaths each over 1 second
B. Start chest compressions at a rate of 100-120/min
, C. Open the airway with a head tilt-chin lift
D. Administer epinephrine at a dose of 1 mg/kg - Answer-B. Start chest compressions at
a rate of 100-120/min
What is a common but sometimes fatal mistake in cardiac arrest management?
A. Failure to perform endotracheal intubation
B. Failure to obtain vascular access
C. Prolonged interruption in chest compressions
D. Prolonged periods of no ventilations - Answer-C. Prolonged interruption in chest
compressions
What action is a component of high-quality chest compressions?
A. Chest compressions without ventilation
B. Allowing complete chest recoil
C. Uninterrupted compressions at a depth of ⅕ inches
D. 60-100 compressions/min w/ a 15:2 ratio - Answer-B. Allowing complete chest recoil
You have completed your first 2-min period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action?
A. Administer normal saline at 20 mL/kg
B. Obtain a BP & O2 sat
C. Administer epinephrine at 1 mg/kg IV
D. Have a team member attempt to palpate a carotid pulse - Answer-D. Have a team
member attempt to palpate a carotid pulse
Which of the following is a sign of effective CPR?
A. Measured UOP of 1 mL/kg/hr
B. PETCO2 > 10 mmHg
C. Pt temp > 32 oC
D. BP of 120/80 mmHg - Answer-B. PETCO2 > 10 mmHg
What is the purpose of a medical emergency team (MET) or rapid response team
(RRT)?
A. Providing online consultation to EMS personnel in the field
B. Providing diagnostic consultation to emergency department pts
C. Improving pt outcomes by identifying & treating early clinical deterioration
D. Improving care for deteriorating pts admitted to critical care units - Answer-C.
Improving pt outcomes by identifying & treating early clinical deterioration
Which treatment or medication is appropriate for the treatment of a pt in asystole?
A. epinephrine
B. Defibrillation
C. Atropine
D. Transcutaneous pacing - Answer-A. epinephrine
What is the recommended next step after a defibrillation attempt?
