NUR 431 L FINAL EXAM QUESTIONS
AND ANSWERS
Clues: renal failure
Treatment: Sodium Bicarbonate, hyperventilate - Answer-Hydrogen ion (acidosis)
Clues: neck vein distention, tracheal deviation, unequal breath sounds, difficulty
ventilating patient
Needle decompression, tube thoracostomy - Answer-Tension pneumothorax
Clues: vein distention
Treatment: Pericardiocentesis - Answer-Tamponade, cardiac
Clues: tachycardia, + for DVT
Treatment: Surgical embolectomy, fibrinolytics - Answer-Thrombosis, pulmonary
Clues: ST segment changes, T wave inversion, elevated cardiac markers
Treatment: Fibrinolytics, embolectomy, percutaneous coronary intervention - Answer-
Thrombosis, coronary
What meds can be given through ETT tube? - Answer-N- narcan
A- atropine
V- vasopressin
E- epi
L- lidocaine
Shockable lethal rhythms - Answer-V fib, pulseless v-tach
non-shockable lethal rhythms - Answer-asystole, PEA
For Monophasic machine- use ____J for all shocks - Answer-360
Biphasic machine- start at ____J, then escalate according to manufacturer's
recommendations. (Most likely _____J, then ___J) - Answer-200, 300, 360
Keep _____ away from chest area while delivering shock. - Answer-oxygen
If PETCO2 is <____mmHg, CPR quality must be improved. - Answer-10
RETURN OF SPONTANEOUS CIRCULATION (ROSC)
Maintain SBP of at least ___ mmHg and O2 sat of at least ___%. - Answer-90, 94%
Optimizing ____, ____, ____, especially to brain and heart, is primary goal after ROSC
is achieved. - Answer-oxygenation, ventilation and perfusion
, For SVT you do - Answer-Vagal maneuvers, Adenosine
For a-fib you do - Answer-Beta blockers, Diltiazem, and consult expert
For v-tach with pulse you do - Answer-Amiodarone, Procanimide, consult expert
Clues: Tachycardic, flat neck veins
Treatment: Give fluids - Answer-Hypovolemia
Warm blankets
Warm fluids - Answer-Hypothermia
Clues: flat T waves, diuretic use
Treatment: replete K+ - Answer-Hypokalemia
Clues: peaked T waves, small P waves, history of renal failure, diabetes
Treatment: Kayexalate, glucose and insulin, calcium chloride, NaBicarb - Answer-
Hyperkalemia
Clues: cyanosis, blood gases, airway issues
Treatment: Oxygenate, ventilate, advanced airway - Answer-Hypoxia
Clues: possible prolongation of QT interval, bradycardia, empty bottles at scene, pupils
or neurologic exam
Treatment: Drug screen, lavage, antidotes, activated charcoal - Answer-Toxins
For acute coronary syndrome you want to do: - Answer-M: morphine
O: oxygen
N: Nitro
A: Aspirin
Indications: SVT, narrow complex tachycardia, or regular monomorphic wide complex
tachycardia
Dose:
6 mg IV/IO for first dose
12 mg IV/IO for 2nd and 3rd doses - Answer-Adenosine
Indications: V-Fib or pulseless V-tach
Dose:
300 mg IV/IO for first dose
150 mg IV/IO 2nd dose - Answer-Amiodarone
Indications: V-tach with a pulse
Dose:
150 mg over 10 minutes (rapid)
AND ANSWERS
Clues: renal failure
Treatment: Sodium Bicarbonate, hyperventilate - Answer-Hydrogen ion (acidosis)
Clues: neck vein distention, tracheal deviation, unequal breath sounds, difficulty
ventilating patient
Needle decompression, tube thoracostomy - Answer-Tension pneumothorax
Clues: vein distention
Treatment: Pericardiocentesis - Answer-Tamponade, cardiac
Clues: tachycardia, + for DVT
Treatment: Surgical embolectomy, fibrinolytics - Answer-Thrombosis, pulmonary
Clues: ST segment changes, T wave inversion, elevated cardiac markers
Treatment: Fibrinolytics, embolectomy, percutaneous coronary intervention - Answer-
Thrombosis, coronary
What meds can be given through ETT tube? - Answer-N- narcan
A- atropine
V- vasopressin
E- epi
L- lidocaine
Shockable lethal rhythms - Answer-V fib, pulseless v-tach
non-shockable lethal rhythms - Answer-asystole, PEA
For Monophasic machine- use ____J for all shocks - Answer-360
Biphasic machine- start at ____J, then escalate according to manufacturer's
recommendations. (Most likely _____J, then ___J) - Answer-200, 300, 360
Keep _____ away from chest area while delivering shock. - Answer-oxygen
If PETCO2 is <____mmHg, CPR quality must be improved. - Answer-10
RETURN OF SPONTANEOUS CIRCULATION (ROSC)
Maintain SBP of at least ___ mmHg and O2 sat of at least ___%. - Answer-90, 94%
Optimizing ____, ____, ____, especially to brain and heart, is primary goal after ROSC
is achieved. - Answer-oxygenation, ventilation and perfusion
, For SVT you do - Answer-Vagal maneuvers, Adenosine
For a-fib you do - Answer-Beta blockers, Diltiazem, and consult expert
For v-tach with pulse you do - Answer-Amiodarone, Procanimide, consult expert
Clues: Tachycardic, flat neck veins
Treatment: Give fluids - Answer-Hypovolemia
Warm blankets
Warm fluids - Answer-Hypothermia
Clues: flat T waves, diuretic use
Treatment: replete K+ - Answer-Hypokalemia
Clues: peaked T waves, small P waves, history of renal failure, diabetes
Treatment: Kayexalate, glucose and insulin, calcium chloride, NaBicarb - Answer-
Hyperkalemia
Clues: cyanosis, blood gases, airway issues
Treatment: Oxygenate, ventilate, advanced airway - Answer-Hypoxia
Clues: possible prolongation of QT interval, bradycardia, empty bottles at scene, pupils
or neurologic exam
Treatment: Drug screen, lavage, antidotes, activated charcoal - Answer-Toxins
For acute coronary syndrome you want to do: - Answer-M: morphine
O: oxygen
N: Nitro
A: Aspirin
Indications: SVT, narrow complex tachycardia, or regular monomorphic wide complex
tachycardia
Dose:
6 mg IV/IO for first dose
12 mg IV/IO for 2nd and 3rd doses - Answer-Adenosine
Indications: V-Fib or pulseless V-tach
Dose:
300 mg IV/IO for first dose
150 mg IV/IO 2nd dose - Answer-Amiodarone
Indications: V-tach with a pulse
Dose:
150 mg over 10 minutes (rapid)
