NR 341/ NR341 EXAM 2: (NEW 2025/ 2026 UPDATE) COMPLEX ADULT HEALTH REVIEW | QUESTIONS & ANSWERS| GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN

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NR 341/ NR341 EXAM 2: (NEW 2025/ 2026
UPDATE) COMPLEX ADULT HEALTH REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN


1. Automatic Implantable Cardioverter-Defibrillator (AICD): Indications - ANS
✓- recurrent sustained V tach
- survivors of cardiac arrest

2. AICD - ANS ✓- lead placed in endocardium via subclavian vein
- monitors HR and rhythm to identify Vtach and Vfib
- 25 seconds after lethal rhythm detected, delivers 25J shock
- new ones have anti brady and anti tach capabilities

3. Right Atrium Pressure (CVP) - ANS ✓2-6 mmHg

4. Right Ventricle Pressure (RVP) - ANS ✓2-8 mmHg

5. Pulmonary Artery Pressure (PAP) - ANS ✓8-15 mmHg

6. Pulmonary Artery Occlusive Pressure (PAOP) - ANS ✓6-12 mmHg

7. Cardiac Output - ANS ✓4-8 L/min

8. Cardiac Index - ANS ✓2.5-4.2

9. Stroke Volume - ANS ✓60-130 mL

10. Pulmonary Vascular Resistance - ANS ✓- 20-120
- force overcome by the right ventricle upon contraction

11. Systemic Vascular Resistance - ANS ✓- 800-1500
- force overcome by the left ventricle upon contraction

12. Preload - ANS ✓- degree of muscle fibers stretch before systole
- volume of blood in ventricle prior to contraction

13. Frank-Starling Law - ANS ✓- increased stretch= increased volume
- stretch is within physiological limits



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14. Afterload - ANS ✓- pressure or resistance against flow
- related to lumen size and viscosity

15. Contractility - ANS ✓strength of myocardial fiber shortening during systole, the
force of ventricular contraction that propels blood forward

16. How is PAOP obtained? - ANS ✓a balloon of the pulmonary artery catheter is
inflated to wedge the catheter from the pulmonary artery into a small capillary

17. What is PAOP indicative of? - ANS ✓left ventricular function

18. How to wedge a PA catheter - ANS ✓- inflate no more than 1.5mL of air, for no
longer than 8-10 seconds
- note waveform change from PAP to PAOP

19. Non-Invasive Hemodynamic Monitoring - ANS ✓- routine blood pressure
- measuring jugular vein distention (occurs when central venous pressure is elevated)
- serum lactate lefts provide information regarding end-organ perfusion

20. Arterial Pressure Monitoring - ANS ✓most accurate method of monitoring blood
pressure, provides a continuous analysis of arterial pressure

21. Pulmonary Artery Pressure Monitoring - ANS ✓uses a flow directed catheter, to
measure pressure in the pulmonary artery and the left side of the heart

22. Right Atrial Pressure Monitoring - ANS ✓-CVP
- estimates central venous blood/fluid volume and right heart function

23. Pulmonary Catheter (PAC) - ANS ✓- inserted by doctors via subclavian, internal
jugular or femoral vein
- catheters are balloon tipped
- placement is facilitated by inflation of balloon

24. Increased Pulmonary Vascular Resistance (PVR) - ANS ✓- hypoxemia
- pulmonary embolism
- pulmonary hypertension

25. Decreased Pulmonary Vascular Resistance (PVR) - ANS ✓pulmonary vasodilating
drugs (morphine)

26. Pulmonary Arter Occlusive Pressure (PAOP) - ANS ✓- reflects function of left
ventricle
- can be substituted for pulmonary artery diastolic pressure
- document amount of air in balloon when performing wedge pressure
- no more than 1.5



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