Page 1 of 47
CRITICAL CARE EXAM 1 COMPLETE ACCURATE
QUIZZES WITH VERIFIED ANSWERS
Terms in this set (153)
>> When administering nitroglycerin, which possible outcome does the nurse need to monitor
the patient for?
A. Peripheral vasoconstriction with tissue necrosis
B. Increased afterload
C. Peripheral vasodilation
D. Increased preload
- correct answer- C. peripheral vasodilation
>> A patient is admitted to the ICU with a pulmonary artery (PA) catheter in the left internal
jugular. During the nurse's shift, the PA pressure increases. What additional priority assessment
does the nurse need to perform next?
A. Assess the patient's urine output
B. Assess the patient's lung sounds
C. Assess the patient's blood pressure
D. Assess the patient's heart rhythm
- correct answer- B. Assess the patient's lung sounds
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>> The nurse is caring for a patient with an internal jugular central line and a left radial arterial
line. The patient asks the nurse why he needs two lines and what the difference is. What will
the nurse include in the explanation?
A. "The internal jugular line is only for medication administration and the arterial line monitors
your central venous pressure."
B. "The internal jugular line is for monitoring your central venous pressure and the arterial line
is only for medication administration."
C. "The internal jugular line is only for monitoring your central venous pressure and the arterial
line is for monitoring your blood pressure."
D. "The internal jugular line is for monitoring your central venous pressure and medication
administration. The arterial line is for monitoring your blood pressure."
- correct answer- D. "The internal jugular line is for monitoring your central venous pressure and
medication administration. The arterial line is for monitoring your blood pressure."
>> The nurse observes asystole on the patient's telemetry monitor. What is the nurse first
action?
A. Carry out defibrillation.
B. Notify the physician.
C. Assess the patient.
D. Administer atropine IV.
- correct answer- C. Assess the patient.
>> When reviewing the patient's medication administration record (MAR) the notes the
medication atropine listed. The nurse understands that this medication is administered for
which problem?
, Page 3 of 47
A. Symptomatic bradycardia
B. Symptomatic tachycardia
C. Supraventricular tachycardia
D. Ventricular dysthymias
- correct answer- A. Symptomatic bradycardia
>> A patient has an intraaortic balloon pump (IABP) in the left groin. Which assessment finding
requires immediate action by the nurse?
A. Heart rate of 60 beats per minute
B. New onset confusion
C. Blood pressure of 90/55
D. Scant amount of blood on the left groin dressing
- correct answer- B. New onset confusion
>> The nurse is caring for a patient with a congestive heart failure and a central venous
pressure (CVP) of 15.. The nurse administers 40mg Lasix IVP as per physician order. What will
the nurse monitor to evaluate the effectiveness of the treatment?
A. Assess the patient's skin turgor.
B. Patient reports feeling "better."
C. Central venous pressure increases to 20.
D. Central venous pressure decreases to 8.
- correct answer- D. Central venous pressure decreases to 8.
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>> A patient who had an actue myocardial infarction 12 hours ago has hemodynamic
monitoring. While monitoring the patient, the nurse notes the patient's central venous pressure
is 12mmHg. What other assessment findings will the nurse anticipate? Select all that apply.
A. Weight loss of 2 kg since admission
B. Peripheral edema
C. Dyspnea
D. Decreased skin turgor
E. Hypertension
- correct answer- B. Peripheral edema
C. Dyspnea
E. Hypertension
>> A patient has arrived in the emergency room complaining of chest pain. The patient is
confused and does not remember when the chest pain started. What laboratory test results in
the highest priority in assisting the nurse in planning care for this patient?
A. Troponin 3.6 ng/mL
B. Creatinine 1.7 ng/mL
C. Creatine kinase (CK) 50 units/L
D. Potassium 3.1 mEq/L
- correct answer- A. Troponin 3.6 ng/mL
>> The nurse observes asystole on the patient's telemetry monitor. What is the first action?
A. Carry out defibrillation
CRITICAL CARE EXAM 1 COMPLETE ACCURATE
QUIZZES WITH VERIFIED ANSWERS
Terms in this set (153)
>> When administering nitroglycerin, which possible outcome does the nurse need to monitor
the patient for?
A. Peripheral vasoconstriction with tissue necrosis
B. Increased afterload
C. Peripheral vasodilation
D. Increased preload
- correct answer- C. peripheral vasodilation
>> A patient is admitted to the ICU with a pulmonary artery (PA) catheter in the left internal
jugular. During the nurse's shift, the PA pressure increases. What additional priority assessment
does the nurse need to perform next?
A. Assess the patient's urine output
B. Assess the patient's lung sounds
C. Assess the patient's blood pressure
D. Assess the patient's heart rhythm
- correct answer- B. Assess the patient's lung sounds
, Page 2 of 47
>> The nurse is caring for a patient with an internal jugular central line and a left radial arterial
line. The patient asks the nurse why he needs two lines and what the difference is. What will
the nurse include in the explanation?
A. "The internal jugular line is only for medication administration and the arterial line monitors
your central venous pressure."
B. "The internal jugular line is for monitoring your central venous pressure and the arterial line
is only for medication administration."
C. "The internal jugular line is only for monitoring your central venous pressure and the arterial
line is for monitoring your blood pressure."
D. "The internal jugular line is for monitoring your central venous pressure and medication
administration. The arterial line is for monitoring your blood pressure."
- correct answer- D. "The internal jugular line is for monitoring your central venous pressure and
medication administration. The arterial line is for monitoring your blood pressure."
>> The nurse observes asystole on the patient's telemetry monitor. What is the nurse first
action?
A. Carry out defibrillation.
B. Notify the physician.
C. Assess the patient.
D. Administer atropine IV.
- correct answer- C. Assess the patient.
>> When reviewing the patient's medication administration record (MAR) the notes the
medication atropine listed. The nurse understands that this medication is administered for
which problem?
, Page 3 of 47
A. Symptomatic bradycardia
B. Symptomatic tachycardia
C. Supraventricular tachycardia
D. Ventricular dysthymias
- correct answer- A. Symptomatic bradycardia
>> A patient has an intraaortic balloon pump (IABP) in the left groin. Which assessment finding
requires immediate action by the nurse?
A. Heart rate of 60 beats per minute
B. New onset confusion
C. Blood pressure of 90/55
D. Scant amount of blood on the left groin dressing
- correct answer- B. New onset confusion
>> The nurse is caring for a patient with a congestive heart failure and a central venous
pressure (CVP) of 15.. The nurse administers 40mg Lasix IVP as per physician order. What will
the nurse monitor to evaluate the effectiveness of the treatment?
A. Assess the patient's skin turgor.
B. Patient reports feeling "better."
C. Central venous pressure increases to 20.
D. Central venous pressure decreases to 8.
- correct answer- D. Central venous pressure decreases to 8.
, Page 4 of 47
>> A patient who had an actue myocardial infarction 12 hours ago has hemodynamic
monitoring. While monitoring the patient, the nurse notes the patient's central venous pressure
is 12mmHg. What other assessment findings will the nurse anticipate? Select all that apply.
A. Weight loss of 2 kg since admission
B. Peripheral edema
C. Dyspnea
D. Decreased skin turgor
E. Hypertension
- correct answer- B. Peripheral edema
C. Dyspnea
E. Hypertension
>> A patient has arrived in the emergency room complaining of chest pain. The patient is
confused and does not remember when the chest pain started. What laboratory test results in
the highest priority in assisting the nurse in planning care for this patient?
A. Troponin 3.6 ng/mL
B. Creatinine 1.7 ng/mL
C. Creatine kinase (CK) 50 units/L
D. Potassium 3.1 mEq/L
- correct answer- A. Troponin 3.6 ng/mL
>> The nurse observes asystole on the patient's telemetry monitor. What is the first action?
A. Carry out defibrillation
