ETSU LPN TO BSN TRANSITION EXAM 3
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with verified answers
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Aortic |- |correct |answer |2nd |intercostal |space, |right |sternal |border
Pulmonic |- |correct |answer |2nd |intercostal |space, |left |sternal |border
ERB'S |- |correct |answer |3rd |intercostal |space, |left |sternal |border
Tricuspid |- |correct |answer |4th |intercostal |space, |left |sternal |border
Mitral |- |correct |answer |5th |intercostal |space, |left |midclavicular |line
How |do |you |assess |Apical |pulse |- |correct |answer |Listen |for |1 |full |minute |at |the |mitral
Potassium |- |correct |answer |3.5-5.0
Sodium |- |correct |answer |136-145
Calcium |- |correct |answer |9-10.5
H&H |- |correct |answer |12-16 |& |37-47 |(female)
14-18 |& |42-52 |(male)
Cardiac |enzymes |indicate |heart |damage? |- |correct |answer |CK |and |troponin
, EKG |- |correct |answer |No |gel, |clean |skin, |may |have |to |clip |or |shave |hair, |client |must |relax, |they |
are |not |NPO
P |wave |- |correct |answer |atrial |depolarization
QRS |- |correct |answer |ventricular |contraction
T |- |correct |answer |ventricular |relaxation
Cardiac |Cath |- |correct |answer |NPO |8 |hours, |no |anticoagulants |1 |week |prior, |not |allergci |to |
shellfish/iodine, |bed |rest |4-6 |hours |with |weighted |bag |on |artery, |no |heavy |lifting(greater |than |
10 |pounds), |bleeding |precautions, |low |sodium |and |low |fat |diet
Pacemaker |- |correct |answer |Check |pulse |daily, |avoid |magnetic |fields(garage |door |opener, |MRI,
|etc)
defibrillation |- |correct |answer |Make |sure |pulseless, |make |sure |everyone |is |clear, |must |
document, |follow |up |EKG, |skin |condition |and |energy |setting |used
anticoagulant |- |correct |answer |Warfarin, |heparin, |ASA, |NSAIDS
Antidote |for |warfarin, |found |in |green |leafy |vegetables |- |correct |answer |Vitamin |K
Beta |blockers |- |correct |answer |low |pulse, |must |be |assessed |first
Digoxin |- |correct |answer |must |assess |an |apical |pulse |prior |to |administration
Normal |heart |rate |- |correct |answer |60-100 |bpm |(below |is |brady, |above |is |tachy)
Sius |tachy |- |correct |answer |give |beta |blocker
| | | | | | |
with verified answers
| |
Aortic |- |correct |answer |2nd |intercostal |space, |right |sternal |border
Pulmonic |- |correct |answer |2nd |intercostal |space, |left |sternal |border
ERB'S |- |correct |answer |3rd |intercostal |space, |left |sternal |border
Tricuspid |- |correct |answer |4th |intercostal |space, |left |sternal |border
Mitral |- |correct |answer |5th |intercostal |space, |left |midclavicular |line
How |do |you |assess |Apical |pulse |- |correct |answer |Listen |for |1 |full |minute |at |the |mitral
Potassium |- |correct |answer |3.5-5.0
Sodium |- |correct |answer |136-145
Calcium |- |correct |answer |9-10.5
H&H |- |correct |answer |12-16 |& |37-47 |(female)
14-18 |& |42-52 |(male)
Cardiac |enzymes |indicate |heart |damage? |- |correct |answer |CK |and |troponin
, EKG |- |correct |answer |No |gel, |clean |skin, |may |have |to |clip |or |shave |hair, |client |must |relax, |they |
are |not |NPO
P |wave |- |correct |answer |atrial |depolarization
QRS |- |correct |answer |ventricular |contraction
T |- |correct |answer |ventricular |relaxation
Cardiac |Cath |- |correct |answer |NPO |8 |hours, |no |anticoagulants |1 |week |prior, |not |allergci |to |
shellfish/iodine, |bed |rest |4-6 |hours |with |weighted |bag |on |artery, |no |heavy |lifting(greater |than |
10 |pounds), |bleeding |precautions, |low |sodium |and |low |fat |diet
Pacemaker |- |correct |answer |Check |pulse |daily, |avoid |magnetic |fields(garage |door |opener, |MRI,
|etc)
defibrillation |- |correct |answer |Make |sure |pulseless, |make |sure |everyone |is |clear, |must |
document, |follow |up |EKG, |skin |condition |and |energy |setting |used
anticoagulant |- |correct |answer |Warfarin, |heparin, |ASA, |NSAIDS
Antidote |for |warfarin, |found |in |green |leafy |vegetables |- |correct |answer |Vitamin |K
Beta |blockers |- |correct |answer |low |pulse, |must |be |assessed |first
Digoxin |- |correct |answer |must |assess |an |apical |pulse |prior |to |administration
Normal |heart |rate |- |correct |answer |60-100 |bpm |(below |is |brady, |above |is |tachy)
Sius |tachy |- |correct |answer |give |beta |blocker
