Critical Care Hemodynamic Monitoring
Chapter 65 Exam Questions With
100% Verified Answers
. A patient who has been in the intensive care unit for 4 days has
disturbed sensory perception from sleep deprivation. Which action
should the nurse include in the plan of care?
a. Administer prescribed sedatives or opioids at bedtime to
promote sleep.
b. Cluster nursing activities so that the patient has uninterrupted
rest periods.
c. Silence the alarms on the cardiac monitors to allow 30- to 40-
minute naps.
d. Eliminate assessments between 2200 and 0600 to allow
uninterrupted sleep. -
correct answer ✅ANS: B
Clustering nursing activities and providing uninterrupted rest
periods will minimize
sleep-cycle disruption. Sedative and opioid medications tend to
decrease the amount of rapid eye movement (REM) sleep and can
contribute to sleep disturbance and disturbed sensory perception.
Silencing the alarms on the cardiac monitors would be unsafe in a
critically ill patient, as would discontinuing all assessments during
the night.
,Critical Care Hemodynamic Monitoring
Chapter 65 Exam Questions With
100% Verified Answers
Which hemodynamic parameter best reflects the effectiveness of
drugs that the nurse gives to reduce a patient's left ventricular
afterload?
a. Mean arterial pressure (MAP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) -
correct answer ✅ANS: B
SVR reflects the resistance to ventricular ejection, or afterload. The
other parameters may be monitored but do not reflect afterload as
directly.
1. While close family members are visiting, a patient has a
respiratory arrest, and resuscitation is started. Which action by the
nurse is best?
a. Tell the family members that watching the resuscitation will be
very stressful.
b. Ask family members if they wish to remain in the room during
the resuscitation.
c. Take the family members quickly out of the patient room and
remain with them.
,Critical Care Hemodynamic Monitoring
Chapter 65 Exam Questions With
100% Verified Answers
d. Assign a staff member to wait with family members just outside
the patient room. -
correct answer ✅ANS: B
Evidence indicates that many family members want the option of
remaining in the room during procedures such as cardiopulmonary
resuscitation (CPR) and that this decreases anxiety and facilitates
grieving. The other options may be appropriate if the family decides
not to remain with the patient.
After surgery for an abdominal aortic aneurysm, a patient's central
venous pressure (CVP) monitor indicates low pressures. Which
action should the nurse take?
a. Administer IV diuretic medications.
b. Increase the IV fluid infusion per protocol.
c. Increase the infusion rate of IV vasodilators.
d. Elevate the head of the patient's bed to 45 degrees. -
correct answer ✅ANS: B
A low CVP indicates hypovolemia and a need for an increase in the
infusion rate. Diuretic administration will contribute to hypovolemia
and elevation of the head or increasing vasodilators may decrease
cerebral perfusion.
, Critical Care Hemodynamic Monitoring
Chapter 65 Exam Questions With
100% Verified Answers
1. When caring for a patient with pulmonary hypertension, which
parameter will the nurse use to directly evaluate the effectiveness
of the treatment?
a. Central venous pressure (CVP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) -
correct answer ✅ANS: C
PVR is a major contributor to pulmonary hypertension, and a
decrease would indicate that pulmonary hypertension was
improving. The other parameters may also be monitored but do not
directly assess for pulmonary hypertension.
What action by a new intensive care unit staff nurse would indicate
that the nurse educator's teaching about arterial pressure
monitoring has been effective?
a. Balances and calibrates the monitoring equipment every 2 hours.
b. Positions the zero-reference stopcock line level with the
phlebostatic axis.
Chapter 65 Exam Questions With
100% Verified Answers
. A patient who has been in the intensive care unit for 4 days has
disturbed sensory perception from sleep deprivation. Which action
should the nurse include in the plan of care?
a. Administer prescribed sedatives or opioids at bedtime to
promote sleep.
b. Cluster nursing activities so that the patient has uninterrupted
rest periods.
c. Silence the alarms on the cardiac monitors to allow 30- to 40-
minute naps.
d. Eliminate assessments between 2200 and 0600 to allow
uninterrupted sleep. -
correct answer ✅ANS: B
Clustering nursing activities and providing uninterrupted rest
periods will minimize
sleep-cycle disruption. Sedative and opioid medications tend to
decrease the amount of rapid eye movement (REM) sleep and can
contribute to sleep disturbance and disturbed sensory perception.
Silencing the alarms on the cardiac monitors would be unsafe in a
critically ill patient, as would discontinuing all assessments during
the night.
,Critical Care Hemodynamic Monitoring
Chapter 65 Exam Questions With
100% Verified Answers
Which hemodynamic parameter best reflects the effectiveness of
drugs that the nurse gives to reduce a patient's left ventricular
afterload?
a. Mean arterial pressure (MAP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) -
correct answer ✅ANS: B
SVR reflects the resistance to ventricular ejection, or afterload. The
other parameters may be monitored but do not reflect afterload as
directly.
1. While close family members are visiting, a patient has a
respiratory arrest, and resuscitation is started. Which action by the
nurse is best?
a. Tell the family members that watching the resuscitation will be
very stressful.
b. Ask family members if they wish to remain in the room during
the resuscitation.
c. Take the family members quickly out of the patient room and
remain with them.
,Critical Care Hemodynamic Monitoring
Chapter 65 Exam Questions With
100% Verified Answers
d. Assign a staff member to wait with family members just outside
the patient room. -
correct answer ✅ANS: B
Evidence indicates that many family members want the option of
remaining in the room during procedures such as cardiopulmonary
resuscitation (CPR) and that this decreases anxiety and facilitates
grieving. The other options may be appropriate if the family decides
not to remain with the patient.
After surgery for an abdominal aortic aneurysm, a patient's central
venous pressure (CVP) monitor indicates low pressures. Which
action should the nurse take?
a. Administer IV diuretic medications.
b. Increase the IV fluid infusion per protocol.
c. Increase the infusion rate of IV vasodilators.
d. Elevate the head of the patient's bed to 45 degrees. -
correct answer ✅ANS: B
A low CVP indicates hypovolemia and a need for an increase in the
infusion rate. Diuretic administration will contribute to hypovolemia
and elevation of the head or increasing vasodilators may decrease
cerebral perfusion.
, Critical Care Hemodynamic Monitoring
Chapter 65 Exam Questions With
100% Verified Answers
1. When caring for a patient with pulmonary hypertension, which
parameter will the nurse use to directly evaluate the effectiveness
of the treatment?
a. Central venous pressure (CVP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP) -
correct answer ✅ANS: C
PVR is a major contributor to pulmonary hypertension, and a
decrease would indicate that pulmonary hypertension was
improving. The other parameters may also be monitored but do not
directly assess for pulmonary hypertension.
What action by a new intensive care unit staff nurse would indicate
that the nurse educator's teaching about arterial pressure
monitoring has been effective?
a. Balances and calibrates the monitoring equipment every 2 hours.
b. Positions the zero-reference stopcock line level with the
phlebostatic axis.
