Answers
Classic EKG changes you expect to find in an acute myocardial infarction include:
A. Frequent PVCs
B. Wide Q Waves
C. ST segment elevations
D. Narrow PR intervals Correct Answer
You have a patient with end-stage cardiomyopathy and receive orders to start
nitroprusside and dobutamine. What effects do you expect to see in your patient's
cardiac output? Correct Answer Reduces preload and afterload, and improves
contractility
Your patient just arrived from the Emergency Department and is receiving thrombolytics
(TPA) 3 hours post myocardial infarction. Which of the following indications would cue
you to stop the infusion immediately? Correct Answer Change in mental status
A central venous pressure (CVP) directly reflects pressure in the Correct Answer right
atrium
An elevated CVP reading might indicate which of the following Correct Answer Right
heart failure
The pulmonary artery occlusive pressure (PAOP) reflects the pressure in the Correct
Answer left ventricle
What is a normal PAOP? Correct Answer 6-12
An elevated PAOP might indicate which of the following? Correct Answer LV failure
Your patient is a 64 yom complaining of a "funny feeling in my chest." HIs EKG shows
atrial fibrillation. Which of the following medications can be used to treat this
arrhythmia? Correct Answer Cardizem (Diltiazem)
Cardiac tamponade may manifest all the following signs except:
A. Pulsus paradoxus
B. Bradycardia
C. Decreased systolic pressure
D. Muffled heart tones Correct Answer Bradycardia
An antidote for heparin is: Correct Answer Protamine sulfate
, Your patient's morning ABG reveals the following:
pH 7.40
pO2 98 mmHg
pCO2 38 mm Hg
HCO3 25 mEq Correct Answer Normal ABG
Your patient's ventilator starts alarming low volume. This may be caused by: Correct
Answer Disconnected tubing
You are rounding on your patients. Your ventilated patient is being maintained on
Precedex. You ask if his breathing is okay. In an audible tone, you hear him say "yes."
Your first action should be to: Correct Answer Check the function of the cuff
All the follow may trigger a high pressure alarm on the ventilator except:
A. Decreased lung compliance
B. Biting the tube
C. Leaking cuff
D. Pulmonary edema Correct Answer Leaking cuff
You are caring for a trauma patient who is 4 days post fracture of the left femur. The
patient suddenly develops shortness of breath. The most likely cause is: Correct
Answer Fat emboli
The moat effective way to prevent ventilator associated pneumonia (VAP) Correct
Answer Careful handwashing and use of gloves when suctioning
The most important nursing activity for a patient admitted with cervical spine cord injury
is: Correct Answer Immobilizing the head
In patients with cervical spine injuries, the most important nursing observation concerns
which of the following parameters? Correct Answer Respirations
Increased intracranial pressure can cause which of the following:
A. Brisk pupillary response
B. Decreased blood pressure
C. Wide pulse pressure
D. Increased alertness Correct Answer Wide pulse pressure
Common medication for elevated ICP Correct Answer mannitol